5

what are all the different names for geographic tongue

Erythma migrans

benign migratory glossitis

geographic tongue

erythma migrans is a Common benign condition of ____ etiology

unknown

erythma migrans is usually (asymptomatic/symptomatic)

asymptomatic

benign migratory glossitis is characterized by atropy of_____ ____

filiform papilla

erythma migrans is characterized by Well demarcated zones of _____

surrounded by a thick, _____ border

erythema

irregular

Tortuous, scalloped, serpentine like

❖White to yellow

the red areas with geographic tongue are the ______ areas

depapillated

where is geographical tongue found

tongue and other non-keratinized sites

1/3 of patients with erythra migrans have an associated _____ ____

fissured tongue

can be painful

diagnosis of erythma migrans is based on ___ features and (does/doesnt) require a biopsy

clinical

doesnt

do you treat geographic tongue if asymptomatic, do we treat?

no just patient education

do you treat geographic tongue if symptomatic

yes with topical corticosteroids

what is the prognosis with geographoc tongue

good, no potential for malignant transformation

subsections of erythroleukoplakia

Epithelial dysplasia

Carcinoma-in-situ

Squamous cell carcinoma

erythroleukoplakia is ___ and ___ in color

mixed red and white

erythroleukoplakia is (asymptomatic/asymptomatic)

asymptomatic

erythroleukoplakia is (macular/papule)

macular

erythroleukoplakia is (localized/multifocal)

localized

erythroleukoplakia has an ____ duration

unknown

erythroleukoplakia - squamous cell carcinoma example

mixed red and white

demarcated inferiorly, diffuse superiorly

asymptomatic with this = BAD

erythroleukoplakia - squamous cell carcinoma example 2

rolled borders - bad in the dental cavity

erythroleukoplakia - SCC example 3

no noted

erythroleukoplakia - SCC 4

.

would we take the whole lesion here?

no, >1cm so we would refer out for management

this condition is a common mucosal change of the hard palate that looks like dried mud

nicotinic stomatitis (smokers palate)

is nicotinic stomatitis (asymptomatic/symptomatic)

asymptomatic

what is the cause of nicotinic stomatitis

heat from smoking

pipe,cigar,cigs,ecigs (even though less heat)

nicotinic stomatitis presents diffusely ____, ___, and ___ appearance

white

rough

leathery

nicotinic stomatitis will also present with numerous ___ dots or macules

red

are minor salivary glands that are inflammed/open

we will never have the minor salivary glands on the ____ area

rugae

true or false:

nicotinic stomatitis can occur from other hot things

true

if something extremely hot is coming into contact with the hard palate this can happen (hot tea/coffee)

true leukoplakia in the setting of nicotinic stomatitis

wrinkled = leukoplakia

comlpex patient

thick white plaques

what is the treatment of nicotinic stomatitis

smoking cessation (if applicable)

regular recall examinations

prognosis for nicotinic stomatitis

good, not considered premalignant