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33 Cards in this Set
- Front
- Back
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how can you tell if a bump is from the bone or mucosa? |
try and slide the mucosa over it |
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define the following: sessile/pedunculated/macule/patch |
sessile- broad based pedunculated- has a stalk macule- flat less than 1cm patch- flat over 1cm |
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what kind of hyperplastic lesions can you get and what causes them? |
occlusal line, polyps, epulides and granulomas, denture hyperplasia, papillary hyperplasia of the palate result of chronic irritation (smokers palate), infection, proliferation of granulation tissue, progressive fibrosis and epithelialisation- may be hyperkeratinised |
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what is this? what causes it? what are its features? whats the treatment? |
fibro-epithelial polyp trauma slow growing, painless, broad based, well demarked, same colour as mucosa only remove if its irritating |
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what does epulides mean? what are the types? |
solid swelling on the gum (not diagnosis description) not actually epulis but a granuloma pregnancy, fibrous, giant cell and carcinomatous (malignant) |
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whats this? what causes it? what are the features? whats the treatment? |
'pregnancy epulis' bleeds easily, very florid over response to irritation e.g. plaque remove |
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whats this? what are its features? what causes it? whats the treatment? |
peripheral giant cell granuloma (epulis) red, haemorrhagic and SOFT, occasionally get superficial bone erosion aetiology unknown remove and give deep clean if it returns extract tooth- may be proliferation of herwigs epithelial root sheath |
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whats this? where does it occur? what are the features? whats the cause? whats the treatment? |
pyogenic granuloma (epulide) ulcerated appearance on top of lump, apart from that firm and well demarcated, on gingival margins thought to be over-response to irritation remove |
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what must you do after removing epulides? |
send away sample for confirmation of diagnosis- send in not in practice |
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whats this? what causes it? whats the treatment? why can it mimic carcinoma? |
denture hyperplasia chronic irritation excise and remake denture get superficially ulcerated due to trauma |
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whats this? what are the features? whats the treatment? |
papillary hyperplasia variable inflammation usually in palatal vault relieve infection or irritation |
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what do all benign tumours end in? |
'oma'
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what are the types of squamous cell papilloma? what do they feel like? what can they be confused with? are they malignant? whats the treatment |
pedunculated or sessile usually sofr but occasionally keratinized confused with viral warts rarely malignant at the base remove |
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what 2 things could this be? |
squamous cell papilloma (benign epithelial tumour) or viral papilloma (warts) (tend to be a bit smaller) |
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what 2 things could this be? |
squamous cell papilloma (benign epithelial tumour) or viral papilloma (tend to be a bit smaller) |
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what 2 things could this be? |
squamous cells papilloma (benign epithelial tumour) or viral papilloma (tend to be a bit smaller) |
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what benign epithelial tumour is this? what can it be a manifestation of? |
multiple squamous cell papillomas- condyloma acumata HIV |
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what benign epithelial tumour is this? |
single pedunculated squamous cell papilloma (more likely to have SCC at base) |
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what is this benign epithelial tumour? whats the origin? where does it usually occur and rarely occur? what does it feel like? what are the types? treatment? |
adenoma minor salivary glands commonly posterior palate or cheek, rarely lip lobulated firm or rubbery swelling pleomorphic or monomorphic remove- will get bigger and can undergo malignant transformation
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what are the types of benign epithelial tumour? |
squamous cell papilloma adenoma |
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what are the types of benign connective tissue tumours? |
fibroma neuroma lipoma haemangiomas lymphangiomas |
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whats benign connective tissue tumour is this? what does it feel like? whats it usual appearance? whats the treatment? |
fibroma hard or soft usually broad based excise |
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whats benign connective tissue tumour is this? whats a common cause? what kind is it? treatment? |
leaf fibroma dentures peduncuated base excise |
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what benign connective tissue tumour is this? what is a common cause? what does it usually look like? is it painful? what syndromes is it associated with? |
neuroma traumatic tend to be small and whiteish can be painful (nerve ending) MEN 3 syndromes (multiple endocrine neoplasia and neurofibromatosis |
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what benign connective tissue tumour is this? what is it? what does it look/feel like? whats the treatment |
lipoma fat cells within a fibrous capsule soft yellowish swelling excise |
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whats benign connective tissue tumour is this? what are the types? what is it? what is the treatment? what happens when you press it? |
haemangiomas capillary or cavernous blood filled compressible swelling cryosurgury (freeze it), laser or excise- destroy blood vessels goes white |
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whats this? whats the treatment? |
varicose veins common sublingually no treatment |
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what benign connective tissue tumour is this? what is it? what are the features? |
lymphangiomas small or dilated vessels filled with lymph almost colourless/same colour as mucosa, dont stick up much may appear black if bloods in lymphatic spaces |
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what are the metabolic causes of lumps? what is it? what the the symptoms? |
scurvy vit c deficience causes gingival overgrowth and bleeding |
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whats this? |
scurvy |
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what drugs cause bumps (gingival hyperplasia)? |
epanutin esp ciclosporin, phenytoin, nifedipine |
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what is this? what kind of tumour is it? what cells does it original from? what are its features? where is it usually? |
myoblastoma (rare) granular cell tumour probably schwann cells painless firm pinky swelling usually on the tongue |
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what is this? what types do you get? where does it occur? |
granular cell tumour (epulis) of the newborn (rare) pedunculated or sessile swelling alveolar ridge |
