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OPT Developmental
Term | Definition |
---|---|
congenital defect | present at birth |
hereditary defect | genetically transmitted from parent to offspring |
orofacial clefts | caused by disturbances in fusion of facial processes |
bifid uvula | the most minimal manifestation of cleft palate |
commissural lip pits | small mucosal invaginations of the lip at the corners of the mouth at the vermillion border; associated with {pre auricular pits} |
paramedian lip pits | congenital invaginations on both sides of the lower vermillion border, can express saliva |
van der Woude syndrome | exhibits paramedian lip pits with a cleft lip/palate |
double lip | redundant fold of tissue on mucosal side of upper lip |
Ascher syndrome | exhibits double lip, swollen upper eyelid, and thyroid enlargement |
fordyce granules | ectopic sebaceous glands in 80% of the population; yellow/cream papules on the buccal mucosa |
leukoedema | thickened buccal mucosa, diffuse white/gray opalescent |
microglossia | small tongue |
macroglossia | large tongue |
ankyloglossia | tongue-tied; shortened lingual frenum |
lingual thyroid | remnants of thyroid tissue in base of the the tongue originating from the foramen cecum |
fissured tongue (scrotal tongue) | grooves/fissures on dorm of tongue, usually asymptomatic; associated with {benign migratory glossitis (geographic tongue)} |
Melkersson-Rosenthal syndrome | exhibits facial swelling/paralysis and fissured tongue |
hairy tongue | accumulation of keratin on filiform papillae from smoking, antibiotics, and poor oral hygiene |
variscosity (varix) | abnormal dilated/tortuous veins, usually on under side of the tongue |
caliber-persistent artery | branch of artery positioned in superficial mucosa without reduction in size, usually found in lips; can sometimes feel a pulse |
lateral soft palate fistula | bilateral perforations of anterior tonsillar pillars |
coronoid hyperplasia | large coronoid process that limits opening |
condylar hyperplasia | excessive growth of one of the condyles, occlusal plane tilts and is corrected with surgery or ortho |
condylar hypoplasia | underdevelopment of condyle, see in {Treacher-Collins syndrome} |
bifid condyle | double headed condyle, usually asymptomatic |
exostosis | localized protuberance of lamellar bone from cortical plate |
reactive subpontine exostosis | exostosis that develops under bridge pontic, usually on lower |
torus palatinus | common exostosis in midline of palate |
torus mandibularis | exostosis on lingual surface of mandible above the mylohyoid line |
Eagle syndrome | calcification of stylohyoid ligament and elongation of the styloid process |
Stafne defect (lingual mandibular salivary gland depression) | focal concavity containing part of the submandibular gland seen on a pano |
submandibular salivary gland depression (Stafne defect) | depression between molars and angle of mandible, from submandibular gland |
sublingual gland salivary gland depression (anterior Stafne defect) | in the anterior mandible from sublingual gland; shows up on radiograph as a radiolucency over apices |
palatal cysts of the newborn | epithelial-lined, keratin-filled cysts along median palatal raphe at the junction of the hard and soft palate, usually regress spontaneously |
Epstein's pearls | cysts along the midline of the palate from trapped epithelium |
Bohn's nodules | cysts near the junction of hard and soft palates from minor salivary gland epithelium |
nasolabial cyst (nasoalveolar cyst) | rare, in upper lip lateral to the midline; misplaced epithelium from the nasolacrimal duct |
globulomaxillary cyst | does not exist, between the upper lateral and the canine; better called {globulomaxillary radiolucency} |
nasopalatine duct cyst (incisive canal cyst) | most common cyst, develops from remnants of nasopalatine duct; seen as radiolucency on midline between centrals |
cyst of the incisive papilla | nasoplatine cyst that only involves soft tissue without bone involvement |
median palatal cyst | probably posterior nasopalatine duct cyst |
median mandibular cyst | does not exist |
epidermoid cyst | most common follicular cyst of the skin; arises from hair follicles in acne prone areas, seen in Gardner Syndrome -appears as subcutaneous white nodule filled with orthokeratin |
pilar cyst | in scalp, similar to epidermoid cyst except no granular layer and keratin is very compact and can be calcified |
dermoid cyst | cystic form of a teratoma but does not have all 3 germ layers; in midline of floor of the mouth, contains skin appendages -considered {forme fruste} |
thyroglossal duct cyst | cyst from remnants of thyroglossal duct; in midline anywhere from foramen cecum to sternal notch |
branchial cleft cyst | developmental cyst in lateral neck on anterior border of SCM; epithelium from 2nd branchial arch, walls contain lymphoid tissue with germinal centers |
oral lyphoepithelial cyst | intraoral cyst that develops with oral lymphoid tissue usually in floor of mouth and tongue |
hemihyperplasia | unilateral enlargement of a body part; 6% chance of developing {abdominal cancer} |
hemifacial hyperplasia | unilateral enlargement of face; 6% chance of developing {abdominal cancer} |
progressive hemifacial atrophy (Romberg syndrome) | progressive atrophy of one side of the face |
linear scleroderma | linear scar-like area demarcating the abnormal skin in Romberg syndrome; "en coup de sabre" |
segmental odontomaxillary dysplasia | unilateral expansion of the maxilla with fibrous hyperplasia of overlying gingiva |
Crouzon syndrome | early closing of cranial sutures {craniosynostosis}; associated with increased paternal age |
brachycelphaly | short head |
scaphocephaly | boat-shaped head |
trigonocephaly | triangle-shaped head |
Apert syndrome (acrocephalosyndactyly) | exhibits skull elongated from superior to inferior {acrobrachycephaly} and fused digits |
mandibulofacial dystosis (Treacher-Collins syndrome) | defects in 1st and 2nd branchial arches with variable expressivity; hypo plastic zygoma, notching of lower eyelid {coloboma}, hypoplastic parotid glands |
coloboma | notching of lower eyelid |