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Red – Blue lesions - Coggle Diagram
Red – Blue lesions
pyogenic granuloma
etiology
benign inflammatory growth, associated with traumano, drugs, hormones, for an irritant, and systemic involvement such as leukemia
mode of transmission
non contagious
epidemiology
puberty, pregnancy, more often seen in females, 75% appear on the gingiva
pathogenesis
chronic trauma or irritation
characteristics
bright red or varying shades of pink,ulcerative, fibrous,can be lobular smooth or papillary, painless without exudate,generally appear on the maxillary anterior gingiva, lower lip, tongue, and buccal mucosa
Dental implications
lesion should be excised completely,pregnant patients should be followed and watch carefully
differential diagnosis
pgcc,fibroma,kaposi sarcoma,neoplasm,peripheral ossifying fibroma.
treatment and prognosis
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Kaposi Sarcoma
malignant neoplasm occurring in the skin oral tissues and lymph nodes. more common in patients with HIV, or the elderly this lesion has a blue to purple hue
petechiae,ecchymoses, purpura
etiology
mode of transmission
epidemiology
pathogenesis
characteristics
differential diagnosis
treatment and prognosis
Dental implications
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treat the underlying cause and remove sources of trauma. the prognosis depends on the cause of the lesion. lesions associated with trauma usually subside within a week or more.
blood platelet abnormalities, hemorrhagic diseases, trauma, bone marrow disorders such as my glioma, disordered eating practices, trauma induced by fellatio.
regions do not blanch, maybe vascular and begin to bleed,ranging from 1 to 2 mm, hemorrhagic spots on mucous membrane
traumatic injury iatrogenic injury, Dentures are poorly fitting appliances
any age or gender can be affected
non contagious
hemorrhages in soft tissue due to trauma or blood dyscrasia
Lichen Planus
etiology
mode of transmission
epidemiology
pathogenesis
characteristics
Dental implications
differential diagnosis
treatment and prognosis
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lupus, benign mucous membrane, pemphigoid, pemphigoid vulgaris, squamous cell carcinoma, lichenoid reactions
air polishers are not recommended, regular maintenance appointments, home care products that are minimally abrasive
keratotic, violet colored plaque
mostly occurs in midlife,more common in females,can occur on the genitals, the esophagus, the skin, the gingiva, the nails
non contagious
chronic inflammatory mucocutaneous disease of unknown etiology
peripheral giant cell granuloma
etiology
mode of transmission
epidemiology
pathogenesis
characteristics
Dental implications
differential diagnosis
treatment and prognosis
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neoplasms, tumors, infection, fibromas, peripheral ossifying fibroma, pyogenic granulomas, peripheral giant cell granuloma, giant cell fibroma
can cause bone resorption
can be a very large lesion with protruding tissue becoming visible in the anterior region, usually forward of the molar region,can be 1-2 cm, deep red or bluish color.
response to injury or trauma,arise from the periodontal ligament,precipitating factors include tooth extraction, plaque and calculus, faulty Dental Restorations, or dentures
more prominent in females,may occur at any age but mostly in the 50s to 60s,least frequently seen type of reactive lesion of the gingiva
localized, non contagious
hyperplastic responses to injury
Varicosity
etiology
mode of transmission
epidemiology
pathogenesis
characteristics
Dental implications
differential diagnosis
treatment and prognosis
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hematoma, Hemangioma, lymphangioma, melanoma, basal cell carcinoma, the blue nevus, Melanocytic nevi
no specific implications
thrombosed blood clot can occur in these lesions, the vessels become weak from chronic sun exposure
viscosities indicate weakness in the vessel, this is normal in aging adults but not in children
usually found in adults over 60, very rare in children
non contagious
abnormally dilated vein, developmental abnormality
candidosis
etiology
mode of transmission
epidemiology
pathogenesis
characteristics
Dental implications
differential diagnosis
treatment and prognosis
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lichen planus, lupus, squamous cell carcinoma, lichenoid reactions, pemphigus, pemphigoid
common dental manifestations related to candidiasis include xerostomia and poor oral hygiene
white, red color, may cause a burning sensation, may be found in various locations in the perioral tissues
usually superficial, but can become deep fungal infections that affect the organs, can arise from individuals taking antibiotics for extended amounts of timemay arise from long term use of corticosteroids
pseudomembranous forms are found more in elderly and young infants while erythematic forms are most often found in adults wearing denture and appliances
not transmitted to other individuals unless that person is susceptible, couples may infect each other
fungal infection, opportunistic
Erythroplakia
etiology
mode of transmission
epidemiology
pathogenesis
characteristics
Dental implications
differential diagnosis
treatment and prognosis
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squamous cell carcinoma, kaposi sarcoma, systemic lupus, lichen planus,hypersensitivity reactions,vascular appearing lesions, erythematous candidiasis
this type of lesion should be assessed for cancer cells through a biopsy when necessary, any lesion should be guarded and watch carefully or biopsy, any lesion that does not subside after 2 weeks warrants a biopsy.
maybe dark pink or have velvety color, varying surface areas, the way she may be Broad and coalescing or it may be circumscribed and localized
lesion is usually premalignant and occurs throughout the mouth, percentage of malignancy is greater with red patches rather than white
these lesions have a high rate of progressing to oral cancer, usual sites are floor of mouth, the soft palate, and the buccal mucosa.
non contagious
red patch on oral mucous membrane, an increased incidence is associated with tobacco and alcohol use, dietary deficiencies in lifestyle factors may also be responsible in some cases
congenital hemangioma
etiology
mode of transmission
epidemiology
pathogenesis
characteristics
differential diagnosis
Dental implications
treatment and prognosis
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the hemangiomas are watched carefully, the only foreseeable problem is the formation of a thrombus
Kaposi's sarcoma, veriscosity, hematoma
color may vary from dark pink in deeper tissue areas to dark purple and superficial areas. The lesions may be single or multiple
controlled growth, May dissipate our last throughout life
tend to have a higher rate of appearance in the head and neck region, they are found in approximately 2% of infants and found more frequently in females
non contagious
benign proliferation of blood vessels, found in infancy and childhood
hypersensitivity reactions
etiology
mode of transmission
epidemiology
pathogenesis
characteristic
Dental implications
differential diagnosis
treatment and prognosis
1 more item...
lichen planus, lupus, benign mucous membrane pemphigoid, pemphigus vulgaris,squamous cell carcinoma, vitamin deficiency and anemia,Crohn's disease, sarcoidosis, foreign body reaction, mycotic infection,
find the cause, determine the source, discontinue contact
fiery red bulbous gingiva,velvety red appearance where tissue came in contact with the allergen
a Type 4 hypersensitivity reaction is produced
response to specific allergen can occur at any age and affect both genders equally
localized non-contagious lesions
delayed cell mediated immune response
hereditary hemorrhagic telangiectasia
etiology
mode of transmission
epidemiology
pathogenesis
characteristics
Dental implications
differential diagnosis
treatment and prognosis
1 more item...
congenital hemangiomas, congenital vascular malformations, Crest syndrome
Lesions will bleed when traumatize, causing a problem with dental treatment for these patients. the patient may be pre-medicated for certain dental procedures.
bright red, occurring on the lips and anterior tongue, can rupture and Hemorrhage, and appear as an ulcer when traumatized
bright red lesions May bleed profusely, evidence is usually present at birth and tends to increase throughout life. GI bleeding may also be a problem strokes and brain abscesses are of concern with hht
equal occurrence in males and females
non contagious
dilated blood vessels that appear as what is commonly known as "spider veins"