Red and white lesions

White & Red Lesions of The Oral Mucosa

By:
Dr. Ahmed Salih KhudhurBDS, MSc, PhD Newcastle University/ UK
دكتور احمد صالح خضر

UNIVERSITY OF MOSUL

COLLEGE OF DENTISTRY
2020-2021
Department of Oral and Maxillofacial Surgery
Department of:
HERE


Introduction
• Useful dermatological, clinical and pathological terms:
• Macule: Patch: Papule: Plaque:
•

Introduction

• Useful dermatological, clinical and pathological terms:
• Nodule: Exophytic Endophytic Nodule. Note: Tumor (large nodule)
•

Introduction

• Useful dermatological, clinical and pathological terms:
• Pustule:
•

Introduction

• Useful dermatological, clinical and pathological terms:
• Vesicle(s): Bulla(e):
•

Introduction

The oral cavity is lined by oral mucosa which is composed of:

Oral Epithelium

Sub-mucosa
• According to its function, the oral mucosa is divided into:
Masticatory mucosa
Lining mucosa
Specialized mucosa

Introduction

• Why lesions appear white? Why lesions appear red?
•

Introduction

• Classification of White and Red lesions:
• 1. Normal variation:
• 2. Developmental:
• 3. Traumatic:
• 4. Infective:
• 5. Blood dyscrasias:
• 6. Drugs:
• 7. Dermatological:
• 8. Premalignant:
• 9. Malignant:
• 10. Miscellaneous:


Leukodema
•

Leukodema

•

Fordyce’s granules

•

Linea alba

•

Morsicatio

•

Morsicatio Buccarum. White, ragged plaque involving the left buccal mucosa

Morsicatio

Morsicatio Buccarum. Thickened, shredded areas of white hyperkeratosis of the left buccal mucosa

Morsicatio

Morsicatio Linguarum. White, ragged plaque involving the right lateral tongue

Morsicatio

Morsicatio Linguarum. Thickened, rough areas of white hyperkeratosis of the lateral border of the tongue on the left side

White sponge nevus

•

Median rhomboid glossitis

•

Traumatic keratosis

•

Nicotinic stomatitis (stomatitis nicotina)

•

Papillary hyperplasia of the palate

•

Candidiasis (Candidosis)

Pseudomembranous candidiasis (Thrush)

Candidiasis (Candidosis)

Pseudomembranous candidiasis (Neonatal Thrush)

Erythematous candidiasis

Acute atrophic candidiasis or antibiotic sore mouth

D.D: Acute atrophic candidiasis. Antibiotic sore mouth. Atrophy associated with Iron

deficiency anemia (left picture)

Erythematous candidiasis

Central papillary atrophy of the tongue or Median rhomboid glossitis

Erythematous candidiasis

Chronic multifocal candidiasis

Erythematous candidiasis

Angular cheilitis (Angular stomatitis, Cheilosis, Perleche)

Erythematous candidiasis

Chronic atrophic candidiasis or Denture associated stomatitis

Erythematous candidiasis

Chronic atrophic candidiasis or Denture associated stomatitis

Chronic hyperplastic candidiasis or Candidal leukoplakia

•

Mucocutaneous Candidiasis MCC

MMC lesions of the oral mucosa and nails

Syphilis

Tertiary syphilis: Syphilitic leukoplakia D.D.: Leukoplakia

THE END

UNIVERSITY OF MOSUL

COLLEGE OF DENTISTRY
2020-2021