BULLOUS LESIONS THE PATIENT WITH ACUTE MULTIPLE LESIONS Herpesvirus Infections Primary Herpes Simplex Virus Infections Coxsackievirus Infections Varicella Zoster Virus Infection Erythema ID: 815210
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Slide1
Classifications
Slide2ULCERATIVE, VESICULAR, AND
BULLOUS LESIONS
THE PATIENT WITH ACUTE MULTIPLE
LESIONS
Herpesvirus
Infections
Primary Herpes Simplex Virus Infections
Coxsackievirus
Infections
Varicella
-Zoster Virus Infection
Erythema
Multiforme
Contact Allergic
Stomatitis
Oral Ulcers Secondary to Cancer Chemotherapy
Acute Necrotizing Ulcerative Gingivitis
Slide3THE PATIENT WITH RECURRING ORAL
ULCERS
Recurrent
Aphthous StomatitisBehçet’s SyndromeRecurrent Herpes Simplex Virus Infection
ULCERATIVE, VESICULAR, ANDBULLOUS LESIONS
THE PATIENT WITH CHRONIC MULTIPLE
LESIONS
Pemphigus
Subepithelial
Bullous
Dermatoses
Herpes Simplex Virus Infection in
Immunosuppressed
Patients
Slide4ULCERATIVE, VESICULAR, AND
BULLOUS LESIONS
THE PATIENT WITH SINGLE ULCERS
HistoplasmosisBlastomycosisMucormycosis
Slide5RED ANDWHITE LESIONS OF
THE ORAL MUCOSA
HEREDITARY WHITE LESIONS
LeukoedemaWhite Sponge NevusHereditary Benign Intraepithelial DyskeratosisDyskeratosis Congenita
Slide6REACTIVE/INFLAMMATORY WHITE LESIONS
INFECTIOUS WHITE LESIONS AND WHITE AND RED LESIONS
Linea Alba (White Line)
Frictional (Traumatic) KeratosisCheek ChewingChemical Injuries of the Oral MucosaActinic Keratosis (Cheilitis)Smokeless Tobacco–Induced KeratosisNicotine StomatitisSanguinaria-Induced LeukoplakiaOral Hairy LeukoplakiaCandidiasisMucous PatchesParulis
Slide7Classification of ulcerative condition
BACTERIAL
Syphilis
GonorrhoeaTuberculosisLeprosyNomaANUGNonspecific mixed bacterial infectons VIRALAcute herpetic gingivostomatitisHerpes labials
HerpanginaHIV infection
Infectious mononucleosis
Herpes zoster
measles
INFECTIVE LESIONS
FUNGAL
Sporotrichosis
Histoplasmosis
Crytococcosis
mucormycosis
Slide8Classification of ulcerative condition
Immunologic disorders
Apthous
ulcerBehcet’s syndromeErythema syndromePemphigusPemphigodContact allergyUlcerative lichen planusDiscoid lupus erythematosusMalignant conditionSCC
Antral carcinomaVerrucous carcinoma
Traumatic condition
Mechanical
Thermal
Chemical
Factitious injury
radiation
Slide9Classification of ulcerative condition
SYSTEMIC
LeukaemiaAgranulocytosisCyclic neutropeniaPernicious anemiaGluten enteropathyChron’s diseaseUremic stomatitisNECROTIC CONDITIONMidline lehthal granulomatosisWegner’s granulomatosisMalignant reticulosisosteoradionecrosis
Slide10MISCELLANEOUS
LESIONS
Angular
chelitisCongenital lip pitCommissural pitNecrotizing sialometaplasiaOro-antral fistulaClassification of ulcerative condition
Slide11CLASSIFICATION OF DISCOLORATION OF TOOTH
EXRINSIC STAINS
Substances
in the dietSmokingHabitual chewing of tobacco,betal nutMedicament e.g chlorhexidines or dentifricesChromogenic micro-organisms
Slide12INTRINSIC
STAINS
Changes
in structure or thickness of dental tissueDiffusion of pigments into dental tissue after their formationPigment incoporated during formation of dental tissueEnamel hypoplasiasFluorosisAmelogenesis imperfectaEnamel opacitiesEnamel cariesDentinal dyplasiaDentinogenesis imperfectaExtrinsic stainEndodontic materialProducts of pulp necrosisBile pigment in biliary atresia
Tetracycline stainsPostmortem pink toothHemosiderin pigment in
erythroblastosis
fetalis
Porphyrines
in
porphyria
Slide13ODONTOGENIC
DEVELOPMENTAL
INFLAMMATORY
Gingival cyst of infantsOdontogenic keratocystDentigerous cystEruption cystLateral periodontal cystGingival cyst of adultBotryoid odontogenic cystCalcifying epithelial odentogenic cystRadicular cyst,apical and lateralResidual cystParadental cyst and mandibular infected buccal cystInflammatory collateral cyst CLASSIFICATION OF CYST OF ORAL REGION
Slide14Non-odontogenic
Non-epithelial
Nasopalatine duct cystNasolabial cystMidpalatal raphe cyst of infantsMedian palatne, median alveolar and median mandibular cystsGlobulomaxillary Solitary bone cystAneurysmal bone cyst
Slide15Cyst associated with the maxillary antrum
Cyst of the tissue of the mouth, face and neck
Benign mucosal cyst of the maxillary antrum
Postoperative maxillary cystDermoid and epidermoid cystsLympho-epithelial cystThyroglossal duct cystAnterior median lingual cystOral cyst with gastric or intestinal epitheliumCystic hygromaNasopharyngealThymic cysticCysts of the salivary glandParastic cystic, hydatid cyst, cysticercus cellulosae, trichinosis
Slide16CLASSIFICATION OF ODONTOGENIC NEOPLASM
BENIGN TUMORS
Tumors
of the epithelial tissue originTumor of mixed tissue originTumors of the mesenchymal tissue originAmeloblastomaSquamous odontogenic tumorCEOTAOTAmeloblastic fibromaAmeloblastic fibro-odontomeComplex odontomeCompound odontomeOdontogenic fibromaOdontogenic myxomaCementomaCementifying fibromaBenign cementoblastoma
Slide17MALIGANANT TUMORS
1.Odontogenic carcinomas
2. Odentogenic sarcomas
Malignant ameloblastomaPrimary intra-alveolar carcinomaa.Ameloblastoma fibrosarcomab.Ameloblastoma carcinosarcoma
Slide18CLASSIFICATION OF ORAL NON-ODENTOGENIC NEOPLASMS
Neoplasms of
epithelial tissue origin
Benign neoplasmMalignant neoplasmPapillomaKeratoacanthomaPigmented cellular nevusPapillary hyperplasiaBasal cell carcinomaSquamous cell carcinomaVerrucous carcinomaAdenoid squamous cell caecinomaMaglignant melanomaSpindle cell carcinomaPrimary intra-alveolar carcinomaMulticentric oral carcinoma
Slide19NEOPLASM OF MESENCHYMAL TISSUE ORIGIN
Benign
neoplasm
Maglignant neoplasmNeoplasms of fibrous tissueNeoplasm of fibrous tissueFibromaFibromatosisDesmoplastic fibromaPyogenic granulomaGaint cell fibromaPeripheral ossifying fibromaCentral ossifying fibromaCentral gaint cell granulomaBenign fibrous histiocytomaNodular fascitisMyxomaFibro-epithelial polyMaglignant fibrous histiocytoma
Slide20NEOPLASM OF MESENCHYMAL TISSUE ORIGIN
Benign
neoplasm
Maglignant neoplasmNeoplasm of adipose tissueNeoplasm of adipose tissueLipoma LiposarcomaAngiolipomaNeoplasm of vascular tissueNeoplasm of vascular tissueHemangiomaLymphangiomaGiomous tumorHereditary haemorrhagic telangiectasiaHemangiopericytomaHemangioendotheliomaAngisarcoma Kimura’s disease
Slide21NEOPLASM OF MESENCHYMAL TISSUE ORIGIN
Benign
neoplasm
Maglignant neoplasmOsteomaOsteomatosisOsteoid osteomaOsteoblastomaOsteoclastomaTorus palatinusTorus mandibularis OsteosarcomaParosteal osteosarcomaEwing’s sarcomCARTILAGE TISSUE NEOPLASMCARTILAGE TISSUE NEOPLASMSChondromaChondroblastomaChondromyxoid fibromaChondrosarcomaMesenchymal chondrosarcoma
Slide22NEOPLASM OF MESENCHYMAL TISSUE ORIGIN
Benign
neoplasm
Maglignant neoplasmNEOPLASMS OF NEURAL TISSUENEOPLASMS OF NEURAL TISSUENeurilemmomaNeurofibromaNeurofibromatosisMultiple endocrine neoplasia syndromeMelanotic neuroectodermal tumor of infancyNeuroblastomaGanglioneuromaTraumatic neuromaPlexiform neuromaNeurosarcomaOlfactory chondrosarcoma
Slide23NEOPLASM OF MESENCHYMAL TISSUE ORIGIN
Benign
neoplasm
Maglignant neoplasmSmooth muscle neoplasmsSmooth muscle neoplasmsLeiomyomaAngiomyoman LeiomyosarcomaAngiomyosarcomaNeoplasm of striated muscleNeoplasm of striated muscleRhabdomyomaGranular cell myoblastomaCongenital epulis of newbornrhabdomyosarcomaNeoplasm of mixed tissueNeoplasm of mixed tissueTeratomaNo malignant neoplasm
Slide24NEOPLASM OF MESENCHYMAL TISSUE ORIGIN
Benign
neoplasm
Maglignant neoplasmNeoplasm of lymphoidNeoplasm of lymphoidNo benign neoplasm Hodgkin’s lymphomaNon-hodgkin’s lymphomaBurkitt lymphomaMycosis fungoidesMultiple myelomaplasmacytoma
Slide25CLASSIFICATION OF GIANT CELL LESIONS
NEOPLASMS
Gaint
cell tumor of the boneCentral gaint cell granulomaPeripheral gaint cell granulomaGaint cell epulisBrown tumor of hyperparathyroidismGaint cell fibromaMalignant fibrous histiocytoma
Slide26Other lesion
where gaint cells may be present
Osteoblastoma
ChondroblastomaAneurysmal bone cystFibrous dysplasia of boneCherubismTuberculosisFibrous histiocyomaSarcoidosisHodgkin’s diseaseEosinophilic granulomaLeterrer siwe diseaseGaint cell arteritisPulse granulomaHistoplasmosisCalcifying epithelial odontogenic cyst
Slide27CLASSIFICATION OF VERRUCAL- PAPILLARY LESIONS OF ORAL CAVITY
Reactive
Neoplasm
Unknown etiologyPapillary hyperplasia of palateCondyloma latumSquamous papillomaOral wartsOral papillomatosisCondyloma acuminatumHeck’s diseaseKeratoacanthomaVerrucous carcinomaPyostomatitis vegetans Verruciform xanthoma
Slide28CLASSIFICAION OF DISEASES OF SALIVARY GLANDS
NON-NEOPLASTIC DISORDER
DEVELOPMENTAL
ANOMALISREACTIVE LESIONSAgesnisHypoplasiaAtresiaEctopiaMucus retention cystMucus extravasation cystSiatlolithiasisPost-radiation sialadenitisChronic sclerosing sialometaplasia
Slide29Non-neoplastic disorder
INFECTIVE LESIONS
Bacterial
siadenitisViral sialedenitisImmune-mediated diseasesMiscellaneous diseaseAcuteChronicRecurrentMumpsCytomegalic inclusion diseaseMikulicz disease’sSjogren’s syndromeHeerfordt syndromeSialosisPtyalism and aptyliasiaHIV associated salivary gland disease
Slide30CLASSIFICAION OF DISEASES OF SALIVARY GLANDS
NEOPLASTIC
DISORDER
A. EPITHELIAL TISSUE NEOPLASMSADENOMASPleomorphic adenomaMonomorphic adenomaAdenolymphomaOxyphil adenomaOther typesMucoepidermoidAcinic cell tumorCarcinomasAdenoid cystic carcinomaadenocacinomaEpidermoid carcinomaUndifferentiated carcinoma
Carcinoma in pleomorphic
Slide31NEOPLASTIC DISORDER
B.
CONNECTIVE TISSUE NEOPLASMS
FibromaFibrosarcomaLipomaNeurilemmomaHemagiomaMelanomaLymphoma
Slide32CLASSIFICATION OF VASCULAR TISSUE DISEASES
The
arteritides
Midfacial granuloma syndromeVascular hamartomasPolyarteritis nodosaWegner’s granulomatosisStewart-type midfacial granulomaGaint cell arteritisRadiation arteritisHemangiomaslymphangiomas
Slide33Telangiectases
Vascular tumor
Hereditar hemorrhagic telangietasia
Radiation telangiectasiaLeiomyomaLeiomyosarcomaHamangiopericytomaHemangioendotheliomaKaposi’s sarcomaAngiolymphoid hyperplasia with eosinophils and kimura disease
Slide34CLASSIFICATION OF STOMATITIS
INFECTIVE
STOMATITIS
Primary herpetic stomatiisHerpes labialisChinken poxInfectious mononucleosisHand-foot and mouth diseaseHerpanginaCandidosisTuberculosissyphilis
Slide35Stomatitis
immunologically mediated or of dubious origine
Apthous
stomatitisBehcet’s syndromeLichen planusLupus erythematosusPemphigus vulgarisPemphigus vegetansPyostomatitis vegetansCicatricial pemphigoid Desquamative gingivitisBullous erythema multiformeEpodermolysis bullosaDermatitis herpetiformisreiter’s syndromeCowden’s syndromeAcanthosis nigricans
Slide36CLASSIFICATION OF SEVERE INFECTION OF THE ORO-FACIAL TISSUE
Acute
cellulitis
Ludwig’s anginaSpace infectionCavernous sinus thrombosisActinomycosisHistopasmosisPhycomycosisCryptococcosisAspergillosisBlastomycosisCat scratch diseaseCancrum orisMidline lethal granulomaSuppurative parotitisAcute osteomyelitis of maxillaAcute osteomyelitis of mandibleAcute infection in AIDS pt and other immunocompromised condition
Slide37CLASSIFICATION OF CHRONIC ORO-FACIAL PAIN
NEURLGIAS
PAIN OF MUSCULAR ORIGIN
PRIMARY TRIGEMIANL NEURALGIASECONDARY TRIGEMINAL NEURALGIAHYPES ZOSTERPOST-HERPETIC NEURALGIAGENICULATEGLOSSOPHARYNGEALSUPERIOROCCIPITALCERVICAL OSTEOARTHRITISTMJ DISORDER TMJ REHUMATOID ARTHRITIS TMJ OSTEOARTHRITIS MYPFACIAL PAIN DYSFUNTION SYNDROMEFIBROMYALGIACERVICAL SPRAIN OR HYPEREXTENSIONEAGLE SYNDROME
Slide38Primary vascular disorder
Psychogenic
painsGeneralized pain syndromeMigraine with auraMigraine without auraCluster headacheTension-type headacheHypertensive vascular changesMixed headacheCranial arteritisCarotodyniathrombophlebitisDelusional/hallucinatoryHysterical/hypochondriacPost traumatic painSympathetically maintained painPhatom painCentral pain
Slide39LESION OF EAR NOSE AND ORAL
CAVIT
Maxillary sinusitis
Otitis mediaOdontalgia dentin defect pulpitis periapical pahology periapical abscess periodontal pathology cracked tooth syndrome occlusal traumaAtypical odontalgiaCyst and tumorOsteititsMucocutaneous diseaseSalivary gland diseaseAtypical facial painglossodynia
Slide40Classification of diseases of tongue
Developmental disorder
Aglossia
HypoglossiaCleft tongueAnkyloglossiaFissured tongueScrotal tongueMedian rhomboid glossitisHairy tongueLingual thyroidThyroglossal duct cystMicroglossiaMacroglossiaBald tongueBenign migratory glossitis
Slide41Disorders
in lingual papillae
Hairy
tongue Oral thrushChemical burnsWhite sponge nevusVesiculo-bullous lesionsLichen planusLeukoplakiaHairy leukoplakiaVitamin deficiencyHunter’s glossitisTraumatic ulcerInfectious diseaseLingual varicositiesLingula hematomaGlossitis due to syphilisPigmentationsAtrophic glossitis in plummer-vinson’s syndrome or paterson-kelly syndrome
Slide42DISEASE AFFECTING BODY OF THE TONGUE
Amyloidosis
Lingual abscess
Muscular dystrophyHypoglossalActinomycosisCysticercosisTrichinosisNeck-tongue syndromeGlossoptosisGlossophyrosisGlossodyniaIntracts in the tongueAngioneurotic edema
Slide43BENIGN
TUMORS
MALIGNANT TUMORS
Traumatic fibromaPyogenic granulomaGranular cell myoblastomaHemangiomaLymphangiomaNeurofibromaSalivary gland tumorSquamous cell carcinomaVerrucous carcinomaMalignant fibrous histiocytoma
Slide44CLASSIFICATION OF FIBRO-OSSEOUS LESIONS
Fibrous
dysplasia of bone
polystotic monostoticOssifying fibromaCementing fibromaCentral gaint cell granulomaBrown tumor of hyperparathyroidismPaget’s disease of boneCherubismAneurysmal bone cystHemorrhagic bone cystFocal condensing osteitisExostoses torus palatinus torus manadibularisFocal osteoporotic bone marrrowDefect(FOBMD)Fibrous defect of mandibleOsteogenesis imperfectaOsteoporosis Vanishing bone diseaseHistiocytosis-xAcromegallyInfantile cortical hyperostosisRickets
Slide45Achondroplasia
Scurvy
Hurler’s syndrome
Fragile x syndromeCleidocranial dysplasia
Slide46CLASSIFICATION OF GINGIVAL ENLARGEMENT
FOCAL GINGIVAL ENLARGEMENT
Pyogenic
ganulomaFibro-epithelial polypParulisDenture irritationPeripheral gaint cell granulomaPeripheral fibromaGaint cell fibromaFibrous histiocytomaMalignant fibrous histiocytomaFibrosarcomaNodular fascitisLocalized fibromatosisExostosisGingival cystEruption cystCongental epulis of newborn
Slide47Generalized gingival enlargement
Inflammatory
enlargement
Fibrous overgrowth of the gingivaScurvy PubertyPregnancyOral contraceptionAcute leukemiasCrohn’s diseaseWegener’s granulomatosisHereditary of the gingivaDrug induced gingival fibromatosis -phenytoin sodium - cyclosporine - nifedipine & verapamilChronic hyperplastic gingivitisOrofacial angoiomatosisidiopathic
Slide48CLASSIFICATION OF SKIN DISEASE
MACULES
AND PATCHES
Hypopigmented –vitiligoHyperpigmented- ephelides café-au-lait macules solar lentigo melasma Erythematous Erysipelas Telangiectasia Pectechiae Purpura Ecchymoses Splinter hemorrhage
Slide49Papules and plaque
Flesh colored or yellow
Hyperpigmented
AcrochodonFibrous papuleAdenoma sebaceumNeurofibromaSyringomaMolluscum contagiosumSebaceous hyperplasiaXanthelasmamilia nevus MelanomaSeborrheic keratitis
Slide50Papules and plaque
Erythematous
Acne
Perioral dermatitisFolliculitisFuruncleMiliariaSpitz nevusAcute febrile neutrophilic dermatosisViolaceousLichen planusBlue nevousAngiosarcomaVenous lakeMorbiliform drug eruptionCherry hemngioma
Slide51NODULES
WHEALS
CONNECTIVE TISSUE
DISEASEBasal cell carcinomaKeratoacanthomaSCCUricariaandioedemaDermatomyosistisLupus erythematosusSclerodermaTemporal arteritis
Slide52Vesicles/bullae/pustules
Erosion/fissure/ulcer/scare
Papulosquamous dermatosis
Herpes simplex infectionVaricella-zoster infectionContact dermatitisRosaceaErythema multiformeErthematoususPeriechePyodermal gamgrenosumBurnsKeloidRadiodermatitisAcitinic keratosesPsoriasisSeborrheic dermatitisAtopic dermatitisKeratosis pilarisPityriasis roseaVerruca vulgarisFlat wart
Slide53CLASSIFICATION OF ORAL SWELLING
Swelling
on the floor of the mouth
Mucous retention cystMucous extravasation cystDermoid cystLymphoepithelialSalivary gland tumorsialothiasis
Slide54Swelling of the lip and buccal mucosa
Upper lip
Lower lip
Buccal mucosa swellingPalatal swellingsSalivary gland tumormucoceleTraumatic fibromaMucocelesSalivary gland tumorBenign & malignantTraumatic fibromaMucocelesSalivary gland tumorBenign & malignantMucoceles Salivary gland tumorLymphomaMetastatic tumorTorus
Neoplasm of maxilla & maxillary sinus