Record keeping of intraoral exams allows space for?
complete descriptions of lesions observed
successive examinations at follow up and maintenance appointments
In questioning the patient about the history of their oral lesion, what 5 things are you trying to find out?
if the pt knows or has know about the lesion
when it was first noticed
if it is recurring
duration, and changes in size and appearance
symptoms, does it hurt
When a lesion is first seen, how is its location noted?
in relation to adjacent structures
What are 4 ways to descrige the location and extent of a lesion?
localized
generalized
single lesion
multiple lesions
What are 2 characteristic types of multiple lesions?
separate
coalescing
lesion limited to a small focal area
localized
lesion that involves most of an area or segment
generalized
one lesion of a particular type with a distinct margin
single lesion
more than one lesion of a particuar type
multiple lesion
multiple lesions that are discrete, not running together; may be arranged in clusters
separate
multiple lesions that are close to each other with margins that merge
coalescing
name 4 physical characteristics of lesions discussed in class
size and shape
color
surface texture
consistency
Length and width is recorded in__________
millimeters
true or false. The height of an elevated lesion may be significant
true
What is used to measure the size of a lesion?
probe
What are the most common colors seen in oral lesions?
red
pink
white
red and white
What are less common colors seen in oral lesions?
blue
purple
gray
yellow
black
brown
a lesion may have a _________or_____________surface
smooth
irregular
name 5 descriptive terms that describe the surface texture of an oral lesion
papillary
verrucous or wart like
fissured
corrugated
crusted
name 5 descriptive terms that describe the consistency of an oral lesion
soft
spongy
resilient
hard
indurated
most lesions can be classified readily as____________, ______________, or_________ as they relate to the normal level of the skin or mucosa
elevated
depressed
flat
lesion above the plane of the skin or mucosa. Considered blister form, or nonblister form
elevated lesion
lesions that contain fluid and are usually soft and translucent
blisterform elevated lesion
what are 3 types of blisterform elevated lesions?
vesicle
pustule
bulla
a small (1 cm or less in diameter) circumscribed lesion with a thin surface covering. it may contain serum or mucin and appear white
vesicle
may be more or less than 5 mm in diameter. It contains pus. Pus gives it a yellowish color
pustule
large (more than 1 cm). It is filled with fluid, usually mucin or serum, but may contain blood. The color depends on the fluid content
bulla
solid elevated lesions that do not contain fluid
nonblisterform elevated lesion
Name 4 types of nonblisterform elevated lesions
papules
nodules
tumors
plaques
What are the two different attachment types for nonblisterform elevated lesions?
pedunculated attached by a narrow stalk or pedicle
sissle has a base as wide as the lesion
a small (pinhead to 5 mm in diameter) nonblisterform lesion, solid lesion that may be pointed, rounded, or flat-topped
papule
elevated nonblisterform lesion that is bigger than a papule (greater than 5 mm in diameter, but less than 1 cm)
nodule
elevated nonblisterform lesion that is 2 cm or greater in width. It means a general swelling or enlargement and does not refer to neoplasm, either benign or malignant
tumor
nonblisterform elevated lesion that is a slightly raised lesion with a broad, flat, top. It is usually larger than 5 mm in diameter with a "pasted on" appearance
plaque
lesion bellow the level of the skin or mucosa.
depressed lesion
The outline of a depressed lesion may be__________or____________, and there may be a_________or_____________border around the depression.
regular
irregular
flat
raised
the depth of a depressed lesion is usually described as________or________
superficial
deep
How deep is a deep depressed lesion?
greater than 3 mm deep
What are 2 types of depressed lesions?
ulcer
erosion
make up most of depressed lesions, represent a loss of continuity of the epithelium. Center is often gray to yellow, surrounded by a red border. It may result from the rupture of an elevated lesion (vesicle, pustule, or bulla)
ulcer
a shallow, depressed lesion that does not extend through the epithelium to the underlying tissue
erosion
lesion on the same level as the normal skin or oral mucosa.
flat lesion
Flat lesions may occur as___________or______________lesions, and hav a___________or_____________form.
single
multiple
regular
irregular
a circumscribed area of flat lesion that is not elevated above the surrounding skin or mucosa. It may be identified by its color, which contrasts with the surrounding normal tissues.
macule
true or false. freckles are macules
true
true or false. Erosion is bigger than a plaque
true
true or false. Bullas are usually filled with blood more than other fluids
