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OPT Physical Injury
| Term | Definition |
|---|---|
| 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:
aharnold
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