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Geographic Tongue
cause: unknown
loss of filiform papilla
condition comes and goes
tongue burns
no tx indicated
Hairy Tongue
cause:unknown
may be associated with tabacco use, chemical rinses, alcohol
filiform papilla become elongated
tx:brushing tongue
Fissured Tongue
cause:unknown
fissures or grooves seen on the dorsal surface
tx:brushing the tongue
Lingual Varicosities
dilated superficial veins located on the ventral surface of tongue
Median Rhomboid Glossitis
may be associated with a fungal infection from candida albicans
appears as erythematous area at the midline of the dorsal surface of the tongue
appears smooth
Macroglossia
enlarged tongue
known to happen in patients with acromengaly (enlargement of other bones)
Ankyloglossia
short lingual frenum causing tongue to be stuck to the floor of the mouth
Nicotine Stomatitis
seen on the hard palate
raised red dots represent the duct openings of minor salivary glads
has a coarse, white, wrinkled appearance
Candida Albicans
most common oral funal infection
seen in diabetics and denture wearers
tx: ketoconazole, fluconazole
Leukoedema
a benign gray-to-white film on the buccal mucosa
stretching the mucosa makes the opalescence less noticeable
Leukoplakia
white patch or plaque of oral mucosa that cannot be wiped off
caused by tobacco use
can range from hyperkeratosis to SCC
Hairy Leukoplakia
Epstein-Barr virus associated with HIV
white patch seen on the lateral border of the tongue
Pigmentation
racial pigmentation seen in dark skinned individuals
Melanotic Macule
flat, brown lesion
NOT dependent on sun exposure
seen on lower lip
resembles a freckle
Amalgam Tattoo
most common pigmented lesion
Fordyce Granules
intraoral sebaceous glands
small yellow nodules on buccal mucosa and vermillion border
Addison's Disease
insufficient production of adrenal gland
bronzing, tinted skin
Irritation Fibroma
most common tumor of the oral cavity
smooth, pink, firm nodule
caused from repeated biting of the same area causing dense scar-like CT to form
Papilloma
HPV
pedunculated warty lesion, cauliflower-like
can cuase genital warts (condyloma acuminatum)
Hemangioma
vascular lesion on tongue
Epulis fissuratum
caused by ill fitting dentures
Papillary hyperplasia
a form of denture stomatitis
palate is covered with red papillary projections
Pyogenic Granuloma
occurs commonly due to injury
occurs in pregnant women called pregnancy granuloma
Chronic hyperplastic pulpitis
pulp polyp
Erythema Multiforme
ulcerative condition taht affects skin and mucous membranes
bull's eye target lesion
Steven's-Johnson Syndrome
most severe form of erythema multiforme
two mucosal surfaces are involved
Lichen Planus
affects skin and mucous
lace-like white lines seen on buccal mucosa
lines are termed Wickham's straie
Lupus
butterfly rash over the nose
Traumatic Ulcer
lesion due to trauma
healing lasts 7-14 days
Apthous Ulcer
painful ulcers seen only on movable mucosa
Herpes Simplex Virus (HSV)
type 1(oral) and type 2(genital)
primary herpetic gingivostomatitis is the initial infection...very painful
HSV can persist in a latent state in the trigeminal ganglion
Herpetic Whitlow
painful infection of the fingers
Herpangina
caused by the coxsackie virus
vesicles are seen on the soft palate
Hand-foot-mouth disease
cuased by the coxsackie virus
painful, ulcers appear on the feet, toes, hands, and fingers
Infectious Mononucleosis
caused by the Epstien-Barr virus
sore throat, fever
palatal petechiae
Varicella-Zoster virus
chickenpox
Torus (tori)
Maxilla:bony radiopaque mass in the midline of hard palate
Mandible:bony, radiopaque mass seen on the lingual surface of the mand
Exostoses
bony protuberance on facial and buccal surfaces of jaw
Odontoma
most common odontogenic tumor
composed of enamel, dentin, and pulp
Perioapical cenetal dysplasia
seen in middle age, african american females
radiopaque/radiolucent lesions seen at apex of vital teeth
Paget's Disease
enlargement of the bone and spaces between the teeth
Mult myeloma
radiographically seen as punched out radiolucencies in jaw
radicular cyst
seen at apex of necrotic tooth
residual cyst
cyst that was left behind form the tooth
dentigerous cyst (follicular cyst)
seen around the crown of an impacted or unerupted tooth
commonly seen in the mand 3rd molars
primordial cyst
occurs in place of a tooth
odontogenic keratocyst
seen unilocular or multilocular radiolucency
high recurrence rate
lateral periodontal cyst
common location between the roots of mand premolars
unilocular radiolucency
globulomaxillary cyst
seen between max lateral incisor and canine
spreading or splitting of the roots
nasopalatine duct cyst (incisive canal cyst)
rythms with valentine...heart shaped cyst
due to the presence of anterior nasal spine
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