Differential Diagnosis of Oral and Maxillofacial Diseases for the Non- Dental Provider.

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Presentation transcript:

Differential Diagnosis of Oral and Maxillofacial Diseases for the Non- Dental Provider

U.S. Public Health Service

John A. Logan College

Objectives  1.Ask correct questions and utilize the history of the patient’s oral disease process as the first step in gathering information.  2.Learn to evaluate characteristic appearances of oral lesions during the clinical examination.  3.Narrow the list of diagnostic possibilities in order to prioritize patients for referral.

Non-Objectives No specific diagnosis

Physiologic pigmentation

Physiologic Pigmentation

Call the Call the Coroner!

linea alba

Post-inflammatory Pigmentation

Amalgam Tattoo

Fordyce Granules

Fissured Tongue extensive grooves and fissures over the entire dorsal surface

Burning Mouth Syndrome

Burning Mouth

Treatment

Geographic Tongue

erythema migrans, ectopic geographic tongue benign migratory glossitis

Geographic Tongue

Treatment  dexamethasone  diphenhydramine

stomatitis

Median Rhomboid Glossitis

Median Rhomboid Glossitis Treatment 1.antifungal therapy 2.topical corticosteroids 3.neuropathic pain analgesics

Median Rhomboid Glossitis

Angular Cheilitis

Traumatic Ulceration

Tori

Maxillary Torus

Mandibular Tori

Exostoses

attrition

Abrasion

Toothbrush Abrasion

Erosion

Caries

Chronic Hyperplastic Pulpitis

Periodontal disease

Fibroma

Fibroma

Fibroma

Inflammatory Papillary Hyperplasia

Denture care

Hemangioma

Hemangioma (compressed)

Lipoma

Mucocele