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75 Cards in this Set
- Front
- Back
Periodontal/oralinfections may impact... |
-heart disease -stroke -diabetes -respiratory disease -preterm low-birth-weight babies |
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examples of systemic disease |
diabetesand leukemia |
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DH roles as "educator" |
•Oral and perioral cancer risks &prevention •Tobacco cessation •Caries prevention and riskassessment •Periodontal disease prevention andrisk assessment •General health factors |
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why is early detection important? |
-can save someone's life |
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oral cancers can occur _____ |
slowly so patient's are not aware |
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___% people who are diagnose with oral cancer won't survive unless it's ____ detection |
50, early |
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if patient has HBP, we should not do... |
injections/SRP |
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some patients may need _____ appointments or can't be ______ back all the way |
shorter, leaned |
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Atypical is ... |
variations of normal |
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what are some traumatic pathologies? |
-injury -thermal/chemical burns -abrasion -erosion -fractures -child abuse***** |
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what are some infectious pathologies? |
-periodontal disease -bacterial -virus -fungus |
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what are some benign pathologies? |
-fibroma -lipoma -hyperplasia |
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what are some malignant pathologies? |
-carcinoma -sarcoma |
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pathologies can also be... |
-autoimmune -genetic -inflammatory -allergy |
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_______ tumors do not spread to other parts of the body |
benign |
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_______ tumors are cancerous & are made up of cells that grow out of control |
Malignant |
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when recording location, record using words such as... |
inferior,superior, lateral, medial, anterior, posterior, distal, and mesial |
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if it's smooth, the lesion is from _______ |
underneath |
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if something looks suspicious, it takes ______ weeks to heal (have them come back to check on it) |
2-3 |
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when we give referral for lesion, make sure... |
we follow up on it! |
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ask questions about lesions such as.. |
if they noticed & how long it's been there |
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need to have detail descriptions with info such as.. |
-history (diabetes, illness, medication) -location -definition (what type) -size -shape -color -consistency (hard/soft) -surface texture (smooth/rough) |
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if it's a white lesion, we should... |
take gauze & see if it wipes off |
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if a pt has hx w/tobacco and it's on 1 side... |
send to OS |
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well-defined margins, we can tell where... |
it starts & ends |
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poorly defined margins are more dangerous because
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they are more likely to grow & spread ex: malignment have poor defined border |
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traumatic fibroma can get larger if... |
keep biting the cheek really hard |
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when recording measurements, we recored the... |
width 1st then length then height |
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who are more likely to get macules on the face? |
blonde hair/blue eyes |
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what is a vesicle? |
small raised filled w/clear fluid (less than 5mm) ex: herpes |
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what is a bulla? |
large raised w/clear fluid (5mm-2cm) |
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what is a pustule? |
raised lesion filled with pus ex: acne |
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what is a nodule? |
solid raised mini tumor with solid stuff (.5cm-2cm) |
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plaque can be caused by.... |
-trauma from broke tooth -chemical burn (acids) |
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define sessile |
fixed place (not movable) |
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denim pedunculate |
attach by thin stalk |
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ulcers are _______ (loss of tissue) |
depressions |
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what can cause an ulcer? |
-biting -abrasion/erosion |
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what color are ulcers normally? |
red/white |
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which way does exophytic grow? |
lesions grow outward or up |
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which way does endophytic grow?
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lesions grow underneath or down ex: ulcer |
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white lesions normally involve excess ______ in tissue making them more ______ |
keratin, opaque |
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what can cause white plaque to rub off? |
-antibiotics -organ transplant meds |
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erythema normally indicates... |
-thinner epithelial tissues
-more blood flow in area -inflammed |
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yellow lesions |
-purulent (discharging pus) exudate -adipose tissue (fatty lesions) -pustules |
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where does endogenous pigmentation come from? |
within the body ex: melanin |
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where does exogenous pigmentation come from? |
outside the body ex: lead, amalgam |
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examples of black macules |
-amalgam tattoo -pencil lead injury -melanoma |
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examples of blue lesions |
-vascular -labial varicosities -intraoral nevi -melanoma |
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examples of melanotic lesions
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-macules -intraoral nevus -melanoma |
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if there's black around teeth, it most likely is... |
amalgam tattoo |
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consistency referee to how something ____ |
feels ex: soft, hard, firm, spongy, rubbery |
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doe lymph nodes move? |
yes |
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fluctuant is ____ filled inside and an example of |
fluid, consistency |
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papillary can be rough and look like... |
-finger like projections -NOT underneath ex: wart |
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corrugated are rough and look |
rippled/washboard like ex: chew tobacco & hold it there pg 26 on powerpoint |
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is fissures considered smooth? |
no |
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what can cause pseudomembrane? |
chemicals example: pg 28 on powerpoint |
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what is pseudomembrane?
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false membrane that covers surface of lesion and can be wiped off |
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can we find tumors on X-rays? |
yes |
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radiopaque |
-stops X-rays -whiter than surrounding bone |
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radiolucent |
-darker than surrounding bone -xray goes through it better |
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Unilocular |
"single sac of cyst"?? pg 32 on powerpoint |
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what can a poorly defined margin on X-ray indicate? |
aggressive lesion |
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what are the 2 types of odontoma?
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complex & compound |
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complex odontoma (unrecognizable tissues) normally shows up ____ on X-rays |
radiopaque (poorly defined) |
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where can we find complex odontoma? |
posterior maxillary or mandible |
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where can we find compound odotoma? |
-maxillary anteriors -well defined with lobulated appearance |
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what does root convergence mean? |
movement of roots of adjacent teeth towards each other |
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what does root divergence mean? |
movement of roots of adjacent teeth away each other (spread apart) |
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unerupted teeth can cause a _____ and destroy bone |
cyst |
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we can see a tumor from the ____ ______ on the xrays |
lamina dura |
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expansion of cortical bone shows... |
bone sticking out |
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what is differential diagnosis? |
-make a list of all the things itcould be -rank them by which it may most likely be -eliminate choices/possibility |
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what is a definitive diagnosis? |
-biopsy clinical appearance -radiographs |