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