Skip to main content

Important Definitions in Oral Pathology

Neoplasm
A neoplasm, as defined by Willis, is 'an abnormal mass of tissue the growth of which exceeds and is uncoordinated with that of the normal tissues and persists in the same excessive manner after the cessation of the stimuli which evoked the change.'

Premalignant / Precancerous lesion
A morphologically altered tissue in which cancer is more likely to occur than in its apparently normal counterpart.  - WHO 1973

Premalignant / Precancerous condition
A generalized state associated with a significantly increased risk of cancer. - WHO 1973

Potentially malignant Oral Diseases
The term Potentially Malignant Disorders was recommended to refer to precancer as it conveys that not all disorders described under this term may transform into cancer.  - Warnakulasuriya et al 2007

Leukoplakia
White patch or plaque that cannot be characterized clinically or pathologically as any other disease. - WHO 1973

Leukoplakia should be used to recognize white plaques of questionable risk having excluded (other) known diseases or disorders that carry no increased risk of cancer.

It is to be noted that a lesion of leukoplakia is non-scrappable.

Erythroplakia
A fiery red patch that cannot be characterized clinically or pathologically as any other definable disease.  - WHO 1973

Oral Submucous Fibrosis
It is an insidious chronic disease affecting any part of the oral cavity and sometimes the pharynx. Although occasionally preceded by and/or associated with vesicle formation, it is always associated with a juxta- epithelial inflammatory reaction followed by a fibro-elastic change of the lamina propria with epithelial atrophy leading to stiffness of the oral mucosa and causing trismus and inability to eat.
- Pindborg and Associates

Cyst
A cyst is defined as ' a pathological cavity having fluid, semifluid or gaseous contents and which is not created by the accumulation of pus'. Most cysts, but not all, are lined by epithelium. - Kramer, 1974

Oncology: the study of neoplasms


Neoplasm: an uncontrolled new growth of tissue

Tumor: a localized swelling, may or may not be a true neoplasm

Hyperplasia: An increase in the size of a tissue or organ due to an increase in the number of component cells

Hypertrophy: an increase in the size of a tissue or organ due to an increase in the size of component cells

Cancer: a general term for all malignant neoplasms

Carcinoma: a malignant epithelial neoplasm

Sarcoma: a malignant mesenchymal (connective tissue) neoplasm

Hamartoma: a developmental defect characterized by an overgrowth of tissues normal to the organ in which it arises

Teratoma: a neoplasm composed of multiple tissues foreign to the organ in which it arises; may be benign or malignant



Popular Posts

Dental MCQs - Multiple Choice Questions in Dentistry

SELECT THE TOPIC YOU WANT TO PRACTICE. # LOK SEWA  AAYOG PAST QUESTIONS Medical Entrance Preparation MCQs # Digestive System and Nutrition MCQs # Reproductive System MCQs # MCQs on Sense Organs # Nervous System MCQs # Cardiovascular System MCQs # Endocrine System MCQs # Assorted Dental MCQs - Part 1 #AIIMS MDS ENTRANCE EXAM YEARWISE COLLECTION *** AIIMS Nov 2001 *** AIIMS Nov 2002 *** AIIMS Nov 2003 *** AIIMS Nov 2004 *** AIIMS Nov 2005 *** AIIMS Nov 2006 *** AIIMS Nov 2007 Part 1 *** AIIMS Nov 2007 Part 2 *** AIIMS Nov 2008  *** AIIMS Nov 2009 *** AIIMS Nov 2010 *** AIIMS Nov 2012 *** AIIMS Nov 2013 *** AIIMS Nov 2014 *** AIIMS Nov 2015 *** AIIMS May 2016 *** AIIMS May 2015 *** AIIMS May 2014 *** AIIMS May 2013 *** AIIMS May 2012 *** AIIMS May 2011 # DENTAL MATERIALS *** Amalgams *** Physical Properties *** Metallurgy *** Impression Materials *** Dental Ceramics and Miscellaneous *** Gypsum Products *** Dental Cements *** Restorative Resin...

Most Important Operative Dentistry MCQs With Explanations

1. The following chemically bond to the tooth: A. Composite resin. B. Dental sealants. C. Glass ionomer cement. *** D. All of the above. 2. Compomer restorative materials are: A. Glass ionomer with polymer components B. Resin systems with fluoride containing glasses. *** C. Composite resin for cervical restorations only. Explanation: The composition of compomers is similar to that of a dental composite however it has been modified, making it a polyacid-modified composite. This results in compomers still requiring a bonding system to bond to tooth tissue. Although the name compomer implies that the material possesses a combination of characteristics of both composite and glass ionomers, these materials are essentially polymer-based composites that have been slightly modified to take advantages of the potential fluoride-releasing behavior of glass ionomers. 3. Loose enamel rods at the gingival floor of a class II amalgam cavity should be removed using : A. Straight chisel...

MCQs in Endodontics - Disinfection and Obturation

# Obturation of a root canal should achieve: A. Tug back B. Hermetic seal C. Fluid free seal D. All of the above # The purpose of a root canal sealer is to: A. seal the tubules of the dentine B. stimulate healing in periapical region C. prevent discoloration D. fill the space between solid core material and pulp canal walls

MCQs every Dentists should Know - MEDICALLY COMPROMISED DENTAL PATIENTS - DENTAL CONSIDERATIONS

# Macrolide antibiotics are usually avoided in asthmatics because: A. it can precipitate asthmatic attack B. it interacts with theophylline C. such patients are usually allergic to penicillins D. such patients show penicillin resistant infections # Anticoagulation therapy should be advised to discontinue before minor or major oral surgical procedures if: A. INR (international normalized ratio) is less than 3.0 B. INR is more than 3.0 C. PT (Prothrombin time) is less than 10 seconds D. PT is in range of 10-15 seconds # Which of the following oral manifestations can be often seen in asthmatics? A. Xerostomia B. Geographic tongue C. Enamel hypoplasia D. Aphthous ulcers # A male patient of 76 yrs is on warfarin therapy and needs emergency extractions of a decayed tooth. Select the appropriate protocol given below. A. Do not stop the warfarin therapy – perform the surgery with local hemostatic agents - a...

MCQs in Endodontics - Diseases of the Pulp and Periradicular Tissues

# The treatment of acute periapical abscess is: A. Endodontic therapy or extraction B. Incision and drainage only C. Pulp capping D. None of the above # Internal resorption in a tooth is seen as: A. Ca(OH)2 pulpotomy B. Replacement resorption C. Non-proliferating lesion D. Desensitizing tooth # The initial pulpal response to any insult is: A. Necrosis B. Ulceration C. Calcification D. Inflammation # Patient reports with severe throbbing pain in relation to mandibular second molar. The tooth is sensitive to both hot and cold food and elicits a painful response on percussion. What would be your treatment of choice? A. Incision and drainage of periapical area B. Endodontic therapy C. Indirect pulp capping D. Partial pulpectomy # The most important aspect of emergency treatment for an acute apical abscess is to: A. Produce sedation B. Obturation C. Establish drainage ...