Ulcerative Oral lesions
Terms
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Recurrent Aphthous Stomatitis
(RAS)
*Most common ulcerative lesion of the oral cavity
*__1__, __2__ ulcers
*Confined to __3__ __3__.
(trait which distinguishes
them from other forms)
Three forms of -
1. Recurrent
2. Painful
3. Soft Mucosa -
RAS: Minor Aphthae
*__1_ then 1 cm
*Heal completely in _2_ _2_
w/out scarring
*__3__
*__4__ Stage
*_5_ and _6_ to __6__ (shape)
*__7__ to __7__ (color)
*Clusters of up t -
1. Less
2. 7-10 days
3. Painful
4. Prodromal
5. Shallow
6. Round to oval
7. Grey to yellow
8. Five
9. Topical Steroids -
RAS: Herpetiform Aphthae
*Uncommon
*Crops of up to __1__ __1__
ulers
*Heal completely in _2__ _2__
*__3__ recurrent herpes simplex, but are ___4__
Tx: __5__ _5___
i.e. Kenalog in Orabas -
1. 150 very small
2. 7-10 days
3. Resemble
4. Unrelated
5. Topical antibiotics -
Herpesvirus Infection
HSV-1 and/or HSV-2
* Primary Infection
* Secondary (recurrent)
infection
HSV-1 and HSV-2 are ___1__
Have no __2___ ___2__
Virus itself never goes away; retreats where? 3 -
1. Interchangeable
2. Clinical Difference
3. Retreat into neuroganglia;
Herpes follow a nerve
grouping, which is why you
get sores back in the same
place, never actually went
away! -
Primary Infection
*Often occurs in __1__ pts
*Numerous vesicles appear on
__2___ __2__
*Often __3__
*May be associated w/:
__4__
__5__
__6__
*__7__ - __8__ - __9__
-
1. Younger
2. Herpetic gingivostomatitis
3. Asympotmatic
4. Fever
5. Chills
6. Malaise
7. Vesicles
8. Ulcers
9. Crusting
10. Oral Cavity -
Secondary Infection
REOCCURENCES
*__1__ of __2__ virus
*Not associated w/ __3__ sx's
*Small __4__
*Occur only on __5__ __5__
and __6__ w/in cavity
*__7__ signs are __8__ in
reoccu -
1. Reactivation
2. Latent
3. Systemic
4. Vesicles
5. Hard palate
6. Gingiva
7. Prodromal
8. Less
9. Oral Anti-herpetic -
Oral Candidiasis
*Candida albican is _1_ _1_ of the mouth
*Changing the _2_ in the oral cavity causes set up for __3__ _3__ Candida Albicans, which is referred to as _4_ infection
*_5__ _5_ _5_ that are
removable -
1. Normal Flora
2. pH
3. Over growth
4. Yeast
5. White Creamy patches
6. Nystatin
7. Antifungal -
Neoplasms
What is SCC?
*most common
*_1_ ulcers w/ _2__ margins
*May be _3__, _4__, or __5__
*Mimic __6__ __6__ greatly -
SCC is:
Squamous Cell Carcinoma
1. Irregular
2. Raised
3. Exophytic
4. Infiltrative
5. Verrucoid
6. Bengin lesions -
Leukoplakia
Any __1_ _1_ area of the __2_
__2__ which is not otherwise __3__, and is not __4__, is
(_5__)__5__ until biopsy __6_ otherwise -
1. Patchy white
2. Oral mucosa
3. Diagnosed
4. Removable
5. Pre-malignant
6. Proves -
Sialadenitis
*Caused by __1__ or _2_ of
the salivary glands
*Usually a __3__ infection of the __4__ or __5___;
* organism: __6__
Sx's include:
Acute __7__ __8__ of the glands; worsens w/ __9__
-
1. Obstruction
2. Infection
3. Bacterial
4. Parotid
5. Submandibular
6. S. aureus
7. Painful
8. Swelling
9. Food
10. Warm Compresses
11. Gland massages
12. High leve
13. Surgical -
What is TMJ Syndrome?
*Complex _1__/__1__ of the
_2__/__2_
Causes
*Chewing __3___;
*___4__ muscle spasm
*___5__ joint disords
Sx's:
*no sx's to __6__ of the jaw
*pain can be __7__ to __8__ -
Tempormandibular Joint
1. Dysfunction/Degeneration
2. Joint/Disc
3. Asymetrically
4. Mastictory
5. Systemic
6. Clicking
7. Trivial
8. Severe
9. Degeneration
10. Hand
11. Joint
12. Clicking/Popping
13. Midline
14. away (lateral)