Oral Medicine Test Slides for 4th Year BDS - Yangon Copyright by OM Department Teachers 🤫🤫🤫

1. Figure 1 >1 Cleft Infant with bilateral Cleft of the upper lip.
(Courtesy of Dr, William Bruce‘)

2. FlSlllc I 7 Paramedian lip pits. Bilateral piis (arrows) on lhe
lower lip in a patient with van der Woude syndrome.

3. m
Double lip. Redundant fold of (issue on the upper lip
in a patient with Ascher syndrome. (Courtesy of RC. Zeig‘er.)

4. Figure I’ll Fordyce granules. Lesions at the commissure

5. Fxgmv l H,» Microglossia. Abnormally small tongue associated
with constricted mandibular arch.

6. m.‘ .mmm‘
Fl‘h’ull‘ I I Microglossia. Associated constriction of the maxi
Iary arch in he same patient shown in Figure 1716.

7. Figure 1-19 ' Ankyloglossia. Abnormal attachment of the lingual
frenum, limitlng tongue mobility.

8. w
Fugum I ~22 Fissured tongue. Moderate fissuring of the dorsal
tongue. (From Allen CM, Camisa C: Diseases of the mouth and
lips‘ In Sams WM, Lynch P, editors: Principles ofdermatology, New
York, 1990, Churchill Livingstone.)

9. Figure 1724 H tongue. Eiongated. black-flaming fihform
papillae on the posterior dorsai tongue.

10. figure l»27 >Van'cosities. Multiple purple dilated veins on the
ventval and lateral surfam of the tongue.

11. Figure 1735 Exostoses. Multiple buccal exostoses of thc maxilr
law and mandlbular alveolar ridges.

12. Figure l»38 Torus palatinus. Midline bony nodule of the
palatal vault.

13. Figure 1-39 Torus palatinus. Large, lobulated palatal mass.

14. Figure 1-40 Torus palatinus. Asymmetric. lobulated bony mass.

15. Figure 1741 Torus mandibularis. Bllulmdl Iobulatod bony
protuberames of the mandibular lingual alveolav ridge.

16. Figure 1742 Torus mandibularis. Masswe "kissmg" (on meet in
the midline.

17. Figure 1 -48 ~ Stafne defect. Anterior radiolucent lesion ofthe
body of the mandible associated with the sublingual gland.

18. Figurel-67 ‘ Dermoid cyst. Fluctuant midline swelling in the
floor ofthe mouth (From Budnick SD: Handbook afpediatrir oral
pathology. Chicago, 1981, Year Book Medical.)

19. Figure 1-69 Thyroglossal duct cyst. Swelling (arrow) of the
anterior midline ofthe neck‘ (Courtesy of Drl Philip Sprinkle.)

20. Figure L77 Hemihyperplasia. Enlargement of the right sbde of
the face. (Courtesy of Dr George Blazis)

21. Figure 1-78 Hemihyperplasia. Same patient as depicted in
Figure 1777, with associated enlargement of the right half of the
tongue. (Courtesy of Dr. George Blozis.)

22. Figure 2-1 > Environmental enamel hypoplas . Bilaterally
symmetric pattern of horizontal enamel hypoplasia of the anterior
dentition. Maxillary central incisors have been restored previously
(From Neville BW, Damm DD, White DK: Color atlas ofclinicul oral
pathology. ed 2, Baltimore, 1999. Williams & Wi ins.)

23. Figure 2-2 Environmental enamel hypoplasia. Same patient
as depicted in Figure 271‘ Note the lack of enamel damage on
bicuspids, (From Neville BW, Damm DD, White DK: Color atlas of
clinical oral pathology, ed 2, Baltimore, 1999, Williams & Wilkins.)

24. Turner’s hypoplasia. Extensive enamel hypoplasia
of mandibular first bicuspid secondary to previous inflammatory
process associated with overlying first deciduous molar. (From
Halstead CL, Blozis CG, Drinnan AJ, et al: Physical evaluation ofthe
dental patient, St Louis, 1982, Mosbyt)

25. F ure 2-6 - Turner's hypopla 3. Extensive corona! hypopfasia
of permanent maxillary left (entral incisor secondary to previous
trauma to deciduous ce (ral incisor,

26. Figure 2A8 Dental fluorosis. Dentition exhibiting lusterless,
white, and opaque enamel.

27. Figure 2-9 ' Dental fluoros White opaque alteration of the
bicuspids and second molars in a patient who also exhibits
discoloration of the teeth secondary to (etracycline use. Patient
moved to area of endemic fluorosis at 3 years of age.

28. Figure 2-10 ~ Attrition. Extensive loss of coronal tooth height
WIthout pulp exposure in patient with anterior edge-to-edge
occlusionv

29. Figure 2-11 * Abrasion Horizontal cervical nokhes on the
anterior mandibular dentition

30. Figure 2-12 Abrasion. Extensive recession and loss of buccal
radlculardentin. Note visible pulp Canals that have been filled
wllh lertiary dentin.

31. Abrasion. Notching of the right central incisor
caused by improper use of bobby pins. The patient aiso exhibits
environmental enamel hypopiasia of the anterior dentition.
(Courtesy of Dr. Robert]. Corlin.)

32. Figure 2 14 Abra on. Notching ofthe ante or dentition on
the right side caused by long-term use of tobacco pipe.

33. Erosion Extensive loss of buccal and occlusalh 'rnz
tooth structure. Note that the amalgam margins are above the
surface of the dentin.

34. mum
Figure 2716 Erosion. Occlusal surface of the mandibular
dentition exhibiting concave dentin depressions surrounded by
eievated rims of enamel.

35. Erosion. Extensive loss of enamel and dentin on
the buccal surface of the maxillary bicuspids. The patient had
sucked chronically on tamarinds (an acidic fruit).

36. Figure 2-18 Erosion. Palatal surfaces of the maxillary dentition
in which the exposed dentin exhibits a concave surface and a
peripheral white line ofenamel. The patient suffered from bulimia

37. Figure 2-19 Abfraction. Deep and rrow enamel cervncal
defects on the facial surface of the mandibular dentition (From
Neville BW. Damm DD. White DK: Coloratlus of clinical om‘l
pathology. ed 2, Baltimore, 1999, Williams & Wilkinsl)

38. m m»
, Internal resorption (pink tooth of Mummery).
Pmk disrolomh'on of H19 maxillary (Pntml indsor,

39. Exgm'e 1 21 Internal resorption. Same patient as depicted in
Figure 2-21‘ Note extensive resorption of both maxil|ary central
incisors,

40. Internal resorption. Balloonlike enlargement of
the root canal,

41. Flgure 2-24 0 External resorption. Extensive Irregular destruc—
tion of both roots of1he mandibular second molar associated
wixh chronic periodontitis. (Courtesy of Dr. Tommy Shimer)

42. w
Figure 2<25 ‘ External resorp Ion. “Motheaten” radiolucent
alteration of the maxillary left central incisor The tooth had been
reimplanted after traumatic avulsion. (Courtesy of Dr‘ Harry Meyers)

43. Figure 227 ~ External resorption. Diffuse external resorption of
radicular dentin of maxillary dentition. This prOCESS arose after
initiation of orthodontics.

44. Figure 2-40 Hypodont . MultIple developmentally mlssmgpel
manent teeth and several retained deciduous teeth in a female adult

45. Figure 2742 Hypodontia, Developmentally missing maxillary
lateral incisors. Radiographs revealed no underlying teeth, and
there was no history of trauma or extraction.

46. Figure 2-43 * Hyperdon a (mesiodens). Erupted superr
numerary, rudl'memary tooth of the anterior maxilla

47. Figure 2-44 Hyperdon a (mesiodens). U teral :uper-
numerary tooth of the anterior maxilla, which has altered the
eruption path of the maxil|ary right permanent central incisor.

48. supernumerary teeth of the anterior maxilla.
Figure 2—45 % Hyperdontia (meslodens). Bulateral Inverted

49. Figure 2—46 '-» Hyperdontia. Right mandibular dentition
exhibiting four erupted bicuspids.

50. Figure 2—47 v> Paramolar. Rudimentary tooth situated palatal to a
maxiilary meter in a patient who also exhibits hypodontia.

51. Figure 2-48 + Paramolar. Radiograph of the same patient
depicted in Figure 2-4.7 Note the fully formed tooth overlying
crown of the adjacent molar.

52. Flgure 2749 Natal teeth. Mandihu|ar rentral I'n(i<ors (hat were
erupted at birth.

53. Figure Z~50 ' Diffuse microdontla. Dentition in which the teeth
are Smaller than normal and widely spaced within the arch

54. Figure 2—51 » Isolated microdon Ia (peg lateral). Small, cone,
shaped right maxillary lateral incisor.

55. Figure 2-52 ’v Bilateral gemination. Two double teeth, The
moth count was normal when each anomalous tooth was counted
axone‘

56. Figure 2-53 Gemina n. Mandibular bicuspid exhibiting bifid
crowni

57. Figme 2 SC Fusion. Double tooth in the place of the
mandibular right lateral incisor and cuspid.

58. Figure 2—57 "v Fusnon. Bilateral double teeth in the place of the
mandibular lateral incisors and cuspids.

59. Figure 2-59 Concrescence. Union by cementum of adjacent
maxillary molars.

60. #
Figure 2761 Concrescence. Cross photograph of the same
teeth depicted in Figure 260. Histopathologir examination
revealed that union occurred in the area of cemental repair
previously damaged by a periapical inflammatory lesion.

61. Figure 2 3 Talon cusp. Acce ory cusp present on the palatal
surface of H19 maxill y loft rpntral incisor: Note the (hreer
pronged pattern, which rezemlfie: an eagle talon.

62. Figure 2-70 « Coronal den vag atus, type II. Mandibular
lateral incisor exhibiting lingual bulbous enlargement at the site of
(clonal opening of enamel invagination.

63. F gure 2-7] x Coronal dens vag natus, type II. Radiograph of
the mandibular lateral incisor depicted in Figure 2-70. Note the
radiopaque and enamel-lined invagination extending below the
level of the cementoenamel junction.

64. Figure 2—72 Coronal dens invaginatus, type M. Cross photo-
graph ofa sectioned tooth. Note the dilated invagination with
apical accumulation of dystrophic enamel.

65. Figure 2773 Coronal dens nva atus, type III. Parulis overr
lying vital maxillary cuspid and lateral incisor. The Luspld contained
a dens Invaginatus that perforated t mesidl >urlace ofits root.

66. Figure 2-74 Coronal dens invaginatus, type III. Maxillary
cuspid exhibiting an enamel invagination that parallels the pulp
canal and perforates the lateral root surface (Courlesy of Dr.
Brian Blocher.)

67. Figure 2—76 ' Enamel pearl. Mass of ectopic enamel located in
the furcation area ofa molar tooth. (Courtesy of Dr‘ Joseph
Beard.)

68. m ‘«w
§§
Fegure 2779 Taurodontism. Mandibular molar teeth exhibiting
increased pulpal apicoocclusal height With apically positioned
pulpal floor and bifurcation. (Courtesy of Dr. Michael Kahn,)

69. Figure 2-81 O Hypercemento Mandibular first molar
exhibiting thickening and blunting of the roots.

70. Figure 2-83 Ilacerahon. Maxlllary molar exhlbltlng sharp
angulation of the roots‘ Note the interradicular bone.

71. Figure 2-87 v Supernumerary root. A, Cross photograph exhibiting a maxillary molar with a small
supernumerary root. B, MeSIal-to-distal radiographic view exhibiting the a(cessory root with central
pulp canal. lfa buccalitoJingual mdiographic view had been taken (as would be necessary in
patient (are), the additional root would not have been evident.

72. Figure 2789 Hypoplastic amelogenesu Imperfecta, general-
ized pitted pattern. Note the numerous pinpoint pits scattered
across the surface of the teeth. The enamel between the pits is of
normal thickness. hardness. and coloration, (From Stewart RE.
Prescott CH: Oml facial genetics, St Louis, 1976, Mosby.)

73. Figure 2 95 Hypomaluration amelogenesis imperfecta.
Denlition thibiting mottled, opaque white enamel with scattered
areas 0{ brown discoloration.

74. Figure 2 ~96 Hypomaturation amelogenesis imperfecta,
snowcapped pattern. Dentition exhibiting zone of white opaque
enamei in the incisal and occlusal one fourth of the enamel
surface. (Courtesy of DL‘ Heddie O. Sedano.)

75. Fugure 2-97 ' Hypocalcified amelogenesis imperfecta. Denti»
lion exhibiting diffuse yellow-brown discoloration, Note numerous
teeth wifll loss of coronaI enamel except for the cervical portion.

76. figure 2-101 Dentinogenesis imperfecta. Dentition exhib
diffuse brownish discoloration and slight translucence.

77. Figure Z-IOZ ~’ Dentinogenesis imperfecta. Dentition exhibiting
grayish discoloration with Significant enamel loss and attrition.

78. Flgul‘e 3-1 Chm Ic hyperplastlc pulpltls. Erythematous
granulation tissue extruding from the pulp chamber of the
mandibular first molar:

79. Figure 3716 Periapical granuloma. WEN-defined radiolucency
associated with the apex of the maxillary first bicuspid, (Courizsy
of Dr‘ Frank Beylot‘tel)

80. Figure 3-] er plcal granuloma. Large, well-defined radiolui
cency associated with the apices of the mandibular first molar‘
(Courtesy of Dr‘ Robert E. Loy.)

81. *
Figure 3-24 « Periap al cyst. Wechircumscribed radiolucency
intimater associated with the apex of the mandibular central
incisor. Note the loss oflamina dura in the area of the lesion

82. . . N‘N,§
Figure 3-25 ~ Periapical cyst. Radiolucency associated with the
maxillary central incisor, which exhibits significant root resorption.

83. Figure 3-36 ' Periapical abscess. Bilateral soft-tissue swelling of
the anterior palate.

84. figure 3-42 - Parulls. Asymptomatic yellowush nodule of the
anurior mandibular alveolar ridge. Adjacent teeth were normal
clinically and also asymptomatic

85. Figure 3-43 * Periapical abscess. Same patient as depicted in
Figure 3742‘ Periapical radiolucency associated with the nonvital
mandibular lateral incisor.

86. Figure 3 »45 Ludwig's angina. Soft-tissue swelling of the rig?“
submandibular region (Courtesy of Dr‘ Brian Blocher.)

87. Figure 3-46 Cellu 5 involving canine space. Erythematous
and edematous enlargement of the left side of the face with
involvement of the eyelids and conjunctiva. Patients with odonto-
genic infections involving the canine space are at risk for
cavernous sinus thrombosis. (Courtesy of Dr. Richard Ziegle )

88. Figure 348 . Acute osteomyelitis with sequestruml Radior
lucency of the right body of the mandible with central radiopaque
mass of necrotic bone. (Courtesy of Dr. Michael Meyrowitz.)

89. Figure 3-52 t lefuse sclerosmg osteomyelitis. Duffuse area of
increased mdiodensity of the right body of the mandible in the
tooth-bearing area. No other quadrants were involved (Courtesy
of Dr. Louis M. Beta)

90. Figure 3753 : Condensing osteitis. Increased areas of radio—
density surrounding the apices of the nonvital mandibular first
molar.

91. Figure 4718 Nifedipine-related gingival hyperp|asia. Diffuse,
fibrotic gingival hyperplasia after 1 month ofintensive oral
hygiene. Significant erythema, edema, and increased enlargement
were present before intervention,

92. Figure 4-22 Phenytoin-related ginglval hyperplasia.
Significant gingival hyperplasia almost totally covers the crowns of
the posterior maxillary dentition (Courtesy of Dr. Ann Drummond
and Dr. Timothy Johnson‘)

93. 'i-‘gu‘yo 1: 3 , s. Painful erythematous enlargement
of the soll tissues overlying the crown of the partially elupted
right mandlbular third molar.

94. Flgul‘e 5"“ Hutchinson's incisors of congenital syphilis.Den
tition exhibiting crowns tapering toward the incisal edges. (me
Halstead CL, Blozis CG, Drinnan A], Cier RE: Physicai evaiuntionq'
the dental patient. St Louis, 1982, Mosby.)

95. Figure 7-31 Mumps. Bilateral parotid enlargement. (From
Neville BW. Damm DD, White DK: Color atlas ofclim'ral oml
pathology, ed 2, Baltimore, 1999, Williams & Wilkins‘)

96. figurafi S Asp rin bur . Extensive area of white epithelial
mosisulthe left buccal muwsa caused by aspirin placement in
maltempl to alleviate dental pain,

97. Figure 8719 Cotton roll burn. Zone ofwhite epithelial ne(rosis
and erythema of the maxillary alveolar mucosa.

99. F ure 8727 Osteoradionecrosis. Same patient as depicted in
Figure 8725. Note fistula formation of the left submandibular area
resulting from osteoradionecrosis of the mandibular body.

100. K 3'! Amalgam tattoo. Area of mucosal discoloralioml
the mandibular alveolar ridge immediately below the bridge
politic

101. Lg. . 3 Minor aphthous ulcerations. Two ulcerations of
different Sizes located on the maxillary labial mucosi

102. Figure 9-7 Major aphthous ulcerat on. A, Large ulceration of the left anterior buccal mucosa.
B, Same lesion after 5 days of therapy with betamethasone syrup used in a SWIsh—and-swallow
method. The patient was free of pain by the second day of therapy. The ulcerahoh healed com-
pletely during the foHowmg week‘

103. _ Allergic mucosal reaction to systemic drug
administration. Large irregular erosion of’tl’le right ventral surr
fare of the tongue. The lesion arose secondary to use of
oxapmzin, a nonsteroidal antHnflammatory drug.

104. Figure 9-33 0 Contact stomatitis from cinnamon flavoring.
Oblong area of sensitive erythema with overlying shaggy
hyperkeratosis.

105. . saw «m
%fi¢é’x wa ,
“a
'r u; n 4: Oral mucosal contact readion to dental
amalgam. Radiating pattern of hyperkeratotic striae on the pos-
terior buccal mucosa that contacts a large distobuccal amalgam
of the permanent mandibular second molar.

106. Figure 9740 Angioedema. lefuse upper llp swelling that arose
rapidly.