ORAL ULCER Flashcards

1
Q

What is the most common site of leukoplakia?

A

buccal mucosa

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2
Q

What is leukoplakia?

A

Leukoplakia is a premalignant clinical white patch that can be caused by smoking, chewing tobacco, alcohol abuse

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3
Q

Leukoplakia is associated with?

A

submucosal fibrosis
plummer-vinson syndrome
hyperplastic candidiasis

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4
Q

Define aphthous ulcer.

A

Aphthous ulcer is a mucosal lesion characterized by a central necrotic area and red border

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5
Q

Location of aphthous ulcers

A

Inner lip, buccal mucosa, tongue, the floor of the mouth, and soft palate

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6
Q

What is a fibroma?

A

Pedunculated mass can occur anywhere in the oropharynx, consisting of fibrovascular core covered by epithelium

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7
Q

What is a pyogenic granuloma?

A

A pyogenic granuloma, also called a lobular capillary hemangioma, is the most common tumor of the gingiva

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8
Q

_________________ is a form of capillary hemangioma associated with pregnancy

A

Pyogenic granuloma

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9
Q

What is the outcome of pyogenic granuloma?

A

It regresses after pregnancy or undergoes fibrosis to resemble a fibroma

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10
Q

_______________ is an inflammatory reactive connective tissue hyperplasia of the gingiva that occurs in response to trauma or irritation

A

Peripheral ossifying fibroma

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11
Q

What is peripheral giant cell granuloma?

A

Peripheral giant cell granuloma is a reactive giant cell lesion of the oral cavity due to trauma or irritation

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12
Q

Describe the morphology of Peripheral giant cell granuloma?

A

It is described as a purplish-red nodule consisting of giant cells in a background of stromal cells and red blood cells

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13
Q

What is a ranula?

A

A ranula is a cyst in the floor of the mouth arising from the ducts of the submandibular or sublingual glands.

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14
Q

What are the types of ranula?

A

a simple ranula cyst is confined to the floor of the mouth, a plunging type of ranula extends into the neck

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15
Q

What is the management of ranula?

A

If the ranula is small, complete surgical excision can be done but, since the walls of the ranula are very thin, surgical excision is not possible and marsupialization is done instead.

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16
Q

What is marsupialization?

A

In this process, the roof of the ranula is removed and the remaining inner wall is stitched with oral mucosa

17
Q

What are mucoceles?

A

Mucoceles are retention cysts of the minor salivary glands. Mucoceles are soft and cystic, fluid-filled masses of bluish color

18
Q

Mucocele is most commonly found on?

A

lower lip

19
Q

Tx of mucocele?

A

Surgical excision

20
Q

Describe the features of herpangina.

A

It is a coxsackievirus infection. It begins as small vesicles on the faucial pillars, tonsils, soft palate, and uvula which later rupture to form ulcers, usually 2-4 mm in size with a yellow base and red areola around them

21
Q

What is vincent angina caused by?

A

Vincent’s angina is caused by fusiform bacilli and spirochaetes

22
Q

What is vincent angina?

A

characterized by membrane and ulcer formation over the tonsils.

23
Q

What causes vincent infection?

A

is caused by fusiform bacilli and spirochaetes

24
Q

What is vincent infection?

A

involve the gingivae and when infected, the gingivae become red and swollen and their free margins get covered with a necrotic slough

25
Q

Herpes gingivostomatitis is caused by ___________

A

herpes simplex virus

26
Q

types of herpes gingivostomatitis?

A

: primary and secondary

27
Q

_________ form affects children and may involve any part of the oral cavity (herpes gingivostomatits)

A

Primary

28
Q

What are the characteristics of herpes gingivostomatitis?

A

It is characterized by clusters of multiple vesicles which later rupture to form ulcers.

29
Q

What is the cause of infectious mononucleosis and what are the features of it?

A

Infectious mononucleosis is caused by EBV and is characterized by fever, sore throat, exudative pharyngitis, lymphadenopathy, splenomegaly, and hepatitis

30
Q

Acute necrotizing ulcerative gingivitis commonly referred to as ______________

A

Vincent’s infection

31
Q

What is the name of the fusiform bacilli or spirochete?

A

Borrelia vincentii