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White Lesions - Coggle Diagram
White Lesions
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Infections:
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Hairy Leukoplakia
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Characteristics: Whitish plaque that does not rub off. Common on the lateral borders of the tongue, often bilateral. Patients are commonly asymptomatic.
Dental Implications: This is significant because its a relatively accurate predictor of rapid progression from HIV latent infection to AIDS.
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Treatment and Prognosis: Antiviral therapy is often used for treatment to produce improvement or resolution of this lesion. Recurrence is not uncommon. There is no evidence the HL has the potential for malignant transformation.
Parulis
Etiology: draining sinus tract from an odontogenic infection of either periodontal or pulpal origin.
Characteristics: swelling of the gingiva. Swelling is caused by purulent exudate which is more yellowish than white.
Dental Implications: When pus is encountered clinically, the source of odontogenic infection should be determined and treated.
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Treatment and Prognosis: the condition resolved when the infection is eliminated. Failure to eliminate the infection in a primary tooth can affect the development of a permanent tooth.
Variations of Normal
Leukodema
Characteristics: Found most commonly on the buccal mucosa and is often bilaterally symmetrical. It does not rub off. It disappears when the cheek is stretched. It produces a whitish opaqueness, sometimes with fine wrinkles, of the mucosa.
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Prognosis: The health care practitioner can teach the patient about the oral cancer self-exam and point out and variation from normal. The prognosis is good since this is not a pathological condition. Therefore the prognosis would be N/A.
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Fordyce Granules:
Etiology: These are normal sebaceous glands that are found in the oral mucosa and hair follicles of the skin. These are a feature of normal developme
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Characteristics: These are very distinctive when viewed clinically. These appear intraorally as superficial yellowish or yellowish white, slightly elevated papules.
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Immune Sytem Disorders
Lichen Planus
Etiology: This is a chronic immune-mediated mucocutaneous disorder. T-lymphocytes are recruited to the skin or oral musoca where they produce damage to the surface epithelium.
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Treatment and Prognosis: Patients do not require treatment unless the disease becomes erosive and symptomatic. Lesions not responding to traditional treatment, or lesions showing growth or a mass effect, should have a biopsy performed.
Dental Implications: This is often confused with other pathologic processes. Symptomatic patients require diagnosis and treatment. The lesions should be carefully monitored.
Characteristics: Wickham striae observed bilaterally on the buccal mucosa and possibly on the gingiva are characteristic of this disorder.
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