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Oralpath4

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robbypowell's version from 2017-03-16 00:17

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Question Answer
______ is inflammation of VITAL pulpPulpitis
t/f: Injury to normal pulp may cause either acute or chronic pulpitis True
t/f: acute pulpits is reversibletrue (apparently)
pulpitis that presents as sharp, intense pain for a few minutes (<20min) with exaggerated pulp testing responsereversible pulpits
pulpits that presents as dull ache, may be spontaneous/diffuse or refer to other areasirreversible pulpitis
pulpitis that presents with proliferation of granulation tissue at exposed portion of pulp (to oral cavity)Chronic hyper plastic pulpits (pulp polyp)
t/f: a pulp polyp (chronic hyperplastic pulpitis) is painlessTrue (not innervated)
t/f: a pulp polyp (chronic hyperplastic pulpitis) can be very painfulFalse (not innervated; painless)
Chronic hyperplastic pulpitis is most commonly seen in what teeth?children, vital pulp exposure, molars (deciduous or succedaneous)
which clinical test is the best for periapical abscess or symptomatic apical periodontitis?Percussion (ept can give false positive)
what is the most common lesion after pulpal necrosis?Periapical granuloma (not a true granuloma)
what is the most common cyst of the jaw after pulpal necrosis?periapical cyst (aka radicular cyst/apical periodontal cyst) (lining derived from rests of malassez)
Persistent Apical Periodontal cyst can persist following RCT because of what?epithelial lining left behind
periapical ______ is a painful inflammatory lesion most frequently due to non-vital anterior teethscar
t/f: early periapical cemento-osseous dysplasia is a common lesion that shows as a radiolucency and should be treated with RCTFalse (should not be treated with RCT)
one should always examine apicoectomy specimens because of the possibility of ______, especially when it has the appearance of pyrogenic granulomaMalignancy
___-___% of cancers may metastasize to H&N region3-5%
where are sinus tracts usually found in oral cavity?usually above muscle attachment/ within oral cavity
term: drainage pathway btw two epithelial lined spaces or drainage out to skinFistula
term: gingival nodule (made up of granulation tissue) surrounding a sinus tract (opening of sinus tract; pus comes out)Parulis
T/F: cellulitis spreads above muscle attachmentTrue
T/F: cellulits spreads below muscle attachmentFalse (above)
what tooth is most commonly the cause of ludwig's angina?mandibular 1st molars
low-grade infection that reaches bone and causes increased bone depositionCondensing osteitis (reactive osteosclerosis)
Diffuse chronic sclerosing osteomyelitis: due to what type of oral disease state? advanced periodontal disease, very common
_____ osteomyelitis often occurs in children in mandible --> onion skin bone bc periosteum becomes proliferative and can present as a tumor-like swellingGarre's osteomyelitis
what is the most common chronic disease?Gingivitis (/periodontitis)
first sign of monocytic leukemia is what in the oral cavitygingival inflammation
hereditary gingival fibrzomatosis is seen in what age? covers teeth and is a syndromic conditionchildhood (2 yo)??
t/f: kaposi sarcoma has a good prognosis and can be corrected by eliminating local factors, OHI and gingivoplastytrue
ANUG/ANUP aka trench mouth is a dual infection of what two microbes?bacillus fusiforms (fusobacterium nucleatum) & spirochetes (borrelia vincentii)
Gangeronous stomatitis is aka as _____ or Cancrum OrisNOMA
Distinctive form of gingivitis characterized by intense and diffuse plasma cell infiltrate that is a Hypersensitivity rxn to certain foods, occurs over a short period of timePlasma cell gingivitis/ plasma cell mucositis/ mucous membrane plasmocytosis
Juvenile Periodontitis (post-pubertal) + plantar and palmar keratosis are signs of what syndrome? what is the causative defect?Papillon Lefevre Syndrome; neutrophil function (due to defective or absence of protein adhesion molecules)
______ is a rapidly progressive, polymicrobial, often gangrenous infection of the mouth or genitalsNoma (aka gangrenous stomatitis, gangrenous necrosis, necrotizing ulcerative stomatitis)
distinctive form of gingivitis characterized by intense and diffuse plasma cell infiltrate in epithelial cells; what causes it?Plasma cell gingivitis (mucous membrane plasmocytosis) caused by hypersensitivity rxn (common sources: foods, chemicals in gums, toothpastes mint-candy, pepper)
Plasma cell gingivitis has infiltrate of plasma cells that are (monochromal/polychromal)Polychromal (multiple myeloma associated with monochromal)
what are the treatments for plasma cell gingivitis?identify and eliminate the allergic agent; corticosteroids can also be effective
Desquamative disease of the Gingiva (symptom not a disease) is most often seen in adults of what gender?Adult Women
Easily peeled gums are referred to as ______'s signNikolsky's sign
In periodontitis, bone is replaced with what type of tissue?lining sulcular tissue, granulation tissue
What GM- bacilli are associated with Juvenile Periodontitis?Actinobacillus actinomycetemcomitans** (A. a.)
Genetic predisposition supported by definite familial pattern and tendency to manifest in what race/gender of children?African American Female children
An abnormal immune response especially Ig__ levels can be an etiological factor for Juvenile periodontitisIgM
Localized Juvenile Periodontitis is seen in which two types of teeth?Centrals & Molars
premature exfoliation of teeth and mild hyperkeratosis of palms and soles are signs of what syndrome?Papillon-Lefevre Syndrome
this syndrome is caused by defective protein transport of proteins out of neutrophils causing them to appear with "megagranules" under histologic examinationChediak-Higashi syndrome
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