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Gravity
Terms in this set (74)
• "Cotton wool" radiopacities
Paget disease (osteitis deformans), late stage.
• Generalized, extremely dense, sclerotic bone
Osteopetrosis (Albers-Schonberg disease, marble bone disease).
• Generalized decrease in bone density
Osteoporosis, osteomalacia, sickle cell anemia, thalassemia major
• "Step-ladder" pattern
Sickle cell anemia, thalassemia major
• "Ground glass"
Fibrous dysplasia.
• "Sunburst" pattern
Osteosarcoma, central hemangioma, chondrosarcoma (much less frequently).
• "Onion skin" periosteal proliferation
Proliferative periostitis, Ewing's sarcoma.
• "Opalescent teeth"
Dentinogenesis imperfecta.
• "Shell teeth"
Dentinogenesis imperfecta.
• "Ghost teeth"
Regional odontodysplasia.
• "Rootless teeth"
Dentin dysplasia type I.
• "Thistle-shaped" pulp chambers
Dentin dysplasia type II.
• "Inverted pear" radiolucency
"Globulomaxillary cyst" (old term, not really a diagnosis). Cystic lesion located between the maxillary canine and lateral incisor. Usually turns out to be some type of odontogenic cyst or tumor (OKC, AOT, etc...).
• Funnel-shaped inferior alveolar canal ("blunderbust")
Neurofibroma.
• Widening of PDL
Focal: Osteosarcoma, chondrosarcoma, other malignant process. Generalized: Systemic sclerosis (scleroderma), orthodontics. Occlusal trauma may also cause some widening of the PDL.
• Multiple supernumerary teeth
Cleidocranial dysplasia, Gardner's syndrome.
• Loss of lamina dura
Hyperparathryoidism.
• "Hair-on-end" skull film
Thalassemia, sickle cell anemia.
• "Teeth floating in air"
Burkitt's lymphoma, Langerhans cell histiocytosis (Histiocytosis X), multiple myeloma.
• "Punched out" radiolucencies
Langerhans cell histiocytosis, multiple myeloma.
• Scalloping between roots of teeth
Simple (traumatic) bone cyst.
• "Snowflake" calcifications
Adenomatoid odontogenic tumor (AOT)
• Hypercementosis
Generalized: Paget disease; Focal: Occlusal trauma, infection.
• Premature alveolar bone loss in children
Burkitt's lymphoma, Langerhans cell histiocytosis (Histiocytosis X), Papillon-Lefevre syndrome, cyclic neutropenia, leukemia.
More Stuff to Know!
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Premature loss of teeth in a child
Langerhans cell histiocytosis, Papillon-Lefevre, Ewing's sarcoma, Burkitt's lymphoma, Cyclic neutropenia, Hypophosphatasia, Leukemia
Widening of the PDL
Systemic sclerosis (scleroderma)—Diffuse, Osteosarcoma, chondrosarcoma---Localized
Koplik's spots
Measles (Rubeola)
Forcheimer's sign
German measles (Rubella)
Port wine stain
Sturge-Weber angiomatosis/syndrome
Tzanck cells
Pemphigus vulgaris, HSV ulcer
"Parrot's beak"
Crouzon syndrome
Calcified lymph node
Tuberculosis
"Rodent ulcer"
Basal cell carcinoma
Hyperelastic skin
Ehlers-Danlos syndrome
Joint Hypermobility
Ehlers-Danlos syndrome, also Marfan's syndrome
Fusion (syndactyly) of 2nd, 3rd, and 4th digits
Apert syndrome
Tower skull
Apert syndrome
Hypoplastic zygomas
Treacher-Collins syndrome (aka mandibulofacial dysostosis)
Multiple supernumerary teeth
Cleidocranial dysplasia, Gardner's syndrome
"Mottled enamel"
Severe fluorosis, Amelogenesis imperfecta
Generalized pitting of the enamel
Amelogenesis imperfecta Tuberous sclerosis (mild pitting of facial of anterior teeth)
Teeth shaped like crown preps
Amelogenesis imperfecta
Red, fluorescent teeth
Porphyria (more severe in primary dentition). Reddish stain can be seen with paan/betel nut use.
Yellow-green teeth of deciduous teeth
Erythroblastosis fetalis, Biliary atresia
Tetracycline
Bone -yellow, Developing teeth—yellow to gray-brown
Minocycline
Bone—dark green or black, Mucosa—blue-gray (due to bone) Developed teeth—gray incisal 3/4, green roots, Developing teeth—dark black roots
Paramedian lip pits
Van der Woude syndrome
Infectious diseases associated with cats
Toxoplasmosis Cat-scratch disease (Bartonella henselae)
Increased risk of lymphoma
Sjogren's syndrome
Reed-Sternberg cell ("owl eyes")
Hodgkin lymphoma
Black hairy tongue
Antibiotic therapy, General debilitation, radiation therapy, Heavy smokers, Antacids (Pepto-Bismol), mouthwashes, Poor oral hygiene
Ectodermal Dysplasia
Hypodontia (malformed teeth) or anodontia, Thin, sparse, blonde hair and eyebrows. No sweat glands (heat intolerance)
Eagle syndrome
Elongated styloid process and/or calcification of the stylohyoid ligament, Pain, dizziness on turning head, swallowing, opening mouth
Frey syndrome
Gustatory sweating and flushing
Treacher-Collins syndrome (aka mandibulofacial dysostosis)
Hypoplastic zygoma, Underdeveloped mandible, condylar hypoplasia, +/- respiratory difficulty Ear deformities Coloboma (notch) of lower eyelid Prominent antegonial notch Facial clefts (increased incidence)
Turner's hypoplasia
Localized enamel defect of a permanent tooth secondary to infection or trauma to deciduous tooth.
Dentinogenesis imperfecta
Opalescent teeth, Bulbous crowns, cervical constriction, Obliterated pulp, May be associated with osteogenesis imperfecta
Blue sclera Osteogenesis imperfecta, Also seen in Marfan syndrome and Ehlers-Danlos syndrome, Note
Normal in newborns
Papillon-Lefèvre syndrome
Severe periodontal disease, Palmar and plantar keratosis
Pellagra
Niacin (vit B3) deficiency, 3 D's: Dermatitis, diarrhea, dementia
Beri beri
Thiamin (vit B1) deficiency, Seen in alcoholics, Neurologic problems
Pernicious anemia
Deficiency or malabsorption of vit B12, Most patients lack intrinsic factor (stomach), Peripheral neuropathy.. Fatigue, weakness
Vitamin C deficiency
Scurvy- Hemorrhage, gingivitis, tooth loss
Vitamin D deficiency
Rickets (kids)- Bowing of legs, other Osteomalacia (adults)- Weak bones
Enlarging mandible, coarse facial features
Acromegaly
Hypothyroidism
Cretinism (children), Myxedema (adults)
Cushing's syndrome
"Moon facies" Abdominal striae Muscle wasting "Buffalo hump" Osteoporosis Poor healing
Oral findings in diabetics
Increased risk of candidiasis, other infection. Xerostomia. Sialadenosis (salivary gland enlargement), Periodontal disease Poor wound healing
Facial pain (non-odontogenic)
Trigeminal neuralgia, Multiple sclerosis Zoster, Temporal arteritis
...
...
Know the difference! Attrition, abrasion, erosion, abfraction
...
Be able to recognize the following anomalies
Gemination vs fusion, Dilaceration, Concrescence, Dens invaginatus, Taurodontism, Dens evaginatus, Shovel-shaped incisors, Enamel pearls
Causes of xerostomia include
Dehydration, Sjogren's syndrome, Medications, Radiation to the head and neck, Diabetes, Smoking, Mouth breathing
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