FRICTIONAL KERATOSIS

Question 1

CONCEPT

Answer 1

WHITE LESIONS RELATED TO CHRONIC RUBBING OR FRICTION AGAINST AN ORAL MUCOSAL SURFACE (RESULT HYPERKERATOTIC WHITE LESION (ANALOGOUS TO CALLUS ON THE SKIN)

Question 2

HYPERKERATOSIS

Answer 2

INCREASE IN THE THICKNESS OF THE KERATIN LAYER OF THE EPITHELIUM/PRESENCE OF A KERATIN LAYER IN A LOCATION WHERE NONE WOULD NORMALLY BE EXPECTED

Question 3

INTRAORALLY

Answer 3

EDENTULOUS RIDGE (ALVEOLAR RIDGE KERATOSIS), RETROMOLAR PAD, BUCCAL MUCOSA, LATERAL TONGUE, LIPS

Question 4

MICROSCOPICALLY

Answer 4

HYPERKERATOSIS: WITHOUT DYSPLATIC CHANGE

Question 5

TREATMENT

Answer 5

• PATIENTS SHOULD BE ADVISE DISCONTINUE CAUSATIVE HABIT/OFFENDING TOOTH/DENTURE SHOULD BE SMOOTHED
• LESION SHOULD RESOVE OR LEAST SHOULD REDUCED IN INTENSITY OVER TIME (CONFIRMING CLINICAL DIAGNOSIS)
• OBSERVATION REQUIRED/DOUBT: BIOPSY