Classifications ULCERATIVE, VESICULAR, AND BULLOUS LESIONS THE PATIENT WITH ACUTE MULTIPLE LESIONS •Herpesvirus Infections •Primary Herpes Simplex Virus Infections •Coxsackievirus Infections •Varicella-Zoster Virus Infection •Erythema Multiforme •Contact Allergic Stomatitis •Oral Ulcers Secondary to Cancer Chemotherapy •Acute Necrotizing Ulcerative Gingivitis ULCERATIVE, VESICULAR, AND BULLOUS LESIONS THE PATIENT WITH RECURRING ORAL ULCERS •Recurrent Aphthous Stomatitis •Behçet’s Syndrome •Recurrent Herpes Simplex Virus Infection THE PATIENT WITH CHRONIC MULTIPLE LESIONS •Pemphigus •Subepithelial Bullous Dermatoses •Herpes Simplex Virus Infection in Immunosuppressed Patients ULCERATIVE, VESICULAR, AND BULLOUS LESIONS THE PATIENT WITH SINGLE ULCERS •Histoplasmosis •Blastomycosis •Mucormycosis RED ANDWHITE LESIONS OF THE ORAL MUCOSA HEREDITARY WHITE LESIONS Leukoedema White Sponge Nevus Hereditary Benign Intraepithelial Dyskeratosis Dyskeratosis Congenita REACTIVE/INFLAMMATORY WHITE 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 •Sanguinaria-Induced Leukoplakia INFECTIOUS WHITE LESIONS AND WHITE AND RED LESIONS •Oral Hairy Leukoplakia •Candidiasis •Mucous Patches •Parulis Classification of ulcerative condition INFECTIVE LESIONS 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 FUNGAL •Sporotrichosis •Histoplasmosis •Crytococcosis •mucormycosis Classification of ulcerative condition Traumatic condition •Mechanical •Thermal •Chemical •Factitious injury •radiation 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 Classification of ulcerative condition SYSTEMIC •Leukaemia •Agranulocytosis •Cyclic neutropenia •Pernicious anemia •Gluten enteropathy •Chron’s disease •Uremic stomatitis NECROTIC CONDITION •Midline lehthal granulomatosis •Wegner’s granulomatosis •Malignant reticulosis •osteoradionecrosis Classification of ulcerative condition MISCELLANEOUS LESIONS •Angular chelitis •Congenital lip pit •Commissural pit •Necrotizing sialometaplasia •Oro-antral fistula 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 INTRINSIC STAINS Changes in structure or Diffusion of pigments Pigment incoporated thickness of dental into dental tissue during formation of tissue after their formation dental tissue •Enamel hypoplasias •Fluorosis •Amelogenesis imperfecta •Enamel opacities •Enamel caries •Dentinal dyplasia •Dentinogenesis imperfecta •Extrinsic stain •Endodontic material •Products of pulp necrosis •Bile pigment in biliary atresia •Tetracycline stains •Postmortem pink tooth •Hemosiderin pigment in erythroblastosis fetalis •Porphyrines in porphyria CLASSIFICATION OF CYST OF ORAL REGION ODONTOGENIC DEVELOPMENTAL Gingival cyst of infants Odontogenic keratocyst Dentigerous cyst Eruption cyst Lateral periodontal cyst Gingival cyst of adult Botryoid odontogenic cyst Calcifying epithelial odentogenic cyst INFLAMMATORY Radicular cyst,apical and lateral Residual cyst Paradental cyst and mandibular infected buccal cyst Inflammatory collateral cyst Non-odontogenic •Nasopalatine duct cyst •Nasolabial cyst •Midpalatal raphe cyst of infants •Median palatne, median alveolar and median mandibular cysts •Globulomaxillary Non-epithelial •Solitary bone cyst •Aneurysmal bone cyst Cyst associated with the maxillary antrum •Benign mucosal cyst of the maxillary antrum •Postoperative maxillary cyst Cyst of the tissue of the mouth, face and neck •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 •Parastic cystic, hydatid cyst, cysticercus cellulosae, trichinosis CLASSIFICATION OF ODONTOGENIC NEOPLASM BENIGN TUMORS Tumors of the epithelial Tumor of mixed tissue tissue origin origin •Ameloblastoma •Squamous odontogenic tumor •CEOT •AOT •Ameloblastic fibroma •Ameloblastic fibroodontome •Complex odontome •Compound odontome Tumors of the mesenchymal tissue origin •Odontogenic fibroma •Odontogenic myxoma •Cementoma •Cementifying fibroma •Benign cementoblastoma MALIGANANT TUMORS 1.Odontogenic 2. Odentogenic sarcomas carcinomas a. Malignant a.Ameloblastoma ameloblastoma fibrosarcoma b. Primary intrab.Ameloblastoma alveolar carcinoma carcinosarcoma CLASSIFICATION OF ORAL NONODENTOGENIC NEOPLASMS Neoplasms of epithelial tissue origin Benign neoplasm Malignant neoplasm •Papilloma •Basal cell carcinoma •Keratoacanthoma •Squamous cell carcinoma •Pigmented cellular •Verrucous carcinoma nevus •Adenoid squamous cell caecinoma •Papillary hyperplasia •Maglignant melanoma •Spindle cell carcinoma •Primary intra-alveolar carcinoma •Multicentric oral carcinoma NEOPLASM OF MESENCHYMAL TISSUE ORIGIN Benign neoplasm Maglignant neoplasm Neoplasms of fibrous tissue Neoplasm of fibrous tissue •Fibroma •Maglignant fibrous histiocytoma •Fibromatosis •Desmoplastic fibroma •Pyogenic granuloma •Gaint cell fibroma •Peripheral ossifying fibroma •Central ossifying fibroma •Central gaint cell granuloma •Benign fibrous histiocytoma •Nodular fascitis •Myxoma •Fibro-epithelial poly 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 Hemangiopericytoma Lymphangioma Hemangioendothelioma Giomous tumor Angisarcoma Hereditary haemorrhagic Kimura’s disease telangiectasia NEOPLASM OF MESENCHYMAL TISSUE ORIGIN Benign neoplasm Maglignant neoplasm Osteoma Osteomatosis Osteoid osteoma Osteoblastoma Osteoclastoma Torus palatinus Torus mandibularis CARTILAGETISSUE NEOPLASM Chondroma Chondroblastoma Chondromyxoid fibroma Osteosarcoma Parosteal osteosarcoma Ewing’s sarcom CARTILAGE TISSUE NEOPLASMS Chondrosarcoma Mesenchymal chondrosarcoma NEOPLASM OF MESENCHYMAL TISSUE ORIGIN Benign neoplasm Maglignant neoplasm NEOPLASMS OF NEURAL TISSUE Neurilemmoma Neurofibroma Neurofibromatosis Multiple endocrine neoplasia syndrome Melanotic neuroectodermal tumor of infancy Neuroblastoma Ganglioneuroma Traumatic neuroma Plexiform neuroma NEOPLASMS OF NEURAL TISSUE Neurosarcoma Olfactory chondrosarcoma NEOPLASM OF MESENCHYMAL TISSUE ORIGIN Benign neoplasm Maglignant neoplasm Smooth muscle neoplasms Smooth muscle neoplasms Leiomyoma Angiomyoman Leiomyosarcoma Angiomyosarcoma Neoplasm of striated muscle Rhabdomyoma Granular cell myoblastoma Congenital epulis of newborn Neoplasm of mixed tissue Neoplasm of striated muscle rhabdomyosarcoma Teratoma No malignant neoplasm Neoplasm of mixed tissue NEOPLASM OF MESENCHYMAL TISSUE ORIGIN Benign neoplasm Maglignant neoplasm Neoplasm of lymphoid •No benign neoplasm Neoplasm of lymphoid •Hodgkin’s lymphoma •Non-hodgkin’s lymphoma •Burkitt lymphoma •Mycosis fungoides •Multiple myeloma •plasmacytoma 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 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 CLASSIFICATION OF VERRUCALPAPILLARY LESIONS OF ORAL CAVITY Reactive •Papillary hyperplasia of palate •Condyloma latum •Squamous papilloma •Oral warts •Oral papillomatosis •Condyloma acuminatum •Heck’s disease Neoplasm •Keratoacanthom a •Verrucous carcinoma Unknown etiology •Pyostomatitis vegetans •Verruciform xanthoma CLASSIFICAION OF DISEASES OF SALIVARY GLANDS NON-NEOPLASTIC DISORDER DEVELOPMENTAL REACTIVE LESIONS ANOMALIS •Agesnis •Mucus retention cyst •Hypoplasia •Mucus extravasation cyst •Atresia •Siatlolithiasis •Ectopia •Post-radiation sialadenitis •Chronic sclerosing sialometaplasia Non-neoplastic disorder INFECTIVE LESIONS Bacterial Viral ImmuneMiscellaneous siadenitis sialedenitis mediated disease diseases •Acute •Mumps •Mikulicz •Heerfordt •Chronic •Cytomega disease’s syndrome •Recurrent lic •Sjogren’s •Sialosis inclusion syndrome •Ptyalism and disease aptyliasia •HIV associated salivary gland disease 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 NEOPLASTIC DISORDER B. CONNECTIVE TISSUE NEOPLASMS •Fibroma •Fibrosarcoma •Lipoma •Neurilemmoma •Hemagioma •Melanoma •Lymphoma CLASSIFICATION OF VASCULAR TISSUE DISEASES The arteritides •Polyarteritis nodosa Midfacial granuloma syndrome •Wegner’s granulomatosis •Stewart-type midfacial granuloma •Gaint cell arteritis •Radiation arteritis Vascular hamartomas •Hemangiomas •lymphangiomas Telangiectases 1. Hereditar hemorrhagic telangietasia 2. Radiation telangiectasia Vascular tumor 1. Leiomyoma 2. Leiomyosarcoma 3. Hamangiopericytoma 4. Hemangioendothelioma 5. Kaposi’s sarcoma 6. Angiolymphoid hyperplasia with eosinophils and kimura disease 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 Stomatitis immunologically mediated or of dubious origine Apthous stomatitis Desquamative gingivitis Behcet’s syndrome Bullous erythema Lichen planus multiforme Lupus erythematosus Epodermolysis bullosa Pemphigus vulgaris Dermatitis herpetiformis Pemphigus vegetans reiter’s syndrome Pyostomatitis vegetans Cowden’s syndrome Cicatricial pemphigoid Acanthosis nigricans 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 condition CLASSIFICATION OF CHRONIC OROFACIAL PAIN NEURLGIAS PRIMARY TRIGEMIANL NEURALGIA SECONDARY TRIGEMINAL NEURALGIA HYPES ZOSTER POST-HERPETIC NEURALGIA GENICULATE GLOSSOPHARYNGEAL SUPERIOR OCCIPITAL PAIN OF MUSCULAR ORIGIN CERVICAL OSTEOARTHRITIS TMJ DISORDER TMJ REHUMATOID ARTHRITIS TMJ OSTEOARTHRITIS MYPFACIAL PAIN DYSFUNTION SYNDROME FIBROMYALGIA CERVICAL SPRAIN OR HYPEREXTENSION EAGLE SYNDROME 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/hallucinat ory Hysterical/hypochon driac Post traumatic pain Sympathetically maintained pain Phatom pain Central pain LESION OF EAR NOSE AND ORAL CAVIT Maxillary sinusitis Otitis media Odontalgia dentin defect pulpitis periapical pahology periapical abscess periodontal pathology cracked tooth syndrome occlusal trauma Atypical odontalgia Cyst and tumor Osteitits Mucocutaneous disease Salivary gland disease Atypical facial pain glossodynia Classification of diseases of tongue Developmental disorder •Aglossia •Lingual thyroid •Hypoglossia •Thyroglossal duct cyst •Cleft tongue •Microglossia •Ankyloglossia •Macroglossia •Fissured tongue •Bald tongue •Scrotal tongue •Benign migratory •Median rhomboid glossitis glossitis •Hairy tongue Disorders in lingual papillae •Hairy tongue •Traumatic ulcer •Oral thrush •Infectious disease •Chemical burns •Lingual varicosities •White sponge nevus •Lingula hematoma •Vesiculo-bullous •Glossitis due to syphilis lesions •Pigmentations •Lichen planus •Atrophic glossitis in •Leukoplakia plummer-vinson’s •Hairy leukoplakia syndrome or paterson•Vitamin deficiency kelly syndrome •Hunter’s glossitis DISEASE AFFECTING BODY OF THE TONGUE Amyloidosis Glossoptosis Lingual abscess Glossophyrosis Muscular dystrophy Glossodynia Hypoglossal Intracts in the tongue Actinomycosis Angioneurotic edema Cysticercosis Trichinosis Neck-tongue syndrome BENIGNTUMORS Traumatic fibroma Pyogenic granuloma Granular cell myoblastoma Hemangioma Lymphangioma Neurofibroma Salivary gland tumor MALIGNANT TUMORS Squamous cell carcinoma Verrucous carcinoma Malignant fibrous histiocytoma 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 Rickets Achondroplasia Scurvy Hurler’s syndrome Fragile x syndrome Cleidocranial dysplasia CLASSIFICATION OF GINGIVAL ENLARGEMENT FOCAL GINGIVAL ENLARGEMENT Pyogenic ganuloma Malignant fibrous Fibro-epithelial polyp histiocytoma Parulis Fibrosarcoma Denture irritation Nodular fascitis Peripheral gaint cell Localized fibromatosis granuloma Exostosis Peripheral fibroma Gingival cyst Gaint cell fibroma Eruption cyst Fibrous histiocytoma Congental epulis of newborn Generalized gingival enlargement Inflammatory enlargement Fibrous overgrowth of the gingiva Scurvy Hereditary of the gingiva Puberty Drug induced gingival Pregnancy fibromatosis Oral contraception -phenytoin sodium Acute leukemias - cyclosporine Crohn’s disease - nifedipine & verapamil Wegener’s granulomatosis Chronic hyperplastic gingivitis Orofacial angoiomatosis idiopathic 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 Papules and plaque Flesh colored or yellow Acrochodon Fibrous papule Adenoma sebaceum Neurofibroma Syringoma Molluscum contagiosum Sebaceous hyperplasia Xanthelasma milia Hyperpigmented nevus Melanoma Seborrheic keratitis 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 NODULES WHEALS Basal cell carcinoma Keratoacanthoma SCC Uricaria andioedema CONNECTIVE TISSUE DISEASE Dermatomyosistis Lupus erythematosus Scleroderma Temporal arteritis Vesicles/bullae /pustules Herpes simplex infection Varicella-zoster infection Contact dermatitis Rosacea Erythema multiforme Erthematousus Erosion/fissure/ulce r/scare Perieche Pyodermal gamgrenosum Burns Keloid Radiodermatitis Papulosquamous dermatosis Acitinic keratoses Psoriasis Seborrheic dermatitis Atopic dermatitis Keratosis pilaris Pityriasis rosea Verruca vulgaris Flat wart CLASSIFICATION OF ORAL SWELLING Swelling on the floor of the mouth Mucous retention cyst Mucous extravasation cyst Dermoid cyst Lymphoepithelial Salivary gland tumor sialothiasis Swelling of the lip and buccal mucosa Upper lip Lower lip Buccal mucosa swelling •Salivary •Traumatic •Traumatic gland fibroma fibroma tumor •Mucoceles •Mucoceles •mucocele •Salivary •Salivary gland gland tumor tumor •Benign & •Benign & malignant malignant Palatal swellings •Mucoceles •Salivary gland tumor •Lymphoma •Metastatic tumor •Torus •Neoplasm of maxilla & maxillary sinus
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