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Intra oral swelings

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Oral Diagnosis II
Forth Year

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Intra oral swelings

  1. 1. Differential diagnosis of the oro-facial swellings Aiman A. Ali DDS, PhD. 1
  2. 2.  Chief complaint  History of chief complaint  Medical history  Review of systems  Medications  Hospitalizations  Family history  Psycho-social history  Dental history  Clinical examination  Extra-oral  Intra-oral  Differential diagnosis  Special investigations  Final diagnosis 2 Aiman A. Ali , DDS, PhD. 2009
  3. 3. Chief complaint 3  Swelling  Difficulties during eating  Psychology [male, female]  Pain Aiman A. Ali , DDS, PhD. 2009
  4. 4. History of chief complaint 4  Onset and duration Associated factors Aiman A. Ali , DDS, PhD. 2009
  5. 5. History of chief complaint 5  Onset and duration Associated factors Aiman A. Ali , DDS, PhD. 2009
  6. 6. Medical history • Review of systems • Medications 6 Leukemia Dilantin hyperplasia Aiman A. Ali , DDS, PhD. 2009
  7. 7. Psychosocial history 7 Aiman A. Ali , DDS, PhD. 2009
  8. 8. Dental history 8 Aiman A. Ali , DDS, PhD. 2009
  9. 9. Clinical examination  Extra-oral “lymph nodes” 9 Aiman A. Ali , DDS, PhD. 2009
  10. 10. Clinical examination  Extra-oral: Salivary glands 10 Aiman A. Ali , DDS, PhD. 2009
  11. 11. Clinical examination  Extra-oral: Infections & Neoplasm 11 Aiman A. Ali , DDS, PhD. 2009 Lipoma BCC Periapical abscess Mumps
  12. 12. Clinical examination  Color  Normal  White  Red  Blue  Melanotic  Yellow  Café-au-lait 12 Aiman A. Ali , DDS, PhD. 2009
  13. 13. Clinical examination  Consistency:  Hard • Stony • Bony  Soft  Mixed  Fluctuant 13 Aiman A. Ali , DDS, PhD. 2009
  14. 14. Clinical examination  Site:  Localized  Generalized  Gingiva  Tongue  Lip …etc. 14 Aiman A. Ali , DDS, PhD. 2009
  15. 15. Clinical examination  It’s relationship with adjacent teeth 15 Aiman A. Ali , DDS, PhD. 2009
  16. 16. Special investigations 16 Aiman A. Ali , DDS, PhD. 2009
  17. 17. Special investigations 17 Imaging Aiman A. Ali , DDS, PhD. 2009 CT scan MRI U-Sound X-Ray
  18. 18. Special investigations 18 Aiman A. Ali , DDS, PhD. 2009
  19. 19. Building the final diagnosis Inv. 19 Aiman A. Ali , DDS, PhD. 2009 Text Fam . Int. S.I. Med. clin Ext.history Final diagnosis
  20. 20. Anatomical classification of Swelling  Swelling of the gingiva  Swelling of lip  Swelling of the palate  Swelling of the tongue  Swelling of the floor of the mouth  Facial swelling  Swelling of salivary glands 20 Aiman A. Ali , DDS, PhD. 2009
  21. 21. Swelling of the gingiva  Gingival fibromatosis.  Leukemia.  Medications: Phenytoin, cyclosporine, calcium channel blockers.  Vitamin C deficiency  Epulis: Pregnancy, fibrous, giant cells  Tumors  Granulomatous disorders: Crohn's, sarcoidosis, orofacial graulomatosis 21 Aiman A. Ali , DDS, PhD. 2009
  22. 22. Swelling of lip  Edema: trauma, infection, insect bite  Angioedema  Granulomatous disorders: Crohn's, sarcoidosis  Mucoceles  Cysts  Tumors  Abscess 22 Aiman A. Ali , DDS, PhD. 2009
  23. 23. 23
  24. 24. Swelling of the palate  Dental causes: impacted tooth, odontogenic cyst, dental abscess  Turus palatinus  Tumors  Developmental Cysts  Fibroosseous lesions: fibrous dysplasia, Paget's disease 24 Aiman A. Ali , DDS, PhD. 2009
  25. 25. 25 Developmental cyst Inflammatory cyst
  26. 26. Swelling of the tongue  Macroglossia  Congenital: Lingual thyroid nodule, hemangioma, lymphangioma,  Abscess  Edema: inflammatory, angioedema  Hematoma  Cysts  Tumors 26 Aiman A. Ali , DDS, PhD. 2009
  27. 27. 27 AngioedemaPyogenic granuloma Hemangiomas
  28. 28. Swelling of the floor of the mouth  Fibrous hyperplasia  Dental cause: abscess  Tumors  Cysts: dermoid, mucoseles, retention cyst 28 Aiman A. Ali , DDS, PhD. 2009
  29. 29. 29 Lipoma Dermoid Cyst Ranula
  30. 30. Facial swelling  Inflammation and infection  Trauma  Post operative emphysema  Insect bite  Angioedema  Endocrine/metabolic causes (corticosteroids)  Cysts  Neoplasms  Granulomatous disorders: Crohn's disease, sarcoidosis, Melkersson-rosenthal syndrome, orofacial granulomatusis 30 Aiman A. Ali , DDS, PhD. 2009
  31. 31. 31
  32. 32. Swelling of salivary glands  Inflammatory: mumps, AIDS, CMV infections, Sjogren's syndrome, non specific infections  Obstructions: calculi or neoplasm  Tumors 32 Aiman A. Ali , DDS, PhD. 2009
  33. 33. 33 suppurative parotitis Mumps Pleomorphic adenoma
  34. 34. Aiman A. Ali , DDS, PhD. 2007 34

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