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 Imperfecta
Deafness

Genetic disorder
Fragile Bone - Fracture Prone
-Dr. karam

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INTRINSIC DISCOLOURATION
DADI T CAFE
Dentinogenesis imperfecta
Amelogenesis imperfecta
Death of pulp
Internal resorption

Tetracycline

Calcific metamorphoses
Aging
Fluorosis
Erythroblastosis fetalis
-Dr. karam

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TREACHER COLLINS SYNDROME

EACH BF COME AAA...

Ear malformation - hearing loss (microtia)

Antimongoloid (downward sloping) palpebral fissure
Colobomas - notched iris with a displaced pupil
Hypoplastic mandible - retrognathic mandible
malar bone
air sinus

Bird face
Fish face

Cleft palate
Open bite
Macrostomia - high arched palate
Ectopic eruption

Aplasia of TMJ
Abnormal hair growth - tongue shaped hairline- anterior
displaced preauricular hairline
Autosomal dominant
-Dr. karam

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McCune-Albright syndrome

PEP C

Polyostotic fibrous dysplasia

Endocrine dysfunction
Precocious puberty

Cafe-au-lait macule

-Dr. karam

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FORDYCE SPOT / GRANULES

MY MBA

Multiple
Yellow

Maculopappilar
Bilaterally
Asymptomatic
SITE - BURA

Buccal mucosa
Upper lip
Retromolar area
Anterior tonsillar pillar

AGE SEX - MAP

Male

After
Puberty
-Dr.karam
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LEUKOEDEMA

ETIOLOGY : UV

Unknown etiology
STABES
Smoking
Tobacco chewing
Alcohol ingestion
Bacterial infection
Electrochemical interaction
Salivary conditions
Variation of normal

Aaj Dinner Me Go CANT Wrinki Di

Asympotomatic

Dinner
Milky
Gray-white
Opalescent appearance of the mucosa
Cant scrapped of
Wrinkled surface at rest
Disappear or fade upon streching the mucosa

AREA: BOB

Bilaterally
On
Buccal mucosa

Buccal mucosa - may extend to labial mucosa

Soft palate
Floor of the mouth
-Dr. karam
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HAIRY TONGUE TREATMENT

DIP T

Discontinue any responsible drugs, mouthwashes or habits.

Increase oral hygiene
Physical 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

Skull
Jaw
Back
Pelvis
Leg

ORAL MANIFESTATION

JIPPI

Jaw enlargement
ill defined neuralgic pain
Post operative bleeding
Poor healing of extraction wound
Increase 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 sarcoma
Pathologic 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

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APTHOUS ULCER ETIOLOGY

HIT AS SINGH

Hormonal influences
Infectious agents
Trauma

Allergies
Stress

Smoking cessation
Immunological factors
Nutritional deficiencies
Genetic predisposition
Hematologic abnormalities
-Dr. karam
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HYPERCEMENTOSIS - FACTORS ASSOCIATED WITH

LOCAL

Ab AUR

Abnormal occlusal trauma

Adjacent inflammation - pulpal,periodontal etc

Unopposed teeth - impacted, embedded, without
antagonist
Repair of vital root fracture

SYSTEMIC FACTORS

Pagal CARA G TV

Paget disease of bone (common)

rare
Calcinosis
Acromegaly & pitutary gigantism
Rheumatic fever
Arthritis

Gardner syndrome

Thyroid goitre
Vitamin A deficiency
-Dr. karam
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ORAL MANIFESTATION OF VITAMIN C

GUM IP

Gingival swelling with spontaneous hemorrhage

Ulceration
Mobility

Increased severity of periodontal infection

Periodontal bone loss

gingival lesions have been termed as SCORBUTIC

GINGIVITIS
-Dr. karam
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FACTORS LEADING TO OSTEORADIONECROSIS

HI ITS PUPPI

High dose of irradiation with or without fractionation

Irradiation of an area of previous surgery

Irradiation of lesions in close proximity

Trauma to the irradiated bone area
Surgery in the irradiated area

Poor oral hygiene & continued use of irritants

Use of a combination of external radiation & intraoral
implants
Patient poor co-operation in managing irradiated tissues or
fulfiling home care programes
Presence of numerous physical & nutritional problems prior
to therapy
Indiscrominate use of prosthetic appliances following
radiation therapy

CLINICAL FEATURES

Man In CoFi Su P

Mandible

Intractable pain

Cortical perforation
Fistula Formation

Surface ulcerations

Pathologic fractures
-Dr. karam
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FIBRO OSSEOUS LESIONS OF MEDULLARY BONE ORIGIN :

C Fake Friends !! JAG Ja Pagal

Cherubism
Fibrous dysplasia
Fibro osteoma

Juvenile ossifying fibroma

Aneurysmal bone cyst

Giant cell tumor

Jaw lesions in hyperparathyroidism

Paget's disease

FIBRO OSSEOUS LESIONS OF PERIODONTAL ORIGIN :

Pure Force Ce Cemen Out

Peripical cemental dysplasia

Florid osseous dysplasia
Cementoossifying fibroma
Cementifying fibroma
Ossifying fibroma

DYSPLASIA - MICROSCOPIC FEATURES

RIP BIDI

Reduced intracellular adhesion

Increased nuclear - cytoplasmic ratios
Pleomorphic nuclei - hyperchromatic, smudgy, angular

Basal cell crowding

Irregular stratification
Drop shaped rete pegs
Increased & abnormal mitoses
- Dr. karam
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ANEURYSMAL BONE CYST

BY MENU

Blood filled spaces lined by connective tissue &

multinucleated giant cells
Young adults afected

Multilocular lucency
Excision
No associated thrill or bruits on auscultation
Unknown etiology - may be related to altered
hemodynamics or abnormal healing of bone hemorrhage
- Dr. karam
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PEMPHIGUS VULGARIS

ANTACIDS HOP UP

Autoimmune mucocutaneous disorder

Nikolsky's sign
Tzanck cell
Acantholysis
Controlled with immunosuppressive (corticosteroids &
azothioprine / cyclophosphamide
Intraepithelial blisters
Desmoglein - 3
Skin 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 bullae

Painful
- Dr. karam
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PRIMARY HERPES SIMPLEX

SICO SIS

Self limiting - symptomatic care

Immunocompromised have more severe disease
Childhood
Oral & perioral vesicles rupture forming ulcer

Subclinically
Intraoral lesions on any surface
Systemic signs / symptoms - headache, anoroxia, fever,
cervical lymphadenopathy, athralgia, malaise
-Dr. karam
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ORAL SUBMUCOUS FIBROSIS

ATIF JAL

Areca Nuts - contain alkaloids - primary etiology

Trismus
Indian subcontinent

Fibrous bands palpable

HISTOLOGIC FEATURE

Juxta epithelial hyalinization of lumia propria

Atrophic epithelium
Loss of rete pegs