Oral Surgery Flashcards

(20 cards)

1
Q

Define: Incisional Biopsy
When are they appropriate?

A

Removal of a small section of the mass
Large tumors, tumors with high probability of malignancy

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2
Q

Define: Excisional Biopsy
When are they appropriate?

A

Removal of all gross disease
Small tumors, tumors attached by a stalk of tissue, tumors with high probability of being benign, tumors where incisional biopsy would cause severe side effects

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3
Q

What are considered features of malignancy in the oral cavity?

A
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4
Q

What are (3) hyperplastic oral lesions in dogs?

A

Gingival hyperplasia
Peripheral odontogenic fibroma
Focal fibrous hyperplasia

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5
Q

What are (3) odontogenic tumors in dogs?

A

Embryonic tooth structures made it
Peripheral odontogenic fibroma
Canine acanthomatous ameloblastoma
Odontoma

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6
Q

What are (3) non-odontogenic tumors in dogs?

A

Malignant melanoma
Squamous cell carcinoma
Fibrosarcoma (histo low, bio high)

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7
Q

Features: Peripheral Odontogenic Fibroma

A

Slow growing, non-ulcerated (unless it is being traumatized)
Variable radiographic appearance based on ossifying or fibrous component
Originates in the periodontal ligament

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8
Q

Treatment: Peripheral Odontogenic Fibroma

A

Surgical excision
May require extraction of the underlying tooth if it recurs

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9
Q
A

Peripheral Odontogenic Fibroma

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10
Q
A

Peripheral Odontogenic Fibroma

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11
Q

Features: Canine Acanthomatous Ameloblastoma

A

Gingival mass with an irregular surface
Benign tumor with invasive properties (but will not metastasize)
Can grow quickly (biopsy can make it angry)
Most commonly found in rostral oral cavity

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12
Q

Treatment: Canine Acanthomatous Ameloblastoma

A

Wide surgical excision (1 cm margins) - dorsal rim excision
Prognosis is excellent with wide surgical excision

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13
Q
A

Canine Acanthomatous Ameloblastoma

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14
Q

Which mass is most likely if it gets angry with biopsy?

A

Canine Acanthomatous Ameloblastoma

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15
Q
A

Canine Acanthomatous Ameloblastoma

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16
Q

Features: Odontoma

A

Usually associated with unerupted teeth (young dogs)
Can be very extensive
Associated with small tooth-like structures called denticles

17
Q

Treatment: Odontoma

A

Surgical enucleation
Good prognosis with surgical removal

18
Q
19
Q
A

Peripheral odontogenic fibroma

20
Q
A

Focal fibrous hyperplasia or fibrosarcoma