🌹‏إِنَّ رَبِّي لَسَمِيعُ الدُّعَاءِ🌹

Herpes simplex virus Treatment acyclovir

oral thrush treatment nystatin ointment or suspenion

DX:fibroma Treatment: Excision

Dx geographic tongue 👅 Tx no treatment (self limited condition) Patient motivation.

Actinic chelitis Management: Protection from sun exposure and discontinuation of habits such as smoking Any indication of progression to early carcinoma needs excisional biopsy

Fordyce granules No treatment

Hairy tongue Reassurance that it reversible ,, treated simply by Mechanical brushing tongue Mouth wash Oral hygiene instructions And motivation Follow up

diagnosis:pyogenic granuloma description:soft red mas over lower right 3 and 4 treatment: _surgical excision _follow up

MEDIAN RHOMBOID GLOSSITIS -A form of Oral Candidosis☝️ -Roughly diamond-shaped lesion♦️ -Anterior to circumvallate👅 line -Well demarcated and symmetric🌗 -Often erythematous and smooth -May be hyperplastic, nodular or fissured -Burning 🔥 sensation sometimes -Persistent pruritus is some cases -Mirror lesion on palate -Male predilection 👨🏻 -Common in smokers 🚬 & asthmatics -A.K.A. ‘Central Papillary Atrophy’ -Antifungal agents 💊 for treatment. -Possible biopsy🔬 for non-resolving

Diagnosis: herpes labialis Treatment:acyclovir pills

Mulberry molars of congenital syphilis ... no treatment

Dx:candidiasis Tt:oral drops of Nystatin

This inflammation is caused by -fungal presence of microscopic (Candida albicans) -Wearing the prosthesis continuously makes the stomatitis worse, Treatment : advisable to remove dentures or partials when sleeping Give anti fungal

على الطاير بعض تعريفات و أوصاف لمختلف الlesions Atrophy :Loss of tissue, typically due to thinning of cell layers; often associated with erythema Bulla :A fl uid-fi lled blister >0.5 cm in diameter Ecchymosis: A macular area of submucosal hemorrhage :(bruise) appearing as a well-defi ned area of erythema or purplish-blue pigmentation Endophytic :A lesion that appears to be growing inward toward the underlying tissues Erosion :Loss or thinning of superficial epithelial layers not extending through the full thickness of epithelium, typically secondary to inflammation Erythema :Redness of the mucosa often due to a combination of inflammation, increased vascularity, and epithelial atrophy Exophytic :A lesion that appears to be growing outward from the mucosa Fixed :A lesion that is nonmobile and firmly attached to the underlying structures Hematoma :A tumor-like collection of blood in the submucosa presenting as a well-defi ned raised lesion that is red, purple, or black Indurated: Hard and firm upon palpation in tissue that would normally be soft Leukoplakia :A white lesion that does not rub away and that cannot be defi ned by any obvious clinical entity; requires further evaluation to rule out potential malignancy Macule :A well-defi ned fl at lesion with color or texture changes Mobile :A movable lesion that does not appear to be connected to underlying structures Nodule :A solid mass visible or palpable within or underneath the mucosa Papillary: A lesion with multiple finger-like projections Papule :A well-defi ned elevated lesion <0.5 cm in diameter Pedunculated :An exophytic lesion that is attached to the mucosa by a thinner stalk Petechia :A small, punctate area of submucosal hemorrhage Plaque :A well-defined elevated lesion >0.5 cm in diameter on skin or mucosal surface Pustule : A small, well-defined accumulation of pus, usually located superficially Sessile :An exophytic lesion that is firmly attached to the mucosa by a broad base Ulcer :Loss of epithelium, typically presenting with a yellow or whitish-gray pseudomembrane Vegetation :An exophytic lesion with multiple papillary or nodular areas of outgrowth Verrucous Papillary and deeply folded epithelial changes that can appear wart-like Vesicle: A fl uid-fi lled blister <0.5 cm in diameter

Dx: dentures stomatitis....

Diagnosis: eruption hematoma Treatment: self _limiting

Traumatic ulcer (bitting)

بعض تعريفات و أوصاف لمختلف الlesions Atrophy :Loss of tissue, typically due to thinning of cell layers; often associated with erythema Bulla :A fl uid-fi lled blister >0.5 cm in diameter Ecchymosis: A macular area of submucosal hemorrhage :(bruise) appearing as a well-defi ned area of erythema or purplish-blue pigmentation Endophytic :A lesion that appears to be growing inward toward the underlying tissues Erosion :Loss or thinning of superficial epithelial layers not extending through the full thickness of epithelium, typically secondary to inflammation Erythema :Redness of the mucosa often due to a combination of inflammation, increased vascularity, and epithelial atrophy Exophytic :A lesion that appears to be growing outward from the mucosa Fixed :A lesion that is nonmobile and firmly attached to the underlying structures Hematoma :A tumor-like collection of blood in the submucosa presenting as a well-defi ned raised lesion that is red, purple, or black Indurated: Hard and firm upon palpation in tissue that would normally be soft Leukoplakia :A white lesion that does not rub away and that cannot be defi ned by any obvious clinical entity; requires further evaluation to rule out potential malignancy Macule :A well-defi ned fl at lesion with color or texture changes Mobile :A movable lesion that does not appear to be connected to underlying structures Nodule :A solid mass visible or palpable within or underneath the mucosa Papillary: A lesion with multiple finger-like projections Papule :A well-defi ned elevated lesion <0.5 cm in diameter Pedunculated :An exophytic lesion that is attached to the mucosa by a thinner stalk Petechia :A small, punctate area of submucosal hemorrhage Plaque :A well-defined elevated lesion >0.5 cm in diameter on skin or mucosal surface Pustule : A small, well-defined accumulation of pus, usually located superficially Sessile :An exophytic lesion that is firmly attached to the mucosa by a broad base Ulcer :Loss of epithelium, typically presenting with a yellow or whitish-gray pseudomembrane Vegetation :An exophytic lesion with multiple papillary or nodular areas of outgrowth Verrucous Papillary and deeply folded epithelial changes that can appear wart-like Vesicle: A fl uid-fi lled blister <0.5 cm in diameter

التقرحات الفموية وصف التقرحات من ناحية العدد الحجم الشكل الحدود وعمق التقرح Number: Solitary Versus Multiple a. Solitary –  b. Multiple –  and if they remain separate or coalesce: i. Separate – Ulcers are few in number or widely spaced. They are not likely to merge or blend into one another, even if enlarged; they remain distinct. ii. Coalesced  –  Ulcers are numerous and in close proximity. After minor enlargement they merge or blend into one another, which results in a single lesion; the original outline of the initial ulcers may or may not still be detectable. Outline The outline i. Regular – The border is continuous and linear, and it resembles a circle or oval. ii. Irregular  –  The border has numerous deviations from a circular or oval pattern. Margins i. Raised – Margins are above the plane of the normal mucosa. ii. Smooth – Margins are on the same plane as the normal mucosa. Depth Depth is defined and measured as the distance from the base of the depression to the plane of the margin of the depression. If a measuring device is lacking, an estimated depth is determined by comparing that distance to the known size of adjacent anatomic landmarks: i. Superficial – Depth is equal to or smaller than 0.3cm. ii. Deep – Depth is greater than 0.3cm. Size Diameter is arbitrarily classified as 0.5 cm or less versus greater than 5.0cm.

Ulcer An ulcer (Fig. 2.1h) is an uncovered wound of cutaneous or mucosal tissue that exhibits gradual tissue disintegration and necrosis with loss in the continuity of the epidermis or epithelium that extends beyond the basal layer into the connec- tive tissue (i.e. dermis of skin or lamina propria of oral mucosa). Most depressed lesions are ulcers, and scarring may follow healing. They are usually painful (due to nerve endings within the exposed connective tissue) with a center that is often yellow to gray but occasionally red; the periphery is usually red. There are five descriptive attributes of an ulcer that the clinician should observe and document: • Number • Outline • Margin • Depth • Size