Dental Hygiene OSCE - Oral Pathology
questions and answers
What is angular cheilitis caused by? - The fungus Candidia albicans (thrush).
What are some other potential causes of angular cheilitis? - - riboflavin (B12)
deficiency
- iron deficiency anemia
- zinc deficiency
Angular cheilitis can also be a sign of __________________ and/or
_________________ due both to malnutrition and as a side effect of constant
________________. - anorexia nervosa; bulimia nervosa; vomiting
Angular cheilitis affects what part of the lips? - The ANGLES or corners of the lips
The word cheilitis means? - An inflammatory condition of the lips.
What is the term to describe benign or premalignant changes on the lip due to
chronic sun exposure? - Solar cheilitis (sun)
note: also may be called actinic cheilitis, or actinic cheilitis with histological atypia
,Dental Hygiene OSCE - Oral Pathology
questions and answers
Solar cheilitis affects what? - The vermillion (red/pink part of the lip)
*** vermilion is a shade of red
Dry lips, thinned skin of the lips, and scaly patches are common features of
_______________. - Solar cheilitis
Less common features of solar cheilitis include: - - swelling of the lip
- redness and soreness
- ulceration and crusting
- loss of demarcation between the vermilion border of the lip and its adjacent skin
- prominent folds and lip lines
- white thickened patches (leukokeratosis)
- discolored skin with pale or yellow areas
note: the exam may ask you to distinguish between solar cheilitis and and old scar.
Know the features and what solar cheilitis looks like.
, Dental Hygiene OSCE - Oral Pathology
questions and answers
What is the most common of the oral fibrous tumor-like growths? - Irritation
fibroma
note: fibromas represent reactive focal fibrous hyperplasia due to trauma or local
irritation
A fibroma may occur at any oral site, but it is seen most often on the
________________ along the ____________________. - buccal mucosa; plane of
occlusion of the max and mand teeth.
What are the clinical features of a fibroma? - - round-to-ovoid
- asymptomatic
- smooth surfaced
- firm sessile OR pedunculated mass
- 1 mm - 2 cm diameter
- surface may be hyperkeratotic or ulcerated, owing to repeated trauma
What is a benign nerve sheath tumor that is derived from the myelin sheath of
peripheral nerves in the peripheral nervous system called? - A neurofibroma
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