Podcast
Questions and Answers
Which of the following lesions is specifically characterized by its possible presence of bone and cementum tissue?
Which of the following lesions is specifically characterized by its possible presence of bone and cementum tissue?
- Pyogenic Granuloma
- Peripheral Ossifying Fibroma (correct)
- Peripheral Fibroma
- Peripheral Giant Cell Granuloma
Which of the following lesions is most likely to be found in the interdental papilla?
Which of the following lesions is most likely to be found in the interdental papilla?
- Peripheral Ossifying Fibroma (correct)
- Peripheral Giant Cell Granuloma
- Pyogenic Granuloma
- Peripheral Fibroma
Which of the following conditions is primarily linked to improper denture fit?
Which of the following conditions is primarily linked to improper denture fit?
- Inflammatory Fibrous Hyperplasia (correct)
- C-Vitamin Deficiency Gingival Enlargement
- Peripheral Fibroma
- Gingivitis in Mouth Breathers
What is the most common treatment for both Peripheral Giant Cell Granuloma and Central Giant Cell Granuloma?
What is the most common treatment for both Peripheral Giant Cell Granuloma and Central Giant Cell Granuloma?
Which of the following conditions is characterized by a red, friable, and easily bleeding gingival appearance?
Which of the following conditions is characterized by a red, friable, and easily bleeding gingival appearance?
Which of the following medications is NOT known to cause gingival hyperplasia?
Which of the following medications is NOT known to cause gingival hyperplasia?
What is the primary clinical feature of Gingivitis in Mouth Breathers?
What is the primary clinical feature of Gingivitis in Mouth Breathers?
Which of the following conditions is most likely to be confused with a mesenchymal lesion during clinical examination?
Which of the following conditions is most likely to be confused with a mesenchymal lesion during clinical examination?
Which type of gingival enlargement includes the papilla and marginal gingiva?
Which type of gingival enlargement includes the papilla and marginal gingiva?
What is the primary cause of infection in infective gingivitis?
What is the primary cause of infection in infective gingivitis?
What term describes the enlargement primarily associated with hormonal changes during puberty and pregnancy?
What term describes the enlargement primarily associated with hormonal changes during puberty and pregnancy?
What characterized the gingival condition known as hormonal gingivitis?
What characterized the gingival condition known as hormonal gingivitis?
Which grade indicates no signs of gingival enlargement?
Which grade indicates no signs of gingival enlargement?
Which clinical presentation is characteristic of focal hyperplastic gingivitis?
Which clinical presentation is characteristic of focal hyperplastic gingivitis?
What is the difference between localized and generalized gingival enlargement?
What is the difference between localized and generalized gingival enlargement?
What is a common non-inflammatory cause of focal fibrous hyperplasia?
What is a common non-inflammatory cause of focal fibrous hyperplasia?
Which of the following muscles is classified as an intrinsic muscle of the tongue?
Which of the following muscles is classified as an intrinsic muscle of the tongue?
Which arteries are involved in the blood supply of the tongue?
Which arteries are involved in the blood supply of the tongue?
Which nerve is primarily responsible for the motor control of the tongue?
Which nerve is primarily responsible for the motor control of the tongue?
Which of the following functions is NOT associated with the tongue?
Which of the following functions is NOT associated with the tongue?
The lymphatic drainage of the tongue includes which of the following nodes?
The lymphatic drainage of the tongue includes which of the following nodes?
What is the primary role of the chorda tympani nerve in relation to the tongue?
What is the primary role of the chorda tympani nerve in relation to the tongue?
Which of the following is an extrinsic muscle of the tongue?
Which of the following is an extrinsic muscle of the tongue?
Which function of the tongue aids in maintaining oral hygiene?
Which function of the tongue aids in maintaining oral hygiene?
What condition is characterized by multiple raised wart-like lesions on the dorsum of the tongue?
What condition is characterized by multiple raised wart-like lesions on the dorsum of the tongue?
In the case of tongue paralysis, which direction does the tongue turn when protruded?
In the case of tongue paralysis, which direction does the tongue turn when protruded?
What is a common cause of paresthesia in the tongue?
What is a common cause of paresthesia in the tongue?
Which condition is associated with pain and unpleasant sensations in the tongue?
Which condition is associated with pain and unpleasant sensations in the tongue?
What is the primary symptom of ageusia?
What is the primary symptom of ageusia?
Which of the following may lead to anesthesia in the tongue?
Which of the following may lead to anesthesia in the tongue?
Which nerve disorder results from muscle spasms in the tongue and masticatory muscles?
Which nerve disorder results from muscle spasms in the tongue and masticatory muscles?
What could potentially cause a burning sensation in the tongue besides galvanic currents?
What could potentially cause a burning sensation in the tongue besides galvanic currents?
What is the primary reason for planning periodontal treatments before chemotherapy?
What is the primary reason for planning periodontal treatments before chemotherapy?
Where is the most common site for traumatic neuroma in the oral cavity?
Where is the most common site for traumatic neuroma in the oral cavity?
Which of the following conditions is often associated with angular cheilitis?
Which of the following conditions is often associated with angular cheilitis?
What is the most important initial step in the treatment of angular cheilitis?
What is the most important initial step in the treatment of angular cheilitis?
What is a key predisposing factor for angular cheilitis?
What is a key predisposing factor for angular cheilitis?
Which of the following treatments is specifically recommended for metal dentures when treating angular cheilitis?
Which of the following treatments is specifically recommended for metal dentures when treating angular cheilitis?
Which group of individuals is particularly susceptible to actinic cheilitis?
Which group of individuals is particularly susceptible to actinic cheilitis?
What is the primary treatment method for a congenital granular gingival tumor?
What is the primary treatment method for a congenital granular gingival tumor?
Which of the following correctly describes a characteristic of actinic cheilitis?
Which of the following correctly describes a characteristic of actinic cheilitis?
What treatment is most effective for simple contact cheilitis?
What treatment is most effective for simple contact cheilitis?
In exfoliative cheilitis, what is the primary complaint of patients?
In exfoliative cheilitis, what is the primary complaint of patients?
What is a known risk factor for developing exfoliative cheilitis?
What is a known risk factor for developing exfoliative cheilitis?
What common condition can occur alongside perioral dermatitis?
What common condition can occur alongside perioral dermatitis?
Which of the following statements about the treatment of exfoliative cheilitis is accurate?
Which of the following statements about the treatment of exfoliative cheilitis is accurate?
What condition is characterized by epithelial atypia and potential transformation into cancer?
What condition is characterized by epithelial atypia and potential transformation into cancer?
Which of the following causes irritation in contact cheilitis?
Which of the following causes irritation in contact cheilitis?
Flashcards
Gingival Enlargement
Gingival Enlargement
An increase in the volume of the gum tissue, making it appear excessively grown.
Localized Gingival Enlargement
Localized Gingival Enlargement
A type of gingival enlargement that affects only a specific area of the gums.
Generalized Gingival Enlargement
Generalized Gingival Enlargement
A type of gingival enlargement that affects the entire gum tissue.
Marginal Gingival Enlargement
Marginal Gingival Enlargement
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Focal Hyperplastic Gingivitis
Focal Hyperplastic Gingivitis
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Infective Gingivitis
Infective Gingivitis
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Pubertal Gingivitis
Pubertal Gingivitis
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Pregnancy Gingivitis
Pregnancy Gingivitis
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Peripheral Ossifying Fibroma
Peripheral Ossifying Fibroma
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Pyogenic Granuloma
Pyogenic Granuloma
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Peripheral Giant Cell Granuloma
Peripheral Giant Cell Granuloma
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Atypical Gingivitis (Plasma Cell Gingivostomatitis)
Atypical Gingivitis (Plasma Cell Gingivostomatitis)
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Inflammatory Fibrous Hyperplasia (Epulis Fissuratum)
Inflammatory Fibrous Hyperplasia (Epulis Fissuratum)
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C-Vitamin Deficiency Gingival Enlargement
C-Vitamin Deficiency Gingival Enlargement
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Gingivitis in Mouth Breathers
Gingivitis in Mouth Breathers
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Drug-Induced Gingival Enlargements
Drug-Induced Gingival Enlargements
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Contact Cheilitis
Contact Cheilitis
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Actinic Cheilitis
Actinic Cheilitis
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Exfoliative Cheilitis
Exfoliative Cheilitis
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Exfoliative Cheilitis - Presentation
Exfoliative Cheilitis - Presentation
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Exfoliative Cheilitis - Patients
Exfoliative Cheilitis - Patients
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Contact Cheilitis - Treatment
Contact Cheilitis - Treatment
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Contact Cheilitis - Medication
Contact Cheilitis - Medication
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Actinic Cheilitis - Prevention
Actinic Cheilitis - Prevention
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Angular Cheilitis
Angular Cheilitis
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Traumatic Neuroma
Traumatic Neuroma
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Congenital Granular Gingival Tumor
Congenital Granular Gingival Tumor
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Angular Cheilitis Etiology
Angular Cheilitis Etiology
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Angular Cheilitis Treatment
Angular Cheilitis Treatment
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Traumatic Neuroma Treatment
Traumatic Neuroma Treatment
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Congenital Granular Gingival Tumor Treatment
Congenital Granular Gingival Tumor Treatment
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Tongue's Role in Jaw Development
Tongue's Role in Jaw Development
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Tongue's Role in Oral Hygiene
Tongue's Role in Oral Hygiene
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Tongue's Role in Oral Moistening
Tongue's Role in Oral Moistening
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Tongue's Immune Function
Tongue's Immune Function
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Tongue's Role in Suckling
Tongue's Role in Suckling
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Functions of the Tongue
Functions of the Tongue
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Extrinsic Tongue Muscles
Extrinsic Tongue Muscles
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Intrinsic Tongue Muscles
Intrinsic Tongue Muscles
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Glossodynia (Tongue Pain)
Glossodynia (Tongue Pain)
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Tongue Paralysis (Glossoplegia)
Tongue Paralysis (Glossoplegia)
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Tongue Spasm and Tremor
Tongue Spasm and Tremor
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Tongue Anesthesia
Tongue Anesthesia
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Tongue Paresthesia
Tongue Paresthesia
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Taste Disorders
Taste Disorders
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Condyloma Acuminatum of the Tongue
Condyloma Acuminatum of the Tongue
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Median Rhomboid Glossitis
Median Rhomboid Glossitis
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Study Notes
Gingival Enlargements
- Definition: Increase in gum volume or excessive gum growth.
- Classification by Location:
- Localized
- Generalized
- Marginal
- Classification by Distribution:
- Papillary
- Diffuse
- Isolated
- Gingival Enlargement Grades:
- Grade 0: No enlargement
- Grade I: Enlargement limited to interdental papilla
- Grade II: Enlargement includes papilla and marginal gingiva
- Grade III: Enlargement covers more than three-quarters of crown
- Normal Gingiva: Light pink, strip-like shape, distinguishable from redder vestibular mucosa.
- Gingivitis: Local irritations (plaque, tartar, restorations, poor hygiene) can cause gingivitis. Infective gingivitis, is caused by an infection (like streptococcus), with intense leukocyte infiltration, edema, redness, swelling, and pain. Antibiotics are used to treat it.
- Focal Hyperplastic Gingivitis: Hormonal-related inflammatory and fibrous enlargement in the interdental papilla, often seen during puberty and pregnancy, due to elevated estrogen levels.
- Irritation Fibroma (Focal Fibrous Hyperplasia): A lesion seen on gingiva, lips, buccal mucosa, and tongue edges. Characterized by no color change and can persist for years. Histological exam is required.
- Peripheral Ossifying Fibroma: A fibrous proliferation, potentially originating from periosteum or periodontal ligament, containing bone and cementum tissue. Often firm and pedunculated/non-pedunculated from interdental papilla. More common in women and excision is recommended.
- Pyogenic Granuloma: Tumor-like gingival enlargement responding to minor trauma; spherical, ulcerated, red with purulent exudation. Treatment involves surgical excision.
- Peripheral Giant Cell Granuloma: Pedunculated or attached. Histologically similar to pyogenic granuloma. If in bone, it is called a central giant cell granuloma. Surgical excision is the treatment.
- Atypical Gingivitis (Plasma Cell Gingivostomatitis): Marginal/attached gingiva. Red, friable, easily bleeding. Plasma cell infiltration.
- Inflammatory Fibrous Hyperplasia (Epulis Fissuratum): Caused by poorly fitted dentures. Often found in upper/lower buccal or labial vestibules. Lesion bleeds easily, commonly in elderly patients.
Additional Topics
- C-Vitamin Deficiency: Characterized by marginal gingivitis, bleeding, pseudomembrane formation, surface necrosis, widespread edema, and collagen degeneration.
- Gingivitis in Mouth Breathers: Swelling, redness, dryness, and shininess in the anterior gingiva in young people who breathe through their mouth.
- Drug-Induced Gingival Enlargements: Phenytoin (Dilantin), cyclosporine, and nifedipine can cause gingival fibroblast proliferation, resulting in gum enlargement. Plaque and irritation can exacerbate this. Treatment involves local treatment as medications cannot be discontinued.
- Hereditary Gingival Fibromatosis: Associated with hypertrichosis, craniofacial deformities, epilepsy, mental retardation. Diffuse gingival hyperplasia. Involves gingivectomy as treatment.
- Malignant Fibrous Neoplasms: Aggressive, causes tissue damage. Fibrosarcoma (mandible) and malignant fibrous histiocytoma (maxilla) can develop. Treatment involves radical excision and sometimes jaw resection.
- Leukemic Hyperplasia: Malignant disease of white blood cells. Often acute in children and young people, characterized by fever, fatigue, swelling of spleen and lymph nodes, and petechial bleeding. Often results in death in a few weeks.
- Atypical/Other Discomfort/Injury:
- Oral lesions: gingival enlargement, necrosis, bleeding, ecchymosis and necrosis in oral mucosa.
- Neurological issues:
- Neural Tissue related lesions (often in head and neck region):
- Traumatic neuroma, mental nerve distribution site
- Congenital Granular Gingival Tumor, anterior maxilla, surgical excision
- Lip/Tongue Changes:
- Angular Cheilitis (angular stomatitis, Perlesche): Acute/chronic inflammation at corners of mouth, often bilateral; fissures, erythema. Associated with denture stomatitis, glossitis, often in individuals over 50, and women.
- Actinic Cheilitis: Epithelial atypia observed, hardness, and crust formation commonly on lower lip. Erythema (redness), edema/sensitivity, peeling (acute), and atrophy/keratosis (chronic) visible. Vermilion border may disappear in chronic cases.
- Contact Cheilitis: Irritation/peeling of lips caused by contact with substances like lipsticks, medications, toothpaste, or lip creams (allergic reaction)
- Perioral Dermatitis: Irritation limited to vermilion border or extending to the surrounding skin. Treatment: eliminate offending substance.
- Exfoliative Cheilitis: Fissures, desquamation, hemorrhagic crust formation affecting lips in young women, associated with stressors, oral hygiene, etc. Treatment: eliminate predisposing factors and antifungal ointments.
- Tongue Pain: (Glossodynia) Burning/itching in tongue. Many factors can cause it (nutritional deficiencies, anemias, xerostomia).
- Taste Disorders: Reduction in taste sensation (hypogeusia or loss of taste (ageusia). Due to central or peripheral lesions. Possible causes: middle ear, nose, and tongue mucosa.
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