Common Oral Lesions Flashcards

(35 cards)

1
Q

Term for short lingual frenum?

A

Ankylglossia

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2
Q

What sex is more commonly affected and what is the treatment for Ankylglossia

A

1) Males

2) Frenectomy only if speech or cleansing issues

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3
Q

What are exostoses and what can the develop as a result of?

A

Hard bony mass, develop w/ Paget’s disease, or patients w/ bisphosphonates

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4
Q

What is a benign reactive process originating with from the PDL fibroblast

A

Cemento-Osseous Dysplasia

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5
Q

Will the teeth test vital with Cemento-Osseous Dysplasia

A

Yes

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6
Q

What area does Periapical Cemento-Osseous Dysplasia affect, and what population

A
  • Mandibular ant. region of AA females
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7
Q

How is Periapial Cemento-Osseous Dysplasia diagnosed, and what is the treatment and prognosis

A

1) Diagnosed through x-ray

2) No treatment and excellent prognosis

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8
Q

What disease is usually seen in the body of the mandible with a unilocular radiolucency w/ varying radiopaque center

A

Focal Cemento-Osseous Dysplasia

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9
Q

What population age/sex, is most commonly affected by Focal Cemento-Osseous Dysplasia

A
  • All ethnic groups, but usually white females, 20-40
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10
Q

Symptoms of Focal Cemento-Osseous Dysplasia

A

Unusual swelling/discomfort

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11
Q

Treatment and prognosis of Focal Cemento-Osseous Dysplasia

A
  • Possible biopsy to rule out other disease

- Good prognosis unless 1st sign of Florid Cemento-Osseous Dysplasia

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12
Q

What is the most severe type of Cemento-Osseous Dysplasia

A

Florid

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13
Q

What area and population does Florid Cemento-Osseous Dysplasia affect

A
  • Middle aged AA females

- Multiple quadrants

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14
Q

Should you biopsy Florid Cemento-Osseous Dysplasia

A
  • No, extraction and biopsy often corelate w/ onset of symptoms (ulceration and bone sequestration)
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15
Q

What is a localized area with increased opacity, showinga round/elliptical mass blended w/ surrounding bone

A

Idiopathic Osteitis

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16
Q

Where is idiopathic osteitis often seen, what is the cause, and is root absorption observed?

A
  • 1st PM area
  • Rare root resportion
  • Unknown cause
17
Q

What is a localized area w/ increased opacity associated w/ non-vital or inflamed pulp

A

Condensing Osteitis

18
Q

Where is condensing osteitis often seen

A

Tooth w/ deep restoration/caries

19
Q

What percent of Condesning Osteitis resolve with endo, and what could result if it persists

A
  • 85%, look for perio membrane to return to normal

- Bone scar

20
Q

What is a dome shaped mucosal swelling that is usually soft or fluctuant

21
Q

How large is a Mucocele typically

22
Q

What sites are/are not commonly affected by a Mucocele

A

Lower lip is most common, also FOM, BM, tongue

- Rare in soft palate or retromolar pad

23
Q

If something resembling a Mucocele appears in retromolar pad what should it be assumed of until proven other wise

A

Mucoepidermoid cancer

24
Q

What color are Mucoceles and what age do the commonly affect

A
  • Typically blue from spilled mucin

- Children/young adults

25
What is a Mucocele called on the floor of the mouth
Ranula
26
What is the treatment for a Mucocele
- Some resolve, most require surgical removal of area and portion of affected gland
27
What will the patient typically report with a Mucocele
- Repeated swelling and rupture (weeks-years)
28
What is a common mesnchymal lesion of fibrous CT often from irritation
Fibroma
29
How does a fibroma typially present
- Smooth dome shaped nodule, same color of surrounding tissue or can be white - 1.5 cm >
30
Most common sites fora fibroma
- Most common is BM | - LM, tongue, and gingiva
31
Symptoms of fibroma
- None unless secondarily traumatized
32
Nodule appearing on gingiva lingual to mandibular canine
Retrocuspid papilla
33
What causes Inflammatory Fibrous Hyperplasia (Denture Epulis)
- Flange of ill fitting denture
34
Signs of Denture Epulis
Red, w/ possible central fissure
35
Treatment for Inflammatory Fibrous Hyperplasia
Conservative excision and denture remake