Verrucal-papillary lesions - Coggle Diagram
Oral squamous papilloma
Characteristics: painless, Exophytic, well circumscribed, pedunculate or Sessile masses. The masses may have cauliflower like surface texture or they may consist of mini finger or hair like projections. The range in color from white to pink and can be found on the lips or mucosal surface. They are seeing more often on the soft palate, tongue and lips
Dental implications: these lesion should be removed because the association of some forms of HPV with oral malignancies and because the patient may be able to transmit the casual viral agent to others
Transmission: HPV is transmitted by direct contact between the virus and non-intacted mucosa. The virus can also be spread by Autoinoculation
Treatment And prognosis: Conservative surgical excision usually suffices to treat this lesion. The risk of reoccurrence is low except in those individuals who are immuno suppressed and therefore have considerably higher risk
Etiology: HPV2, 6, 11 and 57 have been associated with benign oral squamous papillomas
dental implications; Observation of a lesion with this general appearance during an extra oral exam should be prompt by medical referral. These lesions have a higher risk for skin cancer patient should be educated about self examination and prevention
tx and prognosis; surgical excision is the treatment of choice. The prognosis is excellent with complete surgical removal. Untreated lesions may regret spontaneously leaving a scar
characteristics; these lesions are not found in the mucous membranes. Frequently found on the edge of the Vermilion border on the lower lip. A dome shaped Nigel displays a smooth shiny surface with a central crater containing a core or plug of keratin
etiology; The exact cause is not clear. Exposure of the affected area to sunlight is strongly associated with the development of this lesion along with other factors
focal epithelial hyperplasia
transmission; HPV 13 and 32 is transmitted in the manner similar to other HPV’s by surface contact with the virus through a break in the mucosal barrier
dental implications; None
characteristics;Pink to whitish lesions, somewhat translucent, surface that is only slightly cauliflower like. They are soft to palpation. They may be more generalized within the oral cavity than the other forms of HPV
tx and prognosis;Treatment is not always necessary. Conservative excision may be performed to establish a diagnosis. Often lesions will resolve spontaneously without any treatment. Malignant transformation is unlikely
etiology; HPV 13 and 32 have been implicated in the development of this condition
transmission; Not contagious although a variety of HPV types have been localized within them
dental implications; This often forms within a long-standing leukoplakia associated with spit tobacco. The hygienist is in an excellent position to educate the patients
characteristics; Early lesions appear as white patches, fully developed lesions display as cauliflower like papillary appearance that spreads over a large area in the mucosa. There are fissuring and ulceration of the lesions.
tx and prognosis;Surgical removal is the treatment of choice. Cryotherapy also has a high curate for well circumscribed lesions. Most patients had a good prognosis as metastasis are rare
etiology; Related to the use of spit tobacco either snuff or chewing tobacco.
transmission HPV is transmitted by direct contact between the virus and compromised mucous membranes
dental implications; Diagnosis and treatment of the condition will help prevent transmission of the virus. This infection is more common in immuno suppressed patients and the clinician should carefully evaluate the patient’s assessment data for other indications that would suggest the need for a medical referral
characteristics; Cauliflower like appearance of the lesion suggest an HPV infection. The lesions begin as popular growths that in large and coalesce becoming nodular, pink, exophytic growths with a rough papillary surface
tx and prognosis;oral lesions are usually remove surgically using a scalpel, laser, electrosurgery or cryo-surgery. Recurrences are common
etiology; approximately 30 different types of HPV can affect the angiogenital tract however HPV subtype six and 11 are the most common cause of this infection
dental implications; Patients who exhibit this condition should be treated with a soft denture reline material prior to surgical removal of the lesion and fabrication of a new denture. They should also be educated on the proper use and care for their dentures
characteristics; Most common on the peloton mucosa as a field of pink to bright red, clustered papules that are firm to palpation. This is almost always related to dentures or oral appliances
tx and prognosis; The lesion should not be surgically excised without a fabrication of a new denture. The prognosis is excellent.
etiology; Reactive tissue proliferation due to mild, persistent trauma caused almost exclusively by the rubbing of an ill fitting denture on the mucosa during friction
Delong, L & Burkhart, N. (2019). General and Oral Pathology for the Dental Hygienist. Third Edition. Philadelphia: Wolter Kluwer.
Langlais, R, Miller, C., & Gehrig, J. (2017). Color Atlas of Common Oral Diseases. Fifth Edition. Philadelphia: Wolter Kluwer.