Adult Oral Health -- Smiles for Life UPDATED ACTUAL Questions and
CORRECT Answers
1. herpes labiales (cold sores) treat with systemic or topical antivirals, best to start PO
during prodrome
2. pyogenic granuloma rapidly growing tumor-like lesion that develops as a
response to local irritation or trauma. hormone level
changes in pregnancy increase incidence and severi-
ty.
usually erythematous, non painful, smooth, or lobulat-
ed mass that bleeds when touched.
can observe or surgically excise.
3. oral ulceration aphthous = unknown etiology, but can be associated
with viral (herpes) or bacterial infections, rarely drug
reactions too.
4. aphthous stomatitis (canker sore) can be minor (<7mm), major (>7mm), or herpetiform.
can be associated with FHx, smoking, vitamin deficien-
cies (B12, folate, iron).
typically painful and covered in white to yellow
, pseudomembrane. consider celiac dz with this.
if mild, no tx. can be treated with corticosteroids, ben-
zocaine paste/gel, or steroid injection if major.
avoid trigger foods or use sodium laurel sulfate in
toothpaste.
5. geographic tongue/erythema mi- areas of erythema with discrete white borders on the
grans dorsal tongue due to atrophy of filiform papillae. as-
sociated with fissured tongue.
can be painful or burn, especially with spicy food but
most often asymptomatic. can wax, wane, and mi-
grate.
typically no tx, can do topical steroid gel and antihist-
amine mouth rinses for tongue sensitivity.
6. hairy tongue elongation and hypertrophy of filiform papillae.
associated with tobacco use, poor oral hygiene, and
antibiotic use.
typically asymptomatic, can experience halitosis or al-
tered taste.
CORRECT Answers
1. herpes labiales (cold sores) treat with systemic or topical antivirals, best to start PO
during prodrome
2. pyogenic granuloma rapidly growing tumor-like lesion that develops as a
response to local irritation or trauma. hormone level
changes in pregnancy increase incidence and severi-
ty.
usually erythematous, non painful, smooth, or lobulat-
ed mass that bleeds when touched.
can observe or surgically excise.
3. oral ulceration aphthous = unknown etiology, but can be associated
with viral (herpes) or bacterial infections, rarely drug
reactions too.
4. aphthous stomatitis (canker sore) can be minor (<7mm), major (>7mm), or herpetiform.
can be associated with FHx, smoking, vitamin deficien-
cies (B12, folate, iron).
typically painful and covered in white to yellow
, pseudomembrane. consider celiac dz with this.
if mild, no tx. can be treated with corticosteroids, ben-
zocaine paste/gel, or steroid injection if major.
avoid trigger foods or use sodium laurel sulfate in
toothpaste.
5. geographic tongue/erythema mi- areas of erythema with discrete white borders on the
grans dorsal tongue due to atrophy of filiform papillae. as-
sociated with fissured tongue.
can be painful or burn, especially with spicy food but
most often asymptomatic. can wax, wane, and mi-
grate.
typically no tx, can do topical steroid gel and antihist-
amine mouth rinses for tongue sensitivity.
6. hairy tongue elongation and hypertrophy of filiform papillae.
associated with tobacco use, poor oral hygiene, and
antibiotic use.
typically asymptomatic, can experience halitosis or al-
tered taste.
