Hereditary

Addisons disease
Heavy metal ingestion
Peutz-Jeghers syndrome
Neurofibromatosis
Polyostotic fibrous dysplasia
Pregnancy
Medication
Smokers melanosis
Clinical
Impression
Soft Tissue
Enlargements
White
Pigmented
Vesicular-ulcerated-
erythematous
Epithelial thickening
Subepithelial
Candidosis

Burn
Congenital keratotic cysts
Scar
Fordyce granules
Geographic tongue (erythema migrans)
Hairy tongue
Leukoedema
White sponge nevus
Hairy leukoplakia
Lichen planus
Nicotinic stomatitis
Hyperkeratosis
Epithelial dysplasia
Carcinoma-in-situ
Squamous cell carcinoma
Primary herpes
Recurrent herpes
Erosive lichen planus
Mucous membrane pemphigoid
Pemphigus vulgaris
Bullous pemphigoid
Lupus erythematosus
Epithelial dysplasia
Carcinoma in situ
Squamous cell carcinoma
Localized
Generalized
Intravascular
Extravasated
blood
Melanocytic
Tattoo
Hematoma
Ecchymosis
Petechiae
Hemangioma
Varix
Kaposis sarcoma
Oral melanotic macule
Nevus
Melanoma
Ephelis
Herpes simplex
Herpangina
Hand, foot and mouth disease
Herpes zoster
Infectious mononucleosis
Varicella (Chickenpox)
Epidermolysis bullosa
Aphthous ulcers
Erythema multiforme
Erythroplasia (erythroplakia)
Medication-Induced mucositis
Contact stomatitis
Candidosis
Hereditary

Viral


Autoimmune


Idiopathic


Mycotic
Surface
Lesions of
Oral Mucosa
Decision Tree for Oral Mucosa Lesions
(Revised 3/08)
Surface debris
Reactive
Tumor or
Neoplasm
Parulis/sinus track
Periodontal abscess
Mucocele (mucous extravasation phenomenon)
Fibrous hyperplasia
Inflammatory papillary hyperplasia
Necrotizing sialometaplasia
Benign
Cysts
Malignant
Irritation fibroma
Epulis fissuratum
Papilloma
Verruca vulgaris
Condyloma acuminatum
Fibroma
Peripheral ossifying fibroma
Leiomyoma
Rhabdomyoma
Peripheral giant cell granuloma
Hemangioma
Lymphangioma
Pyogenic granuloma
Lipoma
Neuroma
Neurofibroma
Schwannoma
Granular cell tumor
Congenital epulis
Pleomorphic adenoma
Papillary cystadenoma lymphomatosum
Adenoid cystic carcinoma
Acinic cell adenocarcinoma
Mucoepidermoid carcinoma, low grade
Polymorphous low-grade adenocarcinoma
Monomorphic adenoma
Gingival cyst of adult
Lymphoepithelial cyst
Epidermoid/dermoid cyst
Thyroglossal tract cyst
Squamous cell carcinoma
Verrucous carcinoma
Lymphoma
Metastatic carcinoma
Melanoma
Sarcoma
Salivary gland adenocarcinoma
Adenoid cystic carcinoma
Mucoepidermoid carcinoma
Polymorphous low-grade adenocarcinoma
Acinic cell adenocarcinoma
Epithelial
Mesenchymal
Salivary gland
2008 University of Iowa, College of Dentistry