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Developmental Disturbances #2
Oral Pathology
60
Dentistry
Professional
08/02/2013

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Cards

Term
Defintion of Commissural Lip Pits
Definition
Small mucosal invaginations occurring at corners of mouth on vermillion border, location suggesting they are due to failure of normal fusion of embryonal maxillary and mandibular processes
Term
Commissural Lip Pit found in adult ___
Definition
males
Term
Clinical Features of Commissural Lip Pits
Definition
Asymptomatic; unilateral/bilateral; pouches
Term
Commissural Lip Pits - histological features
Definition
Stratified squamous epithelium
(accessory salivary ducts may drain into)
Term
Treatment of Commissural Lip Pits
Definition
Clinical diagnosis sufficient; no biopsy
Term
Prognosis of Commissural Lip Pits
Definition
Prognosis Excellent
Term
Double Lip definition
Definition
Redundant fold of tissue on mucosal side of lip
Term
Double lip may be associated w/...
Definition
Ascher syndrome or sucking on lip
Term
Double lip: which lip most common?
Definition
Upper
Term
Treatment of Double Lip
Definition
Not usually necessary but can be excised for aesthetic purposes
Term
Definition of Fordyce Granules
Definition
Sebaceous glands occurring on oral mucosa
Term
Found in ___% of adult population
Definition
80 (considered normal anatomic variation)
Term
Histology of Fordyce Granules
Definition
Identical to sebaceous glands w/out hair follicle; do not excrete product
Term
Treatment of Fordyce granules
Definition

Clinical diagnosis

No biopsy

Term
Prognosis of fordyce granules
Definition

Excellent

No treatment necessary

Term
Definition of leukoedema
Definition
diffuse, gray-white milk, opalescent appearance of mucosa which appears folded or wrinkled; may be pronounced on pigmented mucosa
Term
Leukoedema location in oral cavity
Definition
Most common: bilaterally on buccal mucosa
May occur on mucosa of lip, floor of mouth or palatopharyngeal tissues
Term
Leukoedema ___ when mucosa is stretched
Definition
Disappears
Term
Leukoedema may be more pronounced in...
Definition
Smokers (recedes w/ cessation)
Term
Leukoedema histologic features
Definition
Thickening of surface epithelium w/ prominent intracellular edema of spinous cells; sometimes accompanied by parakeratosis & rete ridge prominence - NO DYSPLASIA!
Term
Leukoedema treatment
Definition
No treatment necessary
Term
Leukoedema prognosis
Definition
Excellent
Term
Microglossia defintion
Definition
Abormally small tongue
Term
Leukoplakia occurs more in...
Definition
Blacks (suggest likelihood of ethic predisposition)
Term
Leukoedema cause is...
Definition
Unknown
Term
Microglossia is...
Definition
uncommon & has unknown cause
Term
Microglossia is associated with...
Definition
Limb hypogenesis syndromes
Term
Microglossia treatment
Definition
Depends on severity and nature of conditions
Term
Macroglossia definition
Definition
Abnormally large tongue
Term
Macroglossia may be caused by...
Definition
Variety of diseases such as congenital malformations & acquired diseases (vascular and muscular hypertrophy)
Term
Macroglossia is present in...
Definition
Down-syndrome, cretinism, Beckwith-Wiedemann syndrome
Term
Macroglossia most commonly occurs in...
Definition
Children (severe causes can produce airway obstruction)
Term
Macroglossia appearance...
Definition
multinodular appearance
Term
Macroglossia treatment...
Definition
Depends on severity
Term
Ankyloglossia definition
Definition
developmental anomaly of tongue contains short, thick lingual frenum
Term
Ankyloglossia leads to...
Definition
Limited tongue movement
Term
Ankyloglossia is __X more common in boys than girls
Definition
4
Term
Incidence in population of ankyloglossia
Definition
2-3/10,000
Term
Ankyloglossia Clinical features
Definition
Minor (depends on severity) - eating, speech, tooth movement or perio health
Term
Ankyloglossia treatment
Definition
Frenectomy
Often self-correcting & needs no treatment
Term
Ankyloglossia Prognosis
Definition
Excellent
Term
Lingual Thyroid definition
Definition
clinically evident and/or symptomatic focus of thyroid tissue in the tongue
Term
Path of descent taken by thyroid into neck
Definition
Primitive thyroglossal tract
Term
Where is the foramen cecum located
Definition
midline of dorsal surface of tongue; junction of its anterior 2/3 and posterior 1/3
Term
In __% of cases, this is patient's only thryoid tissue
Definition
70
Term
Ratio Females/Males -
Definition
4-7/1 (hormonal factors)
Term
Lingual thyroid size
Definition
Small nodular lesions to large masses (usually vascular)
Term
Most common symptoms of lingual thryoid
Definition
Dysphagia, dysphonia, dyspnea
Term
Up to ___ of patients have hypothyroidism
Definition
1/3 (lingual thyroid enlargement is compensatory to thyoid hypofunction)
Term
Lingual thyroid histologic features
Definition
Similar to normal thyroid tissue
Term
Treatment/Diagnosis for lingual thyroid
Definition
Should never be removed
Perform thyroid scan w/ CT imaging
Incisal biopsy to confirm
Term
Lingual thyroid symptomatic patients...
Definition

Suppressive therapy w/ supplement thyroid hormone can reduce size of lesion

Excision and transplantation

Term
Fissured tongue definition
Definition
exhibiting deep furrows or fissures on dorsal surface
Term
Etiology of fissured tongue
Definition
Heredity and aging
Term
What percent of population has fissured tongue?
Definition
2-5%
Term
Clinical features of fissured tongue
Definition
fissured or deeply grooved gross appearance of varying severity on dorsum of tongue
Term
Histologic features of fissured tongue
Definition
none
Term
Treatment of fissured tongue
Definition

No biopsy

Clinical diagnosis
No treatment (maintain OH!)

Term
Prognosis of fissured tongue
Definition
Excellent
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