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White Lesions - Coggle Diagram

- - - - no treatment required
  - - - yello/yellowish-white papules
- - - - shows up more prominent in darker skinned people
      - Pathogenesis
        
        common mucosal anomaly characterized by intracellular edema and tissue whiteness
        
        characteristics
        
        whitish opaqueness, fine wrinkles, of the buccal mucosa
        
        no treatment
- - - - Characteristics
        
        Dental implications
        
        identify cause of lesion
        
        Differential diagnosis
        
        leukoplakia, lichen planus, hyperplastic candidiasis
        
        treatment
        
        will resolve once irritant is removed
        
        varible size, whitish plaque, does not rub off
      - adaptive analogous resonse to produce callus
- - - - inflammatory condition
      - Characteristics
        
        depapillated lesions on the dorsum of the tongue. white yellowish lesions, atropic red patches
        
        Differential diagnosis
        
        Candidiasis, Lichen planus, Reiter syndrome, Anemia
        
        treatment
        
        topical corticosteriods
- - - - characteristics
        
        dental implications
        
        differential diagnosis
        
        treatment
        
        education.
        
        WSN
        
        disruptive oral behaviors should be identified
        
        hyperkeratosis, abraded tissue, white, irregular surface. bilateral, on labial mucosa or lateral borders of the tongue
      - lesions are associated with overproduction of keratin and damage to the epithlium
- - - - characteristics
        
        treatment
        
        correct predisposing factors, gentle debridement, antimicrobial mouth rinse.
        
        whitish, brown or black hair like projections, encourages growth of oral flora, may cause bad breath, candida infection common
      - elongation of filiform papillae of the dorsal tongue
- - - - Characteristics
        
        no treatment
        
        linear white like on the buccal mucosa along the occlusal plain
      - reaction to friction
- - - - characteristics
        
        dental implications
        
        treatment
        
        will resolve with smoking cessation
        
        alerts of a risk for oral cancer
        
        keratosis of the palatal mucosa, irritation of the salivary ducts
      - keratotic changes to the palatal mucosa
- - - - characteristics
        
        dental implications
        
        differential diagnosis
        
        Treatment
        
        healing occur once the chemical is withdrawn
        
        frictional keratosis, hyperplastic candidiasis, lichen planus
        
        may be confused with other pathologic conditions, educate the patient of the proper use of medications,
        
        white plaues, raw and bleeding base
      - often produce necrosis of the epithelium
- - - - pathogenesis
        
        characteristics
        
        Dental implications
        
        Differential diagnosis
        
        Treatment and prognosis
        
        erosive lesions considered more suspicious, growing lesions, or mass effect lesions should be biopsied
        
        candidiasis, leukoplakia
        
        symptomatic patients require diagnosis and treatment, lesions should be carefully monitored
        
        skin: purple raised papules with keratotic white surface pattern of very fine interlacing lines. oral: white lesions, red lesions, ulcers, lacy pattern of striae, buccal mucosa and gingiva
        
        auto immune disorder
      - the most common dermatological condition that manifest with cutaneous as well as oral lesions
- - - - Characteristics
        
        Dental implications
        
        Differential diagnosis
        
        Treatment and prognosis
        
        Antiviral therapy
        
        frictional keratosis,lichen planus, candidiasis, thermal and chemical burns
        
        significant diagnosis as an accurate predictor of rapid progression of HIV
        
        whitish plaques, lateral borders of the tongue, bilaterally, vertical raised ridges, irregular flattened lesion
      - HIV infected patients
- - - - epidemiology
        
        Patogenesis
        
        characteristics
        
        Dental Implications
        
        Differential diagnosis
        
        treatment and prognosis
        
        1 more item...
        
        burns, vesicobullous disease
        
        infection that needs to be identified and treated, carefully review pt's medical hx for sign of undiagnosed systemic problems.
        
        common in warm moist areas of the body, oral cavity candidiasis manifests as multiple raised whitish cordlike plaques. pain, discomfort, and burning
        
        yeast infection, known a thrush. common in newborns who contract the infection from the birth canal, organisms produce necrosis of the surface epithelium
        
        commonly found in immunocompromised individuals and elderly with predisposing factors
      - opportunistic infection
- - - - Pathogenesis
        
        characteristics
        
        Treatment
        
        biopsy should be preformed, can be ablated or laser therapy
        
        lesions small -larfe, soft on palpation, some feel leathery, can affect any site, corrugated mucosa, atrophy. types: speckled, verrucous, proliferative.
        
        genetic mutations to the epithelial cells following exposure to carcinogens
      - most common where tobacco use is acceptable, men more frequently affected
- - - - Pathogenesis
        
        characteristics
        
        Dental implications
        
        encouragement to discontinue use of betel nut
        
        Differential diagnosis
        
        scleroderma
        
        Treatment/prognosis
        
        no effective treatment,steroids may slow progression, early intervention crutial
        
        generalized stomitosis, red mucosal tissue, vesicles, and ulcers. progressive accumulation of collagen fibers, fibrous tissue bands, decreased flexibility of the tongue and soft tissues, problems with speech, eating, and swallowing. the floor of mouth becomes leathery gingiva becoms fibrotic and pale
        
        develop in people who chew betel nut or genetic mutations
      - 2.5 million people around the world are affected by OSF, most cases in India, SE Asia, Pacific Island countries.
- - - - follows an autosomal dominant inheritance
      - Epidemilology
        
        rare condition
        
        pathogenesis
        
        autosomal dominant trait
        
        Characteristics
        
        wide spread white plaques on the buccal mucosa and labial mucosa
        
        Dental implications
        
        may present as a cosmetic problem
        
        treatment and progosis
        
        no treatment