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oral path
variants of normal
72
Dentistry
Undergraduate 1
02/08/2013

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Term
fordyce granulas
Definition
cluster of ectopic sebaceous glands, commonlly found lips and buccal mucosa,appear yellow clusters ,no treatment
Term
leukoedema
Definition
a general opalescence on bucclal mucosa, in black males,-no treatment
Term
median rhomboid glossitis
Definition
appears as a flat or slightly raised oval or retrangle erythematous areas in the midline of the dorsal of the tongue- no treatment
Term
fissured tongue
Definition
no treatment,dorsal deep fissure
Term
microscopic events durning inflamtion
Definition
injury to tissue,constricion of the microcirular,dilationof
Term
type of repair -primary intention
Definition
little loss tissue,sutures used ,min scarring
Term
secondary intention
Definition
injury tissue loss,scar excessive
Term
Tertiary intention
Definition
infection at surgical incision resolved ertiary
Term
attrtion
Definition
is the wearing of the tooth structure during massatication,even pattern wear
Term
bruxism
Definition
grinding and clinching teeth for nonfunction may be due to occulusal
Term
abrasion
Definition
wearing away of tooth structure from a repetitive mechanical hibits
Term
abfracture
Definition
tpyically appears as a wedge shaped lesion at the cervical area of a tooth,flex,fracture
Term
erosion
Definition
chemical loss of tooth structure,ling smooth due to vomiting,occ surfces may be cupped out
Term
bulimia
Definition
self-induced purging after eating
Term
methamphetamine abuse
Definition
rapid destruction of teeth
Term
aspirin burn
Definition
tissue becomes necrotic, miss use of product
Term
phenol burn
Definition
used in dentistery as a cavity sterilizing agent and a cauterizing agent,will cause whitening and sloughing of the area as a result of tissue destruction
Term
electrical burn
Definition
child chewing on electrical cord
Term
cocaine lesion
Definition
lesion on mid palatal,keratotic lesion somking crack cocaine
Term
self induced lesion
Definition
habits such chronic lip bitting,cheek biting,lesion from people psychotherapy
Term
hyperplasia
Definition
increase cell number an organ or tissue.
Term
hypertrophy
Definition
increase in size of cells
Term
hematoma
Definition
a bruise in side the mouth due to trauma
most seen in bucc mucosa
Term
traumatic lesion
Definition
lesion due to cheek bitting,injury from sharp edges of food. 7-14 days to repair
Term
frictional keratosis
Definition
due to chronic rubbing,against oral mucosa surface,opaque in apperearce,have to differentiated make sure not leukoplakia
Term
linea alba
Definition
a white,raised line most commonly on the buccal mucosa at the occl plane,no treatment
Term
nicotine stomatitis
Definition
a benign lesion typicaly associated with pipe ,smoking.white with red spots due to inflamation on minor sailvary gland, will go away if stop smoking
Term
tobacco pouch keratosis
Definition
a white lesion where pouch placed,wrinkled,may need biopsy,increased chance squamous cell carcinoma
Term
traumatic neuroma
Definition
lesion caused by injury to a peripheral nerve,painful,occurs in adults,located mental foramen,biopsy and microscropic,treatment surgical excision
Term
melanosis
Definition
normal pigmentation of oral mucosa,may occur as inflammation due to retained blood pigment in tissue,localized,macule,biopsy,may be genetic,born,and systemic diseases
Term
solar cheilitis
Definition
a degeneration of the tissue of the lips due to the sun, occurs in fair skin people,lower lip is more involved then upper lip,the vermillion appears pale pink and motten,the interface between lips and skin is distinct.no treatmet-sunscreen
Term
mucocele
Definition
a lesion that forms when a minor salivary gland duct is damaged, not a true cyst, most commonly found in the lower lip region, may increase and decrease over time, may appear bluish if near surface
Term
ranula
Definition
unilateral mucocele-like lesion that forms on the floor of the mouth
Term
necrotizing stalometaplasia
Definition
benign condition of the salivary gland, located hard & soft palate junction, pain/swelling, blocked blood supply, ulceration
Term
sialolith
Definition
salivary gland stone, found in the minor & major salivary glands, formed by calcium salts around the central core
Term
acute & chronic sialadenitis
Definition
pain/swelling from infection, treatment-antibiotics, radiopaque with die
Term
pyogenic granuloma
Definition
lesion is usually ulcerated, soft to palpation, bleeds easily, also known as pregnancy tumor, treatment is surgical excised if does not regress spontaneously
Term
peripheral giant cell granuloma
Definition
lesion that contains many multinucleated giant cells as well vascularized connective tissue, RBCs and chronic inflammatory cells, most frequent in people from 40-60 yrs. of age, more common in women, treatment-surgical excision, usually don't reoccur, occur on gingiva or avular process
Term
central giant cell granuloma
Definition
occurs within the bone of the maxillary or mandibular, usually in children, young adults and females, pain in not common, radioluscent, teeth may shift from it
Term
irritation fibroma
Definition
most common mass on the gingiva, broad based persistent lesion composed of scar like connective tissue with few blood vessels, result of cheek biting, usually small lesions less than 1 cm, lighter in color than surrounding mucosa
Term
denture induce fibrous hyperplasia/epulisfistulum
Definition
caused by ill fitting dentures, surface may be ulcerated, found in vestibules, treatment-surgical removal of extra gingiva, new denture
Term
palpillary hyperplasia of the palate
Definition
due to removable full or partial denture, the palatal vault, covered by multiple palpallary projections, cobblestone-like, treatment-surgical removal, construction of new denture
Term
gingival enlargement
Definition
increase in the bulk of free & attached gingiva especially interdental papillae, no stippling seen, inflammation & vascularity may be increased, due to poor oral health or medication, treatment - biopsy, gingivaplasty
Term
chronic hyperplastic pulpitis
Definition
red or pink nodule that fills the entire tooth cavity, usually asymptomatic, contains few nerves, treatment- extraction or root canal treatment
Term
periapical abscess
Definition
purulent exudate surrounded by connective tissue containing neutrophils & lymphocytes, treatment-endodontics, extractions, antibiotics
Term
periapical granuloma
Definition
localized mass of chronically enflamed granulated tissue that forms at the opening of the pulp canal, generally at the apex of a non-vital tooth, usually asymptomatic, tooth may be slightly extruded from the socket, radiographic slight thickening of the PDL space, radiolucency, treatment-root canal or extraction
Term
radicular cyst
Definition
most common occuring cyst in oral region, associated with roots of non-vital tooth, RCT, extraction & curetage of periapical tissue
Term
external root absorption
Definition
can involve many teeth, radiographic with blunted roots
Term
internal tooth
Definition
seen within the crown, the tooth looks pink, treatment-RCT, if tooth is perforated must be removed, involves one tooth
Term
focal sclerosing osteomyelitis (condensing osteitis)
Definition
change in the bone near the apex of the tooth, generally asymptomatic, if painful may be associated with pulpalary inflammation disease, radiopaque, usually happens mandibular first molars, usually no treatment necessary
Term
alveolar osteitis (dry socket)
Definition
postoperative complication following a tooth removal, most often in the mandibular 3rd molar area, blood clot is lost before healing can take place, treatment-gentle irrigation, daily medication until pain is gone
Term
i. What is an alloy?
Definition
A mixture of two or more metals
Term
1. Admix vs. spherical vs. lathe / irregular
a. Which is the best and why?
Definition
1.Admix
longer working time
Term
Admix vs. spherical vs. lathe / irregular
b. Which is the least efficient and why?
Definition
Term
c. What are the different characteristics? of admix
Definition
use greater condensation pressure
adapts readily to cavity preperation
estabish contact readily
med to early streagth
50% more mercury than spherical
longer working time then spherical 5-10 minutes
Term
c. What are the different characteristics? spherical
Definition
ues less condensation pressure
use both vertical and lateral condensation
requires heavier wedging to contact
high early streaght
uses 10%less mercure
faster set
Term
d. When would you use one over the other?
Definition
use spherical if need faster set or steagth or if pat wants low amount mercury
Term
d. When would you use one over the other?
Definition
admix-it need a longer time,
Term
ii. What are the contents / % of each (ie, silver, tin, etc)?
Definition
silver 40-70%
tin 12-30%
copper 13-30%
zinc 0-1%
Term
iii. Why / what purpose does each alloy have? silver,?
Definition
increases strength ,decrease setting time,tarnishes easily
Term
iii. Why / what purpose does each alloy have? tin?
Definition
improves phyical properties when comanded with Ag,reduces setting expanishion, reduces strenght,
Term
iii. Why / what purpose does each alloy have?copper?
Definition
reduces oxidationof other metal,delayed expansion with moisture contamin
Term
v. What is the mixing called / chemical reaction called?
Definition
Amalgamation: A reaction that occurs when silver-based alloy is mixed with mercury. : A reaction that occurs when silver-based alloy is mixed with mercury.
Term
1. What are the gamma/ gamma 1/ gamma 2 phases?Gamma Phase:
Definition
the silver alloy phase; the strongest phase and least corrosion
Term
1. What are the gamma/ gamma 1/ gamma 2 phases?Gamma – 1 Phase:
Definition
: where mercury reacts with the silver. It is also strong and corrosions resistant (not as much as the gamma phase)
Term
1. What are the gamma/ gamma 1/ gamma 2 phases?gamma 2 phase?
Definition
: reaction with mercury and tin; weakest phase; corrodes readily. ***If use high copper alloy; eliminates this stage by the copper reacting w/the tin and not having a gamma 2 reaction
Term
2. What is the setting time ?
Definition
2-3 mins sphercal
5-10 mins admix
Term
3. If the amalgam is mixed too much;
Definition
Soupy + wet
Term
3. If the amalgam is mixed correct amount – what is the physical appearance?
Definition
Satin texture
Term
under triturated
Definition
Crumbly + dry
Term
4. What is the armamentarium for amalgam delivery?
Definition
amalgam carrier,and well,condenserers,ball burnisher,coronal and interproximal carvers,matrix retainer bands wedge,articulater paper and holder dental floss
Term
a. Explain the cavity preparation and placement of amalgam.
Definition
Placement and CondensationBurnishing and Carving Finishing and Polishing
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