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Oral Path
Fichas del conjunto (33)
- 1Systemic Causes for Apthous Ulcer1. MAGIC Syndrome
2. Bechet's Syndrome
3. IBS (UC or Crohns)
4. Cyclic Neutropenia
5. Celiac Dz
6. Nutritional Deficiencies
7. IgA Deficiency
8. Sweet's Syndrome - 2—Melanotic Neuroectodermal tumor of infancy
- Rare aggressive tumor
- Destructive bony lesion
- Anterior Maxilla
- Displaces tooth buds
- Lab: Increased Vanillylmandelic Acid
Tx: Wide Excision - 3—Bechet's Syndrome
- Etiology unknown
- Rare in < 15 yo children
- Oral, genital and ocular lesions similar to apthous ulcers
- Tx: steroids
- 4—HAND FOOT MOUTH DZ
- Coxsackie virus
- Infant - 4 y.o
- Flu like symptoms - cold, sore throat, fever , malaise, lymphadenopathy
- Resolves in 7-10 days
- Tx: Supportive, palliative
- 5—Herpangina
- Coxsackie virus
- Multiple vesicles that ulcerate tonsillar pillars, uvula and soft palate (like HFM but no HF)
- Fever, malaise, my be subclinical
- Resolves in 7-10 days
- Tx: Supportive and Palliative
- 6—NUG - Necrotizing Ulcerative Colitis
- Ulceration of papilla (Punched out papilla)
- Fetid odor, fever, pain, gingival bleeding, lymphadenopathy
- Spirochete bacteria
- Tx: Gingival debridement, improve OH, chlorhexidine rinse, Abx if severe (Amox and Metronidazole)
- 7—Juvenile Spongiotic Gingival Hyperplasia
- Unknown cause
- Age 5-15
- Small papillary or velvety, bright red gingival lesion that easily bleeds - usually on facial
- Tx: Excisional Biopsy, some regress spontaneously, does not respond to perio tx
- 8—Central Giant Cell Granuloma
- Mandible
- Non-neoplastic
- Painless swelling, may displace teeth
- Tx: Curettage
Histo like: Aneurysmal bone cyst, Cherubism, Hyperparathyroidism, Giant cell tumor
- 9Differentials for localized gingival edema/erythema- Pyogenic Granuloma
- Peripheral Ossifying Granuloma
- Peripheral Giant Cell Granuloma
- Parulis
- Eruption Hematoma
- Squamous Papilloma - 10—Rhabdomyosarcoma
- Head and neck malignancy of childhood
- Palate is most common location
- Rapidly growing, ulcerated destructive mass
- Multinodular
- Tx: Surgery and multiagent chemotherapy. Maybe radiation
- 11—Regional Odontodysplasia
- Ghost Teeth in a limited area of mouth
- Idiopathic
- Enamel, dentin and pulp are malformed
- Goal is to maintain bone for future implant
- 12Types on Osteogenesis ImperfectaType 1: Blue Sclera and Type 1 DI
Type 2: Child dies soon after birth, severe fragility, bone fractures in utero
Type 3: Progressive deformity, severe fragility, bone fractures in utero
Type 4: Similar to type 1 but more severe, associated with DI type 4
DO NOT PAPOOSE THESE PATIENTS - 13Radiolucent lesion at apex of tooth Differentials?1. Dental granuloma
2. Periapical cyst
3. Residual cyst
4. Periapical (dental) abscess
5. Cementoma (first stage)
6. Odontogenic keratocyst - 14Radiolucent lesion at midline of maxilla Differentials?1. Nasopalatine cyst (incisive canal)
2. Median Palatine cyst - 15Radiolucency around crown of impacted tooth Differentials1. Follicular cyst
2. Ameloblastoma
3. Ameloblastic fibroma
4. Odontogenic adenomatoid tumor
5. Odontogenic myxoma
6. Odontogenic keratocyst - 16Mixed RL/RO lesions of jaw Differentials?1. Cementoma (second stage)
2. Cystic Odontoma
3. Ossifying Fibroma
4. Adenomatoid odontogenic tumor
5. Calcifying epithelial odontogenic tumor
6. Calcifying odontogenic cyst
7. Ameloblastic fibroodontoma
8. Ameloblastic odontoma
9. Osteogenic sarcoma
10. Chondrosarcoma - 17Dx and Tx: of Calcifying odontogenic cyst- Painless swelling
- surgical excision - 18Dx and Tx: Ameloblastic fibro-odontoma- ~10 y.o
- currettage - 19Dx and Tx: Central ossifying fibroma- Neoplastic
- Enucleation - 20Dx and Tx: Juvenile ossifying fibroma- Rapidly growing neoplasm
- Wide resection - 21RL lesion of jaw differenetials- Ameloblastic Fibroma
- Traumatic Bone Cyst
- Stafne Bone Cyst - 22RL - Unilocular when small, Multilocular when large Differentials??- Central Giant Cell Granuloma (Curretage)
- Aneurysmal Bone Cyst
- Central Hemangioma
- Odontogenic Myxoma
- Cherubism - 23RL Lesion - Pericoronal - Unilocular Differentials?- Eruption Cyst
- Dentigerous Cyst (enucleation)
- Unicystic Ameloblastoma (enucleation)
- Adenomatoid Odontogenic Tumor (enucleation) - 24RL - Pericoronal - Multilocular Differentials?- Keratocystic Odontogenic Tumor (excision)
- Nevoid Basal Cell Carcinoma
- Ameloblastic Fibroma (excision) - 25RL - Periapical or Central Location - Unilocular Differentials??- Traumatic Bone Cyst (curretage)
- Stafne Bone Cyst
- Nasopalatine Duct Cyst (enucleation)
- Globulomaxillary Cyst (enucleation)
- Median Palatine Cyst (excision) - 26RL-RO - Pericoronal - Differentials??- Calcifying Odontogenic Cyst (excision)
- Adenomatoid Odontogenic Tumor (snowflake opacities)
- Ameloblastic Fibro-odontoma (~10 y.o, curretage) - 27RL-RO Periapical or central location Differentials??- Central Ossifying Fibroma (Enucleation)
- Juvenile Ossifying Fibroma (Curettage to wide resection) - 28RO - Pericoronal Differentials??- Odontoma (compound or complex)
- 29RO - Periapical or central location Differentials??- Idiopathic Osteosclerosis (bone scar)
- Craniofacial fibrous dysplasia (ground glass) (RL to RO)
- Albright's syndrome (ground glass)
- Cementoblastoma (RL to RO)
- Osteoblastoma (RL to RO) (sunburst) - 30RO - Peripheral Location Differentials??- Torus/exostosis
- Osteoma - 31Inflammatory - Localized - RL - Pericoronal and peripheral Differentials??Pericoronal - Buccal Bifurcation Cyst
Peripheral - Traumatic osteoma - 32Unifocal - RL - benign but aggressive differentials??- Melanotic Neuroectodermal tumor of infancy
- Localized Langerhans cell histiocytosis (eosinophilic granuloma)
- Central Sarcomas of Bond - 33Unifocal - mixed RL-RO Differentials??- Ewing Sarcoma (moth eaten)
- Osteosarcoma
- Mesenchymal Chondrosarcoma
- Burkitt's Lymphoma
- AML
Información
- Descripción
- Fichas sobre Oral Path, creado por Khu gh el 17/09/2021.
- Creado por
- Khu gh
- Visitas
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- Valoración
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