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Varracal-Papillary Lesions, Burkhart, N., Delong, L. (2020). Raised…

- - - - Characteristics: Pink to whitish surface that is somewhat translucent and slightly cauliflower like. Soft on palpation. Less keratin than other HPV lesions usually. Affects the lips, tongue, and buccal mucosa most commonly.
      - Dental implications: None
      - MoT: Surface contact with the virus through a break in the mucosal barrier.
      - Treatment and Prognosis: Treatment is not always necessary. Maybe conservative excision for diagnostic purposes. Often resolve spontaneously without treatment.
      - low risk types of HPV have been implicated.
    - - Characteristics: Almost any oral site can be infected. Usually begin as papular growths that enlarge and coalesce, becoming nodular, pink, exophytic growths with a rough papillary surface.
      - Dental implications: Diagnosis and treatment will help prevent transmission. Immunocompromised more susceptible. May need to refer.
      - MoT: Direct contact between the virus and compromised mucous membranes.
      - Treatment and Prognosis:Usually removed surgically using a scalpel, laser, cryosurgery, or electrosurgery. Recurrence is common. Prognosis depends on severity but is usually good.
      - Etiology: Low risk types of HPV