Please enable JavaScript.
Coggle requires JavaScript to display documents.
Soft Tissue Lesions: - Coggle Diagram
Soft Tissue Lesions:
-
Soft Tissue Neoplasms
Fibromatosis
-
Characteristics: slowly enlarging soft tissue mass when observed in the oral cavity. Facial asymmetry can be expected as the lesions enlarge. Mandible soft tissues are commonly affected by this lesion.
-
Treatment and Prognosis: surgical excision with margins, anti-inflammatory medications, chemotherapy, and radiation therapy are recommended. There is a high risk for recurrence.
-
Fibrosarcoma
Etiology: caused by previous radiation therapy and tissue trauma such as a burn injury to the tissues.
Characteristics: gradually enlarging, painless mass. Secondary to trauma, may occur as the lesions enlarges. When the lesion becomes larger, the patient may complain of pain, swelling, paresthesia, and loosening of teeth.
Treatment and Prognosis: surgical excision with wide margins is the treatment of choice. The 5 year survival rate it 50 to 70%.
-
-
Neurilemmoma
-
Characteristics: small, smooth surfaced, firm, nodular growths in the head and neck area and on the flexor surfaces of the arms and legs. Occurs most commonly on the tongue.
-
Dental Implications: Accurate interpretation of radiographic findings in areas where a patient reports pain or paresthesia may be essential to detect this neoplasm, when it arises in bone.
Treatment and Prognosis: surgical excision is the treatment of choice. There is little chance of recurrence or with malignancy so the prognosis is great.
Neurofibroma
-
Characteristics: intraorally the tumor appears slow growing, smooth surfaced, asymptomatic mass. It is most commonly seen on the tongue or buccal mucosa.
Dental Implications: the dental hygienist may be in a unique position to detect these lesions and request referral of the patient for medical evaluation.
-
Treatment and Prognosis: Surgical excision is recommended. Solitary neurofibromas have little chance of recurrence and thus have an excellent prognosis
-
-
-
Citations:
-
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.
Infections:
-
Bacterial Sialadenitis
Etiology: s. Aureus, s. Viridans, s. Pneumoniae, h Influenzae, among others.
Treatment and Prognosis: Analgesics are used to help decrease pain, and moist compresses, rehydration, and stimulation of salivary flow are helpful in alleviating discomfort. The prognosis is good in most cases.
Characteristics: painful swelling of the affected gland is the classical clinical feature of this infection. inflammation of the salivary gland ducts and the presence of purulent exudate are the characteristics of this infection.
-
-
Immune System Disorders:
Sjogren Syndrome
-
Dental Implications: xerostomia increases your patients risk for caries, periodontal disease, and infections such as candidiasis. Patients should be monitored for neoplastic changes in the parotid gland.
-
Characteristics: triad manifestations of rheumatoid arthritis, xerostomia, and keratoconjunctivitis.
Treatment and Prognosis: artificial saliva and tears, fluoride caries prevention and home care and diet modifications. The prognosis is usually good with strict adherence to modifications.
-
-
Neoplasms of Fat Tissue
Liposarcoma
-
Characteristics: smooth-surfaced, soft, palpable mass that often imparts a yellowish color to the overlying mucosa.
Dental Implications: These lesions should be followed closely by a dental professional to facilitate the early discovery of any recurrent lesions.
-
Treatment and Prognosis: surgical excision is the treatment of choice. Prognosis becomes less favorable with each recurrence.