Ulcerative Oral Lesions

Front 1

Recurrent Aphthous Stomatitis
(RAS)
*Most common ulcerative lesion of the oral cavity

*__1__, __2__ ulcers

*Confined to __3__ __3__.
(trait which distinguishes
them from other forms)

Three forms of RAS:
*Minor aphthae
*Major aphthae
*Herpetiform aphthae

Back 1

1. Recurrent
2. Painful

3. Soft Mucosa

Front 2

RAS: Minor Aphthae

*__1_ then 1 cm

*Heal completely in _2_ _2_
w/out scarring

*__3__

*__4__ Stage

*_5_ and _6_ to __6__ (shape)

*__7__ to __7__ (color)

*Clusters of up to __8__

Tx: _9_ __9__; have a direct
anti-inflammatory effect
i.e. Kenalog in Orabase of
some value

*treat symptomatically*

Back 2

1. Less

2. 7-10 days

3. Painful

4. Prodromal

5. Shallow

6. Round to oval

7. Grey to yellow

8. Five

9. Topical Steroids

Front 3

RAS: Herpetiform Aphthae

*Uncommon

*Crops of up to __1__ __1__
ulers

*Heal completely in _2__ _2__

*__3__ recurrent herpes simplex, but are ___4__

Tx: __5__ _5___
i.e. Kenalog in Orabase
of some value

Back 3

1. 150 very small

2. 7-10 days

3. Resemble
4. Unrelated

5. Topical antibiotics

Front 4

Herpesvirus Infection

HSV-1 and/or HSV-2
* Primary Infection
* Secondary (recurrent)
infection

HSV-1 and HSV-2 are ___1__
Have no __2___ ___2__

Virus itself never goes away; retreats where? 3

Back 4

1. Interchangeable

2. Clinical Difference

3. Retreat into neuroganglia;
Herpes follow a nerve
grouping, which is why you
get sores back in the same
place, never actually went
away!

Front 5

Primary Infection

*Often occurs in __1__ pts

*Numerous vesicles appear on
__2___ __2__

*Often __3__

*May be associated w/:
__4__
__5__
__6__

*__7__ - __8__ - __9__

*Anywhere in the __10__
__10__

Back 5

1. Younger

2. Herpetic gingivostomatitis

3. Asympotmatic

4. Fever
5. Chills
6. Malaise

7. Vesicles
8. Ulcers
9. Crusting

10. Oral Cavity

Front 6

Secondary Infection
REOCCURENCES

*__1__ of __2__ virus

*Not associated w/ __3__ sx's

*Small __4__

*Occur only on __5__ __5__
and __6__ w/in cavity

*__7__ signs are __8__ in
reoccurences.

Tx: __9__ __9__: Zoviras

Back 6

1. Reactivation
2. Latent

3. Systemic

4. Vesicles

5. Hard palate
6. Gingiva

7. Prodromal
8. Less

9. Oral Anti-herpetic

Front 7

Oral Candidiasis

*Candida albican is _1_ _1_ of the mouth

*Changing the _2_ in the oral cavity causes set up for __3__ _3__ Candida Albicans, which is referred to as _4_ infection

*_5__ _5_ _5_ that are
removable

Tx:
*__6__ oral suspension
*oral __7__ esp. in HIV + pt
who may need long term
suppression

Back 7

1. Normal Flora

2. pH
3. Over growth
4. Yeast

5. White Creamy patches

6. Nystatin
7. Antifungal

Front 8

Neoplasms

What is SCC?
*most common

*_1_ ulcers w/ _2__ margins

*May be _3__, _4__, or __5__

*Mimic __6__ __6__ greatly

Back 8

SCC is:
Squamous Cell Carcinoma

1. Irregular
2. Raised

3. Exophytic
4. Infiltrative
5. Verrucoid

6. Bengin lesions

Front 9

Leukoplakia

Any __1_ _1_ area of the __2_
__2__ which is not otherwise __3__, and is not __4__, is
(_5__)__5__ until biopsy __6_ otherwise

Back 9

1. Patchy white
2. Oral mucosa
3. Diagnosed
4. Removable
5. Pre-malignant
6. Proves

Front 10

Sialadenitis

*Caused by __1__ or _2_ of
the salivary glands

*Usually a __3__ infection of the __4__ or __5___;
* organism: __6__

Sx's include:
Acute __7__ __8__ of the glands; worsens w/ __9__

Tx includes:
*__10__ __10__ and __11__ _11___ to promote drainage

*IV ABX; need _12__ _12__

*_13__ exploration or removal

Back 10

1. Obstruction
2. Infection

3. Bacterial
4. Parotid
5. Submandibular
6. S. aureus

7. Painful
8. Swelling
9. Food

10. Warm Compresses
11. Gland massages

12. High leve

13. Surgical

Front 11

What is TMJ Syndrome?

*Complex _1__/__1__ of the
_2__/__2_

Causes
*Chewing __3___;
*___4__ muscle spasm
*___5__ joint disords

Sx's:
*no sx's to __6__ of the jaw
*pain can be __7__ to __8__
depending on amnt of __9___

Dx by:
*Placing _10_ over the __11__
*Listen for __12__
*_13_ of lower jaw generally
shifts _14_ from the problem
as they open their mouth

Tx: Manage by oral surgeons
In the meantime pts
soft diet, NSAIDs,
and anagelsics

Back 11

Tempormandibular Joint

1. Dysfunction/Degeneration
2. Joint/Disc

3. Asymetrically
4. Mastictory
5. Systemic

6. Clicking
7. Trivial
8. Severe
9. Degeneration

10. Hand
11. Joint
12. Clicking/Popping
13. Midline
14. away (lateral)