Oral Cavity Pathology Quiz
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Questions and Answers

What is the primary origin of a dentigerous cyst?

  • Odontogenic epithelium
  • Impacted third molars only
  • Chronic inflammation
  • Dental follicle degeneration (correct)
  • Which percentage of pleomorphic adenomas are benign tumors of the parotid gland?

  • 60% (correct)
  • 10%
  • 75%
  • 30%
  • What percentage of pleomorphic adenomas can exhibit malignant transformation after more than 15 years?

  • 50%
  • 25%
  • 30%
  • 10% (correct)
  • What is the classification of odontomas?

    <p>Hamartomas</p> Signup and view all the answers

    Which of the following conditions is NOT a risk factor for odontogenic tumors?

    <p>Obesity</p> Signup and view all the answers

    What is the primary causative factor for caries in the oral cavity?

    <p>Acids produced by oral bacteria</p> Signup and view all the answers

    What characterizes gingivitis in the oral cavity?

    <p>Soft tissue inflammation with erythema and edema</p> Signup and view all the answers

    What is a distinguishing feature of pyogenic granulomas compared to other lesions?

    <p>They are rapidly growing and highly vascular</p> Signup and view all the answers

    What is the recommended treatment for peripheral ossifying fibromas?

    <p>Surgical excision to the periosteum</p> Signup and view all the answers

    Which deficiency is associated with the 'beefy-red' appearance of the tongue in glossitis?

    <p>Vitamin B12 deficiency</p> Signup and view all the answers

    Which type of lesions are commonly involved in inflammation of tooth-supporting structures?

    <p>Periodontitis</p> Signup and view all the answers

    What is the primary characteristic of an irritation fibroma?

    <p>A smooth, pink, exophytic nodule</p> Signup and view all the answers

    What are the symptoms commonly associated with aphthous ulcers?

    <p>Painful, shallow hyperemic ulcerations</p> Signup and view all the answers

    Which mechanism primarily contributes to the normal resistance of oral mucosa to infections?

    <p>Antibacterial properties of saliva</p> Signup and view all the answers

    What is a common manifestation of primary herpes simplex virus infections?

    <p>Acute herpetic gingivostomatitis</p> Signup and view all the answers

    Which histological feature is NOT typically associated with herpes simplex virus infections?

    <p>Dense fibrous tissue infiltration</p> Signup and view all the answers

    What is the primary reason that vesicles from herpes simplex virus heal spontaneously within a few weeks?

    <p>Immune system response</p> Signup and view all the answers

    Which condition is NOT commonly associated with the development of oral candidiasis?

    <p>Hyperthyroidism</p> Signup and view all the answers

    Leukoplakia is characterized by which of the following features?

    <p>A white plaque that cannot be scraped off</p> Signup and view all the answers

    Which of the following statements about erythroplakia is correct?

    <p>It presents as a red, velvety lesion</p> Signup and view all the answers

    Which factors are most commonly associated with the development of squamous cell carcinoma in the oropharynx?

    <p>Tobacco use and alcohol consumption</p> Signup and view all the answers

    Study Notes

    Oral Cavity Pathology

    • Caries is the most common cause of tooth loss before age 35.
    • Gingivitis is inflammation of the gum tissue, often caused by poor oral hygiene and plaque buildup.
    • Periodontitis is an inflammatory condition affecting tooth-supporting structures like ligaments, bone, and cementum.

    Fibrous Proliferative Lesions

    • Irritation fibromas are common benign bumps on the bite line, composed of fibrous tissue.
    • Pyogenic granulomas are rapidly growing, vascular lesions.
    • Peripheral ossifying fibromas can originate from pyogenic granulomas and often require surgical excision.
    • Peripheral giant cell granulomas are composed of multinucleated giant cells and fibroangiomatous stroma.

    Apthous Ulcers

    • Apthous ulcers are common painful lesions, shallow and hyperemic, often caused by inflammation.

    Glossitis

    • Glossitis is inflammation of the tongue and can be associated with deficiencies in certain vitamins, like B12.

    Infections

    • **Herpes Simplex Virus Infections ** can cause cold sores and gingivostomatitis (oral vesicles and ulcers).
    • Tzanck test is used to identify multinucleated giant cells in vesicular fluid, which are characteristic of Herpes Simplex Virus infections.
    • Oral Candidiasis (Thrush) is caused by Candida fungus and often manifests as gray-white membranes on the oral mucosa.

    Tumors and Precancerous Lesions

    • Leukoplakia is a white plaque on the oral mucosa, that cannot be easily scraped off.
    • Erythroplakia is a red, velvety lesion, with a higher risk of malignant transformation than leukoplakia.
    • Squamous Cell Carcinoma is the most common oral cavity cancer and is strongly associated with tobacco, alcohol, and HPV.
    • Human Papillomavirus (HPV) is a risk factor for oropharyngeal cancers, particularly in HPV-positive tumors.

    Odontogenic Cysts & Tumors

    • Dentigerous cysts are commonly associated with impacted third molars, and arise near the crown of the tooth.
    • Ameloblastoma is a true neoplasm of the odontogenic epithelium, typically cystic and locally invasive.
    • Odontoma is the most common odontogenic tumor, likely a hamartoma with extensive enamel and dentin deposition.

    Salivary Glands

    • Pleomorphic Adenoma is the most common tumor of the parotid gland, characterized by mixed epithelial and mesenchymal differentiation.

    Oral Manifestations of Systemic Disease

    • Oral manifestations can be a sign of systemic disease, such as infections, vitamin deficiencies, or autoimmune disorders.

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    Description

    Test your knowledge on oral cavity pathology, covering key topics like caries, gingivitis, periodontitis, and various fibrous lesions. This quiz also touches upon aphthous ulcers and glossitis, providing a comprehensive overview of common oral conditions. Perfect for dental students and professionals!

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