Term
| Denture epulis (Epulis Fissuratum) |
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Definition
| AKA denture-induced fibrous hyperplasia, inflammatory fibrous hyperplasia; looks like fibroma |
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Term
| Etiology of denture epulis |
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Definition
| Excess CT due to chronic irritation from ill-fitting denture |
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Term
| Clinical of denture epulis |
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Definition
| Edges of denture flange, common, lobulated appearance, "folds" +/- ulceration, appears as single or multiple fold(s) of hyperplastic tissue in alveolar vestibule, pedunculated in nature |
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Term
| Histopathology of denture epulis |
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Definition
Mature, hypocellular fibrous CT (fibroma-like)
Folds
+/- hyperplastic epithelium
+/- inflammation
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Term
| Inflammatory papillary hyperplasia definition |
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Definition
| Reactive tissue growth of hard palate under a denture |
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Term
| Etiology of inflammatory papillary hyperplasia |
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Definition
Ill-fitting denture, Constant denture wearing, poor denture hygiene, candida role?
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Term
| Clinical aspects of inflammatory papillary hyperplasia |
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Definition
| Common in denture wearers, hard palate, generalized papillary surface, pebbly appearance, SOMETIMES in high arch mouth breathers |
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Term
| Treatment for inflammatory papillary hyerplasia |
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Definition
| Take denture out at night, better job cleaning, treat candida if playing a role |
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Term
| early lesions of inflammatory papillary hyperplasia |
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Definition
| Tissue conditioner, antifungals, remove denture at night |
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Term
| Later stage lesions of inflammatory papillary hyperplasia |
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Definition
| Surgical/laser excision, then reline denture |
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Term
| Histology of inflammatory papillary hyperplasia |
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Definition
| Papillary, hyperplastic epithelium and CT, chronic inflammatory (will see inflammatory cells) |
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Term
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Definition
| Reactive proliferation, really in attempt to repair a traumatic area or something that has gone wrong; granuloma-like tissue |
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Term
| True or false: pyogenic granuloma is most commonly seen in males. |
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Definition
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Term
| True or false: pyogenic granuloma is only seen in the oral cavity. |
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Definition
| False toes, fingers, skin |
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Term
| Another name for pyogenic granuloma could be... |
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Definition
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Term
| True or false: pyogenic granulomas are definitely modified by hormones. |
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Definition
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Term
| What is the term for hyerplastic growth of granulation tissue in an extraction site? |
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Definition
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Term
| What category is epulis granulomatosa under? |
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Definition
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Term
| Histology of pyogenic granuloma |
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Definition
| A lot of red blood cells, arteries; epithelium on outside some is missing (ulcer), resembles granulation tissue b/c highly vascularized |
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Term
| How do you diagnosis pyogenic granuloma? |
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Definition
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Term
| What is the misnomer of pyogenic granuloma? |
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Definition
| Not pus producing (pyogenic) and not "true" granuloma (collection of histiocytes) |
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Term
| Clinical of pyogenic granuloma |
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Definition
| Common,red mass of hyperplastic granulation tissue, single pink-red-purple nodule (usually ulcerated); could be pedunculated, bleeds easily, may show rapid growth, located on gingiva but also non-gingival surfaces |
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Term
| Demographics of pyogenic granuloma |
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Definition
| Prengnacy, non-pregnancy, children, young adults |
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Term
| Histology of pyogenic granuloma |
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Definition
| Exuberant proliferation of granulation tissue, surface often ulcerated |
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Term
| Clinical significant of pyogenic granuloma |
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Definition
| RARELY metastatic cancer + other significant lesions, can have similar appearance |
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Term
| Peripheral ossifying fibroma definition |
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Definition
| Reactive gingival lesion (of periosteal or PDL origin) w/ hyperplasia of fibrous CT and osteoid +/- bone |
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Term
| Etiology of peripheral ossifying fibroma |
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Definition
| reactive caused by local irritations or trauma |
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Term
| Clinical peripheral ossifying fibroma |
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Definition
Common, ONLY on gingiva, Usually interdentinal papilla, well-circumscribed, raised, hard; sessile or pedunculated
Female predilection
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Term
| True or false: peripheral ossifying fibroma is often found outside of just the gingiva. |
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Definition
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Term
| Histology of peripheral ossifying fibroma |
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Definition
| Cellular fibrous CT, calcifications (bone, cementum +/- calcifications), +/- ulcerated |
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Term
| True or false: Peripheral giant cell granuloma is only on the gingiva |
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Definition
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Term
| Pathology of peripheral giant cell granuloma |
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Definition
| Tendency to cup out underlying bone; not starting within the bone, starting within gingival tissue and pressure is pushing against cortical plate |
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Term
| Clinical features of peripheral giant cell granuloma |
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Definition
Blue-red-purple mass (vs. very red pyogenic granuloma)
Exclusively on gingiva
Can "cup out" underlying bone |
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Term
| What does the surface of peripheral giant cell granuloma look like? |
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Definition
| granular, bumpy/irregular |
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Term
| Clinical significance of peripheral giant cell granuloma |
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Definition
| Can recur, advise pt of this possibility |
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Term
| Histology of peripheral giant cell granuloma |
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Definition
| multinucleated giant cells; background extravasated RBCs, identical to intra-osseous version (CGCG) |
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Term
| Pinks bumps on the gingiva |
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Definition
| Fibroma, fibroma giant cell varient (retrocuspid papilla), peripheral ossifying fibroma, peripheral odontogenic fibroma (rare) |
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Term
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Definition
| Peripheral giant cell granuloma (PGCG) = purple, pyogenic granuloma (vascular appearing) |
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Term
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Definition
| Rare benign neoplasm of myofibroblasts (modified fibroblasts w/ smooth muscle properties) |
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Term
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Definition
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Term
| Clinical features of myofibroma |
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Definition
| Rare, mean age 20s, ST +/- bone, mandible>tongue>BM, Nonspecific clinical appearance |
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Term
| True or false: myofibroma does not have a specific clinical appearance |
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Definition
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Term
| Clinical significance of myofibroma |
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Definition
| Example of neoplasm of myofibroblastic cells, benign course, recurrent rate low, myofibromatosis involving viscera/vital organs potentially lethal in neonates |
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Term
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Definition
Interlacing proliferation of spindle shaped cells w/ fibroblastic and smooth muscle features
Mixed with less cellular collagenous areas |
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