Soft Tissue Enlargements
Traumatic or Inflammatory Lesions
Traumatic Neuroma
Fibroma (Focal Fibrous Hyperplasia, Irritation Fibroma, Traumatic Fibroma)
Peripheral Ossifying Fibroma
Generalized Gingival Hyperplasia
Lymphoid Hyperplasia
Sarcoidosis
Ranula
Infections
Mumps (Viral Sialadenitis)
Bacterial Sialadenitis
Soft Tissue Neoplasms
Fibromatosis (Desmoid Tumor) (DTF)
Fibrosarcoma
Neurilemmoma (Schwannoma)
Neurofibroma
Neoplasms of Smooth Muscle
Neoplasms of Striated Muscle Cells
Rhabdomyosarcoma
Neoplasms of Fat Tissue
Salivary Gland Neoplasms
Pleomorphic Adenoma (Benign Mixed Tumor)
Papillary Cystadenoma Lymphomatosum (Warthin Tumor)
Mucoepidermoid Carcinoma
Acinic Cell Carcinoma
Minor Salivary Gland Malignancies
Polymorphous Low-Grade Adenocarcinoma
Adenoid Cystic Carcinoma
Genetic and Congenital Disorders
Neurofibromatosis, Type 2B (von Recklinghausen Disease of the Skin)
Multiple Endocrine Neoplasia Syndrome, Type 2B (MEN2B, Mucosal Neuroma Syndrome)
Lymphangioma
Soft Tissue Developmental Cysts
Cervical Lymphoepithelial Cyst (Branchial Cleft Cyst)
Thyroglossal Tract Cyst
Dermoid Cyst
etiology: chronic or acute trauma that severs nerve tissue; commonly seen with injection of local anesthetics and tooth extraction
method of transmission: n/a
characteristics: small firm nodules covered by normal mucosa; painful when palpated but no symptoms otherwise
dental implications: careful around painful area
tx & prognosis: surgical removal; excellent prognosis
etiology: chronic trauma or irritation; ill-fitting denture
method of transmission: n/a
characteristics: nodular; exophytic; pedunculated; smooth; firm; surface may be ulcerated; usually found on tongue, buccal mucosa, and lips; folded appearance
dental implications: identify and remove trauma
tx & prognosis: surgical removal; excellent prognosis
etiology: submucosal connective tissue or PDL hyperplastic lesion
method of transmission: n/a
characteristics: well-defined; firm; pedunculated or sessile; exophytic mass on attached gingiva; smooth-surfaced but may be rough or papillary; exclusively on attached gingiva
dental implications: identify source of irritation and remove it
tx & prognosis: local excision; good prognosis
etiology: biofilm/calculus; medications
method of transmission: n/a
characteristics: multiple different embodiments; association w/ specific drugs or hormonal changes
dental implications: intensive OHI; easier to prevent than treat
tx & prognosis: discontinue drug; gingivectomy
etiology: reactive response to immune system caused by infectious agents or foreign substances that invade the body
method of transmission: n/a
characteristics: lymphadenopathy; varying enlargements of lymphoid tissue
dental implications: rule out cancer
tx & prognosis: not necessary unless large enough to impede oral functions; good prognosis
etiology: unknown
method of transmission: unknown
characteristics: can affect any organ, respiratory system is main target; salivary gland enlargement, xerostomia; firm or spongy papular or nodular growths found on gingiva, lips, palate, buccal mucosa, or tongue
dental implications: good OHI necessary; management of xerostomia symptoms
tx & prognosis: spontaneous resolution possible; corticosteroids; good prognosis
obstruction of submandibular or sublingual salivary glands; associated w/ trauma or sialolith; swelling in floor of mouth resembling a frog's belly; second most commonly occurring mucocele; circumscribed, somewhat fluid but firm with blue-to-reddish color; surgically removed
etiology: paramyxovirus
method of transmission: direct contact w/ saliva or droplets of an infected person
characteristics: swelling of salivary glands and parotid; pain when chewing
dental implications: physician referral
tx & prognosis: bed rest, fluids, analgesics; excellent prognosis
etiology: S. aureus, S. viridans, S. pneumoniae, H. influenzae
method of transmission: n/a
characteristics: painful swelling of affected gland; painful chewing; purulent exudate
dental implications: xerostomia is a major risk factor
tx & prognosis: determine specific bacteria; antibiotics; analgesics; good prognosis
Immune System Disorders
Sjögren Syndrome
etiology: autoimmune
method of transmission: n/a
characteristics: xerostomia; difficulty swallowing; altered taste; difficulty wearing dentures; gland enlargement; rheumatoid arthritis; keratoconjunctivitis
dental implications: treat xerostomia
tx & prognosis: manage symptoms; xylitol to stimulate saliva production; good prognosis
etiology: unknown
method of transmission: inherited
characteristics: facial asymmetry; mandible often affected (ill-defined radiolucencies)
dental implications: early diagnosis = favorable outcome
tx & prognosis: surgical excision; anti-inflammatory meds; chemo; radiation
etiology: radiation or tissue trauma (burn)
method of transmission: n/a
characteristics: enlarged, painless mass; ulceration of surface secondary to trauma
dental implications: early diagnosis = favorable outcome
tx & prognosis: surgical excision; guarded prognosis
etiology: proliferation of Schwann cells of the nerve sheath
method of transmission: n/a
characteristics: smooth submucosal mass; frequently on tongue; bone of MX or MD; well-defined radiolucency
dental implications: interpret radiograph accurately
tx & prognosis: surgical excision; excellent prognosis
etiology: unknown
method of transmission: n/a
characteristics: palate and tongue
dental implications: biopsy
tx & prognosis: surgical removal; chemo; radiation; varying prognosis
etiology: Schwann cells or connective tissue cells; inherited syndrome
method of transmission: n/a
characteristics: asymptomatic, slow-growing mass commonly located on tongue or buccal mucosa
dental implications: neurofibromatosis; early detection important
tx & prognosis: surgical excision; excellent prognosis
slow-growing, painless, smooth-surfaced mass found in any intraoral site (frequently tongue, hard palate, buccal mucosa); surgical removal
most common soft tissue tumor in the body; rare in oral cavity; smooth, soft, palpable, yellowish mass; biopsy; buccal mucosa and tongue; surgical removal
etiology: proliferation of salivary gland cells and myoepithelial cells
method of transmission: n/a
characteristics: parotid gland; painless, firm mass usually found near angle of MD; palate
dental implications: difficult to remove completely
tx & prognosis: surgical removal
etiology: unknown
method of transmission: n/a
characteristics: rubbery/firm, painless; usually found on parotid near angle of MD; usually bilateral
dental implications: hx of smoking = higher occurrence
tx & prognosis: surgical removal; excellent prognosis
etiology: unknown
method of transmission: n/a
characteristics: parotid; asymptomatic; fluctuant; slightly blue
dental implications: may be present for several years before noticed
tx & prognosis: surgical removal; varying prognosis
etiology: unknown
method of transmission: n/a
characteristics: parotid/submandibular; hard mass
dental implications: early detection necessary
tx & prognosis: surgical removal; good prognosis
etiology: genetic mutations and overproduction of specific gene products including protein p63
method of transmission: n/a
characteristics: palate, upper lip, buccal mucosa; painless mass
dental implications: periodic oral exams to detect abnormalities in early stages
tx & prognosis: surgical excision
etiology: unknown
method of transmission: n/a
characteristics: parotid; firm mass within gland; tender on palpation; facial nerve involvement; palate; pain is early symptom
dental implications: all procedures need to be completed prior to radiation
tx & prognosis: surgical excision; radiation
etiology: inherited mutation of NF1 gene on chromosome 17
method of transmission: autosomal dominant inheritance pattern or new mutation
characteristics: face and lips; multiple neuromas; any intraoral surface; painless, submucosal nodules
dental implications: impaired mastication, swallowing, speaking; trauma likely; complicate oral hygiene -- suggest modifications
tx & prognosis: surgical resection for cosmetic purpose
etiology: genetic -- mutation of protooncogene on chromosome 10
method of transmission: autosomal dominant trait or spontaneous
characteristics: wide-eyed expression; MD prognathism; malocclusion; puffy lips; high and narrow palate
dental implications: early detection necessary
tx & prognosis: removal of thyroid or tumors; good prognosis
etiology: unknown
method of transmission: n/a
characteristics: painless; translucent or bluish with pebbly or bubbly surface; crepitus with palpated; tongue and buccal mucosa
dental implications: damage to facial, lingual, hypoglossal nerves possible -- teach how to manage complications
tx & prognosis: depends on size, location, etc; surgical removal; excellent prognosis
etiology: parotid gland epithelium that becomes entrapped in cervical lymph nodes
method of transmission: n/a
characteristics: lymphoepithelial cyst found in floor of mouth and posterior lateral border of tongue
dental implications: early detection necessary
tx & prognosis: surgical excision; good prognosis
etiology: proliferation of remnants of epithelial cells that lined the thyroglossal tract during embryonic development
method of transmission: n/a
characteristics: midline of neck; well-circumscribed and non-tender
dental implications: remove if found on posterior dorsum of tongue
tx & prognosis: surgical excision; excellent prognosis
etiology: entrapment of epithelial cells along lines of embryonic closure or fusion
method of transmission: n/a
characteristics: painless, soft, doughy, midline mass in floor of mouth
dental implications: can impair chewing, swallowing, speaking
tx & prognosis: surgical excision; excellent prognosis
Chris Martin
DEN 222
6/14/2020
All information gathered from pages 395-423 of Delong & Burkart's General and Oral Pathology for the Dental Hygienist