my path revision

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8/3/2019 My Path Revision

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5/1/12

Pathology Revision

2011

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White Spot Lesion

Causes:• Caries• Enamel Hyperplasia• Fluorosis• Ameliogenisis Imperfecta

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Dentinogenisis Imperfecta

Signs:• Brown, stained enamel• Blue/black enamel

• Risk of Osteogenisis Imperfecta, likely to be fine

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 Tetracycline Stain

Appearance:• Stained enamel

• Caused by ingestion of tetracycline during development of teeth

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Amelogenisis

Appearance:• Dentine is weak• Enamel wears down• Dentine fast to wear due to weakness

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Dentinogenisis Imperfacta• Blue/ Grey Enamel•  Translucent

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Enamel Hypoplasia

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Focal Enamel Hypoplasia• Focal enamel hypoplasia is also know as Turner’s tooth.• Usually affects a SINGLE tooth• Caused by trauma or infection during development• Multiple restorations before crowning tooth•  Tooth mousse, fluoride, temp GICs till age when crown can be placed

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Enamel Hypoplasia• Missing, malformed enamel• Enamel missing from the incisal edges• Infections of teeth above•  Trauma to deciduous anterior trauma to decidous teeth

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Enamel Pearl• Round, pearl like growth on root surface• Can be confused with calculus (differential diagnosis)• Can cause bone loss as bone will not form with-in (?mm) of enamel

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Erosion• Smooth, glassy, buccal enamel surfaces• Caused by dry mouth• Ring barking caries• Poor quality saliva

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Erythema Multiforme• Red, ulcerated, irregular, allergic reaction• Common in children• Allergy to drugs• Smost severe- steven johnson syndrome

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Exostosis• Appear on mandible and maxillary• Attrition• Abrasion• Erosion

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External Root Resorption• Evulsion and re-implantation• Ortho•  Trauma

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Fissured Tongue• Red, dry, glossitis• Dry mouth (Sjrogrens’)

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Fordyce Granules• Buccal tissues

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Geographic Tongue• Moves around

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Gingival Hyperplasia• Drug Induced

• Calcium channel blockers (BP meds)• Phenytonin (anti-seizure meds)• Cyclosporin (immunosuppressants)

• Hereditary/ Genetics• Hormones

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Glossitis• Inflammation of the tongue• Smooth, shiny, red surface of tongue• Caused by iron deficiency (B12)• Angular chelitis

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Internal Root Resorption• Pink color glowing through the enamel• Restoration

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Linea Gingival Erythemea• HIV

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Plaque Induced Gingivitis

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Carpsies Sarcoma• Dark blue/purple area

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Hermongioma (birth mark)• Vascular• Should blanch if pressed• Bruise (haemotoma)

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Herpetic Whitlow•  Type 1 herpes simplex• Finger

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Candidiasis• Red plaque on white base• Symptoms: burning sensation in mouth, halitiosis• Can wipe off • Loose dentures, immunosupressed, xerostomic

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Hyper-keratosis•  Tissues become more keratinised• Caused by trauma, smoking, ill fitting dentures, extractions sites

(smoking during healing)

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Denture Stomatitis• Lingular inflammation

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Leukoplakia• Lateral border of the tongue, floor of mouth• Asymptomatic• HIV patients• Smokers• Heavy alcohol drinkers• Risk factor or squamous cell carcinoma• Remove symptoms and it can resolve

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Liken Planus

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Primordal Cyst

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Staphnies Cyst

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 Tori• Palatal• Lingual• Buccal (exostosis)

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Pyogenic Granuloma

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Lingual Variscosities

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Swollen Lymph Node

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Linea Alba

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Microdontia

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Nutrient Canals

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Papiloma/Veruca Volgaris• Wort• Benign• Slow growing• Papillary projections, “cauliflower-like” surface

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