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24 Cards in this Set
- Front
- Back
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DEVELOPMENTAL VARIATIONS OF NORMAL ORAL STRUCTURES
Epstein's Pearls (2) |
Epithelial inclusion cyst
Palatal midline |
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DEVELOPMENTAL VARIATIONS OF NORMAL ORAL STRUCTURES
Bohn's Nodules (2) |
Buccal and lingual aspect of alveolus
Ectopic mucous glands |
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DEVELOPMENTAL VARIATIONS OF NORMAL ORAL STRUCTURES
Dental Lamina Cysts (2) |
Crest of the alveolus
Remnants of dental lamina |
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DEVELOPMENTAL VARIATIONS OF NORMAL ORAL STRUCTURES
Hyperplastic Foliate Papillae (3) |
Lateral border of tongue
Easily traumatized Normal lymphoid tissue |
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DEVELOPMENTAL VARIATIONS OF NORMAL ORAL STRUCTURES
Fordyce Granules (5) |
30% of children
Ectopic sebaceous glands in oral mucosa Elevated yellowish nodules Maybe discrete or confluent Common sites: buccal mucosa, upper lip |
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DEVELOPMENTAL VARIATIONS OF NORMAL ORAL STRUCTURES
Median Rhomboid Glossitis (5) |
? Result of anomalous vascularity vs. persistence of tuberculum impar
Usually asymptomatic, but may cause soreness/burning Surface flat or slightly raised Color varies from pale pink or whitish to bright red Candidial infection present (~40%) |
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DEVELOPMENTAL VARIATIONS OF NORMAL ORAL STRUCTURES
Fissured Tongue (4) |
Rarely seen before age 4 years
? Genetic (A.D.) Autosomal Dominant 3-5% frequency, but higher in mentally retarded population May be associated with Melkersson-Rosenthal syndrome |
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DEVELOPMENTAL VARIATIONS OF NORMAL ORAL STRUCTURES
Melkersson-Rosenthal syndrome (8) |
Rare
Facial palsy (40%) Facial swelling Labial swelling in >80% Maybe recurrent Becomes persistent with progressive fibrosis Fissured tongue (50%) Etiology unknown |
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DEVELOPMENTAL VARIATIONS OF NORMAL ORAL STRUCTURES
Leukoedema (5) |
If you stretch cheek, it disappears
Most commonly seen in African Americans Grayish-white thickening of buccal mucosa Usually bilateral Extensive intracellular edema of epithelium |
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DEVELOPMENTAL VARIATIONS OF NORMAL ORAL STRUCTURES
Idiopathic Osteosclerosis (5) |
Well-defined radiopacity in the tooth-bearing area of jaw
No surrounding radiolucent space Not typical of any other condition Mandibular premolar/molar area most common Maybe related to root apex, but normal PDL |
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DEVELOPMENTAL VARIATIONS OF NORMAL ORAL STRUCTURES
Stafne Bone Defect (3) |
Males with square jaws
Cyst-like radiolucent area near angle of mandible Indentation of bone containing extension of submandibular gland |
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DEVELOPMENTAL VARIATIONS OF NORMAL ORAL STRUCTURES
Bifid Tongue (3) |
Developmental malformation
May coexist with orofaciodigital syndrome Complete form requires surgical reconstruction |
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DEVELOPMENTAL VARIATIONS OF NORMAL ORAL STRUCTURES
Bifid Uvula (3) |
Minor expression of cleft palate
Must rule out submucous cleft May require surgical correction |
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MACROGLOSSIA
Discrete swellings or lumps/bumps (5) |
Congenital
Inflammatory Traumatic Neoplastic Others |
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MACROGLOSSIA
Lingual thyroid (3) |
Redundant thyroid tissue in tongue
Hypothyroidism (~20%) ~70% lack normal thyroid tissue in neck |
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VASCULAR MALFORMATIONS OF THE TONGUE (4)
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Present at birth
Become clinically evident in late infancy/early childhood May increase in size following trauma, infection, or endocrine changes ~35% associated with skeletal changes |
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VASCULAR MALFORMATIONS OF THE TONGUE
Lymphangioma (4) |
Diffuse vs. discrete
Tongue most common site Surface often papillary or vesicular Tx: Surgical excision |
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VASCULAR MALFORMATIONS OF THE TONGUE
Hemangioma (5) |
Common vascular tumor of infancy
Usually appear early in infancy, grow rapidly until age 6 to 8 months, then slowly involutes Blanch on pressure Generally do not involve adjacent skeletal tissue Tx: Watch and Wait |
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VASCULAR MALFORMATIONS OF THE TONGUE
Infection/Abscess (3) |
Uncommon, but may follow traumatic injury
May represent secondary infection of neoplasm/cyst Tx: Antibiotics |
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VASCULAR MALFORMATIONS OF THE TONGUE
Tongue pyogenic granuloma (5) |
Looks similar to hemangioma
Common reactive lesion Painless, nodule, red lesion Typically pedunculated with ulcerated surface Tx: Surgical Excision |
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VASCULAR MALFORMATIONS OF THE TONGUE
Riga-Fede disease (3) |
Chronic trauma from primary lesion
Typically ulcerated lesion on tip of tongue Tx: Smooth incisal edges |
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VASCULAR MALFORMATIONS OF THE TONGUE
Fibroma (4) |
Most common tumor of oral mucosa
Often the result of chronic trauma Typically painless, firm, sessile or pedunculated Tx: Surgical Excision |
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VASCULAR MALFORMATIONS OF THE TONGUE
What are the two reasons isolated lesions look white in the mouth? |
Keratin
Necrosis |
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VASCULAR MALFORMATIONS OF THE TONGUE
Papilloma (6) |
70% will appear white due to keratin
Human papilloma virus Exophytic, well circumscribed Usually pedunculated with either finger-like projections or cauliflower surface Rule out condyloma acuminatum Tx: Surgical removal |
