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27 Cards in this Set

  • Front
  • Back
nicotine stomatitis:

associated w/...
cigar/pipe/reverse smoking

response to heat
nicotine stomatitis:

is it premalignant?
no
nicotine stomatitis:

population affected

clinical features
men > 45

palate has white keratotic surface

red papules = inflamed salivary glands
nicotine stomatitis:

hisology
hyperkeratosis

acanthosis

squamous metaplasia of excretory ducts
nicotine stomatitis:

treatment
none
inflammatory papillary hyperplasia:

aka
what is it
denture papillomatosis

reactive tissue growth beneath a denture resulting from poor fit, poor hygiene, continuous denture wear
inflammatory papillary hyperplasia:

clinical features
red pebbly mucosa

hard palate beneath denture base

associated w/ mouth-breathing and high vaults
inflammatory papillary hyperplasia:

histology
papillary surface growths

pseudoepitheliomatous hyperplasia (may mimic carcinoma)

underlying glands show sialadenitis
inflammatory papillary hyperplasia:

treatment
remove dentures if early lesion

antifungal therpay may help

advanced collagenized lesions --> excision
epulis fissuratum:

what is it
tumor-like hyperplasia assoc. w/ ill-fitting denture

inflammatory fibrous hyperplasia

aka denture epulis / denture injury tumor
what does epulis mean?
tumor of gigiva or alveolar mucosa
epulis fissuratum:

clinical features
folds of hyperplastic tissue in alveolar vestibule

firm and fibrous tissue

usually on facial ridge
epulis fissuratum:

generally affects...

occurs where...
female predilection

anterior > posterior
epulis fissuratum:

histology
hyperplasia of fibrous CT

hyperparakeratotic epi

papillary hyperplasia / pseudoepitheliomatous hyperplasia

possible inflammatory infiltrate

salivary glands show sialadenitis
epulis fissuratum:

treatment
surgical removal

remake denture
most common "tumor" of oral cavity
fibroma
fibroma:

what is it?
reactive hyperplasia of fibrous CT

response to local trauma / irritation
fibroma:

common location
buccal mucosa
fibroma:

clinical features
smooth-surfaced nodule

sessile

normal in color or white from hyperkeratosis
fibroma:

commonly affects...
females age 30-60
fibroma:

histology
unencapsulated

dense collagenized CT covered by stratified squamous epi

hyperkeratosis / subepi inflammatory infiltrate possible
fibroma:

treatment
conservative excission

(recurrence is rare)
giant cell fibroma:

clinical features
sessile/pedunculated nodule

papillary surface

50% on gingiva
giant cell fibroma:

generally affects...
females (younger than those who get fibromas)
giant cell fibroma:

what is a retrocuspid papilla?
variant of giant cell fibroma

pink papule < 5mm

occurs lingual to mandibular canine

often bilateral

normal, disappears w/ age
giant cell fibroma:

histology
loosely arranged vascular fibrous CT

large stellate fibroblasts (may contain several nuclei)

narrow/elongated rete ridges
giant cell firbroma:

treatment
conservative excision

don't need to treat retrocuspid papillae

recurrence rare