AAPD Handbook Pathology Questions
and Answers
Neonatal cyst - answer White puples that slough off Epstein pearls, Bohns nodules,
Dental Lamina Cyst
Epstein Pearls - answer Occurs on palatal midline; epithelial inclusion cyst
Bhons nodules - answer Occurs at junction of hard and soft palate, remnants of
minor salivary glands
Dental Lamina cyst - answer Alevolar mucosa; remnants of dental lamina
Riga-Fede disease - answer Traumatic granuloma from natal teeth ID cause, modify
feeding, smooth, CHx, topical steroids
Tongue Trauma - answer Consider neurocomatose chewking, seizure disorder,
incorrect use of pacifier/bottle; systemic considtions
Neuropathologic Ulcers - answer Familial Dysautonomia, Lesch-Nyhan Syndrome,
Gaucher disease, CP, Tourette
Vascular Lesions - answer Macroglossia
Vascular Malformations - answer Present ad birth, gorws with child, can be red,
purple, blue
Hemangioma - answer may involve major salivary glands (parotid) Regresses with
Age
Lymphangioma/Cystic hygroma - answer Diffuse swelling of cervical region of neck,
partolid gland Does not regress, amy need surgery
Neonatal alveolar lymphangioma - answer present at birth, Ablack males, Alveolar
ride, mandible>maxillar no tx, resolves spontaneously
Congenital Epulis - answer Firm pink red mass, alveolar mucosa, maxillary lateral
and canine region Excision
Melanotic neuroectodermal tumor of infance - answer Smooth surface expansile
lesion of alveolus, anterior maxillar Excision
, Hemifacial hypertrophy - answer unilateral oral and facial enlargement, 25% have
intellectual disability Cosmetic Surgery, Orhodontics
Goldenar Syndrome - answer Hemifacial microsomia, unknown etiology, 50%
cardiac pathlogy Surgery, distraction osteogenesis
White Lesions - answer
Candidiasis - answer Pseudoembranous form wipes off; from mom during birth, long
term antibiotic therapy, corticosteroids, xerostomia, oral appliances Antifungal
Leukoedema - answer bilateral, filmy white, wrinkled. Diappears with stretching,
African Americans No tx, variation of normal
Frictional keratosis - answer Cheek/Tongue biting' white, adherent. Usually on
buccal mucosa None, reversible lesion
Mucosal Burn (thermal/chemical) - answer Thermal palate or tongue; Chemical
uusally on gingiva, buccal/labial mucosa, wipes off
Geographic Tongue (benign migratory glossitis) - answer Dorsal of tongue, may be
tender to certain foods Palliative tx as needed
Fordyce Granules - answer Ectopic sebaceous glands in oral mucosra, usually at
puberty, buccal mucosa and lips None, variation of noral
Cinnamon contact stomatitis - answer Due to flavoring agent, buccal mucosa and
lateral tongue, white shaggy ahderent patches ID cause, discontine use
Smokeless tobacco keratosis - answer Vetibular mucosa, white, wrinked, ahderent,
hailtosis, precanerous Reversible if discontinued, biopsy if persistent
White Sponge Nevus - answer Autosomal dominant, diffuse, white, thickend,
prominent in adolescence None, persistent condition
Heredity Benign Intraepithelial Dyskeratosis - answer Ethinic (mized white, American
Indian, blacks from NC), may cause visual imppariment Similar to White Sponge Nevus
but affects eyes
Gingival Lesions - answer
Parulis - answer soft tissue abscess tx infection, curette lesion, antibiotics PRN
Pyogenic Granuloma - answer Reactive lesion due to irritation, gingiva most
common site surgical excision, removal of irritant
