Question 3

A. Linea alba. No Treatment

B. Fordyce’s granules. No Treatment
C. Leukoedema. No Treatment
D. Leukoplakia/hyperkeratosis with or without Incisional Biopsy and Reassess in
dysplasia. 2 weeks
E. Frictional/traumatic keratosis. Removal of Etiological Factor/
Topical Anesthetic/ Reassess in 2
weeks
F. Mucosal burn. Topical Anestehtic/ Reassess in 2
weeks
G. Lichen planus. A.No Symptoms No Treatment
and Reevaluation in 2 weeks
B. Symptoms but Oral only
Topical Steroids and Reassess in 2
weeks
C. Systemic Condition, Topical
and Systemic Steroids and Refer to
the Specialist
H. Candidiasis. Topical and Systemic
Antimicrobials/ Reassess in 2
weeks/ Not Responding Medical
Evaluation
I. Hairy leukoplakia. Medical Evaluation
J. Lupus erythematosus. Topical and Systemic Steroids/
Reassess in 2 weeks.
K. White sponge nevus. No Treatment
L. Erythema migrans/geographic tongue. No Treatment/ Reassess in 2 weeks
M. Mucous patches of secondary syphilis. Topical Anesthetics/ Systemic
Antimicrobials/ Medical
Evaluation/ Reassess in 2 weeks
N. Hairy tongue. Removal of Etiological Factors/
Debridement of Tongue/ local use
of keratolytic agents
(trichloroacetic acid, podophyllin).
/ Reassess in 2 weeks
O. Verrucous carcinoma. Incisional/ Excisional Biopsy/
Surgical Excision
Question 4
A. Aphthous ulcer(s). Topical Anesthetics/ Topical
Steroids
B. Herpes zoster. Topical and Systemic
Antimicrobial/ Topical
Anesthetics/ Systemic Analgesics/
Reassess in 2 weeks
C. Traumatic ulcer(s).
D. Recurrent herpes simplex.
E. Primary herpetic gingivostomatitis.
F. Necrotizing ulcerative gingivitis.
G. Erythema migrans/geographic tongue.
H. Herpangina.
I. Mucosal burn.
J. Lichen planus.
K. Squamous cell carcinoma.
L. Cicatricial pemphigoid/benign mucous
membrane pemphigoid.
M. Pemphigus vulgaris.
N. Erythema multiforme.
O. Lupus erythematosus.
Question 5
A. Stensen’s duct orifice.
B. Torus.
C. Pyogenic granuloma.
D. Mucocele.
Remove the Etiology/ Topical
Anesthetics/ Reassess in 2 weeks
Topical and Systemic
Antimicrobials/ Rehydrate the
Patient/ Nutritional
Support/Analgesics
Topical and Systemic
Antimicrobials/ Nutritional
Support/ Rehydrate the Patient/
Analgesics
A. No Fever No
Lymphadenopathy- Debridement
and OHI/ Topical Anesthetics/
Topical Antimicrobial Mouth
washes
B. Fever and Lymphadenopathy-
Debridement/ OHI/ Systemic
Antimicrobials/ Topical
Anesthetics/ Topical Antimicrobial
Microbials
No Treatment
Supportive Treatment Only
Topical Anesthetics/ Reassess in 2
weeks
See Above in Question 3
Incisional Biopsy/ Excision/
Chemo/ Radiotherapy etc etc.
Topical and Systemic Steroids/
Immunosuppresive in few cases
Systemic Steroids
Topical and Systemic Steroids
See Above Question No.3
If No Inflammation No Treatment/
If inflammation assess for sialolith/
Sialadenitis
No Concerns No Treatment/
Esthetic/ Functional Concerns
Excision
Removal of Etiological factor/
Excisional Biopsy/ Debridement/
OHI
Excisional Biopsy
E. Hemangioma. Surgical excision, or cryotherapy
or laser therapy. Some capillary
hemangiomas may regress
spontaneously

F. Fibroepithelial polyp/traumatic fibroma. Removal of Etiological Factor/

Excisional Biopsy
G. Traumatic neuroma. Excisional Biopsy
H. Papilloma/verruca vulgaris. Excision
I. Salivary gland adenoma. Excision
J. Granular cell tumour. Excision
K. Gingival cyst. Adults- Excision
Infants- No Treatment
L. Abscess. Drainage/ Removal of Local
Factors ( Calculus or Necrotic Pulp
etc etc)
M. Inflammatory papillary hyperplasia (denture Removal of Etiology/ Excision
stomatitis).
N. Epulis fissuratum (inflammatory fibrous Removal of Etiology/ Excision
hyperplasia).
O. Squamous cell carcinoma. See Above Question No. 4

Question 6
A. Physiologic/racial pigmentation. No treatment
B. Erythroplakia. Incisional Biopsy/ Excision
C. Candidiasis. See Above Question No. 3
D. Smoker’s melanosis. Remove Etiological factor/ OHI
E. Lichen planus. See Above Question No. 3
F. Erythema migrans/geographic tongue. See Above Question No. 3
G. Kaposi’s sarcoma. Incisional Biopsy/ Medical Evaluation/
Excision/ Systemic Antimicrobials
H. Hemangioma. See Above Question No. 5
I. Lupus erythematosus. See Above Question No. 3
J. Radiation mucositis. Removal of Etiology/ Supportive/ If
Candidiasis then antifungals
K. Amalgam tattoo. No Treatment
L. Melanoma. Incisional/ Excisional Biopsy/ Chemo/
Radiotherapy
M. Melanotic macule/nevus. No Treatment/ Reassess in 15 days
N. Mucocele. See above Question No. 5
O. Varicosity/Varicosities. No Treatment