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classification of oral disease - Slide 1


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classification of oral disease - Slide 1

  1. 1. Classifications
  2. 2. ULCERATIVE, VESICULAR, AND BULLOUS LESIONS THE PATIENT WITH ACUTE MULTIPLE LESIONS •Herpesvirus Infections •Primary Herpes SimplexVirus Infections •Coxsackievirus Infections •Varicella-ZosterVirus Infection •Erythema Multiforme •Contact Allergic Stomatitis •Oral Ulcers Secondary to Cancer Chemotherapy •Acute Necrotizing UlcerativeGingivitis
  3. 3. THE PATIENT WITH RECURRING ORAL ULCERS •Recurrent Aphthous Stomatitis •Behçet’s Syndrome •Recurrent Herpes SimplexVirus Infection ULCERATIVE, VESICULAR, AND BULLOUS LESIONS THE PATIENT WITH CHRONIC MULTIPLE LESIONS •Pemphigus •Subepithelial Bullous Dermatoses •Herpes Simplex Virus Infection in Immunosuppressed Patients
  5. 5. RED ANDWHITE LESIONS OF THE ORAL MUCOSA HEREDITARY WHITE LESIONS Leukoedema White Sponge Nevus Hereditary Benign Intraepithelial Dyskeratosis Dyskeratosis Congenita
  6. 6. REACTIVE/INFLAMMATORY WHITE LESIONS INFECTIOUS WHITE LESIONS AND WHITE AND RED LESIONS •Linea Alba (White Line) •Frictional (Traumatic) Keratosis •Cheek Chewing •Chemical Injuries of the Oral Mucosa •Actinic Keratosis (Cheilitis) •Smokeless Tobacco– Induced Keratosis •Nicotine Stomatitis •Oral Hairy Leukoplakia •Candidiasis •Mucous Patches •Parulis
  7. 7. Classification of ulcerative condition BACTERIAL •Syphilis •Gonorrhoea •Tuberculosis •Leprosy •Noma •ANUG •Nonspecific mixed bacterial infectons VIRAL •Acute herpetic gingivostomatitis •Herpes labials •Herpangina •HIV infection •Infectious mononucleosis •Herpes zoster •measles INFECTIVE LESIONS FUNGAL •Sporotrichosis •Histoplasmosis •Crytococcosis •mucormycosis
  8. 8. Classification of ulcerative condition Immunologic disorders •Apthous ulcer •Behcet’s syndrome •Erythema syndrome •Pemphigus •Pemphigod •Contact allergy •Ulcerative lichen planus •Discoid lupus erythematosus Malignant condition •SCC •Antral carcinoma •Verrucous carcinoma Traumatic condition •Mechanical •Thermal •Chemical •Factitious injury •radiation
  9. 9. Classification of ulcerative condition SYSTEMIC •Leukaemia •Agranulocytosis •Cyclic neutropenia •Pernicious anemia •Gluten enteropathy •Chron’s disease NECROTIC CONDITION •Midline lehthal granulomatosis •Wegner’s granulomatosis •Malignant reticulosis •osteoradionecrosis
  10. 10. MISCELLANEOUS LESIONS •Angular chelitis •Congenital lip pit •Commissural pit •Necrotizing sialometaplasia •Oro-antral fistula Classification of ulcerative condition
  11. 11. CLASSIFICATION OF DISCOLORATION OF TOOTH EXRINSIC STAINS •Substances in the diet •Smoking •Habitual chewing of tobacco,betal nut •Medicament e.g chlorhexidines or dentifrices •Chromogenic micro-organisms
  12. 12. INTRINSIC STAINS Changes in structure or thickness of dental tissue Diffusion of pigments into dental tissue after their formation Pigment incoporated during formation of dental tissue •Enamel hypoplasias •Fluorosis •Amelogenesis imperfecta •Enamel opacities •Enamel caries •Dentinal dyplasia •Extrinsic stain •Endodontic material •Products of pulp necrosis •Bile pigment in biliary atresia •Tetracycline stains •Postmortem pink tooth •Hemosiderin pigment in erythroblastosis fetalis
  13. 13. ODONTOGENIC DEVELOPMENTAL INFLAMMATORY Gingival cyst of infants Odontogenic keratocyst Dentigerous cyst Eruption cyst Lateral periodontal cyst Gingival cyst of adult Botryoid odontogenic cyst Calcifying epithelial Radicular cyst,apical and lateral Residual cyst Paradental cyst and mandibular infected buccal cyst Inflammatory collateral cyst CLASSIFICATION OF CYST OF ORAL REGION
  14. 14. Non-odontogenic Non-epithelial •Nasopalatine duct cyst •Nasolabial cyst •Midpalatal raphe cyst of infants •Median palatne, median alveolar and median mandibular cysts •Globulomaxillary •Solitary bone cyst •Aneurysmal bone cyst
  15. 15. Cyst associated with the maxillary antrum Cyst of the tissue of the mouth, face and neck •Benign mucosal cyst of the maxillary antrum •Postoperative maxillary cyst •Dermoid and epidermoid cysts •Lympho-epithelial cyst •Thyroglossal duct cyst •Anterior median lingual cyst •Oral cyst with gastric or intestinal epithelium •Cystic hygroma •Nasopharyngeal •Thymic cystic •Cysts of the salivary gland
  16. 16. CLASSIFICATION OF ODONTOGENIC NEOPLASM BENIGN TUMORS Tumors of the epithelial tissue origin Tumor of mixed tissue origin Tumors of the mesenchymal tissue origin •Ameloblastoma •Squamous odontogenic tumor •CEOT •AOT •Ameloblastic fibroma •Ameloblastic fibro- odontome •Complex odontome •Compound odontome •Odontogenic fibroma •Odontogenic myxoma •Cementoma •Cementifying fibroma •Benign cementoblastoma
  17. 17. MALIGANANT TUMORS 1.Odontogenic carcinomas 2. Odentogenic sarcomas a. Malignant ameloblastoma b. Primary intra- alveolar carcinoma a.Ameloblastoma fibrosarcoma b.Ameloblastoma carcinosarcoma
  18. 18. CLASSIFICATION OF ORAL NON- ODENTOGENIC NEOPLASMS Neoplasms of epithelial tissue origin Benign neoplasm Malignant neoplasm •Papilloma •Keratoacanthoma •Pigmented cellular nevus •Papillary hyperplasia •Basal cell carcinoma •Squamous cell carcinoma •Verrucous carcinoma •Adenoid squamous cell caecinoma •Maglignant melanoma •Spindle cell carcinoma •Primary intra-alveolar carcinoma •Multicentric oral carcinoma
  19. 19. NEOPLASM OF MESENCHYMAL TISSUE ORIGIN Benign neoplasm Maglignant neoplasm Neoplasms of fibrous tissue Neoplasm of fibrous tissue •Fibroma •Fibromatosis •Desmoplastic fibroma •Pyogenic granuloma •Gaint cell fibroma •Peripheral ossifying fibroma •Central ossifying fibroma •Central gaint cell granuloma •Benign fibrous histiocytoma •Maglignant fibrous histiocytoma
  20. 20. NEOPLASM OF MESENCHYMAL TISSUE ORIGIN Benign neoplasm Maglignant neoplasm Neoplasm of adipose tissue Neoplasm of adipose tissue Lipoma Liposarcoma Angiolipoma Neoplasm of vascular tissue Neoplasm of vascular tissue Hemangioma Lymphangioma Giomous tumor Hereditary Hemangiopericytoma Hemangioendotheliom a Angisarcoma
  21. 21. NEOPLASM OF MESENCHYMAL TISSUE ORIGIN Benign neoplasm Maglignant neoplasm Osteoma Osteomatosis Osteoid osteoma Osteoblastoma Osteoclastoma Torus palatinus Torus mandibularis Osteosarcoma Parosteal osteosarcoma Ewing’s sarcom CARTILAGE TISSUE NEOPLASM CARTILAGE TISSUE NEOPLASMS Chondroma Chondroblastoma Chondromyxoid fibroma Chondrosarcoma Mesenchymal chondrosarcoma
  22. 22. NEOPLASM OF MESENCHYMAL TISSUE ORIGIN Benign neoplasm Maglignant neoplasm NEOPLASMS OF NEURAL TISSUE NEOPLASMS OF NEURAL TISSUE Neurilemmoma Neurofibroma Neurofibromatosis Multiple endocrine neoplasia syndrome Melanotic neuroectodermal tumor of infancy Neuroblastoma Ganglioneuroma Traumatic neuroma Plexiform neuroma Neurosarcoma Olfactory chondrosarcoma
  23. 23. NEOPLASM OF MESENCHYMAL TISSUE ORIGIN Benign neoplasm Maglignant neoplasm Smooth muscle neoplasms Smooth muscle neoplasms Leiomyoma Angiomyoman Leiomyosarcoma Angiomyosarcoma Neoplasm of striated muscle Neoplasm of striated muscle Rhabdomyoma Granular cell myoblastoma Congenital epulis of newborn rhabdomyosarcoma Neoplasm of mixed tissue Neoplasm of mixed tissue
  24. 24. NEOPLASM OF MESENCHYMAL TISSUE ORIGIN Benign neoplasm Maglignant neoplasm Neoplasm of lymphoid Neoplasm of lymphoid •No benign neoplasm •Hodgkin’s lymphoma •Non-hodgkin’s lymphoma •Burkitt lymphoma •Mycosis fungoides •Multiple myeloma •plasmacytoma
  25. 25. CLASSIFICATION OF GIANT CELL LESIONS NEOPLASMS •Gaint cell tumor of the bone •Central gaint cell granuloma •Peripheral gaint cell granuloma •Gaint cell epulis •Brown tumor of hyperparathyroidism •Gaint cell fibroma •Malignant fibrous histiocytoma
  26. 26. Other lesion where gaint cells may be present •Osteoblastoma •Chondroblastoma •Aneurysmal bone cyst •Fibrous dysplasia of bone •Cherubism •Tuberculosis •Fibrous histiocyoma •Sarcoidosis •Hodgkin’s disease •Eosinophilic granuloma •Leterrer siwe disease •Gaint cell arteritis •Pulse granuloma •Histoplasmosis •Calcifying epithelial odontogenic cyst
  27. 27. CLASSIFICATION OF VERRUCAL- PAPILLARY LESIONS OF ORAL CAVITY Reactive Neoplasm Unknown etiology •Papillary hyperplasia of palate •Condyloma latum •Squamous papilloma •Oral warts •Oral papillomatosis •Condyloma acuminatum •Heck’s disease •Keratoacanthom a •Verrucous carcinoma •Pyostomatitis vegetans •Verruciform xanthoma
  28. 28. CLASSIFICAION OF DISEASES OF SALIVARY GLANDS NON-NEOPLASTIC DISORDER DEVELOPMENTAL ANOMALIS REACTIVE LESIONS •Agesnis •Hypoplasia •Atresia •Ectopia •Mucus retention cyst •Mucus extravasation cyst •Siatlolithiasis •Post-radiation sialadenitis •Chronic sclerosing sialometaplasia
  29. 29. Non-neoplastic disorder INFECTIVE LESIONS Bacterial siadenitis Viral sialedeni tis Immune- mediated diseases Miscellaneous disease •Acute •Chronic •Recurre nt •Mumps •Cytome galic inclusion disease •Mikulicz disease’s •Sjogren’ s syndrome •Heerfordt syndrome •Sialosis •Ptyalism and aptyliasia •HIV associated salivary gland disease
  30. 30. CLASSIFICAION OF DISEASES OF SALIVARY GLANDS NEOPLASTIC DISORDER A. EPITHELIAL TISSUE NEOPLASMS ADENOMAS •Pleomorphic adenoma •Monomorphic adenoma •Adenolymphoma •Oxyphil adenoma •Other types •Mucoepidermoid •Acinic cell tumor •Carcinomas •Adenoid cystic carcinoma •adenocacinoma •Epidermoid carcinoma •Undifferentiated carcinoma •Carcinoma in pleomorphic
  31. 31. NEOPLASTIC DISORDER B. CONNECTIVE TISSUE NEOPLASMS •Fibroma •Fibrosarcoma •Lipoma •Neurilemmoma •Hemagioma •Melanoma •Lymphoma
  32. 32. CLASSIFICATION OF VASCULAR TISSUE DISEASES The arteritides Midfacial granuloma syndrome Vascular hamartomas •Polyarteritis nodosa •Wegner’s granulomatosis •Stewart-type midfacial granuloma •Gaint cell arteritis •Radiation arteritis •Hemangioma s •lymphangiom as
  33. 33. Telangiectases Vascular tumor 1. Hereditar hemorrhagic telangietasia 2. Radiation telangiectasia 1. Leiomyoma 2. Leiomyosarcoma 3. Hamangiopericytom a 4. Hemangioendotheli oma 5. Kaposi’s sarcoma 6. Angiolymphoid hyperplasia with eosinophils and kimura disease
  34. 34. CLASSIFICATION OF STOMATITIS INFECTIVE STOMATITIS 1. Primary herpetic stomatiis 2. Herpes labialis 3. Chinken pox 4. Infectious mononucleosis 5. Hand-foot and mouth disease 6. Herpangina 7. Candidosis 8. Tuberculosis 9. syphilis
  35. 35. Stomatitis immunologically mediated or of dubious origine Apthous stomatitis Behcet’s syndrome Lichen planus Lupus erythematosus Pemphigus vulgaris Pemphigus vegetans Pyostomatitis vegetans Cicatricial pemphigoid Desquamative gingivitis Bullous erythema multiforme Epodermolysis bullosa Dermatitis herpetiformis reiter’s syndrome Cowden’s syndrome Acanthosis nigricans
  36. 36. CLASSIFICATION OF SEVERE INFECTION OF THE ORO-FACIAL TISSUE •Acute cellulitis •Ludwig’s angina •Space infection •Cavernous sinus thrombosis •Actinomycosis •Histopasmosis •Phycomycosis •Cryptococcosis •Aspergillosis •Blastomycosis •Cat scratch disease •Cancrum oris •Midline lethal granuloma •Suppurative parotitis •Acute osteomyelitis of maxilla •Acute osteomyelitis of mandible •Acute infection in AIDS pt and other immunocompromised
  38. 38. Primary vascular disorder Psychogenic pains Generalized pain syndrome Migraine with aura Migraine without aura Cluster headache Tension-type headache Hypertensive vascular changes Mixed headache Cranial arteritis Carotodynia thrombophlebitis Delusional/halluci natory Hysterical/hypoc hondriac Post traumatic pain Sympathetically maintained pain Phatom pain Central pain
  39. 39. LESION OF EAR NOSE AND ORAL CAVIT Maxillary sinusitis Otitis media Odontalgia dentin defect pulpitis periapical pahology periapical abscess periodontal pathology cracked tooth syndrome Cyst and tumor Osteitits Mucocutaneous disease Salivary gland disease Atypical facial pain glossodynia
  40. 40. Classification of diseases of tongue Developmental disorder •Aglossia •Hypoglossia •Cleft tongue •Ankyloglossia •Fissured tongue •Scrotal tongue •Median rhomboid glossitis •Hairy tongue •Lingual thyroid •Thyroglossal duct cyst •Microglossia •Macroglossia •Bald tongue •Benign migratory glossitis
  41. 41. Disorders in lingual papillae •Hairy tongue •Oral thrush •Chemical burns •White sponge nevus •Vesiculo-bullous lesions •Lichen planus •Leukoplakia •Hairy leukoplakia •Vitamin deficiency •Hunter’s glossitis •Traumatic ulcer •Infectious disease •Lingual varicosities •Lingula hematoma •Glossitis due to syphilis •Pigmentations •Atrophic glossitis in plummer-vinson’s syndrome or paterson- kelly syndrome
  42. 42. DISEASE AFFECTING BODY OF THE TONGUE Amyloidosis Lingual abscess Muscular dystrophy Hypoglossal Actinomycosis Cysticercosis Trichinosis Neck-tongue syndrome Glossoptosis Glossophyrosis Glossodynia Intracts in the tongue Angioneurotic edema
  43. 43. BENIGN TUMORS MALIGNANT TUMORS Traumatic fibroma Pyogenic granuloma Granular cell myoblastoma Hemangioma Lymphangioma Neurofibroma Salivary gland tumor Squamous cell carcinoma Verrucous carcinoma Malignant fibrous histiocytoma
  44. 44. CLASSIFICATION OF FIBRO- OSSEOUS LESIONS Fibrous dysplasia of bone polystotic monostotic Ossifying fibroma Cementing fibroma Central gaint cell granuloma Brown tumor of hyperparathyroidism Paget’s disease of bone Cherubism Aneurysmal bone cyst Hemorrhagic bone cyst Focal condensing osteitis Exostoses torus palatinus torus manadibularis Focal osteoporotic bone marrrow Defect(FOBMD) Fibrous defect of mandible Osteogenesis imperfecta Osteoporosis Vanishing bone disease Histiocytosis-x Acromegally Infantile cortical hyperostosis
  45. 45. Achondroplasia Scurvy Hurler’s syndrome Fragile x syndrome Cleidocranial dysplasia
  46. 46. CLASSIFICATION OF GINGIVAL ENLARGEMENT FOCAL GINGIVAL ENLARGEMENT Pyogenic ganuloma Fibro-epithelial polyp Parulis Denture irritation Peripheral gaint cell granuloma Peripheral fibroma Gaint cell fibroma Fibrous histiocytoma Malignant fibrous histiocytoma Fibrosarcoma Nodular fascitis Localized fibromatosis Exostosis Gingival cyst Eruption cyst Congental epulis of newborn
  47. 47. Generalized gingival enlargement Inflammatory enlargement Fibrous overgrowth of the gingiva Scurvy Puberty Pregnancy Oral contraception Acute leukemias Crohn’s disease Wegener’s granulomatosis Hereditary of the gingiva Drug induced gingival fibromatosis -phenytoin sodium - cyclosporine - nifedipine & verapamil Chronic hyperplastic gingivitis Orofacial angoiomatosis idiopathic
  48. 48. CLASSIFICATION OF SKIN DISEASE MACULES AND PATCHES Hypopigmented –vitiligo Hyperpigmented- ephelides café-au-lait macules solar lentigo melasma Erythematous Erysipelas Telangiectasia Pectechiae Purpura Ecchymoses Splinter hemorrhage
  49. 49. Papules and plaque Flesh colored or yellow Hyperpigmented Acrochodon Fibrous papule Adenoma sebaceum Neurofibroma Syringoma Molluscum contagiosum Sebaceous hyperplasia Xanthelasma nevus Melanoma Seborrheic keratitis
  50. 50. Papules and plaque Erythematous Acne Perioral dermatitis Folliculitis Furuncle Miliaria Spitz nevus Acute febrile neutrophilic dermatosis Violaceous Lichen planus Blue nevous Angiosarcoma Venous lake Morbiliform drug eruption Cherry hemngioma
  51. 51. NODULES WHEALS CONNECTIVE TISSUE DISEASE Basal cell carcinoma Keratoacantho ma SCC Uricaria andioedema Dermatomyosis tis Lupus erythematosus Scleroderma Temporal arteritis
  52. 52. Vesicles/bull ae/pustules Erosion/fissure/u lcer/scare Papulosquamo us dermatosis Herpes simplex infection Varicella- zoster infection Contact dermatitis Rosacea Erythema multiforme Erthematous us Perieche Pyodermal gamgrenosum Burns Keloid Radiodermatitis Acitinic keratoses Psoriasis Seborrheic dermatitis Atopic dermatitis Keratosis pilaris Pityriasis rosea Verruca vulgaris
  53. 53. CLASSIFICATION OF ORAL SWELLING Swelling on the floor of the mouth Mucous retention cyst Mucous extravasation cyst Dermoid cyst Lymphoepitheli al Salivary gland
  54. 54. Swelling of the lip and buccal mucosa Upper lip Lower lip Buccal mucosa swelling Palatal swellings •Salivary gland tumor •mucocel e •Traumati c fibroma •Mucocel es •Salivary gland tumor •Benign & malignant •Traumati c fibroma •Mucocel es •Salivary gland tumor •Benign & malignant •Mucoceles •Salivary gland tumor •Lymphoma •Metastatic tumor •Torus •Neoplasm of maxilla & maxillary sinus