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244 Cards in this Set
- Front
- Back
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Gingival cysts occur in ~___% of newbordns |
Gingival cysts occur in 50% of newborns |
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____occur along the median palatal raphe, in 65-85% of newborns, and are small white papules slough off |
Epstein's pearls |
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Epstein pearls Location - when - |
median palatal raphe neonates |
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Bohn's nodules Location - Caused from - |
junction of H/S palate minor salivary gland remnants |
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_____are found in newborns at junction of hard/soft palate, white papules that are remnants of salivary glands |
Bohn's nodules |
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Overall, palatal cysts of newborn occur in ___ to ___% |
65-85 |
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What is hyperplastic foliate papilla? where does it occur? significance of location? |
its a benign lymphoid hyperplasia lateral border of tongue oral cancer site* |
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what condition? benign lymphoid hyperplastic tissue on lateral border of tongue |
hyperplastic foliate papilla |
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occurs in 50% of neonates, on alveolar mucosa |
dental lamina cyst |
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dental lamina cyst location how often |
50% on alveolar mucosa |
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oral tonsillar tissue yellow-pink/red nodules, oral floor, palate, tonsils, post pharyngeal wall |
lymphoid hyperplasia |
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lymphoid hyperplasia what does it look like 4 places it occurs tx |
yellow-pink/red nodules oral floor, post pharyngeal wall, tonsillar area, palate resolve spont |
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oral lymphoepithelial cyst what is it where (4 places) DD |
entrapped epith within lymphoid tissue soft palate, floor of mouth, tonsils, tongue DD - sialolith |
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entrapped epith within lymphoid tissue occurs on soft palate, floor of mouth, tonsils, tongue DD - sialolith if on floor of mouth |
oral lymphoepithelial cyst |
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3 conditions seen w fissured tongue |
downs syndrome geographic tongue melkersson-rosenthal |
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Downs syndrome geographic tongue Melkersson-rosenthal these 3 conditions have 1 finding in common? |
fissured tongue |
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3 possible causes of Bifed tongue |
ankyloglossia oro-facial-digital syndrome iatrogenic (piercing) |
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ankyloglossia oro-facial-digital syndrome iatrogenic (piercing) ...Are 3 possible causes of |
bifed tongue |
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classic sign of leukoedema |
goes away when stretched |
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this is white, on buccal mucosa, diminishes when stretched |
leukoedema |
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Oro-facial-digital syndrome abnormal findings of fingers such as ___a____ and __b___ and also may have intellectual impariments (T or F) |
a - syndactyly b - clinodactyly (weird bend of 5th finger) T - may have intellectual involvement |
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These patients have oral anomalies, syndactyly/clinodactyly and may have intellectual impairment |
oro-facial-digital syndrome |
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Oral findings of oro-facial-digital syndrome __a__frenae __b___tongue __c___ number of teeth __d___ of tissue __e___ |
a - multiple frenae b - bifed tongue c - abnormal # of teeth (hypo or hyper) d - overgrowth of tissue e - cleft palate |
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These are the oral findings of what condition? a - multiple frenae b - bifed tongue c - abnormal # of teeth (hypo or hyper) d - overgrowth of tissue e - cleft palate |
oro-facial-digital syndrome |
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paramedian lip pits in conjunction w cl/cp are seen with (condition |
van der woude |
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van der woude classic sign |
paramedian lip pits |
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commisural lip pits are caused by |
failure of normal fusion of maxillary and mandibular processes |
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oral soft tissue finding that results from failure of normal fusion of maxillary and mandibular processes |
commisural lip pits |
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what is lingual thyroid? what is the tx? |
ectopic occuring thyroid tissue Sx +/- 33% need thyroid replacement therapy |
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midline mass dysphagia looks vascular dysphonia dyspnea |
LINGUAL TONSIL |
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Important developmental distinction between vascular malformations and hemangiomas |
hemangiomas usually resolve spontaneously, vascular malformations grow w individual |
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answer bank: hemangiomas, vascular malformations __a__ usually resolve, ___b__ grow w child |
hemangiomas resolve vascular malformations grow w child |
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thrill, bruit, warmth, pain, bleed, ulcerate, can cause tooth mobility these are signs of? |
vascular malformation |
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vascular malformation of face and brain port wine stains of trigeminal nerve hypervascularity intraorally pyogenic granulomas |
Sturge-weber angiomatosis |
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sturge-weber angiomatosis |
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sturge weber angiomatosis __a__ malformation of __b___ and __c__ ___d___ are found along ___e___ intraoral signs (2) |
vascular malformation of face and brain port wine stains along trigeminal nerve hypervascularity and pyogenic granulomas |
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sturge weber syndrome could have serious cerebral complications if _____ is involved |
ophthalmic nerve |
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Most common tumor of infancy |
hemangioma |
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list 5 tx's for hemangioma |
let regress on its own surgical excision steroids propranolol laser |
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hemangiomas (do/do not) blanch w pressure and usually (do/do not) invade bone |
do blanch do not invade bone |
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What is this serious complication of hemangioma? Coagulopathy due to platelet trapping |
Kasabach Merritt phenomenon |
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What is kasabach merrit phenomenon? What is it seen in conjunction with? |
Serious complication of hemangioma, a coagulopathy due to platelet trapping |
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T or F Lymphangiomas usually stay the same size, even with URIs or fluctuations in hormones |
F Lymphangiomas often change size w an URI or fluctuations in hormones |
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T or F Lymphangiomas have a low rate of recurrence after sx excision |
F - they commonly recur |
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2 common sites of either lymphangiomas or hemangiomas in the mouth |
lip and tongue |
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Lymphangiomas may need surgical excision because they can cause both Facial ___a___ and __b___ in the mouth |
a - facial disfigurement and b - malocclusion |
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Lymphangiomas (Do/Do Not) recur and (Do/Do Not) resolve spontaneously |
do recur do not resolve spontaneously |
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What is a cystic hygroma? what is the major concern with them? Who manages them? |
A large lymphangioma that can extend into mediastinum causing airway obstruction. Manged by ENT and plastics |
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What is this? Large lymphangioma that can extend to mediastinum causing airway obstruction that needs management by ENT and plastic surgeon |
Cystic Hygroma |
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A Cystic hygroma is a large __a___ that has significant complication in that it can ___b____ causing ____c___. Mangement of this lesion, in addition to dentists, is by ____d____ and ____e_____ |
a- lymphangioma b - extend to the mediastinum c - airway obstruction d - ENT e - Plastics |
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Neonatal alveolar lymphangiomas occur most often in (whites/blacks) and occur on the (this intraoral site) and the tx is______ |
blacks alveolar ridge non-resolve spontaneously |
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What is a common way to identify a pyogenic granuloma? when you put pressure on it it (bleeds/Blanches) |
BLEEDS |
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What is the term for a pyogenic granuloma that forms at an extraction site |
epulis granulomatosum |
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what is an epulis granulomatosum? when does it occur |
a pyogenic granuloma that occurs at an extraction site |
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After excision, pyogenic granulomas will often recur unless... |
tx w topical steroids |
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Peripheral ossifying fibroma and peripheral giant cell granuloma mimic pyogenic granulomas, however the main difference you will see is |
the first 2 will displace teeth |
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Alternative tx to pyogenic graunloma excision? |
curettage and CHX rinse |
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Chronic trauma from primary incisors on ventral surface of tongue? |
Riga-Fede |
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What is this? |
Riga fede |
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Riga Fede treatment options 4 |
smooth teeth change pacifier or feeding CHX/Topical steroids surgical intervention to re-vascularize |
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4 conditions associated with neuropathic chewing |
- lesch nyhan syndrome - gaucher disease - CP - Tourette's |
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These 4 conditions all have what habit associated with them - lesch nyhan syndrome - gaucher disease - CP - Tourette's |
neuropathic chewing |
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Most common "tumor" of oral cavity |
Irritation fibroma |
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Irritation fibroma is the most common _____ of the oral mucosa |
tumor |
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Frenal tag/torn frenum could be a sign of |
child abuse |
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variant of irritation fibroma that could be associated w child abuse? |
frenal tear/frenal tag |
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How would giant cell fibroma be differnetiated from a irritation fibroma? |
Giant cell are not a result of irritation |
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HPV induced lesions, which variant has malignant potential |
condyloma |
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Verruca vulgaris is also known as "__a__ ____" and can be found intraorally as well as on __b___and __c___ |
a- common wart b - face c - hands |
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Condyloma acuminatum is an __a___ induced oral lesion, with 2 causes being ____b____ and ___c___ |
HPV oro-genital birth to a mother w genital warts |
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What medical condition could be seen w condyloma acuminatum? |
laryngeal papillomatosis (RASPY VOICE/VOICE CHANGES) |
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laryngeal papillomatosis is a medical condition which can be seen with which oral lesion? |
HPV condyloma acuminatum |
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Heck's disease is associated with what cause? |
HPV |
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3 factors for Heck's disease (multifocal epithelial hyperplasia) |
HIV poor hygiene poverty |
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HIV poverty poor hygiene these 3 risk factors are associtaed w what HPV associated condition? |
Heck's disease (multifocal epithelial hyperplasia) |
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MERCK/Gargasil protects against 4 HPVs: |
6/11/16/18 |
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Cervarix/GlaxoSmithKline protects against 2 HPVs |
16 18 |
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associated w poverty, poor hygiene, HIV HPV is cause not malignant |
Heck's disease (multifocal epith hyperplasia) |
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treatment for heck's disease |
cimetidine |
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Cimetidine is a treatment used in conjunction w surgical removal of lesions for what condition? |
Heck's disease |
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Neurofibroma Schwannoma Mucosal neuroma rhabdomyoma leiomyoma these are 5 types of (a - benign/malignant) ___b____ neoplasms |
a - benign b - mesenchymal |
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Bodily signs: Cafe Au Lait, freckling in axillary/inguinal regions, optic glioma Oral: enlarged fungiform papilla, very soft fibromas, widened mandibular canal/foramen What condition is this? |
Neurofibromatosis Type I |
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Neurofibromatosis TYpe I Bodily signs ___a___ macules ____b____ of the ___c__ and __d__ areas optic___e___ Oral __f__ ____ papilla very soft ___g___ widening of _____h____ |
a - cafe au lait b - freckling c - axillary d - inguinal e - optic gliomas f - enlarged fungiform papilla g - very soft fibromas h - widening of mandibular canal |
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Neurofibromatosis Type II is also known as ___a___-oma or _____ _____ tumors |
Neurofibromatosis Type II Schwannoma or Granular Cell tumors |
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Granular Cell tumors look like scars, but in contrast to scars they ______ |
grow over time |
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Ehler Danlos is a __a_(tissue) disorder, specifically a mutation of ____b___. |
Connective tissue disorder Type V Collagen mutation |
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Ehlers Danlos systemic signs Joint ___a___ "____b____" scars |
joint hypermobility cigarette paper scars |
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A subtype of ehlers danlos is the "vascular type" which patients are at increased risk for ______ |
aortic aneurysm |
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Aortic aneurysm is a serious complication of the ____a___ type of ____b____ |
vascular type of ehlers danlos |
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Oral signs of Ehlers Danlos ____A____ disease ____B_____ sign ____c____ roots Pulp _____d____ ___e____ enamel |
Oral signs of ehlers danlos a - periodontal b - gorlan sign (tongue to nose) c - short roots d - pulp stones e - hypoplastic enamel |
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This with perio disease, short roots, pulp stones, lots of oral bleeding, joint hypermobility |
EHLERS DANLOS |
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Down Syndrome (Micro/Macro) Glossia (Micro/Macro) Dontia Class (__) Occlusion _____tongue (Incr or Decr) Caries Risk (Incr or Decr) Perio (Early or delayed) Eruption Enamel_____ |
Macroglossia microdontia class III occlusion fissured tongue decr caries risk Incr Perio Delayed eruption enamel hypoplasia |
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These children often are FTT, edema, enlarged lips and tonsils, have a "husky voice" and if untreated can have neural deficiencies |
Hypothyroidism (cretinism) |
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Hypothyroid children have __a___ , enlarged tongues and lips due to lacking enzymes ot process__b__, |
FTT Glycosaminoglycans |
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This condition is characterized by "marfanoid body" narrow face, full lips and neuromas of mucosa also have the possible complication of thyroid carcinoma |
Multiple endocrine neoplasia |
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Multiple endocrine neoplasia These patients are described as having "_____a____ bodies" and have many ___b___s of their mucosa. a possible serious complication would be ___c___ |
marfanoid bodies neuromas of mucosa thyroid carcinoma |
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what condition is this? |
multiple endocrine neoplasia |
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Beckwith wiedmann syndrome ___a__glossia, which can lead to__b__ cytomegaly of ___c___ and also___d___ problems and commonly have theese tumors____e___ |
Beckwith Wiedmann a - macroglossia b - sleep apnea c - cytomegaly of adrenal cortex d - renal e - nephroblastoma |
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Median rhomboid glossitis is caused by __a__ and is present on __B___ |
candida dorsal surface |
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This condition presents with macroglossia, sleep apnea, cytomegaly of adrenal cortex, renal problems and can commonly have nephroblastomas |
Beckwith Wiedmann Syndrome |
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Glossitis can sometimes be associated with vitamin _____ deficiency |
Vitamin b deficiency (glossitis) |
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how to differentiate white sponge nevus and leukoedema |
leukoedema goes away when you stretch it |
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Systemic lupus erythematous is an _______diseae of ______(tissue type____. |
SLE is an AUTOIMMUNE disease of connective tissue |
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If you see a sublingual swelling, what x-ray should you take and why? |
Cross sectional occlusal, because their may be a gland obstruciton |
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Angular cheilitis can be caused by either irritants such as contact allergens or microbial causes such as ___A___, __B___ or __C___, or can be caused by systemic problems like ___D__, __E__, or __F___ |
Angular cheilitis can be caused by a - candida b - staph aureus c - strep d - nutriotional deficiencies e - anemia f - chron's disease |
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Angular cheilitis can be caused by either irritants such as contact allergens or microbial causes such as ___A___, __B___ or __C___, or can be caused by systemic problems like ___D__, __E__, or __F___ |
Angular cheilitis can be caused by a - candida b - staph aureus c - strep d - nutriotional deficiencies e - anemia f - chron's disease |
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What is the significance of bruising/hematoma on the floor of the mouth? |
Could be from trauma, and should thus examine condylar heads for trauma |
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This sign may be indicitave of trauma, and is often seen when there is also trauma to the condylar heads |
hematoma/bruising on floor of mouth |
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A variant of mucocele found on the floor of the mouth |
Ranula |
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A ranula is a variant of a ____a___ found ___b___ |
ranula is a a - mucocele b - floor of the mouth |
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What condition may predispose one to a ranula? |
neurologic defects, because a tortuously formed duct may cause mucus plugs |
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If a patient has certain neurologic defects that result in tortuosly formed submandibular or sublingual ducts, they may be at high risk for |
Ranula |
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Treatment for smokeless tobacco keratosis |
Discontinue habit, if persists biopsy after 2-6 weeks supplement with vitamin C |
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Vitamin C supplementation can help with resolution of _____ |
smokeless tobacco keratosis |
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Candidiasis can develop in patients taking steroids for |
asthma |
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What gingival condition can be seen with candidiasis? |
linear gingival erythema |
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linear gingival erythema is a condition often seen in patients with____a___ |
candidiasis |
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This condition is - white lesions that may not rub off - may depapillate tissues - cause ulcerations - looks like linea alba - may show up on eyes and nailbeds - seen with - immunosuppressed patients - endocrine disorders - smokers |
Hyperplastic candidiasis |
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Hyperplasic candidiasis looks like ___a_(white/red)___ lesions that ___b__ (do/do not) rub off it may also ___c____ adjacent tissues in can cause ___d___ it sometimes can look like ___e___ may also show up on ____f___ and __g__ it is seen in (3 cases) |
a - white lesions b - do not rub off c - depapillation d - ulcerations e - linea alba f - nail beds g - eyes h - immunnosuppressed, endocrine problems, smokers |
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3 topical tx of __a__ nystatin clotrimazole troches oravig buccal tabs |
a - candidiasis |
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3 topical tx's of candidiasis |
nystatin clotrimazole troches oravig buccal tabs |
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2 systemic agents to treat candidiasis |
diflucan (fluconazole) sporanox |
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sporanox fluconazole (diflucan) are _a__medications used to treat ___b__ |
a- systemic medications to treat b - candidiasis |
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what 3 medications cannot be given along with antifungal agents? |
erythromycin budesonide theophylline |
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These 3 medications cannot be taken along with what treatment? Erythromycn budesonide theophylline |
antifungal |
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These lesions resemble white sponge nevus, but may result in blindness |
hereditary benign intraepithelial dyskeratosis |
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hereditary benign intraepithelial dyskeratosis resembles ___a___ but may result in __b__ |
white sponge nevus blindness |
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2 types of medications to treat lupus? |
antifungals and steroids |
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2 syndromes that may be associated with lupus? |
rheumatoid arthritis, sjogrens |
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Patients with lupus may experience__a__-like lesions of the ___b__and ___c__ |
a - impetigo-like b - hands c - face/perinasal |
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impetigo like lesions may form on the hands and face of ____ patients |
lupus |
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2 sequalae to the use of steroids in the tx of lups are |
increase in size of buccal fat pad adrenocorticoid suppression |
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adrenocorticoid suppression increase in size of buccal fat pad these 2 conditions are seen sometimes with __a__ treatment of ___b___ |
a- steroid b - lupus |
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A true contact dermatitis is a __a__ mediated reaction. This type of reaction only occurs following___b___ |
a - T-cell mediated b - previous sensitization to the allergen |
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How do you differentiate between the local causes of angular cheilitis? |
if its candida - would be white if its bacterial - would be red/"amber" colored |
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treatment for candida caused angular cheilitis |
combo of triamcinolone/nystatin (aka MYCOGEN) |
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MYCOGEN which is a combination of triamcinolone/nystatin is the treatment of choice for ___a___-caused ___b___ |
candida caused angular cheilitis |
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In cases of bacterial infections like impetigo, are steroids a good tx option? why or why not |
NO can cause spread of the infection |
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how to distinguish impetigo from herpes |
impetigo itches herpes hurts |
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T or F intraoral lesions of HSV commonly occur on attached gingiva or hard palate (keratinized) |
T |
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if a neonate causes a "sucking callus" what can be applied to help? |
Lansinoh lanolin (lubrication) |
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Treatment modalities for HSV ___a____ ___B___agents ___C___ |
a - removing triggers - sunscreen b - topical antiviral c - systemic antiviral |
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Aphthous stomatitis (aphthous ulcers) are a ____mediated reaction |
T- Cell |
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apthous stomatitis would occcur on (KERATINIZED or NONKERATINIZED) tissues |
non-keratinized |
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name 3 topical steroids for treatment of apthous ulcers. which one is best for major apth ulcers? |
triamcinolone fluocinonide clobetasol*best for major apth ulcers |
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triamcinolone fluocinonide clobetasol are 3 ___treatment options for what? |
topical steroid for apth ulcers |
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why not use topical steroids for aphth uclers if lasts more than 14 days |
adrenocorticoid suppression |
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shingles is caused by reactivation of ___a__, and can be brought on by (5) |
herpes zoster brought on by - stress - HIV - immunosuppression - trauma - malignancy (ALL) |
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stress HIV Immunosuppression trauma Malignancy esp ALL these are factors that may induce a this condition |
shingles |
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oral complications of shingles __a__of teeth __b__ of bone post herpetic __c__ |
a - necrosis/devitilizing of teeth b - necrosis of bone c - post herpetic neuralgia |
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necrosis/devitilization of teeth necrosis of bone neuralgia 3 oral complications of |
shingles |
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what syndrome is shingles associated with? |
ramsay hunt |
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ramsay hunt syndrome is associated with? what is it? |
shingles herpes zoster infects the facial nerve |
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What is the prophylaxis protocol for Recurrent Erythema Multiforme patients? |
low dose acyclovir or valcyclovir |
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low dose acyclovir or valcyclovir are the prophylactic treatment protocol for _____patients |
recurrent erythema multiforme patients |
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____is a rare neurologic condition which can result in facial paralysis and swelling of the lips |
melkersson rosenthal sydnrome |
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melkersson rosenthal syndrome can be an indicator of what disease? |
crohns |
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What is the dentists role in diagnosing crohns? |
oral lesions precede GI lesions in 30% of cases |
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How are oral lesions of crohns disease and candidiasis similar? how can you differentiate |
oral lesions of crohn's disease look like erythematous candidiasis (red) but crohn's wont respond to antifungal |
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oral lesions of crohn's disease are described as having "______" pattern |
cobblestone |
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"cobblestone lesion" are lesions of ____disease |
crohns |
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crohn's disease is treated with ___a___, ___B___, or __c___, and in cases of staph infections the patient should get ____D___
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a- sulfa b - steroids c - immunosuppressant (azathropine) d - bactrim |
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if a dentist noteices the aphthous ulcers in crohn's disease are elevated, it is likely due to _____ and therefore the dentist should ______ |
a - granulomatous inflammation b - contact pts physician about upping immunosuppressive drugs |
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Upper Lip or lower lip reactive lesions - (mucocele) neoplasms (salivary gland tumors_ |
reactive - lower neoplasms - upper |
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unlike salivary gland tumors, the size of mucoceles |
fluctuates |
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if a neonate causes a "sucking callus" what can be applied to help? |
Lansinoh lanolin (lubrication) |
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benign growth what is it? how to tx? |
congenital epulis excise or may regress |
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aggressive tumor, increased _____levels what complications can occur? |
-Melanotic neuroectodermal tumor of infancy. -can see increased urinary levels of vanillylmandelic acid - displace teeth, recur 20%, rare metastasize |
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what % of melanotic neuroectodermal tumors recur? |
20% |
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Facial condition that may be present due to enlargement of parotid gland? |
hemifacial hypertrophy |
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hemifacial hypertrophy may be due to an enlargement of____ |
parotid gland |
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Pts with hemifacial hypertrophy are at increased risk for ___a___ and ___b___ |
a - intellectual disability b - embyronal tumors |
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Increaed risk for embryonal tumors and intellectual disability describes what condition? |
hemifacial hypertrophy |
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T or F Herpes simplex infection has risk of complications such as Secondary infection, CNS disease and blindness |
T |
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Primary HSV can be treated with 2 antiviral agents, _____a____ or ____b____ to promote healing and ____c____ |
acyclovir valtrex limit viral shedding |
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herpangina vesicles most common on which 2 sites intraorally a - tongue b - uvula c - tonsillar pillars d - lower lip |
uvula tonsillar pillars |
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uvula and tonsillar pillars are the 2 most common sites to see this vesicle |
herpangina |
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4 meds used to tx ANUG |
chx metronidazole penicillin NSAIDs |
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patients taking metronidazole should not have___a___ while on or for 48 hours after |
alcohol |
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3 agents that cause ANUG |
spirochetes fusiform bacteria HHV |
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viral factors affecting ANUG (3) |
HIV EBV Measles |
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pericoronitis is a local variant of |
ANUG |
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if patients do not respond to tx for ANUG, they should be sent for biopsy because they are at increased risk for |
LEUKEMIA or LYMPHOMA |
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goldenhar syndrome, also known as "__a___ ____" has 3 components: __b___, __c___ and ___d___. It is an anomaly of ____e____. |
a - hemifacial microsomia b - oculo c - auriculo d - vertebral e - 1st and 2nd branchial arches |
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anomaly of 1st and 2nd branchial arches, has oculo-auriculo-vertebral components |
Goldenhar syndrome |
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Lesch nyhan is a disorder with the behavioral finding of |
self-injurous behavior |
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Self injuring behavior, spastic CP, absence of hypoxanthine guanine phosphoribosyltransferase |
Lech-nyhan syndrome |
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Behcet's you see lesions of __a__, __b__, and __C___ locations. the oral findings look like ___D__, and are treated with-___E___ |
a oral b - ocular c - genital d - aphthous ulcers e - steroids |
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Oral, genital and ocular lesions look like aphthous ulcers tx'd w steroids |
behcet's |
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Herpetic gingivostomatitis has a peak age of ____ |
2-3 years |
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2 oral conditions caused by coxsackie virus are __a___ and __b__. the common age for these is up to age___c__. Duration usually____d___ |
hand foot and mouth herpangina c - 4 years d - 7-10 days |
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spirochetes fusiform bacteria HHV ...are 3 microbial causes of |
ANUG |
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Aggresive perio palmar/plantar keratosis |
Papillon-lefevre |
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Papillon-lefevre you see ___a___intraorally extraoral findings include___b__ and __c__-__d__ |
a - aggressive periodontitis b - palmar c- plantar d - keratosis |
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This condition shows mucocutaneous pigmentation, small intestinal polyps and freckling around lips, nose, oral and hands. Patients are at risk for developing many cancers, including colon |
Peutz-jegher |
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Peutz-jegher - shows mucocutanoues ____a___ - and ___b___ of the __c (3)__areas |
a - mucocutaneous pigmentation b - freckling of the c - oral/hands/nose d - cancers e - colon cancer |
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how do yoou describ this appearance, and what is it characterstic of? |
cobblestone crohns |
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chondroectodermal dysplasia systemic findings ___A___ and ___B___ oral findings: multiple __C__, ___D(condition)___ and this condition also effects __E__(extraoral) 50% can also have ___F___(serious effect) |
A - dwarfism B - polydactyly c - multiple frenae D - ectodermal dysplasia E - nails F - cardiac defects |
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These patients have dwarfism polydactly multiple frenae ectodermal dysplasia of teeth and nails 50% have cardiac defects |
chondroectodermal dysplasia |
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These patients have the 45X defect (missing X chromosome) so thus it only effects females, have enamel hypoplasia, and webbed necks. are sterile |
Turner syndrome |
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Turner syndrome genetics ___a___ male or female? ___b__ neck intraoral findings systemic effect: |
45 X females only webbed neck enamel hypoplasia cardiac - coarctation of aorta |
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what is this? what serious complication may the have? |
peutz-jegher cancers like colon cancer |
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These patients have - craniosynostosis - short stature - bowed legs - aplasia or hypoplasia of cementum - immature loss of teeth |
hypophosphatasia |
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hypophosphotasia Systemic findings intraoral findings |
systemic - short, bowed legs, craniosynostosis oral - aplasia/hypoplasia of cementum leading to premature loss of teeth |
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Patients with rickets may have this finding in their teeth, related to pulp |
high pulp horns, abscesses |
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Langerhan's cell histiocytosis aggressive, __a__(neoplastic or non) diseas of langerhan's cells can be seen in any ___B___, but 20% of the time the ___C_ are effected xray appearance:__D__ |
a - non neoplastic b - bone c - jaws d - floating in air |
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non-neoplastic disease, effects the bones, 20% of the time effects the jaws. teeth have "FLOATING IN AIR" appearance |
langerhan's cell histiocytosis |
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Inherited bone disorder, supernumerary teeth, maxillary hypoplasia, failure of eruption of permanent teeth |
cleidocranial dysplasia |
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Cleidocranial dysplasia Teeth effects: facial effects |
supernumerary teeth, failure of eruption of permanent teeth maxillary hypoplasia |
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Mandibulofacial dysostosis also known as _____ |
treacher collins |
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Treacher collins is a defect of the _____a___ the facial features include __B__, __C(eyes)___, anomalies of the ___D___ 30% of these patients also present with ___E___ treatment will include___F___ |
a- 1st and 2nd branchial arches b - mandibular hypoplasia c - downward slanting eyes d - ear anomalies e - cleft palate f - distraction osteogenesis |
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Dx treatment also may present with |
treacher collins distraction osteogenesis cleft palate |
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Craniosynostosis is also known as |
Apert syndrome |
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Craniosynostosis (apert syndrome) and mandibulofacial synostosis (treacher collins) are more prevalent with this factor |
increased paternal age |
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Dx also may present with (dental) |
apert syndrome (craniosynostosis) cleft palate (75%) |
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What is the diagnosis? "tower skull" appearance 75% have cleft most have Intellectual disability syndactyly |
apert aka craniosynostosis |
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apert aka craniosynostosis 75% present with __a__ these patients may also have __b__ they also have ___c__(condition of hands) |
a - cleft palate b - intellectual disability c - syndactyly |
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Salivary gland tumors common benign one: ___A__ Common malignant one ___B___ |
a - pleomorphic adenoma b - mucoepidermoid carcinoma |
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Pleomorphic adenoma Mucoepidermoid carcinoma what are these? Are they benign or malignant? |
salivary gland tumors pleo adenoma is benign mucoepidermoid carcinoma is malig |
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Hand foot and mouth and herpangina are caused by what? |
coxsackie virus |
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DIfference between clinical appearance of hand foot and mouth and herpangina? |
herpangina is 4-5 sites, usually soft palate/pharynx h/f/m is more (like 10 sites) all over mouth, has hand and foot lesions also |
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primary cause of severe oral ulceration in kids |
primary herpetic gingivostomatitis |
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mononucleosis is caused by |
EBV |
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WHat are these called? what are they an indicator of? |
koplik's spots measles |
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measles is caused by a ____ |
paramyxovirus |
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aphthous ulcers 2 main categories, what differentiates them |
simple and complex complex usually has 6+ incidents/year |
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behcets clinical findings are ____(oral) and ____(systemic) the different categories are 1._____ 2.______ 3._____ 4._____ |
oral - aphthous ulcers systemic - genital/ocular lesions 1 - mucocutaneous 2 - arhritis 3 - CNS issues 4 - uveitis |
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This disease has Oral findings - aphtous uclers SYstemic findings - ocular/genital lesions a mucocutaneous type an arthritic type a type w CNS issues a type w uveitis |
Behcets |
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the hallmark of SLE diagnosis is |
antinuclear antibodies |
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causes of toxic epidermal necrolysis |
HIV or herpetic drug related (eg bactrim) immuno |
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triad of melkerson rosenthal syndrome |
recurrent orofacial swelling fissured tongue facial nerve paralysis |
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facial nerve paralysis fissured tongue recurrent orofacial swelling |
melkersson rosenthal syndrome |
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hereditary hemorrhagic telangiectasia is a ____anomaly, where patients could have anemia if they have invovlement of ______ |
capillary anomaly gi tract involvement |
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2 conditions with intestinal polyps |
peutz-jegher gardners syndrome |
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2 oral cobblestone condition causes |
crohns hecks disease |
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central vs peripheral giant cell granuloma difference |
central more aggressive, may need steroid tx |
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giant cell granuloma...may want a blood test to properly diagnose______ |
brown's tumor of hyperparathyroidism |
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4 drugs that cause gingival overgrowth |
cyclosporine phenytoin nifedipine verapamil |
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cyclosporine phenytoin nifedipine verapamil these drugs cause |
gingival overgrowth |
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what condition is this |
papillon lefevre hyperkeratosis of hands and feet perio disease leading to tooth loss |
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langerhan cell hystiocytosis usually effects ____teeth teeth have "______"appearance radiographically and systemic effects: |
langerhan cell hystiocytosis usually effects molar/premolar floating in air appearance anogenital and postauricular rash |
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teeth have floating in air appearance |
langerhans cell histiocytosis |
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inflammatory odontogentic cyst that appears on the buccal of mandibular first molars |
paradental cyst |
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paradental cyst what is it where is it |
inflammatory odontogenic cysts buccals of mand 1st molars |
