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oral pathology
GI
48
Medical
Graduate
08/20/2010

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Term
how can good oral hygiene prevent heart disease?
Definition
bad oral hygiene triggers the liver to make CRP - which is an inflammatory protein that has systemic effects. in general: anything that interferes with the normal functioning of dentition in the oral cavity causes problems for other systems throughout the body
Term
what are applications of forensic odontology?
Definition
bite mark analysis, identification, and dental malpractice
Term
how many primary/deciduous teeth are there? permanent/adult?
Definition
20 and 32
Term
what are the upper and lower teeth called?
Definition
upper: maxillary, lower: mandibular
Term
what is pyorrhea?
Definition
gum disease/periodontitis
Term
how long is the mixed dentition stage?
Definition
between 6-12 years
Term
what are premolars?
Definition
the 2 teeth between the canines and the molars
Term
*do primary teeth have premolars/third molars?* what about permanent teeth?
Definition
primary teeth do not have premolars, permanent teeth do
Term
what is anodontia?
Definition
no teeth
Term
what is hypodontia?
Definition
some teeth are missing (for ex - people w/out wisdom teeth)
Term
what is oligodontia?
Definition
6+ teeth missing
Term
what are the most common teeth to be missing in order of incidence?
Definition
*missing third molars are the most common, followed by the lateral incisors and the second premolars
Term
what is a microdont?
Definition
a smaller, rudimentary tooth "peg lateral"
Term
what are supernumerary teeth? what do they resemble? who and when are they usually found?
Definition
additional tooth buds, often mesiodens (75% midline between incisors) or failed eruptions, they are generally part of the permanent teeth, found in males and 98% in the maxillary
Term
what is cleidocrandial dysostosis?
Definition
multiple supernumerary teeth, which gardner's syndrome is also marked by
Term
what are the layers of a tooth?
Definition
enamel, dentin, pulp (encases nerve). the root has a cementum and periodontal ligament layer
Term
what is a parulus?
Definition
a gum boil, where infections of teeth fistulate out - can lead to acute cellulitis in other parts of the body
Term
what is the most prevalent human disease in the world?
Definition
dental caries
Term
*what 3 things are needed for tooth decay to occur?*
Definition
plaque, sugar, and *streptococci mutans* (in sufficient quantities). strep mutans has glucosyl transferase which can polymerize glucose and give off lactic acid
Term
what did john pemberton do?
Definition
invent coca cola
Term
if there were no fermentable sugars in your diet would you get cavities?
Definition
no
Term
why is honey worse for your teeth?
Definition
its stickier and has more sugar
Term
what is ECC?
Definition
early childhood caries or nursing bottle syndrome - due to kids sleeping w/a bottle in their mouth
Term
how does xylitol help prevent tooth decay?
Definition
it interferes with the metabolic processes of strep mutans
Term
what does plaque become?
Definition
calculus or tartar
Term
what is the acronym associated with meth mouth (but not every time)?
Definition
ANUG - acute necrotizing ulcerative gingivitis
Term
what things can cause enamel erosion?
Definition
bulimia, purging, GERD, soda, citric acid
Term
what is a hairy tongue?
Definition
when the filliform papillae don't shed quickly
Term
what is the rule of thumb for examining lingual tonsils?
Definition
if bilaterally enlarged - probably normal, if unilaterally - perhaps some area for concern
Term
what are torus palatinus/mandibularis?
Definition
bone extrusions on the upper and lower parts of the mouth - nonpathogenic
Term
what is a pleomorphic adenoma?
Definition
a benign mixed growth tumor of the salivary glands
Term
what is stenson's duct?
Definition
parotid duct
Term
what is the most common oral ulceration? what is the cause? how are they classified? where are they found?
Definition
an aphthous or canker, which is thought to be an auto-immune process and classified as minor (smaller than 1 cm), major, or herpetiform (more numerous/vesicular). they are found on *non-keratinized surfaces*
Term
are aphthous ulcers thought to be related to HSV?
Definition
no, they are thought to be related to crohn's, allergies, zinc deficiency and a type IV hypersensitivity (delayed) rxn
Term
are cold sores thought to be related to HSV? how are they spread?
Definition
yes, HSV-1/2 - thought to be spread via kissing
Term
can you get shingles in the mouth?
Definition
yes, this is due to VZV
Term
what is palatal erythema possibly?
Definition
the differential includes: traumatic injury, thermal burn, infectious mono, blood dyscrasia, cancer - but make sure its not from abusive oral sex
Term
can a tongue barbell cause a pyogenic granuloma?
Definition
yes (which is an overgrowth of granulation tissue)
Term
can pregnancy cause a pyogenic granuloma?
Definition
yes, they are known as "pregnancy tumors"
Term
how does infectious mononucleousis present in the mouth?
Definition
as red dotted erythema and tonsilitis - also systemically: sore throat, headache, chills, cough, and nausea
Term
how can syphilis manifest itself in the mouth?
Definition
a primary, secondary or tertitary chancre/gumma that may form an oral-nasal fistula
Term
what can congenital syphilis result in?
Definition
*hutchinsons or screwdriver shaped incisors* OR "mulberry molars" (air pockets in the enamel)
Term
how does kaposi sarcoma manifest in the mouth? what virus causes it?
Definition
dark purplish brown patches and it is due to HHV*
Term
what is nicotinic stomatitis? how bad is it?
Definition
keratinized whitish tissue on the upper palate due to *pipe smoking*. it is reversible and *not pre-malignant
Term
what causes thrush?
Definition
candida - an infection usually related to an immunocompromised state
Term
what is leukoplakia?
Definition
a whitish plaque on the gums due to tobacco chewing, it *is pre-malignant*
Term
what can a SCC on the tongue resemble?
Definition
a lingual tonsil, however SCC tends to be painful and may include a neck mass (they can be in other parts of the mouth too)
Term
why is a freckle on the lip a cause for concern?
Definition
the lip shouldn't have pigment in it - so melanoma needs to be r/o
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