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The initial step for treatment of leukoplakias

remove any causative agents and see if healing occurs

If a white lesion (leaukoplakia) is unexplained and persistant what is mandatory?

A biopsy

If a leaukoplakia is benign with dysplasia, then what is treatment?

removal is alwasy necessary to see if lesion is reoccuring

CBC stands for:

complete blood count

A true carcinoma that has not progressed to the point of invasion is called:

Carcinoma In Situ

most common sailvary gland neoplasm

pleomorphic adenoma

where does the pleomorphic adenoma most commonly occur

the palate

what extra oral sight is most common for pleomorphic adenoma's

parotid gland

pleomorphic adenoma sex preference

females 30-60

3 most common nutritional deficiencies in Anemia

iron, folic acid, and B12

3 oral manifestations similar in all types of anemia

-angular cheilitis
-pallor of the oral tissue
-erythrmatous smooth painful tongue

disease that results form long standing iron deficiency anemia

Plummer Vinson syndrom

Plummer Vinson syndrome includes what symptoms

difficulty swallowing, atrophy of upper ailementary tract, presidposition to develop cancer

The Philadelphia chromosome is seen in

Chronic Leukemia

Virus implicated in Hairy leukoplakia

Epstein Barr Virus

Causative organism of Verruca Vulgaris

HPV human pappiloma virus

This condition is different from squamous cell carcinoma in that there is no invasion through the basement memebrane

Carcincoma In Situ

Cotton Wool Xray

Pagets disease of the bone
(patchy radiolucency/radiopacity

Herpangina and hand, foot and mouth disease is caused by which virus?

Coxsackie virus

Lesions of syphilis

primary-infectious (chancre)
secondary- highly infectious
tertiary- not infectious

Varicella zoster virus, epstein barr virus, cytomegalovirus and herpes simplex viruses are all from what family of viruses?

human herpes virus HHV

Measles result from what virus

paramyxovirus

a reduction in the number of circulating neutrophils is called what

neutropenia

what disease is neutropenia evident in?

agranulocytosis

Hair on end x ray

sickle cell anemia

3 p's of diabetes

polydipsia, polyuria, polyphagia

Cafe au lait spots are seen in which 3 diseases?

craniofacial dysplasia, jaffes disease and albrights disease

excess production of growth hormone in adults

acromegaly a form of hypituitarism

sulfur granules in abscesses is characteristic of

actinomycosis - which is caused by filamentous bacterium

disordered growth and maturation of cells with increased risk for malignant transformation; if in epethelium it is premalignant is the definition

epethelial dysplasia

Bulls eye target lesions are seen in

erythema multiforme

A well-defined radiopaque mass that is in continuity with the root or roots of an affected tooth, obliterates the apex , and has radiolucent halo

benign cementoblastoma

precocious puberty

common with fibrous dysplasia and albright syndrom, very very early puberty

What do the Elisa and Western Blot tests measure

HIV antibody levels

Acquired Immunodeficiency Syndrome is a primary or secondary immunodeficiency

secondary

on a radiograph , what helps differentiate between a dentigerous cyst and an adenomatoid odontogenic tumor that is associated with an impacted tooth?

The AOT extends beyonfd the CEJ and can involve 50-60% of the root

A slow growing salivary gland neoplasm. More common in females in 5-6th generation of life, aggressive locally and biggest worry is extension to the brain

Adenoid cystic carcinoma

Adenoid Cystic carcinoma effects?

parotid gland

Most common location of Kaposi's sarcoma in an AID's Patient

oral cavity

The virus senn in hairy leukoplakia

HIV

Location of aphthous ulcers is commonly on

unkeratinized oral mucosa

location of recurrent intra oral aphthous ulcers

keratinized mucosa

Erythema Multiforme is often triggered by a drug reaction T or F

False- unknown but seen with certain viruses

Most severe form of erythema multiforme

Stevens-Johnsons syndrome

The triad of Reiter's syndrom

Arthritis, urethritis, conjunctivitis

oral manifestations of Sjorgren's syndrome

xerostomia

causative organism of TB

mycobacterium tuberculosis

multiple odontomas and osteomas are seen in what syndrome

Gardners syndrome

Hair on end x-ray

sickle cell anemia

antibodies are produced that react with desmosomes (intraepithelial) in what autoimmune disease

pemphigus vulgaris

Treponema Pallidum casues what disease

syphilis

the cause and common location of necrotizing sialodinitis

loss of blood supply to minor salivary glands
located on hard palate off the midline

Tzanck cells are seen in which immunocompetent disease

pemphigus vulgaris

most common developmental odontogenic cyst

dentigerous cyst

most commom oral cyst

periapical cyst

most common benign salivary gland neoplasm and location

pleomorphic adenoma
common on the palate intraorally, parotid extraorally

most common routes of spread of oral carcinoma

lateral border and ventral tongue followed by oropharynx, floor of the mouth, gingiva, buccal mucosa,, lip and palate

a clinical term descrptive of a white patch on the oral mucosa that cannot be scraped off and cannot be classified as any other clinically diagnosable disease

leukoplakia

causative organism of herpes zoster

varicella - zoster virus

osteosarcoma is a

malignant tumor of the bone

sarcoma

malignant tumor of connective tissue

salivary gland stone is called

sialolith

attrition is a __________ process

physiologic

erosion is a _________ process

pathologic

abrasion is a _________process

pathologic

gentle pressure with movement on clinically normal mucosa causing cleavage of epithelium and a bulla is called

nikolsky's sign

nikolsky's sign common in

pemphigus vulgaris

most common mass of gingiva: connective tissue with few blood vessels

irritation fibroma

the soft tissue version of the dentigerous cyst

eruption cyst

the cyst that develops in place of a tooth

primordial cyst

soft tissue variant of the lateral periodontal cyst

genigival cyst

tumor exhibiting rolled borders and caused from the sun

basal cell carcinoma

cyst associated with basal cell neus sundrome

OKC's

Etiology of hairy tongue

unknown, may be increase in keratin or decrease in desquamation. often seen in HIV

3 p's of diabetes

polydipsia, polyuria, polyphagia

a lesion that is described as hard

indurated

cafe au lait spots are seen in what 3 diseases

craniofacial fibrous dysplasia, Albrights disease and Jaffe's disease

increase blood calcium decreased phosphorus, and abnormal bone metabolism are used to diagnose what disease

hyperparathyroidsim

Koplik's spots are seen in someone who has

measles

koplik's spots are

small erythematous macules with white necrotic centers that occur in the oral cavity

inherited anemia resulting from abnormal hemoglobin in RBC's and occurs when oxygen is decreased

sickle cell anemia

benign odontogenicc tumor that is locally aggressive, has high recurrence rate, multi or unilocular in molar ramus area

ameloblastoma

90% of all oral malignancies are

squamous cell carcinomas

most common malignant salivary gland tumor in children is

mucoepidermoid carcinoma

mucoepidermoid carcinoma locations

parotid (major) and palate (minor)

3 predisposing factors for the most common oral malignancies

tobacco, alcohol and UV

3 characteristics of cells within malignant tumors

poorly differentiated, invasive, unencapsulated, mitotic

most common salivary gland neoplasm

pleomorphic adenoma

most common location for pleomorphic adenoma

palate

sex predelection for pleomorphic adenoma

females 30-60

extra oral location for pleomorphic adenoma

parotid gland

most commom typr of fibrous dysplasia

monostatic dysplasia involves a single bone

mosaic bone

cotton wool appearance associated with Pagets disease

punched out skull lesions

multiple myeloma

sunburst

osteosarcoma

moth eaten appearance to the teeth

hypocalcified type amelogenisis imperfecta

soap bubble

cherubism found in ameloblastomas

snow capped teeth

amelogenisis imperfecta

Bence-Jones proteins are fragments of immunoglobin in patients with

multiple myeloma

cluster of numerous miniature teeth surrounded by a radiolucent halo is called

compound odontoma

what age, race, sex and location typically describe the cementoma AKA periapical cemental dysplasia

+30, black, female, anterior mandible

mass of enamel, dentin, cementum,and pulp that does not resemble a tooth

complex odontoma

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