-
area distinguished by color differentiation from adjacent tissue; flat (freckles).
Macule
-
small circumscribed lesion usually < 1cm in diameter elevated above surface of normal tissue
Papule
-
circumscribed elevated lesion > 5mm in diameter with serous fluid, looks like a blister
Bulla
-
small elevated lesions < 1cm in diameter containing serous fluid
Vesicle
-
various sized round elevations containing pus
Pustules
-
base of a lesion that is flat or broad instead of stem-like
Sessile
-
attached by a stem-like or stalk base (mushroom).
Pedunculated
-
segment or lobe that is a part of the whole
Lobule
-
feeling of area with fingers. [soft, firm, semifirm, fluid filled
Palpation
-
shortened or blunted and irregularly shaped.
Resorption
-
paleness of skin or mucosa
Pallor
-
cleft or groove showing prominent depth
Fissure
-
wrinkled (tin roof)
Corrugated
-
resembles small, nipple-shaped projections or elevations found in clusters.
Papillary
-
one compartment or unit that is well defined
Unilocular
-
lesion extending beyond the confines of one distinct area. Many lobes.“soap bubbles”
Multilocular
-
borders are specifically defined and can clearly see the exact
margins and extent.
Well circumscribed
-
ill defined or spread out.
Diffuse
-
(RL) lesion extending between roots (traumatic bone cyst).
Scalloping around the root
-
palpable solid lesion up to 1cm found in soft tissue
- above, level, or beneath skin
Nodule
-
red ( erythematous) , white, pink
Color
-
-
means a tumor of whatever the tissue is of the prefix
oma
-
clinical appearance within soft tissue
bulla, lobe
-
soft tissue consistency
nodule
-
surface texture
corrugate, fissured
-
-appearance of lesion
- can establish based upon color, shape, location, and history
clinical dx
-
radiographic examples:
- Periapical pathosis (PAP)
- Internal/external resorption
- Normal radiographic landmarks
- Calculus
- Caries
- Odontomas
- Impacted teeth
-
Amelogenesis imperfecta and dentinogenesis imperfecta can be determined this way?
Historical Dx
-
occurs in black women, 60's, asymptomatic, teth are vital and usually the anteriors are affected?
- periapical cemental dysplasia
- (cementoma)
-
elevated serum alkaline phosphatase level?
-
-use of biopsy specimen
-MAIN component of definitive dx
-histiologic conformation of clinical dx
Microscopic dx
-
[surgical dx example]
Rediolucency scalloping around roots
-lesion opened surgically – empty void of bone (fills in)
traumatic bone cyst
-
[surgical dx example]
-developmental anomaly – bilateral
-well – circumscribed
- entrapped salivary gland tissue
lingual mand. Bone concavity
AKA (Stafne’s bone cyst)
-
[surgical dx example]
aspiration of lesion
differentiation of vascular lesion
-
[Therapeutic dx]
-B-complex deficiency
most commonly a fungal
-Nystatin – candidiasis
angular cheiltis
-
[Therapeutic dx]
acute necrotizing ulcerative gingivitis?
-clinically distintive- raunchy/nasty
-responds to H2 O2
-sometines responts to ABC therapy-tetracycline
ANUG
-
-Use of above procedures to determine FINAL diagnosis
- may use all parts or specific parts
-case study
Diferential dx
-
Clusters of ectopic sebaceous glands
lips and buccal mucosa
Fordyce Granules
-
palatal tori or maxillary
occur more commonly in women
Torus palatinus
-
located on lingual aspect of the mandible
usually bilateral
Mandibular Tori
-
pigment that gives color to skin, eyes, hair, mucosa, and ging
melanin
-
this variant is more common in Afro-Americans
Melanin Pigmentation
-
-sessile nodule on gingival margin of the lingual aspect of mand.
- canines
Retrocuspid Papilla
-
-prominent veins located on ventral/lateral surfaces of tongue
-older individuals
Lingual Varicosities
-
-“white line” on buccal mucosa along occlusal plane
-bilateral usually
-prominent with bruxism or clenching
Linea Alba
-
generalized opalescence of buccal mucosa (grayish-white)
most commonly in Afro-Americans
disappears when mucosa is stretched
Leukoedema
-
thyroid tissue that has become entrapped in the tissues of the tongue
common in females –hormonal
located as a mass in midline of dorsal of tongue in the area of the foramen caecum
Lingual Thyroid Nodule
-
unknown cause
think its associated with vitamin deficiency or chronic trauma
deep grooves in dorsal of tongue
debris collects – brush tongue
Fisured Tounge
-
flat or slightly raised oval or rectangular erythematous area in the midline of dorsal surface of tongue
devoid of filiform papillae
no specific tx
can resolve on its own
Median Rhomboid Glossitis
-
diffuse areas of desquamation of filiform papillae
* erythematous patches with well defined border of white or yellow
“Benign Migratory Glossits”
no treatment
Geographic Tounge
-
filiform papillae become elongted and appear white, yellow, black, or brown.
Causes: tobacco, chemical rinse (h2o2), alcohol, some foods.
Hairy tongue
-
short duration, arises quickly
acute
-
-
movement of WBC's to area of injury
chemotaxis
-
long duration, perists for a long time
chronic
-
passage of WBC’s through endothelial wall of small blood vessels
emigration
-
-
inflammatory fluid; serum proteins & leukocytes (pus)
exudate
-
of body temperature higher than 98.6 degrees F°
fever
-
excess of blood in a part of the body
hyperemia
-
abnormal multiplication or increase in the number of normal cells
hyperplasia
-
enlargement of tissue or organ due to an increase in the size of the cell, not the number
hypertrophy
-
affects body as a whole
systemic
-
temporary increase in # of WBC’s circulating in the blood
leukocytosis
-
confined or limited to a part
local
-
enlargement or swelling of a lymph node
lymphadenopathy
-
occurs in the early stage of inflammation; WBC’s occupy the periphery of a blood vessel and adhere to endothelial cells lining the blood vessel
margination
-
pathologic death of cells or portions of tissue
necrosis
-
the adherence of WBC’s to the endothelial cells lining an injured blood vessel
pavementing
-
located away from the center
peripheral
-
ingestion and digestion of a foreign substance by cells (macrophages)
phagocytosis
-
containing or forming pus
purulent
-
restoration of damaged or diseased tissue
repair
-
having a fluid or watery consistency-relates to serum
serous
-
localized swelling of tissue due to edema, accompanied by severe itching
wheal
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