gingival tumors and perio abscesses

Question 1

char. of gingival abscesses

Answer 1

localized painful and rapidly expanding

usually just in marginal of papillary gingiva

Question 2

gingival abscess caused by…

Answer 2

foreign bodies embedded in gingiva

Question 3

perio abscess char.

Answer 3

localized along lateral root b/c drainage through pocket is impaired esp by calc.

Question 4

causes of perio abscess

Answer 4

trauma/ root fracture, endo perforation, post SRP/surgical therapy, from a chronic lesion or can be caused by antibiotics (super-infection)

Question 5

complications of abscess

Answer 5

tooth loss, 
systemic infections (dissemination through tissues druring therapy or through bacteremia)

Question 6

differential diagnosis for perio abscess

Answer 6

periapical abscess 
vertical root fractures
endo-perio abscess
osteomyelitis
tumors

Question 7

traits of focal fibrous hyperplasia

Answer 7

cause:irritation

sessile , sooth surface cell poor hyperplastic collagenous tissue with possible hyperkeratinization

Question 8

differential diag. of focal fibrous hyperplasia

Answer 8

giant cell fibroma

Question 9

reactive processes of soft tissue

Answer 9

focal fibrous hyperplasia
calcified fibroblastic granuloma
pyogenic granuloma
peripheral giant cell granuloma

Question 10

reactive processes of hard tissue

Answer 10

periapical cemental dysplasia

Question 11

benign neoplasms of perio soft tissues

Answer 11

hemangioma
nevus
papilloma (inc. verruca vulgaris)
peripheral odontogenic tumors

Question 12

benign neoplasms of hard tissues

Answer 12

ameloblastoma
squamous odontogenic tumor
benign cementoblastoma

Question 13

malignant neoplasms of soft tissues

Answer 13

squamous cell carcinoma
metastasis to gingiva
kaposi’s sarcoma
malignant lymphoma

Question 14

malignant neoplasms of hard tissues

Answer 14

osteosarcoma

langerhans cell disease

Question 15

traits of calcified fibroblastic granuloma

Answer 15

reddish and ulcerated w/ fibrous proliferation in which hard tissue is formed
highly cell rich

Question 16

differential diagnosis b/ calcified fibroblstic grnuloma

Answer 16

pyogenic granuloma

Question 17

traits of pyogenic granuloma

Answer 17

on gingival margin ulcerated, reddish or blue w/ bleeding

highly vascular w/ chronic inflammatory cells

Question 18

differential diag. w/ pyogenic granuloma

Answer 18

pregnancy tumor

Question 19

traits of peripheral giant cell granuloma

Answer 19

can be anywhere on mucosa, pedunculated or sessile and red or purple
focal collection of multi-nucleated osteoclast like giant cells prob from perio ligment oricin whih richly cellualar and vascular stroma and collagenous septa

Question 20

diff diag from giant cell granuloma

Answer 20

focal fibrous hyperplasia

Question 21

char. of periaplical cemental dysplasia

Answer 21

tooth is vital

usually no sympt but periapical bone is replased by cellular fibroblastic tissue through a cementoblastic phase

Question 22

traits of hemangioma

Answer 22

freq tumors of oral mucosa
flat or raised soft lesions that may bleed and blanch w/ pressure
can be capillary or cavernous

Question 23

diff diag of hemangioma

Answer 23

mucous cysts, pyogenic granuloma

Question 24

traits of nevus

Answer 24

pigmented lesion containing melanocytes in CT instad of ep where it’s supposed to be
seen in palate
flat of slightly raised brown or black often confused w/ amalgam tattoo

Question 25

papilloma traits

Answer 25

exophytic pedunculated or sessile red or white granular or filiform/digitated assoc w/ HPV

Question 26

verruca vulgaris

Answer 26

found in lips and palate, papillomatous surface w/ hyperkeratinization and rete ridges assoc w/ HPV 2 and 4

Question 27

peripheral odontogenic tumor traits

Answer 27

non-ulcerated lesions in soft tissue around unerupted teeth

Question 28

ameloblastoma traits

Answer 28

well circumscribed radiolucency derived from odontogenic epithelium

Question 29

squamous odontogenic tumor traits

Answer 29

derived from PDL (rests of malassez) | found on lateral root surfaces

Question 30

bengn cementoblastoma traits

Answer 30

radiopaque around apex of tooth

Question 31

squamous cell carcinoma traits

Answer 31

found on mandible post to premolars w/ regional lymphnode metastasis

Question 32

metastasis to the gingiva are usually... (3 things)

Answer 32

from lungs, intraosseous, carcinoma (from ep.) instead of sarcoma (from CT)

Question 33

kaposi's sarcoma and malignant lymphoma are assoc w/ what disease?

Answer 33

AIDS

Question 34

osteosarcoma occurs where and what is typically seen?

Answer 34

in jaws, widening of PDL

Question 35

sympt of langerhans cell disease

Answer 35

swelling tenderness pain and loosening of teeth