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77 Cards in this Set
- Front
- Back
What causes a traumatic neuroma?
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Nerve trauma, (near the mental nerve)
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Is their pain in palpation with traumatic neuroma?
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Yes
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What type of "injuries" cause traumatic neuroma?
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Extractions -->be aware of mouth mirror & fulcrum placement
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What are some DD's of traumatic neuroma?
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Neurofibroma, fibroma TX: remove lesion
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What is the most common site for a traumatic neuroma?
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Mental Foramen
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What is the most common soft tissue tumor of the oral cavity?
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Fibroma
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What usually causes a fibroma?
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Trauma or irritation-->lip biting, rubbing from missing tooth, dentures
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If a fibroma were just starting, how would you Tx it?
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Remove the irritant, otherwise needs to be excised. *Encourage Pt not to bite/play with lesion.*
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What is the most common site for a fibroma?
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The buccal mucosa along the occlusal line.
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In denture wearers, what is the "term" for a fibroma?
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Epulis Fissuratum (Dentures pinching the tissue)
May be a longer strip of tissue in this case. |
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How is a peripherial ossifying fibroma different from a fibroma?
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Rougher papillary surface,
Surface is often ulcerated, Larger surface area, "Glossy"-->located on attached gingiva. Well Circumscribed |
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Microscopically, what will you see if looking at a peripherial ossifying fibroma?
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Bone and cementum deposits within the connective tissue.
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What is a ranula and where will you find it?
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A LARGE swelling of the sublingual or submandibular salivary glands on the floor of the mouth.
(Same as a mucocele but much larger) |
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Is a ranula usually unilateral or bilateral?
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Unilateral
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What is the main cause of a ranula?
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A blocking of the salivary gland.
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How would you describe a ranula?
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Fluid filled (salivary fluid), tissue colored, possibly blueish hue
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Define mumps
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A unilateral swelling of the parotid glands that lifts the earlobe. **Lifting the earlobe is the classic sign.**
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Why are we seeing more cases of the mumps?
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Pt may not have their immunizations.
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What symptoms will Pt describe with the mumps?
How is it spread? |
Flu like symptoms.
Mumps is spread via saliva-->don't see Pt. |
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What is another name for neurilemoma?
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Schwannoma
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What is neurilemoma?
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A benign, slow growing neoplasm.
*Tends to be painless & encapsulated. Could be deadly if left untreated.* |
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What is the most common site for a Schwannoma?
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The tongue, but can occur anywhere.
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What is a neurofibroma?
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Benign neoplasm from Schwann cells
(Slow growing, painless mass) |
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What is the most common site for a neurofibroma?
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Buccal mucosa and tongue.
*Could come from ill-fitting dentures.* |
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Do you refer a Pt with neurofibroma?
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Yes, could be a symptom of some disease.
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What can a neurofibroma look like or be confused with?
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Fistula (depending on its location)
A Fibroma is usually firm however |
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What is neurofibromatosis?
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An inherited disease of the skin.
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What is another name for Neurofibromatosis?
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Von Recklinghausen's disease of the skin
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What are the classic signs of Neurofibromatosis?
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Café au lait spots, often have multiple neurofibromas
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When does Von Recklinghausen's disease of the skin usually begin?
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Childhood and progresses from there.
*Classic symptom is the cafe au lait spots.* |
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If you see a Pt presenting with symptoms of neurofibromatosis, what key question might you ask to determin the condition you're looking at?
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Does anyone in your family have this condition?
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How do you Tx Von Recklinghausen's?
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Manage the signs, no real treatment available
*One of the most common genetic disorders* |
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Related to Von Recklinghausen's, what might you see in the eyes and what is it called?
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Freckling of the eyes called Lisch Nodules
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How can Neurofibromatosis affect dental care?
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Can make dental care difficult due to nodules in the oral cavity-->looks like Chrones disease.
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What is Rhabdomyosarcoma? *KNOW THIS for BOARDS*
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A rapidly growning malignant tumor of the striated muscle.
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What does Rhabdo mean?
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striated muscle..know this for boards!
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Who is usually impacted by Rhabdomyosaracoma?
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Children under 15 (per text)
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Where are the Rhabdomysarcoma tumors usually found?
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In the head and neck area
**Orbital area is most common** |
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What is the most common salivary gland cancer?
*Know This* |
Mucoepidermoid Carcinoma
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Which salivary glad is usually impacted by mucoepidermoid carcinoma?
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Parotid Gland
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What is the typical Tx of mucoepidermoid carcinoma and what is the result of it?
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Removal of the parotid gland…leads to xerostomia
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In addition to mucoepidermoid carcinoma, what are some other salivary gland lesions?
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Ranula
Mucocele Siolith Mumps |
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Wht is lymphangioma?
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A congenital malformation of lymphatic vessels
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What are the most common sites for lymphangioma?
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Head n Neck
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What is the most common intra-oral site of lymphangioma?
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The anterior 2/3's of the tongue
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What is the look of lymphangioma?
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Pebbly look w/bluish color
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What can happen when you palpate a lymphangioma?
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The lymphatic fluid can make a sound-->crepitus
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What is a term for an enlarged tongue?
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Macroglossia
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What is the name of a branchial cleft cyst?
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Cervical lymphoepithelial cyst
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Where is a cervical lymphoepithelial cyst located? (What muscle etc)
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On the anterior border of the sternocleidomastoid muscle
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What does a cervical lymphoepithelial cyst feel like?
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Soft, wave like feeling-->it can be indulated
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What is the most common developing cyst of the neck?
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Thyroglossal track cyst
(Tends to be non tender and mobile) |
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Where in the neck is a thyroglossal track cyst found and what age group is most impacted?
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Midline of the neck Found mostly in children.
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What is chronic osteomyelitis?
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In inflammatory response of the periosteum R/T infection or irritants
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Radiographically, what is the look of chronic osteomyelitis?
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Onion Skin
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What is being inflamed in chronic osteomylitis?
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Bone or Bone Marrow (Due to infection)
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Does chronic osteomyelitis tend to be unilateral or bilateral?
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Unilateral *Usually seen in young people*
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What is another "most common" odontogenic tumor?
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Ameloblastoma
*Odontoma is the other "most common" one.* |
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What is the apperance of ameloblastoma?
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Soap Bubble look.
*Can cause death if in the Mx due to expansion.* |
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What is another name for a Pindborg tumor?
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Calcifying Epithelial Odontogenic Tumor CEOT
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How does a Pindborg tumor look radiographically?
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Can show calcifications
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What is the origin or a CEOT?
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Odontogenic-->benign tumor
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Who is usually impacted by Ossifying fibroma?
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Females 30-40
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Where is an ossifying fibroma usually located?
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Premolar & molar region
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Radiographically, what is the look of ossifying fibroma?
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A well defined radiolucency w/sclerotic borders. Calcification may be present
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Who is most impacted by Central Giant Cell Granuloma?
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Females under 20
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Which bone is most common to see central giant cell granuloma?
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Mandible
*SORRY couldn't find a MN picture* |
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In addition to the jaw, where might central giant cell granuloma be foune?
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In Long bones
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What is the key look of central giant cell granuloma?
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Expansion of the bone *Mobile teeth is also key*
*Pay attention when Pt's are telling you their teeth are moving.* |
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What would soft tissues looklike in central giant cell granuloma?
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blue-purple with a flat type of nodule.
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What is the most common primary type of malignant tumor of the bone?
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Osteosarcoma
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What does an osteosarcoma usually look like radiographically?
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Sunburst or Spiking
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Who is most impacted by Osteosaracoma?
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Men age 35
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What is chondrosarcoma?
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Malignant tumors of the cartilage
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What is the 2nd most frequently occuring primary saracoma of bone?
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Chondrosaracoma
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What age group is usually impacted by chondrosarcoma?
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30-40 year olds
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If a chondrosarcoma is in the Mx, what can be happening in the body?
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Nasal obstruction
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