Oral pathology * The examination of oral tissues for evidence
of suspected abnormalities such as cancer.
Aphthous Ulcers
Aphthous ulcers - commonly known as canker sores - are small, painful
sores that occur on the oral mucosa (the pink tissue that lines the
inside of the mouth).
Apical
Cyst
An apical periodontal cyst, also called a radicular cyst, is a mass
of soft tissue that is characterized by having a fluid-filled central
cavity (called a lumen) that develops around the lower 1/3 of a tooth
root, either at the bottom or along the gum line.
Biopsy
A surgical procedure to remove tissue - either a small, representative
portion, or the entire lesion - then send it to a lab for cell testing.
Cellulitis
Cellulitis is a severe, rapidly-spreading bacterial infection that
results from an uncontrolled infection in the gums, tooth pulp or
root end (apex). It normally starts close to the source of the original
infection, and quickly spreads to involve ...
Dental
Fistula
A dental fistula (also called a parulis or a gum boil) forms in response
to an infection at the base of the tooth's root (called the apex).
They can also form in reaction to an abscess, cyst or other inflammation
within the mouth.
Denture
Hyperplasia
Denture hyperplasia is characterized by a smooth, tumor-like mass
that forms within the space between the cheek and the gums (the vestibular
sulcus) in response to chronic irritation caused by the flange of
a poorly-fitting denture.
Epi.
Carcinoma
Epidermoid, or squamous, carcinoma is often characterized by rapid-growing
lesions that vary tremendously in appearance; they can be red or white,
smooth or rough, ulcerated or not ulcerated, and elevated or depressed.
Epithelial
Dysplasia
Epithelial dysplasia refers to microscopic changes in the cells that
makeup the outer layer of the mouth's lining (the mucosa), similar
to changes usually seen in cancers in the same location.
Epithelial
Hyperplasia
Epithelial hyperplasia is a thickening of the outer layer of the mucosa
(the lining of the inside of the mouth) and the skin. This outer layer
is called the epithelium. The degree of thickening can vary greatly.
Fibroepithelial
Polyp
Fibroepithelial polyps are small, round, knob-like growths that can
form anywhere on the mucosa (the pink tissue lining the inside of
the mouth), but are most common on the tongue and the lips. They are
frequently caused by minor irritation.
Fibroma
Most fibromas of the oral cavity are caused by long-term irritation
or trauma, such as persistent cheek or lip biting. They consist of
increased numbers of normal cells (called hyperplasia) that are fibrous
in nature.
Fissured
Tongue
The top surface of a normal tongue is typically smooth, with a slight
groove down the center (called the midline).
Foliate
Papilla
Foliate papilla are crescent-shaped nodules or ridges that exist along
the sides of the rear of the tongue. They occur normally and are not
associated with any localized or systemic disease.
Fordyce
Granules
Fordyce granules are yellow or yellowish-white clusters of pimple-like
formations just beneath the mucosa (the pink tissue covering the inside
of the oral cavity). They usually occur on the inside of the lips
and cheeks or in the corners of the mouth.
Granulatation
Tissue
Granulation tissue is the fleshy new growth that forms on the surface
of a wound as it heals. This tissue is usually firm, or even hard,
and has a red, velvety, 'beefy' appearance because of the large number
of small blood vessels within it.
Hairy
Tongue
Hairy tongue is a chronic condition in which the tiny bumps on the
tongue's surface (called filiform papillae) enlarge and elongate to
form hair-like projections. Normally, the surface cells of the papillae
are shed on a regular basis.
Hypercementosis
Enamel covers the portion of the tooth above the gumline. Cementum
covers the portion below the gumline (the root surface). Hypercementosis
is the thickening or increased deposit of cementumon the root surface.
Lateral
Abscess
A lateral periodontal abscess is a result of rapidly-growing bacteria
within a periodontal pocket. A periodontal pocket forms in the presence
of periodontal disease, as the gums become infected and pull away
from the surface of the teeth.
Leukoedema
Leukoedema is characterized by a widespread whitening of the inner
lining of the cheek or other mouth tissues, due to an increase in
the amount of fluid being retained by the skin's cells.
Leukoplakia
Leukoplakia is a white patch-like lesion that develops on the mucous
membranes within the mouth in response to chronic irritation. The
lesions occur primarily on the tongue and the inside of the cheek,
but also occur frequently on the inner or outer gum line.
Lichen
Planus
Lichen planus is a disease that occurs within the mouth or on the
skin, or may involve both sites. There are three types of lichen planus.
The most common type is reticular lichen planus.
Lymph.
Hyperplasia
Lymphoid hyperplasia is not a disease or a tumor, but simply a term
we use to represent enlarged tissue masses. Normal lymphoid tissue
is found in your lymph nodes and tonsils. These tissues act as your
body's first line of defense against infection.
Mucocele
Mucoceles, or mucus retention cysts, are harmless mucus-filled lesions
that are most common on the inner surface of the lower lip, but can
also appear on the floor of the mouth and the inner lining (mucosa)
of the cheek.
Nicotine
Stomatitis
Nicotine stomatitis is a lesion that develops on the hard or soft
palate of some smokers. It appears as white with raised red dots;
the red areas represent inflamed ducts of the minor mucous glands.
Papillary
Hyperplasia
Papillary hyperplasia is the existence of multiple small, merging
pimple-like lesions within the mouth for an extended period of time.
They usually vary in color from pink to red, and exist primarily on
the roof of the mouth.
Papilloma
Papillomas are slow-growing, soft lesions that are sometimes caused
by a virus. They can also spread through direct contact with the mouth's
lining (the mucosa). Papillomas can occur at any age, and can be found
anywhere on the skin.
Periapical
Abscess
A periapical abscess is an infection at the base or root end of the
tooth (called the apex), and usually encompasses the bottom 1/3 of
the tooth root. The abscess is a collection of pus that develops in
response to a bacterial infection.
Periapical
Granuloma
A periapical granuloma is a relatively common lesion or growth that
develops around the tip of a tooth's root. It consists of a proliferating
mass of granulation tissue (new tissue that forms on a wound) and
bacteria that forms in response to dead teeth.
Pericoronitis
Pericoronitis is a red swelling of the soft tissues that surround
the crown of a tooth that has only partially grown in (erupted). The
swelling ranges from soft to firm. It can progress to become a knob-like
mass of tissue that is very painful.
Periodontitis
Periodontitis is the number one cause of adult tooth loss. It is characterized
by an inflammation and/or degeneration of the tissues that give support
to the teeth - namely the gum and the connective tissue (the periodontal
ligament).
Peripheral
Fibroma
Peripheral ossifying fibromas are well-defined oral growths that contain
bone tissue. They are most often found attached to the gums near the
molars or premolars, and are usually connected either by a wide base
of tissue or by a stalk-like growth.
Pyo.
Granulomas
Pyogenic granulomas are painless, localized, spherical (ball-shaped)
lesions that are most common on the gums, but they can also occur
on the lips, tongue, the inside of the cheek, and occasionally on
other areas in the mouth.
Recurrent
Herpes
Recurrent herpes simplex is a viral infection that occurs repeatedly
in individuals who have experienced a primary infection. Lesions associated
with the disease - called herpetic lesions are more commonly referred
to as cold sores.
Smokeless
Tobacco
Smokeless tobacco users are susceptible to developing cancer of the
mouth, tongue, and pharynx (''voice box'') or leukoplakia.
Torus
Mandibularis
A torus mandibularis is a slow-growing, tumor-like bony growth that
develops on the inside (lingual) surface of the lower jaw bone (the
mandible). Tori are smooth, and can be either broad and flat or knob-shaped.
They vary considerably in size and shape.
Traumatic
Ulcer
An ulcer is a depressed lesion that results from a loss of the the
outer layer of the skin or mucosa (the lining of the mouth). Ulcers
can be superficial (shallow) or deep, with regular or irregular outlines
and flat or raised margins.
Trigeminal
Neuralgia
Facial pain is often blamed on TMD - a complex disorder in the jaw
joint (the temporomandibular joint).
Varices
Varices are localized blood vessels that become dilated (or swollen),
then develop into persistent, soft, blister-like lesions. Their color
may range from blue to gray to purple, depending on the depth of the
lesion and the condition of the blood.
Xerostemia
Xerostomia - or dry mouth - occurs when the salivary glands don't
function properly. This can be a symptom of a serious health condition,
or a side effect of a medication, radiation therapy or chemotherapy.
Hard Tissue
Condensing Osteitis
Condensing osteitis is a change in the density of the bone that usually
occurs as a result of a low-grade infection or chronic irritation
to the tissue surrounding the root of a tooth. This irritation or
infection is frequently part of the body's defense mechanism.
Dentigerous
Cyst
Dentigerous cysts are smooth, firm, soft tissue growths that can develop
on any tooth that has not grown in (erupted) completely. They form
from the follicular sac, a membrane that surrounds the crown portion
of every tooth before it erupts fully.
Enamel
Hypoplasia
Enamel hypoplasia is a disturbance in the tooth's development that
causes incomplete or defective formation of the outer enamel layer
of forming teeth. It can occur on any tooth, primary or permanent,
and appears as tiny pits or grooves.
Exostosis
An exostosis is a slow-growing, tumor-like bony growth that is typically
found on the outer surface of the upper gums, on the roof of the mouth
(the palate), or on the inner surface of the lower gums.
Microdontia
Microdontia is literally "small teeth." When this condition
is present, one or more teeth have shortened roots and are smaller
than normal, or they are cone-shaped or malformed in some other way.
It commonly affects a single tooth or a pair of teeth.
Odont.
Keratocyst
Odontogenic keratocysts are soft, slow-growing lesion usually found
in the lower jaw. They develop as a smooth swelling that can vary
greatly in size, from a small, well-defined growth to an extremely
large mass with many sections.
Osteosclerosis
Osteosclerosis is an abnormal change in the density of bone, not unlike
a similar condition, condensing osteitis. However, there is often
no obvious cause of osteosclerosis.
Pulp
Stones
Pulp stones are hard, bone-like structures that form within the pulp
of a tooth, either within the crown or within the root's canal. They
are usually detected on x-ray examination, unless they are too small
or are not dense enough.
Tooth
Abrasion
Tooth abrasion is the permanent loss of tooth structure that can occur
on the tooth's cutting surface, the outer enamel layer, exposed root
surfaces, and non-enamel surfaces. It is caused primarily by improper
brushing - usually overly vigorous or repeated upward strokes.
Tooth
Attrition
Tooth attrition is the loss of tooth structure that can result from
tooth-to-tooth contact during biting or chewing. It occurs primarily
on the the biting or chewing surfaces of teeth, but it can also occur
on what we call the proximal areas.