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OPT Physical Injury

linea alba trauma on teeth along line of occlusion on buccal mucosa
chronic mucosal chewing (morsicatio) chewing/biting on oral mucosa, often stress induced
traumatic ulcerations when surface epithelium is replaced with fibrin and inflammatory cells; can be thermal, electric and chemical injuries
factitial injury when patient intentionally creates tissue damage
traumatic ulcerative granuloma with stromal eosinophilia (TUGSE) proliferative, persistent inflammatory ulcers containing eosinophils aka {mucosal ulcer with stroma eosinophilia}
Riga-Fede disease ulcers on ventral tongue from natal teeth in newborns
atypical eosinophilic ulceration infiltrate of eosinophils and t-cells, indicative of a CD30+ T-cell lymphoproliferation aka {atypical T-cell proliferation with stromal eosinophilia}
hypogeusia loss of all four tastes
dysgeusia altered taste sensation
osteoradionecrosis necrosis of bone after radiation; exposed irradiated bone -do surgery 3 weeks before or 4 months after radiation
medication-related osteoradionecrosis of the jaws (MRONJ) found mostly in patients taking {IV aminobisphosphonates} for cancers and {oral aminobisphosphonates} for osteoporosis -{follows a recent dental extraction in 2/3 of cases; avoid invasive dental procedures in patients taking IV bisphosphonates}
medications cause MRONJ IV bisphosphonates, oral bisphosphonates, denosumab, Prolia and Xgeva -incorporation of BP's is highest in bone repair areas like the jaws
cocaine drug that can perforate nasal septum and cause mucosal burns
methamphetamine drug that is CNS stimulant and gives sensation of crawling bugs {parasitosis}
meth mouth combination of xerostomia and sugary drinks producing intense decay in methamphetamine users
anesthetic necrosis localized ulceration at injection site of LA
exfoliative cheilitis inflammation of lip vermillion with scaling and erythema
circumoral dermatitis exfoliative cheilitis that involves the skin surrounding the lips too
factitial cheilitis when process occurs secondary to lip biting, sucking, and picking
submucosal hemorrhage non-blanching zone of red-yellow-blue; {petechiae < purpura < ecchymosis} -{hematoma}- when mass is produced too
localized exogenous pigmentation most commonly an {amalgam tatoo}
charm needles (susuk) intentional insertion of needles into face
lead poisoning (plumbism) can be due to water contamination, paint, gasoline; causes abdominal colic, encephalopathy and renal problems
lead line (Burton's line) bluish line along the marginal gingiva due to lead poisoning
mercury poisoning usually from medicinal preparation; causes upset stomach, excessive thirst and sore throat
erethism neurologic involvement of mercury poisoning; exhibits excitability, tremors and memory loss
acrodynia (pink disease/Swift disease) chronic mercury poisoning in children; causes skin rash, photophobia and weakness
ptyalism excessive salivation; seen with mercury poisoning
systemic silver intoxication usually due to industrial exposure to silver
argyria chronic silver exposure
bismuth intoxication causes CNS disturbances and a black tongue
arsenic intoxication causes gangrene, diabetes and hypertension; potent carcinogen
gold can be used to treat immunologic diseases and is an allergen
smoker's melanosis increase in oral pigmentation in smokers proportional with amount
reactive osseous and chondromatous metaplasia metaplastic bone formation under ill-fitting dentures
antal pseudocyst accumulation of fluid under maxillary sinus floor related to adjacent odontogenic infections
sinus mucocele caused by obstruction of sinus ostium; usually symptomatic and requires excision
murgical ciliated cyst arises from sinus epithelium separated from the normal lining
cervicofacial emphysema air that is forced into head and neck spaces secondary to surgeries; exhibits {crepitus}
myospherulosis foreign body reaction of petroleum gel with antibiotics packed into wounds after surgeries
Created by: Alexandra Arnold Alexandra Arnold