Dental Cases 🦷

Glossitis Definition: is an inflammation of the tongue either it’s inflammatory in origin of particularly inflamed. Causes of glossitis: 1- Common causes • Anaemia • Vitamin B group deficiencies (especially B12) • Erythema migrans • Candidosis •median rhomboid glossitis • Lichen planus 2- Rare causes • Bacterial infection • Scarlet fever • Kawasaki disease • Glucagon secreting pancreatic tumours • Syphilitic glossitis of tertiary syphilis Clinical features: 1- Erythematous changes 2- pain 3- burning sensation 4- tongue atrophy in specific disease Treatment: Depends on type of cause. Follow: @Dental_cases

Non-odontogenic tumours of bone: 1- Non-neoplastic • Exostoses and tori • Osteochondroma • Central giant cell granuloma 2- Histiocytoses • Langerhans cell histiocytosis 3- Primary: benign neoplasms • Osteoma • Ossifying fibroma • Haemangioma • Melanotic neuroectodermal tumour 4- Primary: malignant neoplasms • Osteosarcoma • Chondrosarcoma • Ewing’s sarcoma • Multifocal or potentially multifocal: myeloma 5- Secondary: metastatic malignant neoplasms • Carcinoma Follow: @Dental_cases

WHITE LESIONS ⁃ Hereditary : 1.Leukoedema 2.White sponge nevus 3.Hereditary benign intraepithelial dyskeratosis ⁃ Reactive/inflammatory: 1.Linea alba (white line) 2.Frictional (traumatic) keratosis 3.Chemical injuries of the oral mucosa 4.Actinic keratosis (cheilitis) 5.Smokeless tobacco–induced keratosis 6.Nicotine stomatitis ⁃ infectious Lesions: 1.Oral hairy leukoplakia. 2.Candidiasis 3.Parulis ⁃ Idiopathic “true” leukoplakia Follow: @Dental_cases

Fissured tongue Definition: Is a term described multiple small furrows or grooves on the dorsal surface of tongue. Clinic Features: ⁃ Single or multiple grooves ⁃ shallow or deep groove/s ⁃ Usually the fissure at the middle of tongue is prominent ⁃ most fissures are found on the middle one-third of the tongue. ⁃ Occurs in about 5% of people especially male. ⁃ White coating from food intake ⁃ Harmless with no symptoms. Causes: ⁃ the general cause of fissure tongue is unknown . It is a normal variation condition. ⁃ Sometimes this condition occurs with a Geographic tongue combination. Treatment: No treatment is necessary except to encourage good oral hygiene including brushing the top surface of the tongue to remove any food debris from the fissure. Done by: Dr/Abrar Khaled 🦷 Follow: @Dental_cases

Important causes of ankylosis Trauma: • Intracapsular fracture of the condyle • Penetrating wounds • Forceps delivery at birth Infection • Otitis media/mastoiditis • Osteomyelitis of the jaws • Haematogenous – pyogenic arthritis Arthritides: • Systemic juvenile arthritis • Psoriatic arthropathy • Osteoarthritis (rarely) • Rheumatoid arthritis (rarely) Neoplasms of the joint: • Chondroma • Osteochondroma • Osteoma Miscellaneous: • Synovial chondromatosis . Follow: @Dental_cases

Classifications of odontogenic and jaw Tumours Benign epithelial tumours: • Ameloblastoma • Ameloblastoma, unicystic type • Ameloblastoma peripheral/extraosseous type • Metastasizing ameloblastoma • Squamous odontogenic tumour • Calcifying epithelial odontogenic tumour • Adenomatoid odontogenic tumour Benign mixed epithelial and mesenchymal tumours: • Ameloblastic fibroma • Primordial odontogenic tumour • Odontome (developing/compound and complex) • Dentinogenic ghost cell tumour Benign mesenchymal tumours: • Odontogenic fibroma • Odontogenic myxoma / myxofibroma • Cementoblastoma Fibro-osseous lesions: • Cemento-ossifying fibromas • Cemento-osseous dysplasia Malignant neoplasms: • Ameloblastic carcinoma • Primary intraosseous carcinoma NOS • Sclerosing odontogenic carcinoma • Clear cell odontogenic carcinoma • Ghost cell odontogenic carcinoma • Odontogenic carcinosarcoma • Odontogenic sarcomas . Follow: @Dental_cases

Cysts of the jaws, face and neck: 1-ODONTOGENIC CYSTS Cysts of inflammatory origin: ⁃ Radicular cyst Residual radicular cyst ⁃ Inflammatory collateral cysts Cysts of developmental or unknown origin: ⁃ Dentigerous cyst Eruption cyst ⁃ Odontogenic keratocyst Orthokeratinised - odontogenic cyst Lateral periodontal cyst ⁃ Botryoid odontogenic cyst ⁃ Glandular odontogenic cyst Calcifying odontogenic cyst Gingival cysts ⁃ Gingival cyst of infants ⁃ Gingival cyst of adults 2-NON-ODONTOGENIC CYSTS ⁃ Incisive canal cyst ⁃ Nasolabial cyst ⁃ Sublingual dermoid cyst ⁃ Thyroglossal duct cyst ⁃ Branchial cyst ⁃ Foregut cysts . Follow: @Dental_cases