Case #20 (Questions 69-70) Age: 20 Sex: male Race: Caucasian Medical History: Smokes 1 pack/day. Was in a motorcycle accident a year ago. Dental History: Has been unaware for some time that a tooth did not erupt in the lower left side of his mouth. Radiographic Appearance: A well-defined, unilocular radiolucency is located around the crown of an impacted third molar. Picture20.gif 70. What diagnostic information does not usually contribute  to the definitive diagnosis of this cyst?

Case #2 (Questions 4-6) Age: 36 Sex: male Race: African American Dental History: Client states that a “pimple” has been present on his gum in the lower anterior area for some time. The client has not been to the dentist in several years.  Clinical Appearance: An exophytic erythematous lesion is noted on the buccal aspect of the mandibular central incisor.  As pressure is applied, purulent exudate is seen. Picture2(3).jpg   6. How would you describe the base of this lesion?

Case #22 (Questions 74-75) Age: 48 Sex: male Race: Caucasian Medical History: Crohn’s disease and stage 3 HIV/AIDS disease Medications: prednisone (corticosteroid) Chief Complaint: Client complained of a sore palate, a burning sensation, and a metallic taste in his mouth.  Clinical Appearance: A diffuse, white, curd-like material is present on the hard palate.  When it is wiped away, an erythematous mucosal surface is seen. Picture22.jpg 75. In addition to having stage 3 HIV/AIDS disease, many conditions increase the client’s risk of developing the above-mentioned condition. Which of the following conditions does NOT increase a client’s risk of developing the above-mentioned condition?

Case #9 (Questions 29-32) Age: 62 Sex: male Race: African American Medical History: Acute myelogenic leukemia treated 8 months ago Medications: cyclosporine (immunosuppressant); OTC pain reliever for tooth ache Dental History: The soft tissue exam revealed a white patch on the attached gingiva adjacent to #13-5.  Further questioning revealed that the client had a toothache and had placed 3 pain relievers on the area overnight. Chief complaint: “Pain in the top right area.” Clinical Appearance: The buccal tissue is necrotic and white.  When the white area sloughs away, an underlying ulcer is seen.  The lesion is painful. Picture9(1).jpg  31. What treatment is required for this lesion?

Case #10 (Questions 33-36) Age: 23 Sex: female Race: Caucasian Medical History: Turner syndrome Chief Complaint: Client recently noticed a “lump” on the left side of the floor of her mouth. Clinical Appearance: A bluish, soft, compressible, fluid-filled, dome-shaped swelling is noted.  Picture10(1).jpg 34. The most common obstruction that causes this lesion of the floor of the mouth is

Case #8 (Questions 26-28) Age: 28 Sex: male Race: Caucasian Dental History: This client was having a full mouth series of radiographs taken by a dental assisting student at the local university’s dental clinic. Radiographic Appearance: A well-defined radiolucency is located between the roots of the mandibular premolars. Picture8(2).jpg 28. The roots of teeth #28 and 29 also exhibit

Case #15 (Questions 56-59) Age: 77 Sex: male Race: Caucasian Social History: Smoked 2 pk/day cigarettes for 31 years, but quit 18 years ago Medical History: Corticosteroid therapy for rheumatoid arthritis Dental History: Client wears a full upper denture and a lower partial Clinical Appearance: A diffuse, flat, white lesion covering the right ventral of the tongue and extending onto the floor of the mouth.  The lesion is asymptomatic and does not rub off. Picture15.jpg 58. Due to lifestyle risk factors, what is this lesion most likely to develop into if the risk factors exhibited by the client are not eliminated?

Case #25 (Questions 80-81) Age: 72 Sex: male Race: Caucasian Medical History: Client has a history of angina pectoris Medication: Nitroglycerin as needed Chief Complaint: Client complained that his “denture does not fit right anymore, and sometimes moves when he eats.” In addition, he stated that his palate is “sore” and has some discomfort Clinical Appearance: Multiple erythematous, papillary projections form a cobblestone appearance located on and to the right of the midline of the anterior 1/3 hard palate. Picture25.jpg 81. In this client, the most likely cause is

Case #11 (Questions 37-42) Age: 38 Sex: female Race: African American Medical History: Client has a history of allergies to dust and pollen.  Current Medications: Takes Allegra® and receives allergy shots once a month Chief Complaint: “I get these ulcerations a few times each year.  They are painful and heal within 7-10 days.”  Clinical Appearance: A single, round ulceration with a yellow-white fibrin center surrounded by an erythematous halo; approximately 8 mm in size; located on the anterior of the floor of the mouth.  Picture11.jpg 38. Which of the following intraoral locations is the most common location for these lesions?

Case #3 (Questions 7-10) Age: 26 Sex: female Race: Caucasian Medical History: Gastroesophageal Reflux Disease Dental History: The client states that previous dental examinations have revealed extensive loss of enamel. Occlusal and lingual aspects of mandibular molars reveal significant erosion Chief Complaint: “My teeth are sensitive to cold temperatures. I have tooth pain when I eat or drink anything that is cold.” Picture3(2).jpg   8. Even though you assume the enamel erosion is due to the GERD, what other possibilities could you suspect as the cause of the enamel erosion seen in this individual?