Exam 3 - Mouth part 1

what is the anterior opening of the oropharynx

mouth

what does the mouth house

tongue, teeth, gums

what initiates swallowing

food being forced by the tongue towards the pharynx

TQ

the oropharynx is separated by the mouth via what structures

anterior and posterior tonsillar pillars

how many permanent teeth do adults have

32

how many teeth do 6-24 month olds have

20 deciduous

at what age do permanent teeth begin to form

6 months

when do permanent teeth begin to erupt

6 years

what age do permanent teeth completely erupt

14-15 years

in caucasian populations, the 3rd molar erupts at what age

18 years

what may delay tooth eruption

nutritional deficiencies and chronic conditions

laryngeal changes during pregnancy can result in what

hoarseness, cough, vocal changes

at what age does sense of taste begin to deteriorate

50 years

in older adults, gingival tissue becomes less ____ and gums recede

elastic

what is the aka of fordyce granule/spots

ectopic sebaceous glands

are Fordyce Granules/Spots made of normal or abnormal tissue?

normal tissue in an abnormal location

what do Fordyce Granules/Spots resemble

pimples/herpes near border of lips

what is the term for cracks in the corner of the mouth

cheilosis/cheilitis

who is at an increased risk for cheilosis

dentures, malocclusion

what are some risk factors for cheilosis

vitamin B deficiency

trace mineral deficiency

protein malnutrition

malocclusion

does cheilosis happen rapidly or over time

over time

what is angioedema

edema of blood vessels

40% of chronic angioedema cases are from an ____ cause

idopathic

what is the most common trigger for acute angioedema

allergic response (hypersensitivity)

failure of fusion of the lip or palate before ____ weeks of gestation results in cleft lip/palate

12

what is the most common craniofacial congenital malformation

cleft lip/palate

which way does the tongue point when there is hypoglossal nerve paralysis

toward the pathology (weak side)

aka of baby bottle sydrome

early childhood caries (ECC)

what age is baby bottle syndrome most concerning

6-9 months - feed before bed and sugar sits on newly erupted teeth

what are 3 etiologies of baby bottle syndrome

1. lactobacilli

2. improper dietary/feeding

3. sugary diet

squamous cell carcinoma of the tongue results in ___ changes that do not show signs of healing within ___ month(s)

ulcerative, 1

aka of geographic tongue

benign migratory glossitis

what may geographic tongue be associated with

psoriasis

geographic tongue is common during what

pregnancy

aka of hair tongue

elongated filiform papillae

what are some risks for hairy tongue

smoking, soft diet, hot beverages, poor hygiene

who is hairy tongue most common in

stroke patients and those with swallowing disorders

what can cause black hairy tongue

discoloration from coffee/tobacco

torus palatinus and torus mandibularis are developmental abnormalities of the oropharyngeal area in which ____ develops on either the hard palate of the mandibular area

bone

torus palatinus occurs in ___% of the population and torus mandibularis occurs in ____% of the population

20

6

aka of salivary stones

sialoliths

are sialoliths commonly seen on x-ray

no

TQ

what duct is most likely to be obstructed by sialoliths

whartons

who is at an increased risk for tonsilloliths

those with larger tonsils due to larger crypts

what does the Brodsky Grading Scale measure

occlusion of airway from tonsils as a %

what % of the airway is occluded with each rating of the Brodsky Scale

1

2

3

4

<25%

26-50%

51-75%

>75%

a patient saying ahhhh does what to the position of the oropharync

brings it forward

which CN is tested by eliciting the gag reflex

glossopharyngeal (9)

vagus (10)