AAPD Handbook Pathology Questions and Answers

AAPD Handbook Pathology Questions and Answers Neonatal cyst White puples that slough off Epstein pearls, Bohns nodules, Dental Lamina Cyst Epstein Pearls Occurs on palatal midline; epithelial inclusion cyst Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:04 / 0:15 Full screen Brainpower Read More Bhons nodules Occurs at junction of hard and soft palate, remnants of minor salivary glands Dental Lamina cyst Alevolar mucosa; remnants of dental lamina Riga-Fede disease Traumatic granuloma from natal teeth ID cause, modify feeding, smooth, CHx, topical steroids Tongue Trauma Consider neurocomatose chewking, seizure disorder, incorrect use of pacifier/bottle; systemic considtions Neuropathologic Ulcers Familial Dysautonomia, Lesch-Nyhan Syndrome, Gaucher disease, CP, Tourette Vascular Lesions Macroglossia Vascular Malformations Present ad birth, gorws with child, can be red, purple, blue Hemangioma may involve major salivary glands (parotid) Regresses with Age Lymphangioma/Cystic hygroma Diffuse swelling of cervical region of neck, partolid gland Does not regress, amy need surgery Neonatal alveolar lymphangioma present at birth, Ablack males, Alveolar ride, mandible>maxillar no tx, resolves spontaneously Congenital Epulis Firm pink red mass, alveolar mucosa, maxillary lateral and canine region Excision Melanotic neuroectodermal tumor of infance Smooth surface expansile lesion of alveolus, anterior maxillar Excision Hemifacial hypertrophy unilateral oral and facial enlargement, 25% have intellectual disability Cosmetic Surgery, Orhodontics Goldenar Syndrome Hemifacial microsomia, unknown etiology, 50% cardiac pathlogy Surgery, distraction osteogenesis White Lesions Candidiasis Pseudoembranous form wipes off; from mom during birth, long term antibiotic therapy, corticosteroids, xerostomia, oral appliances Antifungal Leukoedema bilateral, filmy white, wrinkled. Diappears with stretching, African Americans No tx, variation of normal Frictional keratosis Cheek/Tongue biting' white, adherent. Usually on buccal mucosa None, reversible lesion Mucosal Burn (thermal/chemical) Thermal palate or tongue; Chemical uusally on gingiva, buccal/labial mucosa, wipes off Geographic Tongue (benign migratory glossitis) Dorsal of tongue, may be tender to certain foods Palliative tx as needed Fordyce Granules Ectopic sebaceous glands in oral mucosra, usually at puberty, buccal mucosa and lips None, variation of noral Cinnamon contact stomatitis Due to flavoring agent, buccal mucosa and lateral tongue, white shaggy ahderent patches ID cause, discontine use Smokeless tobacco keratosis Vetibular mucosa, white, wrinked, ahderent, hailtosis, precanerous Reversible if discontinued, biopsy if persistent White Sponge Nevus Autosomal dominant, diffuse, white, thickend, prominent in adolescence None, persistent condition Heredity Benign Intraepithelial Dyskeratosis Ethinic (mized white, American Indian, blacks from NC), may cause visual imppariment Similar to White Sponge Nevus but affects eyes Gingival Lesions Parulis soft tissue abscess tx infection, curette lesion, antibiotics PRN Pyogenic Granuloma Reactive lesion due to irritation, gingiva most common site surgical excision, removal of irritant Irriation Fibroma Reactive hyperplasia due to chrnoic trauma surgical excision, removal of irritant Peripheral Ossifying firboma Reactive lesion, occurs only in gingiva, begins interdental papilla surgical excision down to periosteum, up to 16% recurrence Eruption cyst/hematoma soft tissue dentigerous cyst none unless eruption delayed Squamous papilloma HPV, soft palate, tongue, labial mucosa, uncommon gingiva excisional biopsy, rule out condyloma acuminatum (veneral warts/sexual abuse) Giant Cell Fibroma Fibrous hyperplasia of unknown cause/tongue, hard palate, gingiva Surgical excision Peripheral Giant Cell Granuloma Reactive lesion due to irritation on gingiva or alveolar mucosa, surgical excision, removal of irritant