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Oral Pathology Final
DDH 116- Oral Pathology
120
Pathology
Graduate
12/19/2012

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Cards

Term
How is information gathered to diagnose?
Definition
-Clinically
-Radiographically
-Historically
-Histologically
-Differential findings
-Surgical
-Therapeutic
Term
How many areas must be relied on to make a diagnosis?
Definition
AT LEAST 2
Term
Exophytic growth of compact bone locate on the palate
Definition
Torus palatinus/ Palatal tori
Term
Non-pathogenic misplaces sebaceous glands
Definition
Fordyce granules
Term
Where are Fordyce granules most commonly seen?
Definition
Lips and buccal mucosa
Term
Outgrowths of normal dense bone found on the LINGUAL aspect of the mandible typically bilateral
Definition
Mandibular Tori
Term
Red to purple clusters found o the lingual and lateral surfaces of the tongue
Definition
Lingual Varicosities
Term
A flat or slightly raised oval or rectangular erythematous area in the midline of the dorsal surface of the tongue & extends to the circumvallate papillae. Histological findings show C. albicans.
Definition
Median Rhomboid Glossitis
Term
Erythematous patches surrounded by a white or yellow perimeter involving dorsal & lateral sides of the tongue & is missing filiform papillae
Definition
Geographic Tongue

**If seen on the mucosa it is called ECTOPIC Geographical tongue**
Term
The dorsal surface of the tongue has deep fissures/grooves that can become irritated if food were to become trapped
Definition
Fissured Tongue
Term
A condition where the pt has an increased amount of keratin on the filiform papillae which results in a white “hairy” appearance
Definition
White hairy tongue
Term
A “white-line” which is asymptomatic and non-pathological seen running anterioposteriorly on the buccal mucosa along the occlusal plane
Definition
Linea Alba

**associated with clenching or bruxing**
Term
A generalized opalescence seen on the buccal mucosa appearing as a gray-white film diffused throughout the mucosa. When mucosa is stretched, it becomes less prominent.
Definition
Leukoedema
Term
circumscribed, elevated lesion that is more than 5 mm in diameter, usually contains serous fluid & looks like a blister
Definition
Bulla
Term
a lobe which is part of the whole; usually are fused together
Definition
Lobule
Term
A flat area that is usually distinguished by a color different from that of the surrounding tissue.
Definition
Macule

**i.e. a freckle**
Term
Small circumscribed lesion usually less than 1 cm in
diameter that is elevate or protrudes above the surface of normal surrounding tissue
Definition
Papule
Term
Attached by a stemlike or stalklike base similar to that of a mushroom
Definition
Pedunculated

Key Word= stalklike
Term
Describing the base of a lesion that is flat or broad instead of stemlike
Definition
Sessile

Key Word: Stemlike
Term
Describing the base of a lesion that is flat or broad instead of stemlike
Definition
Sessile

Key Word: Stemlike
Term
Variously sized circumscribed elevations containing pus; vesicle filled with pus.
Definition
Pustules

PUStules-- PUS
Term
Small, elevated lesion less than 1 cm in diameter that contains serous fluid
Definition
Vesicles
Term
Palpable solid lesion usually less than 1 cm in diameter found in soft tissue; it can occur above, level with, or beneath the skin surface
Definition
Nodule
Term
Evaluation of a lesion by feeling it w/fingers to determine the texture of the lesion
Definition
Palpation
Term
Colors used to describe a pathology
Definition
-Red (erythematous)
-Pink
-White
-Blue-Black
-Brown
-Black
-Pallor
-"Salmon"
Term
Wrinkled
Definition
Corrugated
Term
A cleft or groove normal or otherwise, showing prominent depth
Definition
Fissured
Term
Resembling small, nipple-like projections or elevations found in clusters
Definition
Papillary
Term
Surface Textures
Definition
-Smooth
-Rough
-Folded
Term
The process by which parts of a whole join together, or fuse, to make one
Definition
Coalescence
Term
A lesion w/borders that are NOT well defined
Definition
Diffuse
Term
Black/ Dark areas on a radiograph where radiant energy can pass through because they are less dense
Definition
Radiolucent
Term
Light or white areas on a radiograph where light cannot pass through because it is more dense
Definition
Radiopaque
Term
A developmental anomaly of enamel & dentin mass that looks like a conglomeration of little teeth
Definition
Compound odontoma
Term
A developmental anomaly of enamel & dentin mass that does not resemble teeth.
Definition
Complex odontoma
Term
Most common supernermarary tooth
Definition
Mesiodens
Term
An unerupted tooth is wedged against another tooth or teeth & otherwise directed so that it cannot erupt normally
Definition
Impacted teeth
Term
Calcified pulp is also known as
Definition
Endolith

**usually a result of trauma**
Term
Tiny arteries which brings blood supply to the pulp that usually dissipate over time.
Definition
Nutrient Canals
Term
Defined as many lobes or parts which are somewhat fused together; radiographically it has the soap bubble appearance
Definition
Multilocular
Term
On a radiograph presenting with having 1 compartment or unit that is well defined or outlined
Definition
Unilocular
Term
Radiographically when the apex of a tooth appears shortened or blunted & irregularly shaped; occurs as a response to stimuli, can include trauma, tumor, orthodontia or cyst.
Definition
Root Resorbtion
Term
Cyst where the epithelium is derived from the dental lamina; usually located b/w the mandibular premolars, which ARE VITAL
Definition
Lateral Periodontal Cyst
Term
Deformation where enamel is usually very soft & is easily pitted w/an explorer
Definition
Amelogenesis Imperfecta
Term
Clinically appears a bluish opalescence color & translucent. At times, the sclera of the eye will appear blue as well
Definition
Dentinogenesis Imperfect
Term
Irregular breakdown of bone & formation of bone which results in bone expansion, weakening, & pain (remodeling of bone) appears as cotton wool on a radiograph
Definition
Paget's Disease
Term
Necrotizing Ulcerative Gingivitis will respond well to what type of treatment?
Definition
Hydrogen peroxide because anaerobic bacteria cannot survive in an oxygenated environment
Term
A benign mass of inflamed tissue that bleeds easily b/c of a abnormal amount of blood vessels commonly referred to as a "pregnancy tumor"
Definition
Pyogenic Granuloma
Term
Whitening and sloughing of the area as a result of tissue destruction from phenol
Definition
Phenol Burn
Term
A bruise inside the mouth from an accumulation of blood appearing as a red to purple to bluish-gray mass resulting from trauma
Definition
Hematoma
Term
What could cause a traumatic ulcer?
Definition
-Oral mucosa biting
-Irritation from a complete or partial denture
-Oral mucosa injury from sharp edges of food
-Removal of cotton roll (starch sensitivity)
Term
Raised red areas may be seen
at the openings of ducts of minor salivary glands on the palatal surface associated with cigarettes/ pipe smoking
Definition
Nicotine Stomatitis
Term
A white lesion located where chewing tobacco is placed, most often in the mucobuccal
fold
Definition
Tabacco pouch keratosis
Term
A flat, bluish-gray lesion of oral
mucosa due to the introduction of
amalgam into tissue
Definition
Amalgam Tattoo
Term
A degeneration of the tissue of the lips due to exposure to the sun
Definition
Solar Cheilitis (Actinic Cheilitis)

**commonly on the lower lip**
Term
A lesion that forms when a minor salivary gland duct is damaged; not a true cyst. Clinically appears bluish.
Definition
Mucocele
Term
A unilateral mucocele-like lesion that forms on
the floor of the mouth associated with the ducts of submandibular and sublingual glands
Definition
Ranula

**Key Words: Frog's Belly**
Term
A salivary gland stone may be found in both minor & major salivary glands
Definition
Sialolith
Term
A lesion that contains many multinucleated giant
cells, well-vascularized connective tissue, RBCs,
& chronic inflammatory cells
Definition
Giant Cell Granuloma
Term
Most common mass on gingiva, a broad-based, persistent
exophytic lesion composed of dense, scarlike connective tissue with few blood vessels; the result of trauma
Definition
Irritation Fibroma
Term
Palatal vault is covered by multiple papillary projections associated with a removable full or partial denture or orthodontic appliance that is worn continuously
Definition
Papillary Hyperplasia of the Palate (Palatal papillomatosis)
Term
An increase in the bulk of free
& attached gingiva, especially
the interdental papillae gingival margins are rounded and may vary from normal pink to pale or erythematous
Definition
Gingival Enlargement
Term
An excessive proliferation of
chronically inflamed dental pulp
tissue
Definition
Chronic Hyperplastic Pulpitis (Pulp polyp)
Term
Purulent exudate surrounded by connective tissue containing neutrophils and
lymphocytes
Definition
Periapical Abscess
Term
A localized mass of chronically inflamed granula that forms at the opening of the pulp canal, generally at the apex of a
nonvital tooth root
Definition
Dental or Periapical Granuloma
Term
Two main types of B lymphocytes that travel to the site of injury when stimulated by an antigen
Definition
-Plasma cells
-B memory cells
Term
Proteins made by cells that are able to affect the behavior of other cells
Definition
Cytokines
Term
Using antibodies created by
another person to prevent
infectious disease
Definition
Passive Immunity
Term
Antibodies created by the person themselves
Definition
Active Immunity
Term
Immediate (anaphylactic type)
Definition
Type I Hypersensitivity
Term
Type IV Hypersensitivity
Definition
Cell-mediated type (delayed)
Term
What route may cause a more widespread and severe reaction?
Definition
Parenteral
Term
What are two other names for Aphthous ulcers?
Definition
Canker sores/ Aphthous Stomatitis
Term
What systemic disorders are associated with multiple aphthous ulcers?
Definition
-Chron's disease
-Ulcerative colitis
-Arthritis
-Cyclic Neutropenia
Term
Occurs on movable mucosa up to 1 cm in diameter with a
erythematous halo surrounding a yellowish-white fibrin surface.
Definition
Minor Aphthous Ulcer
Term
Lesions caused by diffuse swelling due to increased permeability of deeper
blood vessels
Definition
Angioedema
Term
Lesions resulting from contact of an allergen with skin or mucosa
Definition
Contact Mucositis and Dermatitis
Term
Target lesion characteristic skin lesion with concentric erythematous rings alternating with normal skin color.
Definition
Erythema Multiforme
Term
The most severe form of Erythema Multiforme that is more extensive and painful oral lesions genital mucosa and
mucosa of eyes may be involved lips generally are
encrusted and bloody
Definition
Stevens-Johnson Syndrome

**I know this is raunchy but if it helps... Steven's "Johnson" should help associate this to the genital lesions**
Term
Whitish lines visible in the papules of lichen planus
Definition
Wickham’s striae
Term
Can be caused by lichen planus
Definition
Desquamative gingivitis
Term
Classic syndrome includes the triad of
arthritis, urethritis, and conjunctivitis,
but all components may not be present
Definition
Reactive Arthritis (Reiter Syndrome)
Term
Includes three entities
– Letterer-Siwedisease
– Hand-Schuller-Christiandisease – Solitaryeosinophilicgranuloma
Definition
Langerhans Cell Disease (Histiocytosis X)
Term
An acute and chronic inflammatory autoimmune
disease that presents as “Butterfly” rash on bridge
of nose
Definition
Systemic Lupus Erythematosus
Term
A severe, progressive autoimmune disease affecting skin and mucous membranes as erythema, bullae,
erosions, and/or ulcers
Definition
Pemphigus Vulgaris

**diagnosed with Nikolsky sign**
Term
A chronic, recurrent autoimmune disease requires that two of three types of lesions (oral, genital, and ocular) similar in appearance to apthous ulcers
Definition
Behçet Syndrome
Term
An infection caused by a filamentous bacterium Actinomyces israelii that orms abscesses that tend to drain by sinus tracts
Definition
Actinomycosis
Term
Oral lesion seen in primary stage of syphilis
Definition
Chancre
Term
Acute inflammation of the bone and bone marrow
Definition
Acute Osteomyelitis
Term
Themostcommontype
of candidiasis
Definition
Denture Stomatitis /(Chronic Atrophic Candidiasis)
Term
A rare fungal infection can present as a proliferating or
destructive mass in the maxilla that may occur with diabetic and debilitated
patients
Definition
Mucormycosis
Term
Name of the common wart
Definition
VerrucaVulgaris
Term
Oral infections are mostly caused by what type of Herpes Simplex Virus?
Definition
Type 1
Term
A painful infection of the fingers due to a primary or
secondary infection
Definition
Herpetic whitlow
Term
white lesion most commonly occurring on the lateral border of the tongue
Definition
Hairy Leukoplakia

Epstein-Barr Virus is considered to be the cause
Term
Characterizedbyfever, malaise, sore throat, and difficult swallowing (dysphagia) Includes vesicles on the soft
palate
Definition
Herpangina
Term
A malignant tumor that
may occur in association with HIV infection appears as a nonulcerated, necrotic, or ulcerated mass. May be surfaced by ulcerated or normal- colored erythematous mucosa
Definition
Lymphoma
Term
Characterized by intense erythema and extremely rapid bone loss
Definition
Necrotizing Ulcerative Periodontitis (NUP)
Term
Three parts of of the tooth germ are:
Definition
-enamel organ: Produces enamel
-Dental Papilla: forms the dental pulp
-Dental Sac/ Follicle: forms Cementum, PDL, and alveolar bone
Term
An extensive adhesion of the tongue to the floor of the mouth
Definition
Ankyloglossia
Term
Epithelium-lined blind tracts located at the corners of the mouth
Definition
Commissural Lip Pits
Term
A small mass of thyroid tissue located on the tongue appearing as a smooth nodular mass posterior to circumvallate papillae at the base of the tongue
Definition
Lingual Thyroid
Term
The most common cyst observed in the oral cavity is caused by pulpal inflammation & is known as what?
Definition
Periapical Cyst (Radicular Cyst)
Term
Intraosseous cysts
Definition
Occur within bone
Term
Extraosseous cysts
Definition
Occur in soft tissue
Term
A cyst that forms around the crown of an unerupted or developing tooth, most commonly rd around the mandibular 3rd molars
Definition
Dentigerous Cyst (Follicular Cyst)
Term
A cyst that develops in the place of a
toot
Definition
Primordial Cyst
Term
A cyst with a characteristic feature called ghost cells (enlarged eosinophilic epithelial cell but without a nucleus) common affects he anterior jaw
Definition
Calcifying Odontogenic Cyst (COC)
Term
An asymptomatic, unilocular or multilocular radiolucent lesion on the lateral surface of a tooth root
Definition
Lateral Periodontal Cyst
Term
A cyst has the same type of lining, but is located in the soft tissue
Definition
Gingival Cyst
Term
A cyst located within the nasopalatine canal or the incisive papilla appears as a well-define radiolucent lesion that is oval- hart shaped.
Definition
Nasopalatine Canal Cyst (Incisive Canal Cyst)
Term
A well-defined, unilocular radiolucency – Located in the midline of the hard palate
Definition
Median Palatine Cyst
Term
A well-defined, pear- shaped radiolucency found between the roots of the maxillary lateral incisor and
cuspid
Definition
Globulomaxillary Cyst
Term
A very rare lesion located in the midline of the mandible
Definition
Median Mandibular Cyst
Term
An expansion or swelling in
the mucobuccal fold in the area of the maxillary canine and the floor of the nose
Definition
Nasolabial Cyst

**Soft Tissue Cyst**
Term
A cyst commonly found in major salivary
glands commonly found on the floor of the mouth
Definition
Branchial Cleft Cyst
Term
A developmental cyst often present at birth orusually found on the floor of the mouth when it is located in the oral cavity with a doughy consistency when palpated noted in young children
Definition
Dermoid Cyst and Benign Cystic Teratoma
Term
A well-defined cystlike
radiolucency may be observed on radiograph in the posterior region of the mandible inferior to the mandibular canal that is not a true cyst
Definition
Static Bone Cyst (Stafne Bone Cyst)
Term
A pseudocyst that consists of blood filled spaces
with a Multilocular appearance “honeycomb,” “soap bubble”
Definition
Aneurysmal Bone Cyst
Term
Usually the lack of more than 6 teeth
Definition
Oligodontia
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