Management Of Common Oral Lesions And Conditions

Front 1

_______ is also known as dry mouth

Back 1

Xerostomia

Front 2

Xerostomia can be due to

Back 2

- medications, illness (eg. Sjogren's syndrome, HIV, cancer)
- aging
-(Biologic, drugs, systemic disease)

Front 3

What medication is used to treat canker sores?

Back 3

Lidocaine 2%, viscous

Front 4

____________ are also known as canker sores

Back 4

Recurrent Minor Aphthous Ulceration

Front 5

clinically, _________ appear on movable mucosa only (e.g. Inner lower lip, soft palate)

Back 5

Recurrent Minor Apthous Ulceration (canker sores)

Front 6

Common over the counter products used for canker sores include

Back 6

Orajel, orabase, Gly-Oxide, Peroxyl

Front 7

Canker sores are painful but usually heal in _________ without treatment

Back 7

7-10 days

Front 8

The difference between aphthous ulcers and herpetic ulcers is

Back 8

location

Front 9

_______ is a benign, chronic inflammatory mucosal condition of unknown etiology affecting the skin, oral mucosa, or both

Back 9

Lichen planus (LP)

Front 10

Current theory for Lichen planus (LP) suggests an

Back 10

immune-mediated mechanism

Front 11

Lichen Planus affects all ages but is predominant in

Back 11

female adults over 40 years of age

Front 12

Two major forms of Lichen Planus exist:

Back 12

- Reticular
- Erosive

Front 13

_________ is usually asymptomatic and classically presents as reticular, lacy white lines on buccal mucosa called Wickman striae

Back 13

Reticular LP

Front 14

Reticular LP also occurs on other intraoral sites including

Back 14

the tongue, lips, floor of mouth, gingiva

Front 15

__________ presents with generalized erythema and ulceration of the gingival tissue known as desquamative gingivitis

Back 15

Erosive LP

Front 16

True/False; True/False
Asymptomatic lesions do not need treatment.
Meticulous oral hygiene has no effect on gingival lesions.

Back 16

- True
- False - Meticulous oral hygiene may improve gingival lesion

Front 17

Patients that are symptomatic may require ___________ such as ______________ for treatment

Back 17

- topical corticosteroid gels
- flucoinonide and/or corticosteroid mouthrinses

Front 18

_________ is defined as burning pain in the tongue or oral mucosa, usually without accompanying clinical and laboratory findings

Back 18

Burning Mouth Syndrome

Front 19

Burning mouth syndrome is most prevalent in __________ and other causes include ______________

Back 19

- post menopausal women
- patients with nutritional/vitamin deficiency, xerostomia, and cranial nerve damage

Front 20

Onset of burning mouth syndrome may occur after

Back 20

- dental procedures
- recent illness
- antibiotic therapy

Front 21

Other symptoms of burning mouth syndrome include

Back 21

- Xerostomia
- alterations in taste

Front 22

True/False
Burning mouth syndrome has a strong psychological component where there may be mood and personality changes.

Back 22

True

Front 23

Treatment of burning mouth syndrome usually deals with symptoms, and medications include

Back 23

Tricyclic antidepressants, benzodiazepines, and anticonvulsants

Front 24

________ refers to inflammation in the gingival tissue around the crown of a partially erupted tooth, usually the mandibular 3rd molar

Back 24

Pericoronitis

Front 25

_______ is the gingival flap of tissue surrounding the crown which is usually inflamed and is continuously bitten on causing more pain

Back 25

Operculum

Front 26

Pericoronitis is caused by a

Back 26

bacterial infection that can spread to other areas of the mouth including oropharyngeal area

Front 27

Periocoronitis can spread to the __________ area

Back 27

oropharyngeal

Front 28

Patients with Periocoronitis may experience

Back 28

- pain on swallowing and opening
- fever
- malaise

Front 29

Treatment of Periocoronitis include

Back 29

- Irrigation under the operculum to flush the area and systemic antibiotics; however recurrence is high, so the most definitive treatment is extraction of offending tooth

Front 30

_________ is an infectious periodontal condition caused by fusiform-spirochete bacteria

Back 30

Necrotizing Ulcerative Gingivitis (NUG)

Front 31

NUG is confined to the gingival tissue and three clinical features must be present which are

Back 31

- Characterized by Pain of rapid onset
- Interdental necrosis
- Bleeding

Front 32

NUG can be caused by

Back 32

- increase in phychological stress
- Immunosupression
- Tabocco use
- Decrease in nutritional intake

Front 33

First pain and infection of NUG should be treated with

Back 33

analgesics and antibiotics such as doxycycline, amoxicillin/clavulante (Augmentin) or metronidazole

Front 34

Some medications that cause Xerostomia include

Back 34

- psychotropics, antidiarrheals, decongestants, antihistamines, and antihypertensives

Front 35

Treatment of Xerostomia are aimed at

Back 35

increasing secretions

Front 36

In the treatment of Xerostomia, _________ and ________ are Cholinergic drugs that act directly on cholinergic muscarinic receptor sites, mimicking acetylcholine and increaseing salivary secretions

Back 36

- pilocarpine HCl (Salagen)
- cevimeline (Evoxac)

Front 37

Other treatments for Xerostomia included

Back 37

- artificial saliva
- increased water intake
- sugarless candy

Front 38

__________ are self-limiting and are treated by alleviating the pain

Back 38

Apthous ulcers (canker sores)