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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 |