A variety of topics were presented in the 1998 Case Study columns. The following 44 questions will allow you to review the year`s columns and determine your diagnostic skills. After completing the Case Study Test, turn to page 48 to check your answers.
Joen Iannucci Haring, DDS, MS
Case 1
Ameloblastic Fibroma
1. Identify the most common location for the ameloblastic fibroma:
a.) Mandibular premolar-molar area
b.) Mandibular incisor-canine area
c.) Maxillary premolar-molar area
d.) Maxillary incisor-canine area
2. Identify the most likely radiographic appearances of the ameloblastic fibroma:
a.) Unilocular radiolucency
b.) Multilocular radiolucency
c.) Dense radiopacity
d.) Either "a" or "b"
3. Identify the treatment for the ameloblastic fibroma:
a.) No treatment is necessary
b.) Antibiotic therapy
c.) Surgical removal
d.) None of the above
4. Identify the average age range of an individual with an ameloblastic fibroma:
a.) First and second decades
b.) Second and third decades
c.) Third and fourth decades
d.) Fourth and fifth decades
Case 2
Regional Odontodysplasia
1. Identify the most common location for regional ondontodysplasia:
a.) Posterior mandible
b.) Posterior maxilla
c.) Anterior maxilla
d.) Anterior mandible
2. Identify the likely radiographic appearance of a ghost tooth:
a.) Tooth appears fuzzy
b.) Tooth has short roots
c.) Tooth has open apices
d.) All of the above
3. Identify the treatment for regional odontodysplasia:
a.) Extraction
b.) Root canal therapy
c.) Restorative treatment
d.) Both "b" and "c"
4. Identify the color of crowns affected by regional odontodysplasia:
a.) Blue-gray
b.) Yellow-brown
c.) Normal color
d.) None of the above
Case 3
Necrotizing Sialometaplasia
1. Identify the most common location for necrotizing sialometaplasia:
a.) Hard palate
b.) Gingiva
c.) Tongue
d.) Buccal mucosa
2. Identify the average age of onset for necrotizing sialometaplasia:
a.) Mid-twenties
b.) Mid-forties
c.) Mid-fifties
d.) None of the above
3. Identify the treatment for necrotizing sialometaplasia:
a.) Surgical removal
b.) Antibiotic therapy
c.) Antifungal therapy
d.) No treatment required
4. Identify which of the following is associated with necrotizing sialometaplasia:
a.) Traumatic injury
b.) Dental injections
c.) Ill-fitting dentures
d.) All of the above
Case 4
Turner`s Tooth
1. Identify the most common location for Turner`s tooth seen as the result of trauma:
a.) Mandibular molars
b.) Mandibular incisors
c.) Maxillary molars
d.) Maxillary incisors
2. Identify the most likely appearance of a Turner`s tooth:
a.) Crown with a white spot
b.) Crown with a yellow spot
c.) Crown with a brown spot
d.) Any of the above
3. Identify the treatment for a Turner`s tooth:
a.) Composite restoration
b.) Porcelain veneer crown
c.) Porcelain crown
d.) Any of the above
4. Identify the cause(s) of a Turner`s tooth:
a.) Trauma to a deciduous tooth
b.) Periapical disease of a deciduous teeth
c.) Trauma to a permanent tooth
d.) Either "a" or "b"
Case 5
Hyperplastic Candidiasis
1. Identify the most common location for hyperplastic candidiasis:
a.) Buccal mucosa
b.) Tongue
c.) Lips
d.) Labial mucosa
2. Identify the type of organism that causes hyperplastic candidiasis:
a.) Bacterial
b.) Fungal
c.) Viral
d.) None of the above
3. Identify the predisposing factor(s) for hyperplastic candidiasis:
a.) Wearing of dentures
b.) Immunosuppression
c.) Antibiotic therapy
d.) Any of the above
4. Identify the treatment for hyperplastic candidiasis:
a.) Surgical removal
b.) Antibiotic therapy
c.) Antifungal therapy
d.) No treatment required
Case 6
Florid Cemento-Osseous Dysplasia
1. Identify the most common location for florid cemento-osseous dysplasia (FCOD):
a.) Anterior jaws
b.) Posterior jaws
c.) Non-tooth bearing areas
d.) Any of the above
2. Identify the radiographic appearance of FCOD:
a.) Unilocular radiolucency
b.) Multiple radiopacities
c.) Multilocular radiolucency
d.) Both "a" and "c"
3. Identify the treatment for asymptomatic FCOD:
a.) Radiation therapy
b.) Antibiotic therapy
c.) Surgical enucleation
d.) No treatment
4. Identify the patient who is most likely to be diagnosed with FCOD:
a.) Middle-aged black female
b.) Elderly caucasian
c.) Children of any race
d.) None of the above
Case 7
Reticular lichen planus
1. Identify the most common location for reticular lichen planus:
a.) Buccal mucosa
b.) Hard palate
c.) Lips
d.) Any of the above
2. Identify the number of types of oral lichen planus:
a.) One
b.) Two
c.) Three
d.) Four
3. Identify the treatment for reticular lichen planus:
a.) Radiation therapy
b.) Antibiotic therapy
c.) Surgical enucleation
d.) No treatment required
4. Identify the average age of an individual with lichen planus:
a.) Mid-teens
b.) Mid-twenties
c.) Mid-thirties
d.) Mid-forties
Case 8
Petechiae
1. Identify the most common location for intraoral petechiae:
a.) Tongue
b.) Hard palate
c.) Gingiva
d.) Soft palate
2. Identify the origin of petechiae:
a.) Traumatic
b.) Neoplastic
c.) Developmental
d.) Viral
3. Identify the term that describes a submucosal hemorrhage that is larger than two centimeters in diameters:
a.) Ecchymosis
b.) Purpura
c.) Hematoma
d.) Any of the above
4. Identify the recommended treatment for petechiae:
a.) Surgical removal
b.) Antibiotic therapy
c.) Curettage
d.) No treatment required
Case 9
Actinic Cheilosis
1. Identify the most common location for actinic cheilosis:
a.) Tongue
b.) Buccal mucosa
c.) Soft palate
d.) Lip
2. Identify the cause of actinic cheilosis:
a.) Excessive sun exposure
b.) Fungal infection
c.) Developmental anomaly
d.) Unknown cause
3. Identify the typical age of a person with actinic cheilosis:
a.) Under 25
b.) Over 45
c.) 20 to 30
d.) Any age group
4. Identify the percentage of actinic cheilosis cases that become squamous cell carcinoma:
a.) 1 to 5 percent
b.) 6 to 10 percent
c.) 13 to 25 percent
d.) None of the above
Case 10
Actinic Keratosis
1. Identify the most common location for actinic keratosis:
a.) Face and neck
b.) Trunk
c.) Legs
d.) None of the above
2. Identify the cause of actinic keratosis:
a.) Excessive sun exposure
b.) Fungal infection
c.) Bacterial infection
d.) Viral infection
3. Identify the age of a person with actinic keratosis:
a.) Under 25
b.) Over 40
c.) 20 to 30
d.) Any age group
4. Identify the percentage of actinic keratosis cases that become squamous cell carcinoma:
a.) 1 to 5 percent
b.) 6 to 10 percent
c.) 13 to 25 percent
d.) None of the above
Case 11
Angioedema
1. Identify the location(s) of angioedema:
a.) Tongue
b.) Buccal mucosa
c.) Lips
d.) All of the above
2. Identify the precipitating factor(s) for angioedema:
a.) Allergens
b.) Medications
c.) Exposure to heat or cold
d.) Any of the above
3. Identify the symptom(s) associated with angioedema:
a.) Burning
b.) Itching
c.) Swelling
d.) All of the above
4. Identify the type of medication that is used to lessen the symptoms of angioedema:
a.) Antibiotic medication
b.) Antiviral medication
c.) Antihistamine medication
d.) Analgesic medication
Answers
Case 1: 1=a, 2=d, 3=c, 4=a Case 2: 1=c, 2=d, 3=d, 4=b Case 3: 1=a, 2=b, 3=d, 4=d Case 4: 1=d, 2=d, 3=d, 4=d Case 5: 1=a, 2=b, 3=d, 4=c Case 6: 1=b, 2=b, 3=d, 4=a Case 7: 1=a, 2=d, 3=d, 4=d Case 8: 1=d, 2=a, 3=a, 4=d Case 9: 1=d, 2=a, 3=b, 4=b Case 10: 1=a, 2=a, 3=b, 4=c Case 11: 1=d, 2=d, 3=d, 4=c
Joen Iannucci Haring, DDS, MS, is an associate professor of clinical dentistry, Section of Primary Care, The Ohio State University College of Dentistry.
