Red and white lesions of oral cavity pdf

The diagnosis of chc is sometimes problematic because any rough surface within the oral mucosa can create an ideal place for candidal elements to proliferate. The oral lesions are characterized by a welldefined central atrophic red area surrounded by a sharp elevated border of irradiating whitish striae. Tumors and growths in the oral cavity and oropharynx. These include congenital or developmental conditions such as white sponge nevus, keratosis follicularis, hereditary benign intraepithelial dyskeratosis, pachyonychia congenita, and fordyce granules.

Generalised erythema is great areas of redness in the oral. Oral cavity cancer, or just oral cancer, is cancer that starts in the mouth also called the. Terms commonly used to describe oral lesions fixed a lesion that is nonmobile and firmly attached to the underlying structures mobile a movable lesion that does not appear to be connected to underlying structures indurated hard and firm tissue palpation that would normally be soft exophytic a lesion that appears to be growing outward from the mucosa. A large pro portion of red and white lesions are benign. Differential diagnosis of white lesion of oral cavity. Nonepithelial whiteyellow lesions candidiasis mucosal burns submucous fibrosis fordyces granules ectopic lymphoid tissue gingival cyst parulis lipoma aiman a. If it has been established that the lesions are nonpapillaryverrucous then the first question would be. Who 1997 6 a predominantly white lesion of the oral mucosa that cannot be characterized as any other definable lesion. Thus, these lesions have been catalogued as white, red, white and red, blue andor purple, brown, grey andor black. Verruca vulgaris is a very common childhood infection.

Perform thorough clinical head and neck, oral and dental examination. Management of white lesions of the oral cavity many white lesions involving the oral mucosa are benign and do not require treatment. A recent increase in tongue cancer in young females seen 2044 years. Primary herpetic gingivostomatitis usually regresses spontaneously within 2 weeks without scarring. Mar 21, 2007 about 50% of patients who have oral lesions also present with skin lesions. The differential diagnosis of lesions or abnormalities of the oral cavity will help nondental healthcare providers hcps to refer atrisk patients to the appropriate provider so they can be reexamined more closely. Generalised erythema is great areas of redness in the oral mucosa that could be spread to. Differential diagnosis of white lesions linkedin slideshare. Red and white lesions of the oral cavity flashcards quizlet. Learn oral pathology white lesions with free interactive flashcards. White lesions of the mouth therapeutics in dermatology. Greenberg ms, glick m red and white lesions of the oral mucosa. This clinical term is reserved for lesions that are present in the oral cavity for no apparent reason. Learn vocabulary, terms, and more with flashcards, games, and other study tools.

The differential diagnosis of lesions or abnormalities of. Lesions in the oral cavity generally present as ulcerations, red white lesions, pigmentations, and exophytic lesions. August 4, 2016 red lesions these lesions are defined by the change of the mucosa, which turns red. White lesions of the oral cavity can be commonly seen on the oral mucosa during routine examinations. In the oral cavity, the pigmentation is commonly located on the gingiva, tongue, buccal mucosa. Red, white, and ulcerative lesions of the oral cavity. Part 2 red and white lesions of the oral mucosa part1 medicine updates. Oral leukoplakia is defined as a predominantly white lesion that cannot be clearly diagnosed as any other pathology. Diagnosis of oral white lesions might be quite challenging. Red and white lesions of the oral mucosa part1 dental.

Lesions appear white in the oral cavity because the abnormal keratin can reflect the spectrum of light evenly and because of the constant bathing of the hyperkeratotic tissue in saliva, analogous to the appearance of palms and soles when immersed in water for long periods. Oral white lesions with special reference to precancerous and tobacco related lesions. Although white lesions constitute only 5% of oral pathoses, some of these lesions such as leukoplakia, lichen planus, and proliferative verrucous leukoplakia have malignant potential as high as 0. Maxillofacial imaging radiation biology, radiation injury and tissue susceptibility notes. Differential diagnosis of red lesions of the oral cavity examine the mouth to see if the red lesion is single or multiple. Associated systemic signs and symptoms including fever, sore throat, general malaise and. The nonhomogeneous type of oral leukoplakia also known as erythroleukoplakia or speckled leukoplakia may have white patches or plaque intermixed red tissue elements. The term oral exophytic lesions is described as pathologic growths projecting above the normal contours of the oral mucosa. Differential diagnosis of red lesions of the oral cavity. White surface lesions a guide to clinical differential diagnosis of. Geographic tongue lichen planus lupus erythematosus aiman a. The exophytic cases of the oral squamous cell carcinoma are represented as a irregular surface, fungating and verruciform growth and often ulcerated with indurated borders and colour may vary from red to white areas 41,42. The oral manifestations consist of red lesions in the form of petechiae, ecchymoses, or even hematomas, usually located on the palate and buccal mucosa. This nonspecifi c terminology has been used to describe any abnormal area of the oral mucosa.

Box 1 a systematic approach to the assessment of a. Oral ulcers are diagnosed based on the patients history,clinical appearance, site, duration and frequency and the underlying systemic condition furthermore, histopathology also aids in a definitive diagnosis for the majority of ulcerative lesions. August 4, 2016these lesions must be differentiated from the papillaryverrucous lesions, whose appearance is often white or white and red, is shown in this section and for which there is a different flowchart. Lesions of the oral cavity may be associated with disease or sometimes hereditary or even normal.

Chronic chewing of the labial mucosa morsicatio labiorum and the lateral border of the tongue morsicatio linguarum may be seen with cheek chewing or may cause isolated lesions. The sides of the oral cavity are formed by the smooth pink to light red buccal and labial mucosa. Farah, and sookbin woo abstract there are several conditions that can present as white or red macular, papular, and or plaquelike lesions of the oral mucosa. Primary or secondary infection localized to hands or fingers, acquired by direct contact with active lesion. Feb 15, 2007 certain common oral lesions appear as masses, prompting concern about oral carcinoma. The lesions occur on the tongue, gingiva, palate and buccal mucosa. However, the most common premalignant con dition in the oral cavity is a white plaque leuko. Based on etiology, red and white lesions of the oral cavity. Box 1 a systematic approach to the assessment of a suspicious oral mucosal lesion 1. Diagnosis and treatment of red and white lesions of the. Susan muller, dmd, ms, professor department of pathology department of otolaryngology winship cancer institute emory university school of medicine questions to think about when evaluating oral lesions acute vs chronic multiple vs single location. A speckled red and white appearance, nonhealing ulceration or induration should signal a priority need for biopsy or referral.

The lips and teeth are separated by a shallow vestibule. The lesion will range from reddish to white, depending on the degree of surface keratinisation. It presents as multiple red patches surrounded by a thickened, irregular, white border. Red and white lesions of the oral mucosa by hsuan han on prezi. Differentiate different parts of the oral cavity 2. Pdf common red and white lesions of oral cavity researchgate. Apr 12, 2018 management of white lesions of the oral cavity many white lesions involving the oral mucosa are benign and do not require treatment. Note a plaque is flatter than a papillaryverrucous lesion. An important feature of all these lesions is the epithelium being intact. Multiple white lesions that do not rub off should be noted in patient records, including the location of the lesions. Some lesions even indicate the precancerous condition. Oral lesions can be classified into four groups comprising of ulcerations, pigmentations, exophytic lesions, and redwhite lesions.

Oral l esions can be broadly classified into four different types. Histology findings in oral leukoplakia lesions indicate processes of varying seriousness, ranging from simple benign epithelial hyperplasia to a squamous cell carcinoma that is already invasive, passing. Oral lesions may present as red, white, or combined red and white lesions. Clinical classification of oral lesions is of great importance in the diagnostic process 1, 2.

The treatment of choice is surgical excision, with removal of associated minor salivary glands to prevent recurrence. Cde oral pathology and oral medicine 3 oral infections herpetic whitlow. In the oral cavity, the lesions are usually multiple painless grayish white plaques overlying an ulcerated necrotic surface. Describe the clinical features, differential diagnosis and treatment of leukoplakia of hard palate. Pdf on apr 1, 2006, sundeep bhagwath and others published common red and white lesions of oral cavity find, read and cite all the research you need on researchgate. Evaluate for cranial nerve function, palpable lymph nodes, masses and tenderness.

Managing patients with red or redwhite oral lesions jcda. Based on etiology,redandwhitelesionsofthe oralcavitycan be divided into developmental, reactive, infec. Ask the patient if heshe recalls biting the area accidentally, or if. Differential diagnosis of red lesions of oral cavity dental. Most of these red lesions turn out to be cancer when they are biopsied or will develop. White and red lesions of the oral cavity remain a diagnostic and management challenge. Erythroleukoplakia is a patch with both red and white areas. Ppt red and white lesions of the oral mucosa drmaha mahmoud powerpoint presentation free to view id.

White and red lesions of the oral mucosa maryam jessri, hani mawardi, camile s. Pediatric oral pathology 11 dilated excretory duct. Describe the blood and nerve supply of mucosa and muscles of palate and tongue 3. It is the most common malignancy of the oral cavity. Oral cancer and precancerous lesions neville 2002 ca. Syllabus for tnpsc dental medicine degree standard gingival displacement forfixed partial denture impression. Evaluate the mouth to see if the white lesion is single or multiple. Ask the patient if heshe recalls biting the area accidentally, or if heshe habitually uses mints. Studies of biopsy specimens of white lesions of the oral cavity revealed a 2% to 4% incidence of dyskeratosis. There are several conditions that can present as white or red macular, papular, andor plaquelike lesions of the oral mucosa. Oral lesions develop in 1525% of cases in dle and in 3045% of cases in sle, usually in association with skin lesions. The frequency of dysplastic or malignant alterations in oral leukoplakia has ranged from 15.

Jan 29, 2019 chc has an increased incidence in those who use tobacco but many white lesions are increased overall in this population. Pdf on apr 1, 2006, sundeep bhagwath and others published common red and white lesions of oral cavity find, read and cite all the research you need on. Your dentist or dental hygienist may be the first person to find these white or red. Pigmented lesions of the oral cavity the various lesions and should not be taken as absolute indicator of diagnosis. Start studying red and white lesions of the oral cavity. Yellowish lesions of the oral cavity med oral patol oral cir bucal 2007. The lesions are accompanied by pain, fever, arthralgia, headache, and cervical lymphadenopathy. The oral cavity and oropharynx help you breathe, talk, eat, chew, and swallow. The differential diagnosis of lesions or abnormalities of the. If it is single, look for local sources of irritation, such as a poorly fitting denture or a broken tooth. This course will begin with a basic understanding of different concepts behind why white lesions look white and red lesions look red in the oral cavity. Leukoplakia potentially malignant disorder of oral.

Proposed clinicopathological classification for oral. Jasjit dillon, md, dds, bds, fdsrcs and yeshwant b. Oral lesions usually arise from autoinoculation, most com. Red, white, and ulcerative questions to think about when. The oral cavity is formed by the arch of the hard and soft palates above, the teeth and cheeks laterally, and the tongue on the floor of the mouth. If you continue browsing the site, you agree to the use of cookies on this website. The white lesions of cheek chewing may sometimes be confused with other dermatologic disorders involving the oral mucosa, which can lead to misdiagnosis. Red andor white lesions petechiae, purpura, ecchymosis these red lesions are commonly caused by trauma affecting the underlying vascula. Differential diagnosis of red lesions of oral cavity. Common lesions in oral pathology for the general dentist. Officebased laser treatment of oral premalignant lesions. White and red lesions of the oral mucosa request pdf. Farah, and sookbin woo abstract there are several conditions that can present as white or red macular, papular, andor plaquelike lesions of the oral mucosa.

Types of white lesions divided based on scrapping off feature. White lesions of the oral cavity are clinical lesions that can point to a number of causes, the main one being chronic tobacco toxicity. Abstract a wide range of conditions could present as persistent white or red, or mixed white and red patches on the oral mucosa. Identify the effect of nerve paralysis on those muscles and their related function 4. Minor salivary glands throughout the oral cavity and oropharynx make saliva that keeps your mouth and throat moist and helps you digest food. Fluids should be encouraged because the child may become dehydrated. Diagnosis and treatment of red and white lesions of the oral. Common superficial oral lesions include candidiasis, recurrent herpes labialis, recurrent aphthous stomatitis, erythema migrans, hairy tongue, and lichen planus. Based on etiology, red and white lesions of the oral cavity can be.

Associated systemic signs and symptoms including fever, sore throat, general malaise and headache may also be present. Red points can also be seen on the white mucosa that are actually widened and. The oral mucosa is diffusely white, rough, thickened and folded. Choose from 500 different sets of oral pathology white lesions flashcards on quizlet. Verrucous or verruciform leukoplakias are the lesions in which white component is dominated by papillary projections similar to oral.

After biopsy, residual lesions may be destroyed with a carbon dioxide laser. Moreover, although differences in colour can help to differentiate among pigmented lesions, the interpretation of colour can be subjective and is in. Differential diagnosis of white lesions of the oral cavity. Multinucleate giant cells syncytial epithelial cells. Apr 04, 2012 studies of biopsy specimens of white lesions of the oral cavity revealed a 2% to 4% incidence of dyskeratosis.

In this paper, an algorithm is proposed for the assessment of pigmented lesions of the oral cavity, and 3 patients with such lesions are described. Ce1675 white and red oral lesions uw school of dentistry. Oral cavity anatomical and physiological specificities. Among the different forms of lichen planus, the reticular form is the most common and appears as slightly elevated, fine, white lines called wickhams striae, which have a lacelike pattern. Oral surg oral med oral pathol oral radiol endod 2008. As the list of ulcerative lesions in the oral cavity is quite extensive, the focus here will be. There are several conditions that can present as white or red macular, papular, and or plaquelike lesions of the oral mucosa. The lesion is categorized as peripheral growth due to the epithelial origin.