Common oral lesions
Upcoming SlideShare
Loading in...5
×
 

Common oral lesions

on

  • 1,634 views

 

Statistics

Views

Total Views
1,634
Views on SlideShare
1,634
Embed Views
0

Actions

Likes
1
Downloads
837
Comments
0

0 Embeds 0

No embeds

Accessibility

Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment
  • H
  • H
  • H
  • H

Common oral lesions Common oral lesions Presentation Transcript

  • Graphic artist: James Bouquot, Morgantown, WV
  • Copyright NoticeCopyright Notice © The Maxillofacial Center for Education & Research© The Maxillofacial Center for Education & Research This presentation is intended for students and colleagues of Dr. J.This presentation is intended for students and colleagues of Dr. J. Bouquot, but is available for general distribution to the healthBouquot, but is available for general distribution to the health professions. Designated owners of the photographic images retainprofessions. Designated owners of the photographic images retain the copyrights for those images but have agreed to allow theirthe copyrights for those images but have agreed to allow their photos to be used for general teaching. You are welcome to usephotos to be used for general teaching. You are welcome to use this presentation or portions thereof for your own teaching withoutthis presentation or portions thereof for your own teaching without permission from the Maxillofacial Center, but permission is notpermission from the Maxillofacial Center, but permission is not given for the publication of these photos in electronic or othergiven for the publication of these photos in electronic or other formats.formats. The 53 Most Common Oral LesionsThe 53 Most Common Oral Lesions This presentation created by Dr. J. E. BouquotThis presentation created by Dr. J. E. Bouquot Data from the Minnesota Oral Disease Prevalence ProjectData from the Minnesota Oral Disease Prevalence Project Disclaimer: Dr. Bouquot is now the Chair of the Department of Diagnostic Sciences, University of Texas Dental Branch at Houston. The information and opinions provided herein are, however, his own and do not represent official opinion or policy of the University of Texas.
  • Jerry Bouquot, DDS, MSD, DABOMP, FICD, FADI, FACDJerry Bouquot, DDS, MSD, DABOMP, FICD, FADI, FACD  St. Olaf College, Minnesota (BA)  Univ. Minn. (DDS, MSD in oral pathology)  Bone Pathology Fellowship, Mayo Clinic  Odontogenic Pathology Fellowship, Royal College of Dent., Copenhagen, Denmark  Career Dev. Award, Amer. Cancer Soc.  Chair, Dept. Oral Path., WVU (17 years)  President, American Board of Oral & Maxillofacial Pathology (1998-1999)  St. George National Award, Am. Cancer Soc.  Consultant, Pittsburgh Children’s Hospital  Director of Research, MFCenter  Oral Cancer Control Coordinator, WV Bureau for Public Health  Adjunct Professor, WVU School of Dentistry  Professor & Chair, Diagnostic Sciences, University of Texas Dental Branch, Houston
  • ForFor More InformationMore Information aboutabout Oral DiseasesOral Diseases andand Oral PathologyOral Pathology The Maxillofacial CenterThe Maxillofacial Center forfor Education & ResearchEducation & Research Dr. J. E. Bouquot,Dr. J. E. Bouquot, Director of ResearchDirector of Research MFCenter@aol.comMFCenter@aol.com www.maxillofacialcenter.com (4,110,000 hits annually) www.oralpath.com (1,150,000 hits annually) Sponsored by the MFCenter
  • For More Information: The Neville BookFor More Information: The Neville Book Used in almost all U.S. dental schools; one of most popular books in dentistry,Used in almost all U.S. dental schools; one of most popular books in dentistry, 1,000+ pictures (in color), published by W. B. Saunders1,000+ pictures (in color), published by W. B. Saunders Brad Neville (South Carolina), Douglas Damm (Kentucky) Carl Allen (Ohio), Jerry Bouquot (Texas) An unusual view ofAn unusual view of the authors.the authors.
  • SponsorsSponsors Sponsors:Sponsors:  Maxillofacial Center for Education & ResearchMaxillofacial Center for Education & Research  West Virginia Dental AssociationWest Virginia Dental Association  West Virginia Dept. of Health and Human Resources,West Virginia Dept. of Health and Human Resources, Bureau for Public Health, Office of Maternal, Child andBureau for Public Health, Office of Maternal, Child and Family Health, Oral Health Program; Health ResourcesFamily Health, Oral Health Program; Health Resources and Services Administration, Department ofand Services Administration, Department of Health and Human ResourcesHealth and Human Resources  West Virginia Society of Oral & Maxillofacial SurgeonsWest Virginia Society of Oral & Maxillofacial Surgeons  School of Dentistry, West Virginia UniversitySchool of Dentistry, West Virginia University  American Cancer Society, South Atlantic DivisionAmerican Cancer Society, South Atlantic Division  Foundation for Maxillofacial ResearchFoundation for Maxillofacial Research The 53 Most Common Oral LesionsThe 53 Most Common Oral Lesions This presentation created by Dr. J. E. BouquotThis presentation created by Dr. J. E. Bouquot Data from the Minnesota Oral Disease Prevalence ProjectData from the Minnesota Oral Disease Prevalence Project
  • This presentation is dedicated to Dr. Bouquot’s mentors:This presentation is dedicated to Dr. Bouquot’s mentors: Dr. Robert Gorlin, Minneapolis, Minnesota (right),Dr. Robert Gorlin, Minneapolis, Minnesota (right), Dr. Jens Pindborg, Copenhagen, Denmark (left).Dr. Jens Pindborg, Copenhagen, Denmark (left). Premier experts in teaching, clinical research, and the diagnostic arts.Premier experts in teaching, clinical research, and the diagnostic arts. The 53 Most Common Oral LesionsThe 53 Most Common Oral Lesions (Excluding Caries & Periodontal Disease)(Excluding Caries & Periodontal Disease)
  • The 15 Most Common Oral PathosesThe 15 Most Common Oral Pathoses (Based on examination of 23,616 U.S. adults; excludes caries & periodontitis)(Based on examination of 23,616 U.S. adults; excludes caries & periodontitis) References: Bouquot JE. J Am Dent Assoc 1986; 112:50-57; www.oralpath.com DiagnosisDiagnosis RankRank Number of Lesions per 1,000 AdultsNumber of Lesions per 1,000 Adults MalesMales FemalesFemales BothBoth LeukoplakiaLeukoplakia 11 42.542.5 13.113.1 23.723.7 Torus palatinusTorus palatinus 22 13.213.2 21.721.7 18.718.7 Irritation fibromaIrritation fibroma 33 13.013.0 11.411.4 11.911.9 Fordyce granulesFordyce granules 44 17.717.7 5.25.2 9.79.7 Torus mandibularisTorus mandibularis 55 9.69.6 7.97.9 8.58.5 Leaf-shaped fibroma (under denture)Leaf-shaped fibroma (under denture) 66 0.40.4 12.912.9 6.76.7 HemangiomaHemangioma 77 8.48.4 4.14.1 5.65.6 Inflammatory ulcerInflammatory ulcer 88 5.45.4 5.15.1 5.25.2 Inflammatory erythemaInflammatory erythema 99 4.54.5 4.84.8 4.74.7 PapillomaPapilloma 1010 5.35.3 4.24.2 4.64.6 Epulis fissuratumEpulis fissuratum 1111 3.43.4 4.44.4 4.04.0 Lingual varicositiesLingual varicosities 1212 3.53.5 3.43.4 3.53.5 Fissured tongueFissured tongue 1313 3.53.5 3.13.1 3.33.3 Geographic tongueGeographic tongue 1414 3.43.4 3.03.0 3.13.1 Papillary hyperplasia of palatePapillary hyperplasia of palate 1515 1.71.7 3.83.8 3.03.0
  • The 16The 16thth – 30– 30thth Most Common Oral PathosesMost Common Oral Pathoses (Based on examination of 23,616 U.S. adults; excludes caries & periodontitis)(Based on examination of 23,616 U.S. adults; excludes caries & periodontitis) References: Bouquot JE. J Am Dent Assoc 1986; 112:50-57; www.oralpath.com DiagnosisDiagnosis RankRank Number of Lesions per 1,000 AdultsNumber of Lesions per 1,000 Adults MalesMales FemalesFemales BothBoth Herpes labialisHerpes labialis 1616 2.42.4 2.62.6 2.52.5 MucoceleMucocele 1717 1.91.9 2.62.6 2.42.4 Scar tissueScar tissue 1818 2.42.4 1.91.9 2.12.1 Angular cheilitisAngular cheilitis 1919 1.81.8 1.91.9 1.91.9 Smokeless tobacco keratosisSmokeless tobacco keratosis 2020 4.24.2 0.20.2 1.71.7 Lingual tonsil, hyperplasticLingual tonsil, hyperplastic 2121 2.42.4 1.21.2 1.61.6 Hematoma/EcchymosisHematoma/Ecchymosis 2222 1.91.9 1.31.3 1.51.5 Frictional keratosis (cheek bite)Frictional keratosis (cheek bite) 2323 0.70.7 1.41.4 1.11.1 Lichen planusLichen planus 2424 1.21.2 1.11.1 1.11.1 Squamous cell carcinomaSquamous cell carcinoma 2525 2.52.5 0.10.1 0.90.9 Buccal exostosisBuccal exostosis 2626 0.90.9 0.90.9 0.90.9 Amalgam tattooAmalgam tattoo 2727 0.60.6 1.01.0 0.80.8 Median rhomboid glossitisMedian rhomboid glossitis 2828 0.80.8 0.50.5 0.60.6 Hairy tongue, black , white, etc.Hairy tongue, black , white, etc. 2929 1.21.2 0.30.3 0.60.6 Atrophic glossitis (smooth tongue)Atrophic glossitis (smooth tongue) 3030 0.60.6 0.50.5 0.60.6
  • The 31The 31stst – 45– 45thth Most Common Oral PathosesMost Common Oral Pathoses (Based on examination of 23,616 U.S. adults; excludes caries & periodontitis)(Based on examination of 23,616 U.S. adults; excludes caries & periodontitis) References: Bouquot JE. J Am Dent Assoc 1986; 112:50-57; www.oralpath.com DiagnosisDiagnosis RankRank Number of Lesions per 1,000 AdultsNumber of Lesions per 1,000 Adults MalesMales FemalesFemales BothBoth Nicotine palatinusNicotine palatinus 3131 1.21.2 0.20.2 0.60.6 Epidermoid cystEpidermoid cyst 3232 0.70.7 0.40.4 0.50.5 Intramucosal (“intradermal”) nevusIntramucosal (“intradermal”) nevus 3333 0.10.1 0.70.7 0.50.5 Melanotic maculeMelanotic macule 3434 0.50.5 0.30.3 0.40.4 Oral tonsil, hyperplastic (non-lingual)Oral tonsil, hyperplastic (non-lingual) 3535 0.50.5 0.30.3 0.40.4 LeukoedemaLeukoedema 3636 0.40.4 0.30.3 0.30.3 Shingles, intraoral (herpes zoster)Shingles, intraoral (herpes zoster) 3737 0.50.5 0.20.2 0.30.3 LipomaLipoma 3838 0.10.1 0.40.4 0.30.3 Candidiasis, pseudomembranous (acute)Candidiasis, pseudomembranous (acute) 3939 0.40.4 0.20.2 0.30.3 Herpes simplex (secondary), intraoralHerpes simplex (secondary), intraoral 4040 0.10.1 0.30.3 0.20.2 RanulaRanula 4141 0.20.2 0.10.1 0.20.2 Sialolithiasis (salivary stone)Sialolithiasis (salivary stone) 4242 0.00.0 0.30.3 0.20.2 Bifid uvulaBifid uvula 4343 0.40.4 0.00.0 0.10.1 White coated tongueWhite coated tongue 4444 0.40.4 0.00.0 0.10.1 Gingival hyperplasia (not routine gingivitis)Gingival hyperplasia (not routine gingivitis) 4545 0.10.1 0.10.1 0.10.1
  • The 46The 46thth – 53– 53rdrd Most Common Oral PathosesMost Common Oral Pathoses (Based on examination of 23,616 U.S. adults; excludes caries & periodontitis)(Based on examination of 23,616 U.S. adults; excludes caries & periodontitis) References: Bouquot JE. J Am Dent Assoc 1986; 112:50-57; www.oralpath.com DiagnosisDiagnosis RankRank Number of Lesions per 1,000Number of Lesions per 1,000 AdultsAdults MalesMales FemalesFemales BothBoth Buccinator lymph node, hyperplasticBuccinator lymph node, hyperplastic 4646 0.10.1 0.10.1 0.10.1 Commisural lip pit(s)Commisural lip pit(s) 4747 0.10.1 0.10.1 0.10.1 Cyst of Blandin-Nuhn (mucocele, ventral of tongue)Cyst of Blandin-Nuhn (mucocele, ventral of tongue) 4848 0.00.0 0.10.1 0.10.1 MacroglossiaMacroglossia 4949 0.00.0 0.10.1 0.070.07 Pyogenic granulomaPyogenic granuloma 5050 0.00.0 0.10.1 0.070.07 Nasoalveolar cystNasoalveolar cyst 5151 0.00.0 0.10.1 0.070.07 Neurofibroma/schwannomaNeurofibroma/schwannoma 5252 0.00.0 0.10.1 0.060.06 Basal cell carcinoma, vermilion border of lipBasal cell carcinoma, vermilion border of lip 5353 0.10.1 0.00.0 0.040.04 Note: lesions not listed in the top 53 most common lesions were not seen during the examination of this large population-based, primarily white cohort in Minnesota. Almost all examinees were 35 years of age or older; 2/3 were female.
  • #1 Lesion: Leukoplakia#1 Lesion: Leukoplakia Prevalence:Prevalence: # Lesions/1,000 = 42.5 (Males), 13.1 (Females), 23.7 (Total)# Lesions/1,000 = 42.5 (Males), 13.1 (Females), 23.7 (Total) © Photo: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia Speckled leukoplakia (erythroleukoplakia)Speckled leukoplakia (erythroleukoplakia) Verruciform (verrucous) leukoplakiaVerruciform (verrucous) leukoplakia
  • Differential Dx: Leukoplakia in Syphilitic GlossitisDifferential Dx: Leukoplakia in Syphilitic Glossitis Caution! Leukoplakia of the dorsum is rare & may represent tertiary syphilis.Caution! Leukoplakia of the dorsum is rare & may represent tertiary syphilis. © Photo: Schwimmer, E. Arch Dermat Syph 1877; 9:611-570.
  • Differential Dx: Erythroleukoplakia (Speckled Leukoplakia)Differential Dx: Erythroleukoplakia (Speckled Leukoplakia) Caution! This type has the highest risk of malignant transformation.Caution! This type has the highest risk of malignant transformation. © Photo: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia Buccal mucosa; arrow points to carcinoma in situBuccal mucosa; arrow points to carcinoma in situ
  • #2 Lesion: Torus Palatinus#2 Lesion: Torus Palatinus Prevalence (# Lesions/1,000) = 13.2 for Males, 21.7 for Females, 18.7 TotalPrevalence (# Lesions/1,000) = 13.2 for Males, 21.7 for Females, 18.7 Total © Photos: Dr. Patricia Hagen, West Virginia University, Morgantown, West Virginia; Dr. Thomas Wilcko, Erie, Pennsylvania Mild caseMild case
  • #3 Lesion: Irritation Fibroma#3 Lesion: Irritation Fibroma Prevalence (# Lesions/1,000) = 13.0 for Males, 11.4 for Females, 11.9 TotalPrevalence (# Lesions/1,000) = 13.0 for Males, 11.4 for Females, 11.9 Total © Photos Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia
  • #4 Lesion: Fordyce Granules#4 Lesion: Fordyce Granules Prevalence (# Lesions/1,000) = 17.7 for Males, 5.2 for Females, 9.7 TotalPrevalence (# Lesions/1,000) = 17.7 for Males, 5.2 for Females, 9.7 Total © Photo: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia
  • #5 Lesion: Torus Mandibularis#5 Lesion: Torus Mandibularis Prevalence (# Lesions/1,000) = 9.6 for Males, 7.9 for Females, 8.5 TotalPrevalence (# Lesions/1,000) = 9.6 for Males, 7.9 for Females, 8.5 Total © Photos: Dr. Thomas Wilcko, Erie, Pennsylvania; Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia
  • #6 Lesion: Leaf-Shaped Fibroma#6 Lesion: Leaf-Shaped Fibroma Prevalence (# Lesions/1,000) = 0.4 for Males, 12.9 for Females, 6.7 TotalPrevalence (# Lesions/1,000) = 0.4 for Males, 12.9 for Females, 6.7 Total © Photos Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia May infarct if stalk becomes twistedMay infarct if stalk becomes twisted
  • #7 Lesion: Hemangioma#7 Lesion: Hemangioma Prevalence (# Lesions/1,000) = 8.4 for Males, 4.1 for Females, 5.6 TotalPrevalence (# Lesions/1,000) = 8.4 for Males, 4.1 for Females, 5.6 Total © Top photo: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia © Bottom photo: Dr. Richard Hart, West Virginia University, Morgantown, West Virginia
  • #8 Lesion: Inflammatory Ulcers *#8 Lesion: Inflammatory Ulcers * Prevalence (# Lesions/1,000) = 5.4 for Males, 5.1 for Females, 5.2 TotalPrevalence (# Lesions/1,000) = 5.4 for Males, 5.1 for Females, 5.2 Total * estimated: 50% = aphthous ulcers & 50% = traumatic ulcers © Photos: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia Aphthous UlcerAphthous Ulcer Aphthous UlcerAphthous Ulcer Aphthous UlcerAphthous Ulcer Traumatic Ulcer onTraumatic Ulcer on Torus Palatinus, withTorus Palatinus, with Frictional KeratosisFrictional Keratosis
  • With Multiple Aphthae: Major Aphthous StomatitisWith Multiple Aphthae: Major Aphthous Stomatitis Sutton’ Disease, Periadenitis Mucosa Necrotica RecurrensSutton’ Disease, Periadenitis Mucosa Necrotica Recurrens Multiple painful aphthae with deep ulcer beds Photo: Dr. R. Hart, West Virginia University, Morgantown, West Virginia
  • Traumatic Ulcer & Hematoma of LipTraumatic Ulcer & Hematoma of Lip Caution! May be a sign of child abuseCaution! May be a sign of child abuse © Photo: Dr. Thomas Wilcko, Erie, Pennsylvania
  • Differential Dx: Traumatic Eosinophilic UlcerDifferential Dx: Traumatic Eosinophilic Ulcer A different kind of traumatic ulcerA different kind of traumatic ulcer © Photo: Dr. Carl Kennedy, Montgomery, West Virginia
  • Differential Dx: Inflammatory Ulcer without Red HaloDifferential Dx: Inflammatory Ulcer without Red Halo Caution! Lack of red halo might indicate immune deficiencyCaution! Lack of red halo might indicate immune deficiency Diabetic ulcer of hardDiabetic ulcer of hard palate: deep ulcer bedpalate: deep ulcer bed of fat withof fat with saponification (black),saponification (black), without inflammatorywithout inflammatory halo and with nohalo and with no healing after biopsyhealing after biopsy (see suture).(see suture). © Photo: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia
  • #9 Lesion: Inflammatory Erythema#9 Lesion: Inflammatory Erythema Prevalence (# Lesions/1,000) = 4.5 for Males, 4.8 for Females, 4.7 TotalPrevalence (# Lesions/1,000) = 4.5 for Males, 4.8 for Females, 4.7 Total © Photo: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia Denture Stomatitis (Allergy to Partial Denture) & Torus PalatinusDenture Stomatitis (Allergy to Partial Denture) & Torus Palatinus TorusTorus
  • Differential Dx: Plasma Cell GingivitisDifferential Dx: Plasma Cell Gingivitis Caution! Only located on attached alveolar mucosa, facial surface.Caution! Only located on attached alveolar mucosa, facial surface. © Photo: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia
  • Differential Dx: Erythroplakia (Usually Carcinoma in Situ)Differential Dx: Erythroplakia (Usually Carcinoma in Situ) Caution! May look like simple trauma erythema.Caution! May look like simple trauma erythema. © Photo: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia
  • #10 Lesion: Papilloma (Squamous Papilloma)#10 Lesion: Papilloma (Squamous Papilloma) Prevalence (# Lesions/1,000) = 5.3 for Males, 4.2 for Females, 4.6 TotalPrevalence (# Lesions/1,000) = 5.3 for Males, 4.2 for Females, 4.6 Total © Photos: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia
  • Differential Dx: Verruca Vulgaris (Common Wart)Differential Dx: Verruca Vulgaris (Common Wart) Caution! Multiple papillary masses of lip in a young person may be contagiousCaution! Multiple papillary masses of lip in a young person may be contagious © Photo: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia
  • Differential Dx: Condyloma Acuminatum (Venereal Wart)Differential Dx: Condyloma Acuminatum (Venereal Wart) Caution! Pink, pebbled papillary lesion may be a contagious venereal wart.Caution! Pink, pebbled papillary lesion may be a contagious venereal wart. © Photo: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia Squamous cell carcinomaSquamous cell carcinoma
  • #11 Lesion: Epulis Fissuratum#11 Lesion: Epulis Fissuratum Prevalence (# Lesions/1,000) = 3.4 for Males, 4.4 for Females, 4.0 TotalPrevalence (# Lesions/1,000) = 3.4 for Males, 4.4 for Females, 4.0 Total © Photos: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia; Dr. Robert Bjorkman, Minneapolis, Minnesota
  • #12 Lesion: Lingual Varicosities#12 Lesion: Lingual Varicosities Prevalence (# Lesions/1,000) = 3.5 for Males, 3.4 for Females, 3.5 TotalPrevalence (# Lesions/1,000) = 3.5 for Males, 3.4 for Females, 3.5 Total © Photo: Dr. Ernest Lalonde, West Virginia University, Morgantown, West Virginia.
  • #13 Lesion: Fissured Tongue#13 Lesion: Fissured Tongue Prevalence (# Lesions/1,000) = 3.5 for Males, 3.1 for Females, 3.3 TotalPrevalence (# Lesions/1,000) = 3.5 for Males, 3.1 for Females, 3.3 Total © Photo: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia Note: Hemorrhage on right is from extraction site.Note: Hemorrhage on right is from extraction site.
  • #14 Lesion: Benign Migratory Glossitis#14 Lesion: Benign Migratory Glossitis Prevalence (# Lesions/1,000) = 3.4 for Males, 3.0 for Females, 3.1 TotalPrevalence (# Lesions/1,000) = 3.4 for Males, 3.0 for Females, 3.1 Total © Photos: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia
  • Differential Dx: Combined Geographic & Fissured TongueDifferential Dx: Combined Geographic & Fissured Tongue Note: A large proportion of geographic tongues are fissuredNote: A large proportion of geographic tongues are fissured © Photo: Dr. Julie Staggers, Winchester, Virginia
  • #15 Lesion: Papillary Hyperplasia of the Palate#15 Lesion: Papillary Hyperplasia of the Palate Prevalence (# Lesions/1,000) = 1.7 for Males, 3.8 for Females, 3.0 TotalPrevalence (# Lesions/1,000) = 1.7 for Males, 3.8 for Females, 3.0 Total © Photo: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia
  • #16 Lesion: Herpes Labialis#16 Lesion: Herpes Labialis Prevalence (# Lesions/1,000) = 2.4 for Males, 2.6 for Females, 2.5 TotalPrevalence (# Lesions/1,000) = 2.4 for Males, 2.6 for Females, 2.5 Total © Photo: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia
  • Differential Dx: Primary Herpes Simplex (HS I)Differential Dx: Primary Herpes Simplex (HS I) © Photos: Dr. David Johnsen & Dr. Sanford Fenton, West Virginia University, Morgantown, WV
  • Differential Dx: ImpetigoDifferential Dx: Impetigo Caution! This bacterial infection may mimic herpes labialisCaution! This bacterial infection may mimic herpes labialis © Photo: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia
  • Differential Dx: Acute Actinic Hypersensitivity ReactionDifferential Dx: Acute Actinic Hypersensitivity Reaction Caution! Sun “poisoning” may last for weeks or monthsCaution! Sun “poisoning” may last for weeks or months © Photo: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia
  • #17 Lesion: Mucocele#17 Lesion: Mucocele Prevalence (# Lesions/1,000) = 1.9 for Males, 2.6 for Females, 2.4 TotalPrevalence (# Lesions/1,000) = 1.9 for Males, 2.6 for Females, 2.4 Total © Photos Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia; Dr. Thomas Wilcko, Erie, Pennsylvania
  • #18 Lesion: Scar Tissue#18 Lesion: Scar Tissue Prevalence (# Lesions/1,000) = 2.4 for Males, 1.9 for Females, 2.1 TotalPrevalence (# Lesions/1,000) = 2.4 for Males, 1.9 for Females, 2.1 Total © Photo: Dr. Richard Hart, West Virginia University, Morgantown, West Virginia
  • #19 Lesion: Angular Cheilosis (Cheilitis)#19 Lesion: Angular Cheilosis (Cheilitis) Prevalence (# Lesions/1,000) = 1.8 for Males, 1.9 for Females, 1.9 TotalPrevalence (# Lesions/1,000) = 1.8 for Males, 1.9 for Females, 1.9 Total © Photos: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia
  • #20 Lesion: Smokeless Tobacco Keratosis#20 Lesion: Smokeless Tobacco Keratosis Prevalence (# Lesions/1,000) = 4.2 for Males, 0.2 for Females, 1.7 TotalPrevalence (# Lesions/1,000) = 4.2 for Males, 0.2 for Females, 1.7 Total © Photos: Dr. Richard Marshall, Lewisburg, West Virginia; Dr. Ernest Lalonde, West Virginia University, Morgantown, WV; Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, WV; Dr. William Rosenfeld, Charleston, West Virginia Snuff pouch, lower lipSnuff pouch, lower lip Also: periodontal abrasionAlso: periodontal abrasion Also: tooth loss from chewing tobaccoAlso: tooth loss from chewing tobacco Note: tobacco chewingNote: tobacco chewing was not a popularwas not a popular habit in Minnesota athabit in Minnesota at the time of thethe time of the examinationsexaminations
  • Differential Dx: Crohn’s DiseaseDifferential Dx: Crohn’s Disease Caution! Cobblestone regions of granulomas can appear fissured.Caution! Cobblestone regions of granulomas can appear fissured. © Photo: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia
  • #21 Lesion: Hyperplastic Lingual Tonsil#21 Lesion: Hyperplastic Lingual Tonsil Prevalence (# Lesions/1,000) = 2.4 for Males, 1.2 for Females, 1.6 TotalPrevalence (# Lesions/1,000) = 2.4 for Males, 1.2 for Females, 1.6 Total © Photo: Dr. Brad Neville, Medical University of South Carolina, Charleston, South Carolina
  • Similar Dx: Hyperplastic Pharyngeal TonsilsSimilar Dx: Hyperplastic Pharyngeal Tonsils © Photo: Dr. Julie Staggers, Winchester, Virginia Also: Bifid uvulaAlso: Bifid uvula
  • #22 Lesion: Hematoma/Ecchymosis#22 Lesion: Hematoma/Ecchymosis Prevalence (# Lesions/1,000) = 1.9 for Males, 1.3 for Females, 1.5 TotalPrevalence (# Lesions/1,000) = 1.9 for Males, 1.3 for Females, 1.5 Total © Photos: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia Acute trauma from biteAcute trauma from bite Cough (viral) hematomaCough (viral) hematoma Fellatio trauma/EcchymosisFellatio trauma/EcchymosisPost-anesthetic hematomaPost-anesthetic hematoma
  • #23 Lesion: Frictional Keratosis (Chronic Cheek Bite)#23 Lesion: Frictional Keratosis (Chronic Cheek Bite) Prevalence (# Lesions/1,000) = 0.7 for Males, 1.4 for Females, 1.1 TotalPrevalence (# Lesions/1,000) = 0.7 for Males, 1.4 for Females, 1.1 Total © Photos: Dr. Thomas Wilcko, Erie, Pennsylvania; Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia
  • Additional Diagnosis: Frictional Keratosis (“Callus”)Additional Diagnosis: Frictional Keratosis (“Callus”) © Photos: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia From tongue thrust habitFrom tongue thrust habit From denture edge trauma/rubbingFrom denture edge trauma/rubbing
  • #24 Lesion: Lichen Planus#24 Lesion: Lichen Planus Prevalence (# Lesions/1,000) = 1.2 for Males, 1.1 for Females, 1.1 TotalPrevalence (# Lesions/1,000) = 1.2 for Males, 1.1 for Females, 1.1 Total © Photos: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia
  • #25 Lesion: Squamous Cell Carcinoma#25 Lesion: Squamous Cell Carcinoma Prevalence (# Lesions/1,000) = 2.5 for Males, 0.1 for Females, 0.9 TotalPrevalence (# Lesions/1,000) = 2.5 for Males, 0.1 for Females, 0.9 Total © Photos: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia
  • Differential Diagnosis: Metastatic Carcinoma to MouthDifferential Diagnosis: Metastatic Carcinoma to Mouth Photos: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia. Reference & ©: Sokalosky, et al. J Oral Maxillofac Surg 1986; 44:825-827 From esophageal carcinomaFrom esophageal carcinoma
  • #26 Lesion: Alveolar (Buccal) Exostosis#26 Lesion: Alveolar (Buccal) Exostosis Prevalence (# Lesions/1,000) = 0.9 for Males, 0.9 for Females, 0.9 TotalPrevalence (# Lesions/1,000) = 0.9 for Males, 0.9 for Females, 0.9 Total © Photos: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia; Dr. Thomas Wilcko, Erie, Pennsylvania
  • #27 Lesion: Amalgam Tattoo#27 Lesion: Amalgam Tattoo Prevalence (# Lesions/1,000) = 0.6 for Males, 1.0 for Females, 0.8 TotalPrevalence (# Lesions/1,000) = 0.6 for Males, 1.0 for Females, 0.8 Total © Photos: Dr. Ernest Lalonde, West Virginia University, Morgantown, West Virginia; Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia
  • #28 Lesion: Median Rhomboid Glossitis#28 Lesion: Median Rhomboid Glossitis Prevalence (# Lesions/1,000) = 0.8 for Males, 0.5 for Females, 0.6 TotalPrevalence (# Lesions/1,000) = 0.8 for Males, 0.5 for Females, 0.6 Total © Photos: Dr. Robert Gorlin, University of Minnesota, Minneapolis, Minnesota; Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia Below: posterior midline of tongueBelow: posterior midline of tongue with median rhomboid glossitiswith median rhomboid glossitis (arrow) and secondary candidiasis(arrow) and secondary candidiasis (white areas); also called “posterior(white areas); also called “posterior medial atrophic candidiasis”medial atrophic candidiasis”
  • Differential Dx: Lingual Thyroid (Ectopic Thyroid Gland)Differential Dx: Lingual Thyroid (Ectopic Thyroid Gland) Caution! A mass in the posterior midline might be theCaution! A mass in the posterior midline might be the only thyroid in the patient’s body.only thyroid in the patient’s body. © Photo: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia
  • #29 Lesion: Hairy Tongue#29 Lesion: Hairy Tongue Prevalence (# Lesions/1,000) = 1.2 for Males, 0.3 for Females, 0.6 TotalPrevalence (# Lesions/1,000) = 1.2 for Males, 0.3 for Females, 0.6 Total © Photos: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia Black hairy tongueBlack hairy tongue White hairy tongueWhite hairy tongue
  • #30 Lesion: Atrophic Glossitis (Smooth Tongue)#30 Lesion: Atrophic Glossitis (Smooth Tongue) Prevalence (# Lesions/1,000) = 0.6 for Males, 0.5 for Females, 0.6 TotalPrevalence (# Lesions/1,000) = 0.6 for Males, 0.5 for Females, 0.6 Total © Photo: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia Loss of filiform papillae, pallor of dorsum in iron deficiencyLoss of filiform papillae, pallor of dorsum in iron deficiency
  • #31 Lesion: ;Nicotine Palatinus#31 Lesion: ;Nicotine Palatinus Prevalence (# Lesions/1,000) = 1.2 for Males, 0.2 for Females, 0.6 TotalPrevalence (# Lesions/1,000) = 1.2 for Males, 0.2 for Females, 0.6 Total © Photo: Dr. William Rosenfeld, Charleston, West Virginia Inflamed salivary duct openingInflamed salivary duct opening
  • #32 Lesion: Epidermoid Cyst#32 Lesion: Epidermoid Cyst Prevalence (# Lesions/1,000) = 0.7 for Males, 0.4 for Females, 0.5 TotalPrevalence (# Lesions/1,000) = 0.7 for Males, 0.4 for Females, 0.5 Total © Photo: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia Yellow color is from sloughed keratin in cyst lumenYellow color is from sloughed keratin in cyst lumen
  • Differential Dx: Lymphoepithelial CystDifferential Dx: Lymphoepithelial Cyst Caution! This cyst looks similar but remains small; usually on lateral tongueCaution! This cyst looks similar but remains small; usually on lateral tongue © Photo: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia Cyst on right lateral tongue.Cyst on right lateral tongue.
  • #33 Lesion: Intramucosal Nevus#33 Lesion: Intramucosal Nevus Prevalence (# Lesions/1,000) = 0.1 for Males, 0.7 for Females, 0.5 TotalPrevalence (# Lesions/1,000) = 0.1 for Males, 0.7 for Females, 0.5 Total © Photo: Dr. Ernest Lalonde, West Virginia University, Morgantown, West Virginia
  • #34 Lesion: Oral Melanotic Macule#34 Lesion: Oral Melanotic Macule Prevalence (# Lesions/1,000) = 0.5 for Males, 0.3 for Females, 0.4 TotalPrevalence (# Lesions/1,000) = 0.5 for Males, 0.3 for Females, 0.4 Total © Photos: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia Soft palateSoft palate
  • Differential Dx: Smoker’s MelanosisDifferential Dx: Smoker’s Melanosis Caution! May be combined with thin leukoplakia.Caution! May be combined with thin leukoplakia. © Photo: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia Buccal mucosaBuccal mucosa
  • Differential Dx: Physiologic (Racial) PigmentationDifferential Dx: Physiologic (Racial) Pigmentation © Photos: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia
  • #35 Lesion: Hyperplastic Oral Tonsil#35 Lesion: Hyperplastic Oral Tonsil Prevalence (# Lesions/1,000) = 0.5 for Males, 0.3 for Females, 0.4 TotalPrevalence (# Lesions/1,000) = 0.5 for Males, 0.3 for Females, 0.4 Total © Photos: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia
  • #36 Lesion: Leukoedema#36 Lesion: Leukoedema Prevalence (# Lesions/1,000) = 0.4 for Males, 0.3 for Females, 0.3 TotalPrevalence (# Lesions/1,000) = 0.4 for Males, 0.3 for Females, 0.3 Total © Photos: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia Entire buccal mucosa is gray/white
  • #37 Lesion: Herpes Zoster (Shingles)#37 Lesion: Herpes Zoster (Shingles) Prevalence (# Lesions/1,000) = 0.5 for Males, 0.2 for Females, 0.3 TotalPrevalence (# Lesions/1,000) = 0.5 for Males, 0.2 for Females, 0.3 Total © Photos: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia
  • #38 Lesion: Lipoma#38 Lesion: Lipoma Prevalence (# Lesions/1,000) = 0.1 for Males, 0.4 for Females, 0.3 TotalPrevalence (# Lesions/1,000) = 0.1 for Males, 0.4 for Females, 0.3 Total © Photos: Dr. Brad Neville, Medical University of South Carolina, Charleston, South Carolina
  • #39 Lesion: Pseudomembranous Candidiasis#39 Lesion: Pseudomembranous Candidiasis Prevalence (# Lesions/1,000) = 0.4 for Males, 0.2 for Females, 0.3 TotalPrevalence (# Lesions/1,000) = 0.4 for Males, 0.2 for Females, 0.3 Total © Photos: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia In leukemia patientIn leukemia patient Under dentureUnder denture Candida hyphae (GMS silver stain)Candida hyphae (GMS silver stain)
  • #40 Lesion: Intraoral Secondary Herpes Simplex#40 Lesion: Intraoral Secondary Herpes Simplex Prevalence (# Lesions/1,000) = 0.1 for Males, 0.3 for Females, 0.2 TotalPrevalence (# Lesions/1,000) = 0.1 for Males, 0.3 for Females, 0.2 Total © Photos: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia; Dr. William Rosenfeld, Charleston, West Virginia Vesicles tend to clusterVesicles tend to cluster Vesicles remain onVesicles remain on attached mucosaattached mucosa
  • Differential Dx: Intraoral Type II Herpes SimplexDifferential Dx: Intraoral Type II Herpes Simplex Caution! If there is no gingivitis, it might be a STDCaution! If there is no gingivitis, it might be a STD © Photo: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia
  • #41 Lesion: Ranula#41 Lesion: Ranula Prevalence (# Lesions/1,000) = 0.2 for Males, 0.1 for Females, 0.2 TotalPrevalence (# Lesions/1,000) = 0.2 for Males, 0.1 for Females, 0.2 Total © Left photo: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia
  • #42 Lesion: Salivary Stone (Sialolithiasis)#42 Lesion: Salivary Stone (Sialolithiasis) Prevalence (# Lesions/1,000) = 0.0 for Males, 0.1 for Females, 0.1 TotalPrevalence (# Lesions/1,000) = 0.0 for Males, 0.1 for Females, 0.1 Total © Photos: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia Two sialoliths of oral floorTwo sialoliths of oral floor
  • #43 Lesion: Bifid Uvula#43 Lesion: Bifid Uvula Prevalence (# Lesions/1,000) = 0.4 for Males, 0.0 for Females, 0.0 TotalPrevalence (# Lesions/1,000) = 0.4 for Males, 0.0 for Females, 0.0 Total © Photos: Dr. Julie Staggers, Winchester, Virginia; Dr. Robert Bjorkman, Minneapolis, Minnesota
  • #44 Lesion: White Coated Tongue#44 Lesion: White Coated Tongue Prevalence (# Lesions/1,000) = 0.4 for Males, 0.0 for Females, 0.1 TotalPrevalence (# Lesions/1,000) = 0.4 for Males, 0.0 for Females, 0.1 Total © Photo: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia
  • Differential Dx: Scarlet FeverDifferential Dx: Scarlet Fever (with Strawberry or Raspberry Tongue)(with Strawberry or Raspberry Tongue) Caution! A heavy white coated tongue might represent a Strep. InfectionCaution! A heavy white coated tongue might represent a Strep. Infection © Photo: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia
  • #45 Lesion: Gingival Fibrous Hyperplasia#45 Lesion: Gingival Fibrous Hyperplasia Prevalence (# Lesions/1,000) = 0.1 for Males, 0.1 for Females, 0.1 TotalPrevalence (# Lesions/1,000) = 0.1 for Males, 0.1 for Females, 0.1 Total © Photos Dr. Thomas Wilcko, Erie, Pennsylvania Hereditary gingival fibromatosisHereditary gingival fibromatosis Dilantin gingivitisDilantin gingivitis ScurvyScurvy
  • Differential Dx: Leukemic GingivitisDifferential Dx: Leukemic Gingivitis Caution! Erythematous, semi-translucent enlargement may representCaution! Erythematous, semi-translucent enlargement may represent gingival accumulation of malignant leukocytes.gingival accumulation of malignant leukocytes. © Photo: Dr. Robert Gorlin, University of Minnesota, Minneapolis, Minnesota
  • #46 Lesion: Hyperplastic Buccinator Lymph Node#46 Lesion: Hyperplastic Buccinator Lymph Node Prevalence (# Lesions/1,000) = 0.1 for Males, 0.1 for Females, 0.1 TotalPrevalence (# Lesions/1,000) = 0.1 for Males, 0.1 for Females, 0.1 Total © Photo: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia Buccal MucosaBuccal Mucosa
  • Similar Dx: Hyperplastic (Inflamed) Submandibular Lymph NodeSimilar Dx: Hyperplastic (Inflamed) Submandibular Lymph Node © Photos: Dr. Charles Halstead, Virginia
  • #47 Lesion: Commisural lip Pits#47 Lesion: Commisural lip Pits Prevalence (# Lesions/1,000) = 0.1 for Males, 0.1 for Females, 0.1 TotalPrevalence (# Lesions/1,000) = 0.1 for Males, 0.1 for Females, 0.1 Total © Photo: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia
  • #48 Lesion: Cyst of Blandin-Nuhn#48 Lesion: Cyst of Blandin-Nuhn (Mucocele of Ventral Tongue)(Mucocele of Ventral Tongue) Prevalence (# Lesions/1,000) = 0.0 for Males, 0.1 for Females, 0.1 TotalPrevalence (# Lesions/1,000) = 0.0 for Males, 0.1 for Females, 0.1 Total © Photo: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia Cyst of Blandin-Nuhn of midline ventral tongue,Cyst of Blandin-Nuhn of midline ventral tongue, with secondary hemorrhagewith secondary hemorrhage
  • #49 Lesion: Macroglossia#49 Lesion: Macroglossia Prevalence (# Lesions/1,000) = 0.0 for Males, 0.1 for Females, 0.07 TotalPrevalence (# Lesions/1,000) = 0.0 for Males, 0.1 for Females, 0.07 Total © Left Photo: Dr. Robert Gorlin, University of Minnesota, Minneapolis, Minnesota ScurvyScurvyAngioedemaAngioedema
  • #50 Lesion: Pyogenic Granuloma#50 Lesion: Pyogenic Granuloma Prevalence (# Lesions/1,000) = 0.0 for Males, 0.1 for Females, 0.07 TotalPrevalence (# Lesions/1,000) = 0.0 for Males, 0.1 for Females, 0.07 Total © Photos: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia Prevalence rates include only untreated lesions. Presumably most pyogenic granulomas are surgically removed early in their development
  • Pregnancy TumorPregnancy Tumor Pyogenic granuloma during pregnancyPyogenic granuloma during pregnancy © Photo: Dr. Richard Hart, West Virginia University, Morgantown, West Virginia
  • Differential Dx: Peripheral Ossifying FibromaDifferential Dx: Peripheral Ossifying Fibroma © Photo: Dr. Skip Gladwin, West Virginia University, Morgantown, West Virginia
  • #51 Lesion: Nasolabial Cyst#51 Lesion: Nasolabial Cyst Prevalence (# Lesions/1,000) = 0.0 for Males, 0.1 for Females, 0.07 TotalPrevalence (# Lesions/1,000) = 0.0 for Males, 0.1 for Females, 0.07 Total © Photos: Dr. George Gallagher, Boston University, Boston, Massachusetts
  • #52 Lesion: Neurofibroma/Schwannoma#52 Lesion: Neurofibroma/Schwannoma Prevalence (# Lesions/1,000) = 0.0 for Males, 0.1 for Females, 0.07 TotalPrevalence (# Lesions/1,000) = 0.0 for Males, 0.1 for Females, 0.07 Total Photos: Dr. Brad Neville, Medical University of South Carolina, Charleston, South Carolina
  • #53 Lesion: Basal Cell Carcinoma of Vermilion Border#53 Lesion: Basal Cell Carcinoma of Vermilion Border Prevalence (# Lesions/1,000) = 0.1 for Males, 0.0 for Females, 0.04 TotalPrevalence (# Lesions/1,000) = 0.1 for Males, 0.0 for Females, 0.04 Total © Photo: Dr. Jerry Bouquot, The Maxillofacial Center, Morgantown, West Virginia Lower lip, skinLower lip, skin
  • The Minnesota Oral Disease Prevalence ProjectThe Minnesota Oral Disease Prevalence Project During the 1960s and 1970s, in an effort to stimulate rural Minnesota dentists to accept a greater role in diagnosing early oral cancer and precancer, the state Department of Health, the University of Minnesota School of Dentistry, and the American Cancer Society organized 17 community oral cancer screenings. Ultimately more than 35,000 adults over 35 years of age were screened by local dentists under the supervision of faculty from the University of Minnesota Department of Oral Pathology. This represented approximately 2/3 of all the adults over 35 years of age in those small communities. Records from the earliest screenings were not acceptable for research purposes, but those from the last 23,616 individuals examined were acceptable for the determination of prevalence rates (number of lesions per 1,000 persons examined). All diagnoses were confirmed by an oral pathologist. In 1974, Dr. J. E. Bouquot published his Master’s thesis (University of Minnesota) relating to these records, but journal articles relative to the data were not published until the 1980s (see following slide).
  • ReferencesReferences 1. Bouquot JE. An epidemiologic evaluation of oral carcinoma, premalignant epithelial dysplasia and nonspecific clinical Keratoses in an Adult Minnesota Population of 23,616. University of Minnesota Graduate School, 1974:1-96. 2. Bouquot JE. Common oral lesions found in a large mass screening. J Am Dent Assoc 1986; 112:50-57. 3. Bouquot JE, Gorlin RJ. Leukoplakia, lichen planus and other oral keratoses in 23,616 white Americans over 35 years of age. Oral Surg Oral Med Oral Pathol 1986; 61:373-381. 4. Bouquot JE, Gundlach KKH. Odd tongues: the prevalence of common tongue lesions in 23,616 white Americans over 35 years of age. Quint Internat 1986; 17:719-730. 5. Bouquot JE, Gundlach KKH. Oral exophytic lesions in 23,616 white Americans over 35 years of age. Oral Surg Oral Med Oral Pathol 1986; 62:284-291. 6. Bouquot JE, Gundlach KKH. Odd lips: the prevalence of common lip lesions in 23,616 white Americans over 35 years of age. Quint Internat 1987; 18:277-284. 7. Bouquot J, Gnepp D. Epidemiology of carcinoma in situ of the upper aerodigestive tract. J Oral Path , 1988; 17:433. (abstract) 8. Bouquot JE. Epidemiology. In: Gnepp DR (ed.). Pathology of the head and neck. Philadelphia: Churchill-Livingstone; 1988: 263-314. 9. Bouquot JE, Crout RJ. Odd gums: The prevalence of common gingival and alveolar lesions in 23,616 white Americans over 35 years of age. Quint Internat 1988; 19:747-753.
  • The Maxillofacial CenterThe Maxillofacial Center for Education and Researchfor Education and Research 5010 Hazard Street, #2, Houston, TX 77098 USA www.maxillofacialcenter.com
  • The Father of Oral PathologyThe Father of Oral Pathology Thomas Bond Jr, MD, from Baltimore, Maryland, USAThomas Bond Jr, MD, from Baltimore, Maryland, USA © Photos circa 1860s
  • J. E. Bouquot & J. E. Bouquot *J. E. Bouquot & J. E. Bouquot * circa 2002circa 2002 * Jerry (left) and James (right)