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ORAL PATHOLOGY.

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Presentation on theme: "ORAL PATHOLOGY."— Presentation transcript:

1 ORAL PATHOLOGY

2 DEFINITIONS PATHOLOGY

3 DEFINITIONS PATHOLOGY DIAGNOSIS

4 PATHOLOGY DIAGNOSIS DIFFERENTIAL DIAGNOSIS
DEFINITIONS PATHOLOGY DIAGNOSIS DIFFERENTIAL DIAGNOSIS

5 PATHOLOGY DIAGNOSIS DIFFERENTIAL DIAGNOSIS ETIOLOGY
DEFINITIONS PATHOLOGY DIAGNOSIS DIFFERENTIAL DIAGNOSIS ETIOLOGY

6 PATHOLOGY DIAGNOSIS DIFFERENTIAL DIAGNOSIS ETIOLOGY PATHOGENESIS
DEFINITIONS PATHOLOGY DIAGNOSIS DIFFERENTIAL DIAGNOSIS ETIOLOGY PATHOGENESIS

7 DEFINITIONS PATHOLOGY DIAGNOSIS DIFFERENTIAL DIAGNOSIS ETIOLOGY
PATHOGENESIS PROGNOSIS

8 DEFINITIONS PATHOLOGY DIAGNOSIS DIFFERENTIAL DIAGNOSIS ETIOLOGY
PATHOGENESIS PROGNOSIS DISEASE

9 DISEASE Any abnormal condition of an organism or one of its parts, especially as a consequence of:

10 DISEASE Any abnormal condition of an organism or one of its parts, especially as a consequence of: Inherent Weakness

11 DISEASE Any abnormal condition of an organism or one of its parts, especially as a consequence of: Inherent Weakness Physical Stimuli

12 DISEASE Any abnormal condition of an organism or one of its parts, especially as a consequence of: Inherent Weakness Physical Stimuli Infection

13 DISEASE Any abnormal condition of an organism or one of its parts, especially as a consequence of: Inherent Weakness Physical Stimuli Infection Emotional Stress

14 DISEASE Any abnormal condition of an organism or one of its parts, especially as a consequence of: Inherent Weakness Physical Stimuli Infection Emotional Stress Other factors

15 Pathological Stimulating Factors

16 Pathological Stimulating Factors
Endogenous Injuries occurring within a cell These are primarily GENETIC

17 Pathological Stimulating Factors
Endogenous Injuries occurring within the cell These are primarily GENETIC Exogenous Factors occurring outside the cell These are the most common

18 Pathologic Stimulating Factors include:

19 Pathologic Stimulating Factors include:
Trauma

20 Pathologic Stimulating Factors include:
Trauma Radiation

21

22 Radiation Caries

23 Pathologic Stimulating Factors include:
Trauma Radiation Temperature

24 Pathologic Stimulating Factors include:
Trauma Radiation Temperature Emotion

25 Pathologic Stimulating Factors include:
Trauma Radiation Temperature Emotion Drugs

26 Pathologic Stimulating Factors include:
Trauma Radiation Temperature Emotion Drugs Parasites

27 Pathologic Stimulating Factors include:
Trauma Radiation Temperature Emotion Drugs Parasites Nutrition

28 Reaction of the Host

29 Reaction of the Host Malformations Degenerations
Circulatory Disturbances Inflammation Growth of Tissue Neoplasms Developmental Disorders Inherited Disorders Congenital Disorders

30 Reaction of the Host Malformations Example: Malformed Teeth

31 Reaction of the Host B. Degeneration

32 Reaction of the Host C. Circulatory Disturbances

33 Reaction of the Host C. Circulatory Disturbances Hyperemia

34 Reaction of the Host C. Circulatory Disturbances Hyperemia Anemia

35 Reaction of the Host C. Circulatory Disturbances Hyperemia Anemia
Ischemia

36 Reaction of the Host C. Circulatory Disturbances Hyperemia Anemia
Ischemia Infarction

37 Reaction of the Host C. Circulatory Disturbances Hyperemia Anemia
Ischemia Infarction Hemorrhage

38 Reaction of the Host C. Circulatory Disturbances Hyperemia Anemia
Ischemia Infarction Hemorrhage Thrombosis

39 Reaction of the Host C . Circulatory Disturbances Hyperemia Anemia
Ischemia Infarction Hemorrhage Thrombosis Embolism

40

41 Reaction of the Host D. Inflammation

42 Reaction of the Host D. Inflammation Cope with Foreign Agents

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44 Reaction of the Host D. Inflammation Cope with Foreign Agents
Proliferation of cells

45 Reaction of the Host D. Inflammation Cope with Foreign Agents
Proliferation of cells Repair-of-Tissue

46 Reaction of the Host D. Inflammation Cope with Foreign Agents
Proliferation of cells Repair-of-Tissue Regeneration

47 Reaction of the Host E. Growth of Tissue

48 Reaction of the Host E. Growth of Tissue Hyperplasia

49 Reaction of the Host E. Growth of Tissue Hyperplasia Hypertrophy
Atrophy

50 Atrophy

51 Reaction of the Host E. Growth of Tissue Hyperplasia Hypertrophy
Atrophy Metaplasia

52 Reaction of the Host Neoplasms Benign Malignant Metastasis Carcinoma
Sardcoma

53 Benign Lesion

54 Malignant Lesion

55 Reaction of the Host G. Developmental Disorders

56 Reaction of the Host Developmental Disorders Inherited Disorders

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58 Reaction of the Host Developmental Disorders Inherited Disorders
Congenital Disorders

59 Landmarks Section added by Heidi Emmerling, RDH, PhD

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61

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63 Lips

64 Wet Line   The wet line is the junction between vermillion border and the mucosa of the lip.

65 Wet Line

66 Vermillion Border The vermillion borders of the upper (A) and lower (B) lips are indicated by the arrows.

67

68 Labial Mucosa The labial mucosae are the mucosal surfaces of the upper and lower lips. Here you see the lower labial mucosa.

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70 Buccal Mucosa This is a good picture of most of the right buccal mucosa of this patient. It is the inner lining of the right cheek.

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72 Parotid Papilla The parotid papilla or the opening of Stenson's duct (arrow) often appears as a nodule on the buccal mucosa. Don't confuse it with a lipoma or fibroma and cut it off.

73

74 Hard Palate

75 Hard Palate

76 Incisive Papilla

77 Incisive Papilla

78 Ruggae The rugae (arrows) are frequent sites of injury.

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80 Soft Palate

81 Median Palatal Raphae The palatine raphe (arrows) is more prominent in some people than in others. It is very easily palpated in all patients.

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83 Fovea Palatinae At the posterior end of the hard palate, there are frequently two small depressions, the fovea palatinae. This demarcates the imaginary line of where the hard palate ends and the soft palate begins

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86 Uvula The uvula (arrow) is a prominant landmark at the opening of the oropharynx.

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88 Oropharynx The opening to the oropharynx (OP) is outlined by the broken line. The soft palate (SP) is more anterior.

89 The glossopalatine arch is designate G, and the pharyngopalatine arch is designated P. These are also called the anterior pillar (G) and the posterior pillar (P) of the fauces. Between them is the tonsillar niche (N).

90 Enlarged tonsils

91

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93 Tongue

94 Filiform These are the most numerous papillae, the filiform papillae (arrows).

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96 Fungiform Bright red, larger, have taste buds Yum!

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98 Circumvallate Papilla
large on posterior of dorsum of tongue 8-12 in number

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100 Foliate papilla lateral-posterior border
These are the foliate papillae (arrows). These papillae are particularly subject to trauma from biting during mastication. When they get traumatized, they are very painful and may even become infected and cause cervical lymphadenopathy

101

102 Normal frenum

103 Ankylogossia This is the gross appearance of the tongue when patient was asked: "Stick out your tongue. "Note the classic symptom of a bifid or bilobed lingual apex with a corresponding midline "cleft" or septal limitation.

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105 "Now pull your tongue back into your mouth as far as you can." 
The extremely short lingual frenulum is attached high on the gingival margin and the lingual attachment is far more superior and anterior on the tongue than normal.  The point  where the frenulum exits the tongue tip is bordered by filiform and fungiform papillae (taste buds).  The frenulum is blanched white from the ischemia caused by the tight pull on the lingual apex during tongue retraction.

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107 Manual elevation of the lingual apex by the examiner.

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109 "Open your mouth wide and show me your tongue." 
Note the hypoplastic development of the lingual apex in contrast to the bulk of the more posterior blade of the tongue behind it (demarcated by the cone-like shape and more dense distribution of fungiform papillae on the apex).

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111 Lingual Varicosity Enlarged, dilated bluish-purple blebs on the ventral surface of the tongue Usually found in older adults(2/3 over 60)

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113 Periodontium (duh) 

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115 alveolar mucosa Unattached gingiva =alveolar mucosa

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119 interdental groove a linear, vertical depression on the surface of the interdental papillae; it functions as a sluiceway for the egress of food from the interproximal areas.

120 Interdental Grooves


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