Mouth

Question 1

Angular Stomatitis/Cheilitis

Answer 1

-Cracks or fissures at corner

Question 2

Angular Stomatitis/Cheilitis is caused by:

Answer 2

-Licking of lips
-Dry, chapped lips
-Aggressive flossing
-Older adults: Vitamin D deficiency, IDA, malnutrition

Question 3

Treatment of Angular Stomatitis/Cheilitis

Answer 3

-Don’t lick the lips
-Use lip balm
-B Vitamins & better nutrition
-More care when flossing

Question 4

Actinic Cheilitis

Answer 4

Blotcht, mottled, swollen lips w/ chronic sores
-Usually the lower lip

Question 5

Actinic Cheilitic is due to

Answer 5

Damage from chronic sun exposure

Question 6

Actinic Cheilitis is a sign of:

Answer 6

Cancer (It’s precancerous in nature but watch for signs)

Question 7

Treatment of Actinic Cheilitis

Answer 7

Look for changes that may involve cancer
-Surgical removal of thickened areas
-Reduced sun exposure

Question 8

Cold sores are caused by

Answer 8

Viral infection (Herpes Simplex Virus)

Question 9

Cold sores

Answer 9

Small, painful, fluid-filled blisters on raised red area of skin near lips, around the mouth

Question 10

Cold sores are _____ when lesions present

Answer 10

Contagious

Question 11

____ of all adults are infected by HSV-1 or 2

Answer 11

50+%

Question 12

Cold sores are triggered by:

Answer 12

-Stress, anxiety, sunlight, hormonal changes, exhaustion, infections in other parts of the body

Question 13

Cold sores are often found on:

Answer 13

Border of lips and mouth

Question 14

Cold Sore: Progression

Answer 14

Begins with tenderness or tingling->Becomes painful and swollen with a red lump (contagious)

Question 15

Cold Sore: Prevention

Answer 15

Avoid kissing & contact with people when blisters are present
-Avoid sharing utensils, towels lip balm

Question 16

Cold Sores: CAre

Answer 16

OTC ointments, pain relievers, cold/warm compresses, avoid squeezing or picking blisters

Question 17

Tonsilitis is most ofter _____ in nature

Answer 17

Viral

Question 18

Risk factors of tonsilitis

Answer 18

-Being a school-aged child
-Contact with others

Question 19

Tonsilitis: Signs/Symptoms

Answer 19

*Abdominal pain in children
-Red, swollen tonsils
-White patches on tonsils
-Headache/Chills
-Loss of voice

Question 20

Tonsilitis: Tests/Diagnosis

Answer 20

Throat Swab (Strep/GABHS)
-CBC

Question 21

When to see a medical doctor with tonsilitis

Answer 21

-Fever above 103, inability to swallow d/t pain, abdominal pain, stiff neck/weakness
-Drooling, epiglottitis

Question 22

Self Care: Tonsilitis

Answer 22

Gargle with salt water, soothing liquids, drugs

Question 23

Tonsillectomy

Answer 23

Used for kids when they have multiple serious infections

Question 24

Thrush/Candidiasis

Answer 24

Sore, yellow-raised patches in mouth and throat

Question 25

Thrush/Candidiasis is caused by

Answer 25

-Proliferation of Candida albicans -Inhalsed corticosertoids (secondary)

Question 26

Inhaled Corticosteroid Side Effects

Answer 26

-Oral Candidiasis or thrush: Try using spacer or rinsing mouth after inhalation -Dysphonia: Change in patients voice, decrease dose temporarily

Question 27

Candidiasis/Thrush: Care

Answer 27

-Good oral hygiene -Healthy lifestyle -Rinse after inhaler use -Use spacer with inhalers

Question 28

Leukoplakia

Answer 28

-Thickened, white plaque in mouth or on tongue or gums

Question 29

Most common pre-cancerous growth in mouth

Answer 29

Leukoplakia

Question 30

Leukoplakia: Risk Factors

Answer 30

Tobacco Use -Chronic irritation (sharp tooth or broken denture) -Long-term alcohol use

Question 31

Care of Leukoplakia

Answer 31

See a dentist, -Stop all tobacco use

Question 32

Canker sores

Answer 32

Small yellowish white spots with red borders on soft tissues -Inside mouth -Will be very painful -Not contagious

Question 33

Canker sores are more common in:

Answer 33

Women

Question 34

Causes of Apthous ulcers/canker sores

Answer 34

Stress -Toothpastes containing SLS -Accidental Cheek Bite -Inflammatory bowel disease -Altered oral floura -Iron or B vitamin deficiency

Question 35

Care for Canker Sores/Apthous Ulcers

Answer 35

Topical Pastes (alum, slippery elm powder, DGL) -Nutritional Supplements: B complex, B12, folate, Zinc, C -Avoid toothpastes with SLS

Question 36

Cleft Palate is due to:

Answer 36

Incomplete fusion during pregnancy

Question 37

Torus Palatinus

Answer 37

Bony growth on palate (usually midline)

Question 38

Torus Palatinus is more common in:

Answer 38

-Asian/Inuit Populations -Twice as common in females

Question 39

Torus Mandibularis

Answer 39

-Bone growth on mandible on surface nearest to the tongue

Question 40

In ____ of cases of torus mandibularis, there are bilateral tori on both sides

Answer 40

90%

Question 41

Torus mandibularis is more common in

Answer 41

-Asian/Inuit populations -Slightly more in males

Question 42

Ankyloglossia

Answer 42

-Lingual frenulum is too short -May interfere with swallowing, speech, playing instruments, or kissing later in life

Question 43

Ankyloglossia: Treatment

Answer 43

Frenulectomy