Intro Common Oral Lesions Part 2

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Questions and Answers

What is the main cause of discoloration of filiform papillae?

  • Hormonal changes
  • Tobacco
  • Keratin accumulation
  • Bacterial pigments (correct)

What is the treatment for Transient Lingual Papillitis?

  • Antibiotics
  • Corticosteroids
  • Tongue brushing/scraping (correct)
  • Surgical excision

What is a characteristic feature of a cyst?

  • A solid mass
  • A pathologic cavity lined by epithelium (correct)
  • A benign tumor
  • A malignant lesion

What is the term for the elongation of filiform papillae due to keratin accumulation?

<p>Hairy Tongue (D)</p> Signup and view all the answers

What is the name of the condition characterized by the formation of a cystic lesion on the tongue?

<p>Lymphoepithelial cyst (C)</p> Signup and view all the answers

What is the term for a benign tumor that grows on the surface of the tongue?

<p>Oral Papilloma (B)</p> Signup and view all the answers

Which oral lesion is characterized by reactive growth, exclusive to gingiva, and a pink/red nodule?

<p>Pyogenic Granuloma (C)</p> Signup and view all the answers

What is the typical treatment for a Peripheral Ossifying Fibroma?

<p>Local excision down to periosteum (A)</p> Signup and view all the answers

Which oral lesion is commonly seen in the interdental papilla?

<p>Pyogenic Granuloma (D)</p> Signup and view all the answers

Which of the following is NOT a characteristic of a Central Giant Cell Granuloma?

<p>Usually presents as a pink/red nodule (A)</p> Signup and view all the answers

Which oral lesion is more prevalent in females, with a peak incidence in the second decade of life?

<p>Peripheral Ossifying Fibroma (B)</p> Signup and view all the answers

What is a common characteristic of Odontogenic Cysts?

<p>Associated with tooth displacement (C)</p> Signup and view all the answers

Which of the following lesions is characterized by a cauliflower-like appearance?

<p>Oral Papilloma (D)</p> Signup and view all the answers

Which oral lesion is typically found in the soft tissue, not within the bone?

<p>Peripheral Ossifying Fibroma (A)</p> Signup and view all the answers

Which lesion typically presents as a red, blue, or purple nodule on the gingiva?

<p>Pyogenic granuloma (A)</p> Signup and view all the answers

Which of the following is a benign tumor found in the jaw that can be aggressive?

<p>Central giant cell granuloma (A)</p> Signup and view all the answers

Which lesion is characterized by the presence of a stalk?

<p>Oral papilloma (A)</p> Signup and view all the answers

What is the most common characteristic of pyogenic granuloma?

<p>Recurrent swelling and potential rupture (D)</p> Signup and view all the answers

Which oral lesion is known for presenting significant vascularity and often appears as a red or purple nodule?

<p>Pyogenic Granuloma (D)</p> Signup and view all the answers

Central giant cell granuloma is primarily associated with which of the following characteristics?

<p>Bony expansion and destruction (A)</p> Signup and view all the answers

Peripheral ossifying fibroma is most likely to occur in which anatomical structure?

<p>Attached gingiva (D)</p> Signup and view all the answers

What is a significant feature of oral papilloma?

<p>Well-circumscribed, exophytic growth (B)</p> Signup and view all the answers

Odontogenic cysts are primarily recognized for which characteristic?

<p>Stratified squamous epithelium lining (A)</p> Signup and view all the answers

Which of the following conditions is most likely to be mistaken for pyogenic granuloma due to its appearance?

<p>Central Giant Cell Granuloma (C)</p> Signup and view all the answers

What type of tissue change is commonly associated with peripheral ossifying fibroma?

<p>Bone formation (D)</p> Signup and view all the answers

What is the most common location for a Pyogenic Granuloma?

<p>Gingiva (A)</p> Signup and view all the answers

What is a characteristic feature of a Central Giant Cell Granuloma?

<p>Expansion of the jaw bone (A)</p> Signup and view all the answers

Which of the following is TRUE about a Peripheral Ossifying Fibroma?

<p>It is usually associated with chronic inflammation. (B)</p> Signup and view all the answers

Which of these is NOT a characteristic feature of an Oral Papilloma?

<p>Usually presents as a single, sessile lesion (A)</p> Signup and view all the answers

What is the most common type of Odontogenic Cyst?

<p>Radicular Cyst (D)</p> Signup and view all the answers

What is the primary treatment for a Central Giant Cell Granuloma?

<p>Surgical removal (A)</p> Signup and view all the answers

Which of these lesions is typically associated with poor oral hygiene?

<p>Pyogenic Granuloma (B)</p> Signup and view all the answers

What is the primary concern regarding an Odontogenic Keratocyst?

<p>It can lead to bone destruction. (C)</p> Signup and view all the answers

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Study Notes

Reactive Growths in Gingiva

  • Occur exclusively in gingival soft tissue.
  • Present as pink/red nodules, typically found in interdental papilla.
  • More common in females; peak incidence during the second decade of life.
  • Treatment involves local excision down to the periosteum and scaling of teeth.

Peripheral Ossifying Fibroma

  • Reactive growth that appears as red/blue/purple nodules.
  • Can occur across a broad age range and is exclusive to gingiva/ridge.
  • Treatment includes local excision down to the bone and scaling of teeth.

Transient Lingual Papillitis

  • Characterized by temporary elongation of filiform papillae due to keratin accumulation.
  • May discolor as a result of external factors such as tobacco or bacterial pigments.
  • Recommended treatment includes tongue brushing and addressing contributing factors.

Cysts

  • Defined as pathologic cavities lined by epithelium.
  • Common types include lymphoepithelial cysts of the tongue and mucoceles of the lip.
  • Mucoceles arise from mucin spillage into soft tissue due to ruptured salivary ducts, often leading to recurrent swelling with periodic rupture.

Reactive Lesions

  • Fibromas and lipomas can develop in response to local irritation or trauma, commonly found on the buccal mucosa, labial mucosa, tongue, and gingiva.
  • Often associated with denture irritation, leading to lesions on the gingiva.

General Treatment Approach

  • Surgical excision is the primary method of treatment for various reactive growths and cysts.
  • Addressing local factors like oral hygiene is crucial in treating reactive lesions and maintaining oral health.

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