Most Common List

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Most Common Reportable BACTERIAL infection = Gonorrhea

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Most common site for minor salivary gland tumors = Palate

Most common malignancy of parotid gland = Mucoepidermoid neoplasm
Most common malignancy of submandibular gland = Adenoid Cystic Ca
Most common salivary gland tumor in children = Parotid Hemangioma
most common type of oral ulcerative disorder = Minor Recurrent Apthous Ulcers
Most common presenting candidial infection = Chronic Atrophic Candidiasis

Most common cause of chronic regional lymphadenopathy in children = Cat Scratch Dis.
Most common oral fungal infection = Candidiasis
Most common systemic fungal infection in U.S. = Histoplasmosis
Most common Peripheral Nerve Tumor = Neurofibroma

One of the most common autosomal genetic problems that affects humans =
Neurofibromatosis
7. Most common site of Salivary gland tumors = Parotid (superficial lobe 80%)

Rare in immunocompromised = Blastomycosis

Rhinocerebral form most relevant to the dentist = Zygomycosis
Common Nosocomial Infection = Aspergillosis
Protozoan = Toxoplasmosis
Mimics Sjogren Synd = Sarcoidosis
Shaumann Bodies & Asteroid Bodies = Sarcoidosis
Non-tender persistant swelling of LIPS = Orofacial Granulomatosis
Only NON-Infectious NECTROTIZING granulomatous disease = Wegners
Protienurea = Wegners
Strawberry Gingivitis = Wegners
Leukoclastic Vasculitis (Nuclear Dust) = Wegners
ANCAs (elevated) = Wegners
Serpentine Pustules (snails tracks) = Pyostomatitis Vegetans (form of sarcoidosis - Oral
lesions of Ulcerative Colitis and Chrons
Antoni A (palisaded nuclei arranged around Verocay bodies) & Antoni B = Neurilemoma
Wavy Nucleated cells (comma shaped) = Neurilemoma (shwannoma), Neurofibroma,
Malignant Peripheral Nerve sheath Tumor
Plexiform Neurofibroma (Bag of Worms) ; Axillary Freckling (Crowes Sign) ; Lisch
Nodules = Neurofibromatosis
Plexiform Neuroma = Neurofibromatosis I
Marfanoid Build = MEN III
Tooth Floating in Space = Melanotic Neuralectodermal Tumor of Infancy (MNTI) ;
deciduous maxillary incisor pushed labially
Sun-Ray osteogenic rxn = Melanotic Neuralectodermal Tumor of Infancy (MNTI)
Mimics Osteosarcoma = Melanotic Neuralectodermal Tumor of Infancy (MNTI)
Make Norepinephrine-like molecules = Melanotic Neuralectodermal Tumor of Infancy
(MNTI)
Wolf in Sheeps Clothing = Adenoid Cystic Ca
Inidan Filling appearance = Polymorphous Low-Grade Adenocarcinoma
Vit A deficiency = Squamous Metaplasia of Ducts Xerostomia
Diagnosis made w/Positive Pathergy Test = Bechet Syndrome skin rxn following injection of
sterile saline
Tzank Smear and Lipsuwitz bodies = Herpies (micro)

HALLMARK-NEUROTROPISM tumor nests all along peripheral nerve = Adenoid Cystic Ca

Ice Pick Lesions = Secondary Herpetic Gingivosomatitis
Post-infection complications are more serious than primary = Streptococcal Pharyngitis
(Scarlet Fever)
Granulomatous lesions w/ Caseation = Tuberculosis
Gummas, Saddle-nose, Hutchinsons Triad = Syphilis
Sarcoidosis affecting only the lip = Cheilitis Granulomatosum (orofacial granulomatosis)
Lumpy Jaw = Actinomycosis
most common in uncontrolled insulin-dependent diabetics w/ ketoacidosis = Zygomycosis
Thrush = Acute Pseudomembranous Candidiasis (typically asymptomatic)
Denture Sore Mouth and assoc w/ Papillary Hyperplasia = Acute Atrophic Candidasis
(painful)
Candidiasis w/ possible malignant transformation = Chronic Hyperplastic Candidiasis
Perleche & Rhomboid Glossitis = Chronic Atrophic Candidiasis
Elongated Rete Ridges = Geographic Tongue (BMG)
POLYGONAL CELLS = Granular Cell Tumor/myoblastoma
Newborns ANTERIOR RIDGE MAXILLA, 90% FEMALES = Congenital Epulis
ANTERIOR ALVEOLAR BONE OF NEWBORN 1ST YR, MAXILLA = MNTI
URINARY VMA = MNTI
STURGE-WEBER SX & VON HLIPPEL-LINDAU = Vascular Malformations
TRAM LINE CALCIFICATIONS = Sturge-Weber Sx
Pre-Medicate for Dental Tx = Hereditary Hemorrhagic Telangectasia (Osler-Weber-Rendu
Sx)
GIANT CONGENITAL CAVERNOUS LYMPHANGIOMA OF HEAD AND NECK
INTERFERE W/ BREATHING AND CAN BE FATAL = Cystic Hygroma
HPV 8 = Kaposi Sarcoma
Smooth mm tumor = Leiomyoma
Skeletal mm tumor (most common in HRT) = Rhabdomyoma spider web cells
Leiomyoma = W/O mitoses & Leiomyosarcoma = W/ mitoses
CHEMO CURES 65% = Rhabdomyosarcoma
PAPILLARY FRONDS (PROJECT INTO CYSTIC SPACE) LINED BY DBL ROW OF
COLUMNAR ONCOCYTIC CELLS = Warthins Tumor
Slow grower = Adenoid Cystic Ca, Acinic Cell Ca, Low grade polymorphous
adenocarcinoma
Fast grower = Malignant mixed tumor

10% PORT WINE STAIN HAVE STURGE WEBER

borrelia burgdorferi Lyme disease
spirochete treponema pallidum Syphilis
Neisseria gonorrhea Gonorrhea
Actinomyces israelii - Actinomycosis
Bartonella henselae and Alipia felis Cat Scratch Dis
C. albicans Candidasis
Paramyxovirus = Mumps

S. Aureus = Acute Post-op Parotitis (life-threatening) not caused by S.Aureus, but get bad
infect due to Atropine caused xerostomia and damage to wartons duct
Salivary Gland Neoplasms
MALIGNANT-SLOW GROWER, ENCAPSULATED, WELL DEMARCATED, HISTOWELL DIFF, NO HYPERCHROMATISM, PLEOMORPHISM, MITOTIC ACTIVITY
BENIGN-INFILTRATE AND PLEOMORPHISM(OPPOSITE TO WHAT WE
LEARNED),
LARGER THE GLAND THE MORE BENIGN IT IS!

Encapsulated : 1. Neurilemoma (shwannoma)

Pseudoencapsulated : 1. Acinic Cell Ca
Risk of Neurofibromatosis : 1. Neurilemoma (shwannoma) NF II
2. Neurofibroma if multiple lesions
Palmer/Plantar Hyperkeratosis : 1. Reiter Syndrome
Pseudoephilial Hyperplasia : 1. Granular Cell Tumor
2. Necrotizing Sialometaplasia
Cribiform pattern (swiss cheese) : 1. Acinic Cell Ca
2. Low-grade polymorphous adenocarcinoma
Perineural Infilration : 1. Adenoid Cystic Ca
2. Polymorphous Low-grade Adenocarcinoma
- most soft tissue tumors look alike (non-descript submucosal lump) and
can easily be confused w/ salivary gland tumors and oral fibromas
- hemangioma/vascular malformationsred-purple, present many years
- lymphangiomadiffuse, pebbly, soft lesions of tongue
- lipomasoft, yellowish hue
- neurofibromasoft
- granular cell tumortongue location, especially dorsal
- congenital epulismaxillary anterior ridge of newborns, mostly female
- melanotic neuroectodermal tumor of infancymaxillary anterior ridge of infant,
pigmented, may show bone destruction
- RAU minorulcers are small, less than 5, w/ infrequent recurrence
- herpetiform aphthaemany (up to 100) small irregular ulcers
- RAU majorulcers are huge, leave scars, and arise frequently
- Behcet syndromegenital + eye + oral involvement, positive pathergy
- Reiter syndromegeog. lesions, inflamed joints/eyes, p-p h-keratosis
- Crohns diseaseweight loss, abdominal pain/diarrhea, anal lesions
- ulcerative colitisbouts of bloody diarrhea

- HIVincreased numbers of RAU major ulcerations

- neutropeniagingival ulcerations predominate among oral lesions
- IgA deficiency
- PFAPA syndromeperiodic fever, oral aphthae, pharyngitis, cervical
node lymphadenopathy
- MAGIC syndromegenito-oral ulceration, inflamed cartilage
- secondary intraoral herpesulceration limited to hard palate/gingival
Macroglossia :
- diffusely big tongue
- potential etiologies:
- neoplasms/hamartomashemangioma, lymphangioma,
neurofibroma, Schwannoma, MEN III syndrome
- endocrineacromegaly, mxyedema/cretinism
- othercongenital, hemihypertrophy, Down syndrome,
mucopolysaccharides, Beckwith hypoglycemia syndrome
- acquiredamyloidosis (especially w/ multiple myeloma),
physiologic (loss of teeth, etc.)