Questions

Question 1

Name & treat

Answer 1

• fordyce spots
• these are sebacous glands in the underlying mucosa
• not something that needs biopsied or treated

Question 2

Name, explain, tx

Answer 2

• fibrous epulis
• due to exaggerated tissue response to chronic inflammation due to trauma e.g overhangs or subgingival calculus
• excisional biopsy + treat cause

Question 3

Name, explain, treat

History: px complains it bleeds a lot

Answer 3

• vascular epulis
• type of pyogenic granuloma
• often related to trauma and there is an overgrowth of the granulation tissue and there is failure of normla healing
• excisional biopsy can be done

Question 4

Name, explain, treat

History: bleeds a lot, px pregnant

Answer 4

pregnancy epulis
same as vascular except in pregnant lady
often related to calculus and hormonal changes enhance response to tissue irritation
tx: small lesions may require excision and may regress after the birth of the baby, larger lesions should be excised
remember to remove any sources of irritation

Question 5

Name, explain, tx

Answer 5

• squamous cell papilloma
• usually pedunculated, white surface, cauliflow appearance, benign neoplasm
• commonly seen palate, buccal mucosa or lips
• tx: excision at base, biopsy (excisional) & HPV testing (types 6 & 11)

Question 6

Name, explain, treat

Answer 6

• giant cell epulis
• will see lots of multinucleate giant cells in it
• high recurrence - must be completely excised
• radiograph to rule out central giant cell granuloma / brown tumour

Question 7

Name, explain, treat

Answer 7

• Vascular malformation (capillary haemangioma - term haemangioma is meant to be reseved for infants)
• surgical removal or cryotherapy