SOFT TISSUE LESIONS
TONGUE TALK TO ME
TOBACCO USE AND APPLIANCES
ORAL PATH RELATED TO HIV/AIDS
ORAL PATH RELATED TO MEDICAL CONDITIONS
ORAL PATH OF INFECTIOUS ETIOLOGY
200
patient placed an aspirin directly on a painful area and is now presenting with white necrotic tissue that has been sloughing off
what is aspirin burn?
200
dark staining of the accumulated keratin on filiform papillae caused by chromogenic bacteria, tobacco, alcohol, etc
related to poor hygiene and use of antibiotics/corticosteroids
what is black hairy tongue?
200
dark pigmentation of oral tissue caused by stimulation of melanin production of melanocytes dye to chemical substances in cigarette smoke
what is smoker's melanosis?
200
most common oral lesion associated with immunodeficiencies
white lesions can be wiped off with a cloth/gauze
what is candidiasis?
200
prognathic malocclusion, open bite due to tongue thrusting
lower risk for caries as kids bc delayed tooth eruption, missing teeth and wider interproximal spaces
higher risk for caries and periodontal disease as adults due to poor hygiene and cariogenic food
what is Down Syndrome?
200
direct sexual contact transmission, condition develops in stages and symptoms and lesions may vary
treponema pallidum
chancre
mucous patches
gumma
what is syphillis?
300
minor, major, and herpetic forms
only seen in movable parts of the oral cavity and recurs in episodes, affecting largely professional professions or people with high levels of stress
what are aphthous ulcers?
300
adhesion of the tongue to the floor of the mouth
aka "tongue tied"
what is ankyloglossia?
300
most common location is in the mucobuccal fold and will usually disappear after tobacco is no longer being placed in that spot
may develop into malignancy
what is tobacco pouch keratosis?
300
painful ulcers larger than 1 cm in diameter and can take several weeks to heal, usually results in scarring
more common than minor and herpetic forms in HIV patients
what are major aphthous ulcers?
300
inherited disorder with decreased number of neutrophils for a short period of time (2-3 days)
occurs in intervals of 21-27 days
what is cyclic neutropenia?
300
highly contagious superficial skin infection usually seen in kids generally caused by two bacteria
staphylococcus aures or s.pyoegnes
what is impetigo?
400
benign inflammatory condition of the skin, but more severe forms can cause ulcers of the mouth
distribution is symmetrical
what is lichen planus?
400
dorsal surface is cracked and dry
advise patient to clean tongue regularly to remove food debris caught in the grooves
what is a fissured tongue?
400
benign increased keratinization occurs on hard palate in response to heat
raised red dots, may develop into a malignancy
what is nicotine stomatitis?
400
caused by Epstein-Barr virus
what is hairy leukoplakia?
400
inherited condition that causes abnormalities in the skin, nervous system, bones, etc
palms of hands show small dark pits that can get filled with dirt
multiple jaw cysts, odontogenic keratocysts
what is nevoid basal cell carcinoma/Gorlin's syndrome?
400
spread from mother to child through placenta or during birth
what is congenital syphillis?
500
pre-cancerous condition related to sun exposure, more common in fair skinned individuals
watch for blurring of vermillion borders of lips and the skin!
what is solar/actinic cheilitis?
500
flat/slightly raised erythematous area in the middle of the dorsal surface of the tongue in a rhomboid/diamond shape
aka central papillary atrophy
what is median rhomboid glossitis?
500
inflammatory hyperplasia caused by prosthesis that appears in the vestibule along the denture border from an ill fitting appliance
surfaces may become ulcerated and tissue may need to be surgically removed
what is epulis fissuratum?
500
tiny vesicles on keratinized mucosa fixed to bone
infectious, when lesions are active, delay tx
what are herpes?
500
genetic disorder that affects development of bones and teeth
many supernumerary teeth, sometimes even looking like a 3rd dentition
interference with eruption of normal dentition --> pseudo anodontia
what is cleidocranial dysplasia?
500
the common wart, transmitted through direct contact
papillary oral lesions caused by one of many HPV
what is verruca vulgaris?
600
not as severe as pemphigus vulgaris, but another chronic autoimmune disease that causes erosive skin lesions of mucous membranes in various parts of the body
what is mucous membrane pemphigoid/desquamative gingivitis?
600
caused by the Epstein-Barr virus and can be seen in HIV patients
cannot be wiped off, and usually does not lead to malignant conditions
what is hairy leukoplakia?
600
most commonly affects palate and maxillary alveolar ridge, is asymptomatic
aka chronic atrophic candidiasis
what is denture stomatitis?
600
cancer of lymph or the blood vessels caused by human herpes virus
red/purple, flat/raised lesion most commonly seen on the palate or gingiva
what is kaposi sarcoma?
600
an inherited disorder characterized by abnormal bone growth resulting in dwarfism
fusion of anterior portion of maxillary gingiva to the upper lip from canine to canine
lack of central incisors on both arches
what is ellis van creveld syndrome?
600
benign papillary lesion caused by papilloma virus
transmitted through sexual contact
pink in color, not white
what is condyloma acuminatum?
700
autoimmune disease that causes blistering of the skin that is fragile and painful
nikolsky's sign: cleavage produced on blisters with gentle finger pressure
what is pemphigus vulgaris?
700
erythematous patches surrounded by white/yellow borders on dorsal and lateral sides of tongue
aka erythema migrans or benign migratory glossitis
sensitivity to citrus and spicy foods reported
what is geographic tongue?
700
granular, cobblestone appearance
usually appears in the vault covered by multiple erythematous papillary projections
what is papillary hyperplasia of the palate?
700
periodontal disorder characterized by a 2-3mm width band near the gingival margin
not associated with dental plaque
what is linear gingival erythema?
700
treacher collins syndrome
genetic disorder that affects development of facial structure
fish mouth, high palate, downward sloping lips, and open bite
what is mandibulofacial dysotosis?
700
infection caused by filamentous bacteria species Actinomyces
abscess trans through formation of small holes leaking pus -- fistulas
what is actinomycosis?