Classifications
ULCERATIVE, VESICULAR, AND
BULLOUS LESIONS
THE PATIENT WITH ACUTE MULTIPLE
LESIONS
•Herpesvirus Infections
•Primary Herpes Simplex Virus Infections
•Coxsackievirus Infections
•Varicella-Zoster Virus Infection
•Erythema Multiforme
•Contact Allergic Stomatitis
•Oral Ulcers Secondary to Cancer Chemotherapy
•Acute Necrotizing Ulcerative Gingivitis
ULCERATIVE, VESICULAR, AND
BULLOUS LESIONS
THE PATIENT WITH
RECURRING ORAL
ULCERS
•Recurrent Aphthous
Stomatitis
•Behçet’s Syndrome
•Recurrent Herpes
Simplex Virus Infection
THE PATIENT WITH
CHRONIC MULTIPLE
LESIONS
•Pemphigus
•Subepithelial
Bullous Dermatoses
•Herpes Simplex
Virus Infection in
Immunosuppressed
Patients
ULCERATIVE, VESICULAR, AND
BULLOUS LESIONS
THE PATIENT WITH
SINGLE ULCERS
•Histoplasmosis
•Blastomycosis
•Mucormycosis
RED ANDWHITE LESIONS OF
THE ORAL MUCOSA
HEREDITARY WHITE LESIONS
Leukoedema
White Sponge Nevus
Hereditary Benign Intraepithelial
Dyskeratosis
Dyskeratosis Congenita
REACTIVE/INFLAMMATORY
WHITE LESIONS
•Linea Alba (White Line)
•Frictional (Traumatic) Keratosis
•Cheek Chewing
•Chemical Injuries of the Oral
Mucosa
•Actinic Keratosis (Cheilitis)
•Smokeless Tobacco–Induced
Keratosis
•Nicotine Stomatitis
•Sanguinaria-Induced Leukoplakia
INFECTIOUS WHITE
LESIONS AND WHITE
AND RED LESIONS
•Oral Hairy Leukoplakia
•Candidiasis
•Mucous Patches
•Parulis
Classification of ulcerative condition
INFECTIVE LESIONS
BACTERIAL
•Syphilis
•Gonorrhoea
•Tuberculosis
•Leprosy
•Noma
•ANUG
•Nonspecific
mixed bacterial
infectons
VIRAL
•Acute herpetic
gingivostomatitis
•Herpes labials
•Herpangina
•HIV infection
•Infectious
mononucleosis
•Herpes zoster
•measles
FUNGAL
•Sporotrichosis
•Histoplasmosis
•Crytococcosis
•mucormycosis
Classification of ulcerative condition
Traumatic
condition
•Mechanical
•Thermal
•Chemical
•Factitious
injury
•radiation
Immunologic
disorders
•Apthous ulcer
•Behcet’s syndrome
•Erythema syndrome
•Pemphigus
•Pemphigod
•Contact allergy
•Ulcerative lichen
planus
•Discoid lupus
erythematosus
Malignant
condition
•SCC
•Antral
carcinoma
•Verrucous
carcinoma
Classification of ulcerative condition
SYSTEMIC
•Leukaemia
•Agranulocytosis
•Cyclic neutropenia
•Pernicious anemia
•Gluten enteropathy
•Chron’s disease
•Uremic stomatitis
NECROTIC CONDITION
•Midline lehthal
granulomatosis
•Wegner’s granulomatosis
•Malignant reticulosis
•osteoradionecrosis
Classification of ulcerative condition
MISCELLANEOUS
LESIONS
•Angular chelitis
•Congenital lip pit
•Commissural pit
•Necrotizing
sialometaplasia
•Oro-antral fistula
CLASSIFICATION OF DISCOLORATION
OF TOOTH
EXRINSIC STAINS
•Substances in the diet
•Smoking
•Habitual chewing of tobacco,betal nut
•Medicament e.g chlorhexidines or dentifrices
•Chromogenic micro-organisms
INTRINSIC STAINS
Changes in structure or Diffusion of pigments Pigment incoporated
thickness of dental
into dental tissue
during formation of
tissue
after their formation dental tissue
•Enamel hypoplasias
•Fluorosis
•Amelogenesis
imperfecta
•Enamel opacities
•Enamel caries
•Dentinal dyplasia
•Dentinogenesis
imperfecta
•Extrinsic stain
•Endodontic
material
•Products of pulp
necrosis
•Bile pigment in
biliary atresia
•Tetracycline stains
•Postmortem pink
tooth
•Hemosiderin
pigment in
erythroblastosis fetalis
•Porphyrines in
porphyria
CLASSIFICATION OF CYST OF ORAL
REGION
ODONTOGENIC
DEVELOPMENTAL
Gingival cyst of infants
Odontogenic keratocyst
Dentigerous cyst
Eruption cyst
Lateral periodontal cyst
Gingival cyst of adult
Botryoid odontogenic cyst
Calcifying epithelial
odentogenic cyst
INFLAMMATORY
Radicular cyst,apical and
lateral
Residual cyst
Paradental cyst and
mandibular infected buccal
cyst
Inflammatory collateral cyst
Non-odontogenic
•Nasopalatine duct cyst
•Nasolabial cyst
•Midpalatal raphe cyst of
infants
•Median palatne, median
alveolar and median
mandibular cysts
•Globulomaxillary
Non-epithelial
•Solitary bone cyst
•Aneurysmal bone cyst
Cyst associated with the
maxillary antrum
•Benign mucosal cyst of
the maxillary antrum
•Postoperative
maxillary cyst
Cyst of the tissue of the mouth,
face and neck
•Dermoid and epidermoid cysts
•Lympho-epithelial cyst
•Thyroglossal duct cyst
•Anterior median lingual cyst
•Oral cyst with gastric or
intestinal epithelium
•Cystic hygroma
•Nasopharyngeal
•Thymic cystic
•Cysts of the salivary gland
•Parastic cystic, hydatid cyst,
cysticercus cellulosae, trichinosis
CLASSIFICATION OF ODONTOGENIC
NEOPLASM
BENIGN TUMORS
Tumors of the epithelial Tumor of mixed tissue
tissue origin
origin
•Ameloblastoma
•Squamous odontogenic
tumor
•CEOT
•AOT
•Ameloblastic fibroma
•Ameloblastic fibroodontome
•Complex odontome
•Compound odontome
Tumors of the
mesenchymal tissue
origin
•Odontogenic fibroma
•Odontogenic myxoma
•Cementoma
•Cementifying fibroma
•Benign
cementoblastoma
MALIGANANT TUMORS
1.Odontogenic
2. Odentogenic sarcomas
carcinomas
a. Malignant
a.Ameloblastoma
ameloblastoma
fibrosarcoma
b. Primary intrab.Ameloblastoma
alveolar carcinoma carcinosarcoma
CLASSIFICATION OF ORAL NONODENTOGENIC NEOPLASMS
Neoplasms of epithelial tissue origin
Benign neoplasm
Malignant neoplasm
•Papilloma
•Basal cell carcinoma
•Keratoacanthoma
•Squamous cell carcinoma
•Pigmented cellular
•Verrucous carcinoma
nevus
•Adenoid squamous cell caecinoma
•Papillary hyperplasia
•Maglignant melanoma
•Spindle cell carcinoma
•Primary intra-alveolar carcinoma
•Multicentric oral carcinoma
NEOPLASM OF MESENCHYMAL TISSUE ORIGIN
Benign neoplasm
Maglignant neoplasm
Neoplasms of fibrous tissue
Neoplasm of fibrous tissue
•Fibroma
•Maglignant fibrous histiocytoma
•Fibromatosis
•Desmoplastic fibroma
•Pyogenic granuloma
•Gaint cell fibroma
•Peripheral ossifying fibroma
•Central ossifying fibroma
•Central gaint cell granuloma
•Benign fibrous histiocytoma
•Nodular fascitis
•Myxoma
•Fibro-epithelial poly
NEOPLASM OF MESENCHYMAL TISSUE ORIGIN
Benign neoplasm
Maglignant neoplasm
Neoplasm of adipose tissue Neoplasm of adipose tissue
Lipoma
Liposarcoma
Angiolipoma
Neoplasm of vascular tissue Neoplasm of vascular tissue
Hemangioma
Hemangiopericytoma
Lymphangioma
Hemangioendothelioma
Giomous tumor
Angisarcoma
Hereditary haemorrhagic
Kimura’s disease
telangiectasia
NEOPLASM OF MESENCHYMAL TISSUE ORIGIN
Benign neoplasm
Maglignant neoplasm
Osteoma
Osteomatosis
Osteoid osteoma
Osteoblastoma
Osteoclastoma
Torus palatinus
Torus mandibularis
CARTILAGETISSUE
NEOPLASM
Chondroma
Chondroblastoma
Chondromyxoid fibroma
Osteosarcoma
Parosteal osteosarcoma
Ewing’s sarcom
CARTILAGE TISSUE
NEOPLASMS
Chondrosarcoma
Mesenchymal chondrosarcoma
NEOPLASM OF MESENCHYMAL TISSUE ORIGIN
Benign neoplasm
Maglignant neoplasm
NEOPLASMS OF NEURAL
TISSUE
Neurilemmoma
Neurofibroma
Neurofibromatosis
Multiple endocrine neoplasia
syndrome
Melanotic neuroectodermal
tumor of infancy
Neuroblastoma
Ganglioneuroma
Traumatic neuroma
Plexiform neuroma
NEOPLASMS OF NEURAL
TISSUE
Neurosarcoma
Olfactory chondrosarcoma
NEOPLASM OF MESENCHYMAL TISSUE ORIGIN
Benign neoplasm
Maglignant neoplasm
Smooth muscle neoplasms Smooth muscle neoplasms
Leiomyoma
Angiomyoman
Leiomyosarcoma
Angiomyosarcoma
Neoplasm of striated muscle
Rhabdomyoma
Granular cell myoblastoma
Congenital epulis of newborn
Neoplasm of mixed tissue
Neoplasm of striated muscle
rhabdomyosarcoma
Teratoma
No malignant neoplasm
Neoplasm of mixed tissue
NEOPLASM OF MESENCHYMAL TISSUE ORIGIN
Benign neoplasm
Maglignant neoplasm
Neoplasm of lymphoid
•No benign neoplasm
Neoplasm of lymphoid
•Hodgkin’s lymphoma
•Non-hodgkin’s lymphoma
•Burkitt lymphoma
•Mycosis fungoides
•Multiple myeloma
•plasmacytoma
CLASSIFICATION OF GIANT CELL
LESIONS
NEOPLASMS
•Gaint cell tumor of the bone
•Central gaint cell granuloma
•Peripheral gaint cell granuloma
•Gaint cell epulis
•Brown tumor of hyperparathyroidism
•Gaint cell fibroma
•Malignant fibrous histiocytoma
Other lesion where gaint cells may be present
•Osteoblastoma
•Chondroblastoma
•Aneurysmal bone cyst
•Fibrous dysplasia of bone
•Cherubism
•Tuberculosis
•Fibrous histiocyoma
•Sarcoidosis
•Hodgkin’s disease
•Eosinophilic
granuloma
•Leterrer siwe disease
•Gaint cell arteritis
•Pulse granuloma
•Histoplasmosis
•Calcifying epithelial
odontogenic cyst
CLASSIFICATION OF VERRUCALPAPILLARY LESIONS OF ORAL CAVITY
Reactive
•Papillary
hyperplasia of
palate
•Condyloma latum
•Squamous
papilloma
•Oral warts
•Oral papillomatosis
•Condyloma
acuminatum
•Heck’s disease
Neoplasm
•Keratoacanthom
a
•Verrucous
carcinoma
Unknown etiology
•Pyostomatitis
vegetans
•Verruciform
xanthoma
CLASSIFICAION OF DISEASES OF
SALIVARY GLANDS
NON-NEOPLASTIC DISORDER
DEVELOPMENTAL
REACTIVE LESIONS
ANOMALIS
•Agesnis
•Mucus retention cyst
•Hypoplasia
•Mucus extravasation cyst
•Atresia
•Siatlolithiasis
•Ectopia
•Post-radiation sialadenitis
•Chronic sclerosing
sialometaplasia
Non-neoplastic disorder
INFECTIVE LESIONS
Bacterial
Viral
ImmuneMiscellaneous
siadenitis sialedenitis mediated
disease
diseases
•Acute
•Mumps
•Mikulicz •Heerfordt
•Chronic •Cytomega disease’s
syndrome
•Recurrent lic
•Sjogren’s •Sialosis
inclusion syndrome •Ptyalism and
disease
aptyliasia
•HIV associated
salivary gland disease
CLASSIFICAION OF DISEASES OF
SALIVARY GLANDS
NEOPLASTIC DISORDER
A. EPITHELIAL TISSUE NEOPLASMS
ADENOMAS
•Pleomorphic adenoma
•Monomorphic
adenoma
•Adenolymphoma
•Oxyphil adenoma
•Other types
•Mucoepidermoid
•Acinic cell tumor
•Carcinomas
•Adenoid cystic carcinoma
•adenocacinoma
•Epidermoid carcinoma
•Undifferentiated
carcinoma
•Carcinoma in pleomorphic
NEOPLASTIC DISORDER
B. CONNECTIVE TISSUE NEOPLASMS
•Fibroma
•Fibrosarcoma
•Lipoma
•Neurilemmoma
•Hemagioma
•Melanoma
•Lymphoma
CLASSIFICATION OF VASCULAR TISSUE
DISEASES
The arteritides
•Polyarteritis
nodosa
Midfacial
granuloma
syndrome
•Wegner’s
granulomatosis
•Stewart-type
midfacial
granuloma
•Gaint cell arteritis
•Radiation arteritis
Vascular
hamartomas
•Hemangiomas
•lymphangiomas
Telangiectases
1. Hereditar hemorrhagic
telangietasia
2. Radiation telangiectasia
Vascular tumor
1. Leiomyoma
2. Leiomyosarcoma
3. Hamangiopericytoma
4. Hemangioendothelioma
5. Kaposi’s sarcoma
6. Angiolymphoid
hyperplasia with
eosinophils and kimura
disease
CLASSIFICATION OF STOMATITIS
INFECTIVE STOMATITIS
1. Primary herpetic stomatiis
2. Herpes labialis
3. Chinken pox
4. Infectious mononucleosis
5. Hand-foot and mouth disease
6. Herpangina
7. Candidosis
8. Tuberculosis
9. syphilis
Stomatitis immunologically mediated or of dubious origine
Apthous stomatitis
Desquamative gingivitis
Behcet’s syndrome
Bullous erythema
Lichen planus
multiforme
Lupus erythematosus
Epodermolysis bullosa
Pemphigus vulgaris
Dermatitis herpetiformis
Pemphigus vegetans
reiter’s syndrome
Pyostomatitis vegetans
Cowden’s syndrome
Cicatricial pemphigoid
Acanthosis nigricans
CLASSIFICATION OF SEVERE
INFECTION OF THE ORO-FACIAL TISSUE
•Acute cellulitis
•Ludwig’s angina
•Space infection
•Cavernous sinus thrombosis
•Actinomycosis
•Histopasmosis
•Phycomycosis
•Cryptococcosis
•Aspergillosis
•Blastomycosis
•Cat scratch disease
•Cancrum oris
•Midline lethal granuloma
•Suppurative parotitis
•Acute osteomyelitis of
maxilla
•Acute osteomyelitis of
mandible
•Acute infection in AIDS pt
and other
immunocompromised
condition
CLASSIFICATION OF CHRONIC OROFACIAL PAIN
NEURLGIAS
PRIMARY TRIGEMIANL
NEURALGIA
SECONDARY TRIGEMINAL
NEURALGIA
HYPES ZOSTER
POST-HERPETIC NEURALGIA
GENICULATE
GLOSSOPHARYNGEAL
SUPERIOR
OCCIPITAL
PAIN OF MUSCULAR ORIGIN
CERVICAL OSTEOARTHRITIS
TMJ DISORDER
TMJ REHUMATOID
ARTHRITIS
TMJ OSTEOARTHRITIS
MYPFACIAL PAIN
DYSFUNTION SYNDROME
FIBROMYALGIA
CERVICAL SPRAIN OR
HYPEREXTENSION
EAGLE SYNDROME
Primary vascular
disorder
Psychogenic pains
Generalized pain
syndrome
Migraine with aura
Migraine without
aura
Cluster headache
Tension-type
headache
Hypertensive
vascular changes
Mixed headache
Cranial arteritis
Carotodynia
thrombophlebitis
Delusional/hallucinat
ory
Hysterical/hypochon
driac
Post traumatic pain
Sympathetically
maintained pain
Phatom pain
Central pain
LESION OF EAR NOSE AND ORAL CAVIT
Maxillary sinusitis
Otitis media
Odontalgia
dentin defect
pulpitis
periapical pahology
periapical abscess
periodontal pathology
cracked tooth syndrome
occlusal trauma
Atypical odontalgia
Cyst and tumor
Osteitits
Mucocutaneous disease
Salivary gland disease
Atypical facial pain
glossodynia
Classification of diseases of tongue
Developmental disorder
•Aglossia
•Lingual thyroid
•Hypoglossia
•Thyroglossal duct cyst
•Cleft tongue
•Microglossia
•Ankyloglossia
•Macroglossia
•Fissured tongue
•Bald tongue
•Scrotal tongue
•Benign migratory
•Median rhomboid
glossitis
glossitis
•Hairy tongue
Disorders in lingual papillae
•Hairy tongue
•Traumatic ulcer
•Oral thrush
•Infectious disease
•Chemical burns
•Lingual varicosities
•White sponge nevus
•Lingula hematoma
•Vesiculo-bullous
•Glossitis due to syphilis
lesions
•Pigmentations
•Lichen planus
•Atrophic glossitis in
•Leukoplakia
plummer-vinson’s
•Hairy leukoplakia
syndrome or paterson•Vitamin deficiency
kelly syndrome
•Hunter’s glossitis
DISEASE AFFECTING BODY OF THE TONGUE
Amyloidosis
Glossoptosis
Lingual abscess
Glossophyrosis
Muscular dystrophy
Glossodynia
Hypoglossal
Intracts in the tongue
Actinomycosis
Angioneurotic edema
Cysticercosis
Trichinosis
Neck-tongue syndrome
BENIGNTUMORS
Traumatic fibroma
Pyogenic granuloma
Granular cell myoblastoma
Hemangioma
Lymphangioma
Neurofibroma
Salivary gland tumor
MALIGNANT TUMORS
Squamous cell carcinoma
Verrucous carcinoma
Malignant fibrous
histiocytoma
CLASSIFICATION OF FIBRO-OSSEOUS
LESIONS
Fibrous dysplasia of bone
polystotic
monostotic
Ossifying fibroma
Cementing fibroma
Central gaint cell granuloma
Brown tumor of
hyperparathyroidism
Paget’s disease of bone
Cherubism
Aneurysmal bone cyst
Hemorrhagic bone cyst
Focal condensing osteitis
Exostoses
torus palatinus
torus manadibularis
Focal osteoporotic bone marrrow
Defect(FOBMD)
Fibrous defect of mandible
Osteogenesis imperfecta
Osteoporosis
Vanishing bone disease
Histiocytosis-x
Acromegally
Infantile cortical hyperostosis
Rickets
Achondroplasia
Scurvy
Hurler’s syndrome
Fragile x syndrome
Cleidocranial dysplasia
CLASSIFICATION OF GINGIVAL
ENLARGEMENT
FOCAL GINGIVAL ENLARGEMENT
Pyogenic ganuloma
Malignant fibrous
Fibro-epithelial polyp
histiocytoma
Parulis
Fibrosarcoma
Denture irritation
Nodular fascitis
Peripheral gaint cell
Localized fibromatosis
granuloma
Exostosis
Peripheral fibroma
Gingival cyst
Gaint cell fibroma
Eruption cyst
Fibrous histiocytoma
Congental epulis of
newborn
Generalized gingival enlargement
Inflammatory enlargement Fibrous overgrowth of the
gingiva
Scurvy
Hereditary of the gingiva
Puberty
Drug induced gingival
Pregnancy
fibromatosis
Oral contraception
-phenytoin sodium
Acute leukemias
- cyclosporine
Crohn’s disease
- nifedipine & verapamil
Wegener’s granulomatosis
Chronic hyperplastic gingivitis
Orofacial angoiomatosis
idiopathic
CLASSIFICATION OF SKIN DISEASE
MACULES AND PATCHES
Hypopigmented –vitiligo
Hyperpigmented- ephelides
café-au-lait macules
solar lentigo
melasma
Erythematous
Erysipelas
Telangiectasia
Pectechiae
Purpura
Ecchymoses
Splinter hemorrhage
Papules and plaque
Flesh colored or yellow
Acrochodon
Fibrous papule
Adenoma sebaceum
Neurofibroma
Syringoma
Molluscum contagiosum
Sebaceous hyperplasia
Xanthelasma
milia
Hyperpigmented
nevus
Melanoma
Seborrheic keratitis
Papules and plaque
Erythematous
Acne
Perioral dermatitis
Folliculitis
Furuncle
Miliaria
Spitz nevus
Acute febrile neutrophilic
dermatosis
Violaceous
Lichen planus
Blue nevous
Angiosarcoma
Venous lake
Morbiliform drug eruption
Cherry hemngioma
NODULES
WHEALS
Basal cell
carcinoma
Keratoacanthoma
SCC
Uricaria
andioedema
CONNECTIVE
TISSUE DISEASE
Dermatomyosistis
Lupus
erythematosus
Scleroderma
Temporal arteritis
Vesicles/bullae
/pustules
Herpes simplex
infection
Varicella-zoster
infection
Contact
dermatitis
Rosacea
Erythema
multiforme
Erthematousus
Erosion/fissure/ulce
r/scare
Perieche
Pyodermal
gamgrenosum
Burns
Keloid
Radiodermatitis
Papulosquamous
dermatosis
Acitinic keratoses
Psoriasis
Seborrheic
dermatitis
Atopic dermatitis
Keratosis pilaris
Pityriasis rosea
Verruca vulgaris
Flat wart
CLASSIFICATION OF ORAL SWELLING
Swelling on the
floor of the mouth
Mucous retention
cyst
Mucous
extravasation cyst
Dermoid cyst
Lymphoepithelial
Salivary gland
tumor
sialothiasis
Swelling of the lip and buccal mucosa
Upper lip Lower lip Buccal
mucosa
swelling
•Salivary
•Traumatic •Traumatic
gland
fibroma
fibroma
tumor
•Mucoceles •Mucoceles
•mucocele •Salivary
•Salivary
gland
gland tumor
tumor
•Benign &
•Benign & malignant
malignant
Palatal swellings
•Mucoceles
•Salivary gland
tumor
•Lymphoma
•Metastatic tumor
•Torus
•Neoplasm of
maxilla & maxillary
sinus
