1. SHOULD I BIOPSY THIS? SHOULD I BIOPSY THIS? TANYA A. WRIGHT, DDS

2. OBJECTIVES One will recognize and become familiar with normal structures in the oral cavity. One will recognize common pathological entities in the oral cavity. One will be able to formulate a differential diagnosis for clinical pathological entities.

3. LIPS

5. ANGULAR CHEILITIS

6. RECURRENT HERPES (“COLD SORE”)

7. ERYTHEMA MULTIFORME

8. LABIAL MUCOSA

10. MUCOCELE

11. PAPILLOMA

12. VESTIBULE

14. APHTHOUS ULCERS “CANKER SORES”

15. SMOKER’S KERATOSIS

17. GINGIVA

19. TORUS MANDIBULARIS

20. PERIPHERAL OSSIFYING FIBROMA/ PHYSIOLOGIC PIGMENTATION

21. PYOGENIC GRANULOMA PRE-OP POST-OP

22. PERIPHERAL GIANT CELL GRANULOMA FACIAL LINGUAL

23. DESQUAMATIVE GINGIVITIS

24. BISPHOSPHONATE ASSOCIATED OSTEONECROSIS

25. BUCCAL MUCOSA

27. LINEA ALBA/FORDYCE GRANULES

28. LEUKOEDEMA

29. LICHEN PLANUS-WICKHAM’S STRIAE

30. DORSAL TONGUE

32. GEOGRAPHIC & FISSURED TONGUE GEOGRAPHIC & FISSURED TONGUE

33. MEDIAN RHOMBOID GLOSSITIS

34. LATERAL TONGUE

36. ORAL HAIRY LEUKOPLAKIA

37. PROLIFERATIVE VERRUCOUS LEUKOPLAKIA

38. SQUAMOUS CELL CARCINOMA

39. FLOOR OF MOUTH

41. RANULA

42. HARD & SOFT PALATE

44. DENTURE STOMATITIS DENTURE IN DENTURE OUT

45. NICOTINE STOMATITIS

46. NECROTIZING SIALOMETAPLASIA

47. SUMMARY A thorough extra/intraoral examination may save a life. Variations of normal structures in the oral cavity should not be mistaken for pathology. Suspicious lesions including ulcerations should always be biopsied.

48. SPECIAL THANKS THE ORAL PATHOLOGY LABORATORY, INC. FLUSHING, NEW YORK TRACEY ROSENBERG DDS, MD LONG ISLAND, NEW YORK

49. REFERENCES Langlais, R., Miller, C. Color Atlas of Common Oral Diseases, 3 rd ed. 2003. Ruggiero S, Mehotra B, Rosenberg T et. al.: “Osteonecrosis of the Jaws Associated With the Use of Bisphosphonates: A Review of 63 Cases.” J Oral Maxillofac Surg 62:527-534, 2004 www.db.uth.tmc.edu