Term
[image]
What is this and how would you manage it? |
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Definition
| Actinic Chelitis. This is the lip version of actinic keratosis. Treat by sending to OMFS for biopsy. |
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Term
| [image] What 3 things could this possibly be? |
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Definition
| This is one of the 3 Ps: Peripheral ossifying fibroma, peripheral giant cell granuloma, or pyogenic granuloma. |
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Term
| [image] What is this and what treatment should be done? |
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Definition
| This is leukoplakia. Excise the lesion and send for biopsy. |
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Term
| [image] The patient has swollen gums and has frequent colds and breuiding. Doctor says she has "trench mouth". What is the likely condition and how could you confirm it? |
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Definition
| The likely condition is ALL (leukemia) and you would refer for blood test. |
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Term
| [image]The radiographic presentation of this lesion is a large radiolucency at the apices of several teeth. What is this most likely and how would you treat it? |
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Definition
| This is a parulis and is the result of a large apical abscess. You would treat by using a gutta percha point to trace the abscess as well as perform tooth testing to locate affected tooth. Extract or RCT. |
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Term
[image]
This lesion does not wipe off. What is the likely etiology and how would you manage it? |
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Definition
| This is a smokeless tobacco keratosis and could be managed by stopping usage of the product. |
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Term
| [image] This is a pediatric patient. Note that the lesion crosses the midline. What is it? |
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Definition
| This is likely a central giant cell granuloma. |
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Term
| [image] This lesion is form but not bony hard. It is vascular. What is the lesion? |
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Definition
| This lesion is most likely a pleomorphic ademona which is the most common benign salivary gland tumor affecting the parotid gland. |
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Term
| [image] What is this and how would you treat it?q |
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Definition
| This is angular chelitis and can be treated with a prescription for Vytone |
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Term
| [image] This lesion has a sudden onset, has caused loose teeth, pain, swelling, and is focal. What is the diagnosis? |
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Definition
| This is an osteosarcoma and we can help tell this by the fact that there is uniform PDL widening. |
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Term
| [image] This patient has a 6 mo history of sore gums. It is now more generalized than it was when it started. What tests could be done to confirm diagnosis? |
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Definition
| This is likely pemphigoid. It could also be pemphigus or chronic ulcerative stomatitis. You would need to have a DIF and tissue in formalyn test done to confirm. |
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Term
| [image] What are 4 possible causes of this mandibular radiolucency? Diagnostic procedures? |
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Definition
| 1) OKC, 2) ameloblastoma, 3) central giant cell granuloma, 4) traumatic bone cyst. Remember that needle aspiration will yield a keratin fluid for OKC, nothing for ameloblastoma, and nothing for traumatic bone cyst. |
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Term
| [image] What is this and how would you treat it? |
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Definition
| This is a hemangioma and you would monitor this, expecting it to resolve over time. If it does not resolve, the physician my inject a sclerosing agent to aid in removal. |
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Term
| [image] What is this and what would you do to address it? |
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Definition
| This is a focal cementoosseous dysplasia which is a common benign lesion that must be biopsied. |
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Term
| [image] What is this and how is it treated? |
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Definition
| This is a recurrent apthous ulcer and it is treated by clobetasol |
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Term
| [image] What is this and how do you address it? |
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Definition
| This is necrotizing sialometaplasia which should be monitored with photographs and sent for biopsy if does not resolve over time. |
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Term
| [image] What condition is this patient experiencing and how could it be alleviated? |
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Definition
| This patient has chronic sclerosing osteomyelitis due to the multiple periapical infections in these teeth. The teeth should be extracted. |
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Term
| [image] What is this and how treat? |
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Definition
| This is pulpal hyperplasia and should be ext. |
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Term
| [image] What is this? What tx? |
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Definition
| This is lymphangioma, no tx needed. |
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Term
| [image] What is this and what causes it? What do to treat it? |
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Definition
| This is squamous papilloma caused by HPV. Excise the lesion. Multiple papillomas is called condyloma and is more contageous. |
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Term
| [image] What is this lesion and what causes it? What do to tx? |
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Definition
| This is a cementoblastoma resulting in uncontrolled growth of cementum. It is a benign tumor that will need to be extracted surgically along with the tooth. |
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Term
| [image] What is this? How tx? |
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Definition
| This is condensing osteitis resulting from the odontogenic tooth infection. Treat the source of the infection. |
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Term
| [image] What could this be (3)? |
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Definition
| This is squamous cell but could also be TB or histoplasmosis. Biopsy the lesion |
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Term
| [image] What is this and how tx? |
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Definition
| This is candidiasis and tx with Vytone prescription. |
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Term
| [image] What condition can result in this if left untreated? |
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Definition
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