LOCAL CAUSES OF FAILURE OF ERUPTION OF PERMANENT TEETH

DORSAL

Displacement in a dentigerous cyst

Overcrowding

Retention of a deciduous predecessor

Supernumerary & Supplemental teeth

Abnormal position of crypt

Loss of space-Dr. karam

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OSTEOGENESIS IMPERFECTA

C BAD GF 

Collagen production impaired

Blue sclera

Abnormal dentin - Dentinogenesis ImperfectaDeafness

Genetic disorderFragile Bone - Fracture Prone

-Dr. karam

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INTRINSIC DISCOLOURATION

DADI T CAFE

Dentinogenesis imperfectaAmelogenesis imperfectaDeath of pulpInternal resorption

Tetracycline

Calcific metamorphosesAgingFluorosis

Erythroblastosis fetalis

-Dr. karam

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TREACHER COLLINS SYNDROME

EACH BF COME AAA...

Ear malformation - hearing loss (microtia)Antimongoloid (downward sloping) palpebral fissureColobomas - notched iris with a displaced pupilHypoplastic mandible - retrognathic mandible

                malar bone

                air sinus

Bird face

Fish face

Cleft palateOpen biteMacrostomia - high arched palateEctopic eruption

Aplasia of TMJAbnormal hair growth - tongue shaped hairline- anterior displaced preauricular hairlineAutosomal dominant

-Dr. karam

**********************************************************

McCune-Albright syndrome

PEP C

Polyostotic fibrous dysplasiaEndocrine dysfunctionPrecocious puberty

Cafe-au-lait macule

-Dr. karam**********************************************************

FORDYCE SPOT / GRANULES

MY MBA

MultipleYellow

MaculopappilarBilaterally

Asymptomatic

SITE - BURA

Buccal mucosaUpper lipRetromolar areaAnterior tonsillar pillar

AGE SEX - MAP

MaleAfterPuberty

-Dr.karam**********************************************************

LEUKOEDEMA

ETIOLOGY : UV

Unknown etiologySTABESSmokingTobacco chewingAlcohol ingestionBacterial infectionElectrochemical interactionSalivary conditionsVariation of normal

Aaj Dinner Me Go CANT Wrinki Di

AsympotomaticDinnerMilkyGray-whiteOpalescent appearance of the mucosaCant scrapped offWrinkled surface at restDisappear or fade upon streching the mucosa

AREA: BOB

BilaterallyOnBuccal mucosa

Buccal mucosa - may extend to labial mucosaSoft palateFloor of the mouth

-Dr. karam**********************************************************

HAIRY TONGUE TREATMENT

DIP T

Discontinue any responsible drugs, mouthwashes or habits.Increase oral hygienePhysical debridement / brushing with a soft bristled tooth brushes - 5 to 15 strokes once or twice daily

Topical Podophylin - keratolytic agent-Dr. karam

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PAGET'S DISEASE

SITE -

SKUL JA BACK PE LE

SkullJawBackPelvisLeg

ORAL MANIFESTATION

JIPPI

Jaw enlargementill defined neuralgic painPost operative bleedingPoor healing of extraction woundIncrease incidence of both salivary & pulpal calculI

JAW ENLARGEMENT

B MAX WAR LIC Real LION

Bilaterally symmetric

Maxilla

Widen alveolar ridge - acquired diastema                                       ill fitting denture

Lip impossible closure - lip too small to cover the jaw - open mouth

Relative flattening of palate

Lion like face - leontiasis ossea

COMPLICATION

OOP F

Osteomyelilitis Osteogenic sarcomaPathologic fracture

Facial paralysis-Dr. karam

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RAMSAY HUNT SYNDROME

Happy Zoo Zoo In Geni Gang

Herpes Zooster Infection of Geniculate Ganglion

-Dr. karam**********************************************************

APTHOUS ULCER ETIOLOGY

HIT AS SINGH

Hormonal influencesInfectious agentsTrauma

AllergiesStress

Smoking cessationImmunological factorsNutritional deficienciesGenetic predispositionHematologic abnormalities

-Dr. karam**********************************************************

HYPERCEMENTOSIS - FACTORS ASSOCIATED WITH

LOCAL

Ab AUR

Abnormal occlusal trauma

Adjacent inflammation - pulpal,periodontal etcUnopposed teeth - impacted, embedded, without antagonistRepair of vital root fracture

SYSTEMIC FACTORS

Pagal CARA G TV

Paget disease of bone (common)

               rareCalcinosisAcromegaly & pitutary gigantismRheumatic feverArthritis

Gardner syndrome

Thyroid goitreVitamin A deficiency

-Dr. karam**********************************************************

ORAL MANIFESTATION OF VITAMIN C

GUM IP

Gingival swelling with spontaneous hemorrhageUlcerationMobility

Increased severity of periodontal infectionPeriodontal bone loss

gingival lesions have been termed as SCORBUTIC GINGIVITIS

-Dr. karam**********************************************************

FACTORS LEADING TO OSTEORADIONECROSIS

HI ITS PUPPI

High dose of irradiation with or without fractionationIrradiation of an area of previous surgery

Irradiation of lesions in close proximityTrauma to the irradiated bone areaSurgery in the irradiated area

Poor oral hygiene & continued use of irritants

Use of a combination of external radiation & intraoral implantsPatient poor co-operation in  managing irradiated tissues or fulfiling home care programesPresence of numerous physical & nutritional problems prior to therapyIndiscrominate use of prosthetic appliances following radiation therapy

CLINICAL FEATURES

Man In CoFi Su P

Mandible

Intractable pain

Cortical perforationFistula Formation

Surface ulcerations

Pathologic fractures-Dr. karam

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FIBRO OSSEOUS LESIONS OF MEDULLARY BONE ORIGIN :

C Fake Friends !! JAG Ja Pagal

CherubismFibrous dysplasiaFibro osteoma

Juvenile ossifying fibromaAneurysmal bone cystGiant cell tumor

Jaw lesions in hyperparathyroidism

Paget's disease

FIBRO OSSEOUS LESIONS OF PERIODONTAL ORIGIN :

Pure Force Ce Cemen Out

Peripical cemental dysplasiaFlorid osseous dysplasiaCementoossifying fibromaCementifying fibromaOssifying fibroma

DYSPLASIA - MICROSCOPIC FEATURES

RIP BIDI

Reduced intracellular adhesionIncreased nuclear - cytoplasmic ratiosPleomorphic nuclei - hyperchromatic, smudgy, angular

Basal cell crowdingIrregular stratificationDrop shaped rete pegsIncreased & abnormal mitoses

- Dr. karam*****************************************************

ANEURYSMAL BONE CYST

BY MENU

Blood filled spaces lined by connective tissue & multinucleated giant cellsYoung adults affected

Multilocular lucencyExcision No associated thrill or bruits on auscultationUnknown etiology - may be related to altered hemodynamics or abnormal healing of bone hemorrhage

- Dr. karam*****************************************************

PEMPHIGUS VULGARIS

ANTACIDS HOP UP

Autoimmune mucocutaneous disorderNikolsky's signTzanck cellAcantholysisControlled with immunosuppressive (corticosteroids & azothioprine / cyclophosphamideIntraepithelial blistersDesmoglein - 3Skin and / or mucosa

High mortality when untreated (dehydration, electrolyte imbalance, infection)Oral lesions are the first signs in 60 % of cases (first to show last to go)Persistent & progressive

Ulcers preceded by vesicles or bullaePainful

- Dr. karam*****************************************************

PRIMARY HERPES SIMPLEX

SICO SIS

Self limiting - symptomatic careImmunocompromised have more severe diseaseChildhoodOral & perioral vesicles rupture forming ulcer

SubclinicallyIntraoral lesions on any surfaceSystemic signs / symptoms - headache, anoroxia, fever, cervical lymphadenopathy, athralgia, malaise

-Dr. karam*****************************************************

ORAL SUBMUCOUS FIBROSIS

ATIF JAL

Areca Nuts - contain alkaloids - primary etiologyTrismusIndian subcontinentFibrous bands palpable

HISTOLOGIC FEATURE

Juxta epithelial hyalinization of lumia propriaAtrophic epitheliumLoss of rete pegs