Ulcerative & Vesicullobullous Lesion( BURKIT)

1. The Patient with Acute Multiple Lesions

 Herpes Simplex Virus Infections
 Varicella-Zoster Virus Infections
 Cytomegalovirus Infections
 Coxsackievirus Infections
 Necrotizing Ulcerative Gingivitis and Periodontitis
 Erythema Multiforme
 Stevens Johnson Syndrome and Toxic Epidermal Necrolysis (Lyell
Disease)
 Oral Hypersensitivity Reactions

2. The Patient with Recurring Oral Ulcers

 Recurrent Aphthous Stomatitis
 Behçet Disease (Behçet Syndrome)

3. The Patient with Chronic Multiple Lesions

 Pemphigus Vulgaris
 Paraneoplastic Pemphigus
 Pemphigus Vegetans
 Subepithelial Bullous Dermatoses
 Bullous Pemphigoid
 Mucous Membrane Pemphigoid (Cicatricial Pemphigoid)
 Linear IgA Disease
 Epidermolysis Bullosa Aquisita
 Chronic Bullous Disease of Childhood

4. The Patient with S ingle U lcers

 Traumatic Injuries Causing Solitary Ulcerations
 Traumatic Ulcerative Granuloma (Eosinophilic Ulcer of Tongue)
 Histoplasmosis
 Blastomycosis
 Mucormycosis (Phycomycosis)
 Salivary gland disorders (BURKIT)
Non-neoplastic Disorders:
A. Developmental anomalies
i. Aplasia(agenesis)
ii. Hypoplasia
iii. Hyperplasis
iv. Aberrancy
v. Accessory duct or gland.
vi. Diverticulum
 PIGMENTED DISORDERS OF ORAL CAVITY

Endogenous Pigmentation
Focal Melanocytic Pigmentation
 Freckle/Ephelis
 Oral/Labial Melanotic Macule
 Oral Melanoacanthoma
 Melanocytic Nevus
 Malignant Melanoma
M ultifocal/Diffuse Pigmentation
 Physiologic Pigmentation
 Drug-Induced Melanosis
 Smoker’s Melanosis
 Postinflammatory (Inflammatory) Hyperpigmentation
 Melasma (Chloasma)
Melanosis Associated with systemic Or Genetic Disease
 Hypoadrenocorticism (Adrenal Insufficiency, Addison’s Disease)
 Cushing’s Syndrome/Cushing’s Disease
 Hyperthyroidism (Graves’ Disease)
 Primary Biliary Cirrhosis
 Vitamin B12 (Cobalamin) Deficiency
 Peutz-Jeghers Syndrome
 Café au Lait Pigmentation
 HIV/AIDS-Associated Melanosis
I diopathic Pigmentation
 Laugier-Hunziker Pigmentation
 Treatment of Mucocutaneous Melanosis

DEPIGMENTATION
 Vitiligo
Hemoglobin and Iron-Associated
 Pigmentation
  Ecchymosis
 Purpura/Petechiae
 Hemochromatosis
Exogenous Pigmentation
 Amalgam Tattoo
 Graphite Tattoos
 Ornamental Tattoos
 Medicinal Metal-Induced Pigmentation
 Heavy-Metal Pigmentation
 Drug-Induced Pigmentation
 Hairy Tongue

Temporomandibular disorders
(Second Classification by Weldon Bell12)
I. Intracapsular
A. Degenerative joint diseases
- Osteoarthritis
B. Inflammatory
- Rheumatoid arthritis (& other collagen disorders)
- Psoriatic arthritis
C. Infection
- Gonorrhea
- Spread from contiguous sites
- Tuberculosis
- Syphillis
D. Developmental
- Condylar hyperplasia
- Condylar hypoplasia
- Agenesis
E. Traumatic
 - Condylar fracture
- Ankylosis
- Dislocation
- Disc Displacement
F. Metabolic
- Gout
G. Neoplasia
- Benign
- Malignant
H. Drug Induced
- Steroid

II. Extracapsular
- Psychophysiologic (MPS)
- Iatrogenic
- Traumatic
- Those referred from local dental origin
- Infection
- Otologic
- Neoplastic