Oral White Lesions Overview

Leukoplakia = A type of lesion with malignant potential Lichen planus = A mucosal disorder that may cause white lesions Pseudomembranes = Caused by fungal infections or caustic chemicals Leukoedema = A normal variation of the oral mucosa

Thickened keratin layer = Induced by local friction or immunologic reactions Epithelial hyperplasia = Increased proliferation of epithelial cells Reduced vascularity = Decreased blood supply to the underlying tissue Intracellular epithelial edema = Accumulation of fluid within epithelial cells

Papular = Small, raised bumps on the mucosa Annular = Ring-shaped lesions Reticular = Lacy or web-like pattern Erosive-ulcerative = Lesions that cause erosion or ulceration

<p>Leukoedema = Up to 90% among blacks Lichen planus = Variable prevalence in the general population Pseudomembranes = Common in fungal infections Epithelial hyperplasia = Less clearly defined prevalence</p> Signup and view all the answers

<p>Determine congenital or acquired = Clarifying the nature of the lesion Inspect for wipe-off = Identifying superficial lesions Identify special patterns = Distinguishing lesion types Conduct appropriate diagnostics = Excluding malignancy risks</p> Signup and view all the answers

<p>Leukoplakia = High malignant potential Lichen planus = May have malignant transformations Proliferative verrucous leukoplakia = Variable malignant potential Leukoedema = Generally non-risky and normal variation</p> Signup and view all the answers

<p>Hyperkeratosis = Thickened layer of keratin Edema = Swelling due to fluid accumulation Vascularity = Blood supply within tissues Epithelial = Relating to the outer layer of cells</p> Signup and view all the answers

<p>Malignancy = Potential for a lesion to become cancerous Etiology = Study of the cause of diseases Diagnostic approach = Methodical examination of lesions Clinical pattern = Observable traits of oral lesions</p> Signup and view all the answers

<p>Nicotine Stomatitis = Erythematous change and keratinization of the palate White Hairy Tongue = Overgrowth of filliform papilla Hairy Leukoplakia = Well-demarcated white lesion on the tongue Malignant Transformation = Risk increased by reverse smoking</p> Signup and view all the answers

<p>Reverse Smoking = Intensified risk for malignant transformation HIV Infection = Opportunistic infection leading to hairy leukoplakia Nicotine Use = Indicator of epithelial dysplasia risk Immunosuppression = Potential cause of hairy leukoplakia</p> Signup and view all the answers

<p>Abstinence from pipe smoking = Rapid response in nicotine stomatitis Chemotherapeutic regimens = Declining prevalence of hairy leukoplakia in HIV Oral hygiene improvement = Management of hairy tongue's appearance Antiviral therapy = Treatment option for EBV-associated conditions</p> Signup and view all the answers

<p>Keratinized lesions = Red dots surrounded by white keratotic rings White patches = Lesions caused by overgrowth of papilla Erythematous lesions = Initial response of the palatal mucosa Plaquelike lesions = Architecture of hairy leukoplakia</p> Signup and view all the answers

<p>Tobacco = Causes nicotine stomatitis Epstein-Barr Virus (EBV) = Linked to hairy leukoplakia Corticosteroids = May lead to hairy leukoplakia in immunosuppressed Minor salivary glands = Inflammation in nicotine stomatitis</p> Signup and view all the answers

<p>Gagging sensation = Occurring with extensive elongation of papilla Tingling sensation = Resulting from overgrowth in white hairy tongue Increased keratinization = Response in nicotine stomatitis Color variation = Observed in hairy tongue depending on diet</p> Signup and view all the answers

<p>Bilateral lesions = Common in hairy leukoplakia White keratotic rings = Seen in nicotine stomatitis Flat or corrugated lesions = Characteristic of hairy leukoplakia Localized along lateral margins = Typical of white hairy tongue</p> Signup and view all the answers

<p>Immunosuppression = Decreased immune response associated with disease Desquamation = Normal shedding of skin cells, retarded in hairy tongue Malignancy = Potential outcome of prolonged tobacco use Keratinization = Process leading to thickened skin in nicotine stomatitis</p> Signup and view all the answers

<p>Geographic Tongue = Desquamated red patches with elevated borders Oral Lichen Planus = Chronic mucocutaneous disease Fissured Tongue = Grooved appearance on the tongue Benign Migratory Glossitis = Patches that move across tongue</p> Signup and view all the answers

<p>Papular form = Found in the primary phase of the disease Reticular form = Features Wickham's striae Plaque-like form = Resembles leukoplakia, multifocal distribution Ulcerative-Erosive form = Central area ulcerated with fibrinous plaque</p> Signup and view all the answers

<p>Geographic Tongue = More prevalent in whites and blacks Oral Lichen Planus = Affects women more frequently than men Fissured Tongue = Strong association with geographic tongue Benign Migratory Glossitis = Occurs in patients with emotional stress</p> Signup and view all the answers

<p>Papular form = Small white papules combined together Reticular form = Interlacing fine white keratotic lines Plaque-like form = Homogeneous white plaque with striae Ulcerative-Erosive form = Central ulcerated area with pseudomembrane</p> Signup and view all the answers

<p>Geographic Tongue = Unknown cause with stress influence Oral Lichen Planus = Imbalanced immune system Fissured Tongue = Often coexists with geographic tongue Benign Migratory Glossitis = Patches disappear and reappear</p> Signup and view all the answers

<p>Geographic Tongue = Irritation with spicy foods Oral Lichen Planus = Chronic inflammation and ulcers Fissured Tongue = May be asymptomatic Benign Migratory Glossitis = Tenderness reported occasionally</p> Signup and view all the answers

<p>Geographic Tongue = No specific age, seen in all adults Oral Lichen Planus = Mean age of 55 years Fissured Tongue = Common in older adults Benign Migratory Glossitis = Occurs across various ages</p> Signup and view all the answers

<p>Geographic Tongue = Well-demarcated erythematous patches Oral Lichen Planus = Reticular pattern with striae Fissured Tongue = Deep grooves on the tongue Benign Migratory Glossitis = Movement of patches over time</p> Signup and view all the answers

<p>Erythematous/Atrophic = Red patches with fine white striae Bullous = Short-lived bullae that rupture and cause ulcers Reticular = Exhibits a patchy distribution in four quadrants Ulcerative-Erosive = Involves painful ulcers at the erosion site</p> Signup and view all the answers

<p>Pseudomembranous = Characterized by white, soft plaques that can be wiped off Chronic = Often associated with predisposing conditions affecting the immune system Angular Cheilitis = Involves inflammation at the corners of the mouth Oropharyngeal = Commonly affects the oropharynx in elderly and infants</p> Signup and view all the answers

<p>Papular form = Commonly presents as papules in patches Plaque-like form = Leads to raised lesions that resemble plaques Reticular form = Often presents with lace-like white striae Ulcerative-Erosive = Causes burning and sensitivity along with sores</p> Signup and view all the answers

<p>Acute pseudomembranous = Common in young infants and the elderly Chronic candidiasis = Often seen in immunocompromised patients Oral candidiasis = Frequently occurs in patients undergoing chemotherapy Angular Cheilitis = Common in elderly patients with dry mouth</p> Signup and view all the answers

<p>Keratotic striae = Often seen peripheral to erosion sites Attached gingiva involvement = Commonly affected in erythematous form Burning sensation = Common complaint among lichen planus patients Patchy distribution = Typically seen in reticular form</p> Signup and view all the answers

<p>Curdled milk appearance = Classic representation of pseudomembranous candidiasis Erythematous base = Seen after removal of the soft plaques in thrush Centrifugal growth = Characteristic of acute pseudomembranous candidiasis Mucosal sites = Frequently affected areas include buccal mucosa and tongue</p> Signup and view all the answers

<p>C.albicans = Primary causative agent of candidiasis Keratotic debris = Found in pseudomembranous candidiasis lesions Inflammatory cells = Component of the plaques in candidiasis Desquamated epithelial cells = Part of the composition in candidiasis lesions</p> Signup and view all the answers

<p>Bullous form = Presents as bullae that lead to painful ulcers Plaque-like form = Identified by raised lesions resembling plaques Reticular form = Characterized by lace-like white striae Erythematous/Atrophic = Presents as red patches with white striae</p> Signup and view all the answers

<p>Chronic erythematous candidiasis = Common in geriatric individuals with dentures Fordyce Granules = Ectopic sebaceous glands seen in aggregates Gingival cysts = Can occur in adults and infants Epstein's pearls = Nonodontogenic neonatal cysts along the palatal midline</p> Signup and view all the answers

<p>Candidiasis = Topical applications of nystatin Fordyce Granules = No treatment indicated Gingival cysts = Spontaneous involution or rupture Epstein's pearls = Exfoliation during oral examination</p> Signup and view all the answers

<p>Candidiasis = Tenderness, burning, dysphagia Fordyce Granules = Asymptomatic and discovered incidentally Gingival cysts = Found along the alveolar ridges Epstein's pearls = Commonly seen in neonatal phase</p> Signup and view all the answers

<p>Chronic erythematous candidiasis = Mostly in geriatric individuals Fordyce Granules = Prominent between 20 and 30 years of age Gingival cysts = Can occur in infants and adults Epstein's pearls = Observed frequently in infants</p> Signup and view all the answers

<p>Candidiasis = White lesions requiring differential diagnosis Fordyce Granules = Regarded as a developmental variation Gingival cysts = Associated with dental lamina remnants Epstein's pearls = Present along the palatal midline</p> Signup and view all the answers

<p>Candidal white lesions = Differential diagnosis includes traumatic ulcerations Tender red lesions = Differentiated from drug reactions Bohn's nodules = Found in infants during neonatal phase Sebaceous glands = Aggregated around excretory ducts</p> Signup and view all the answers

<p>Candidiasis = Minimal disturbances unless severe Fordyce Granules = Buccal mucosa and upper lip vermilion Gingival cysts = Alveolar ridges of the mouth Epstein's pearls = Palatal midline</p> Signup and view all the answers

<p>Candidiasis = Requires antifungal regimen as treatment Fordyce Granules = Normal tissue in an abnormal location Gingival cysts = May involute spontaneously without treatment Epstein's pearls = Commonly found in newborns</p> Signup and view all the answers