Oral Pathology Review Images

Most Common Abnormalities of the Oral Cavity
Radiographic and soft tissue, alphabetical

Amalgam tattoo

1. Amalgam tattoo
Description: Multiple bilateral flat black discolorations of the alveolar ridge

Location: Right and left mandibular alveolar ridge

MESH Subject Headings: Pathology, Oral; Mouth Mucosa--Pathology;

Type of abnormality: soft tissue

Ameloblastoma

2. Ameloblastoma
Description: Large multilocular radiolucent lesion of the posterior body and ramus of the mandible

Location: Posterior body and ramus of the mandible, left side

MESH Subject Headings: Pathology, Oral; Ameloblastoma; Mandible -- pathology

Type of abnormality: radiographic

Angular cheilitis

3. Angular cheilitis
Description: Reddish groove in skin

Location: Skin of left corner of mouth

MESH Subject Headings: Pathology, Oral; Cheilitis; Skin--pathology

Type of abnormality: soft tissue

Buccal exostoses

4. Buccal exostoses
Description: Bony hard nodules of alveolar ridge

Location: Buccal aspect of the right maxillary alveolar ridge

MESH Subject Headings: Pathology, Oral; Exostoses; Maxilla --pathology

Type of abnormality: soft tissue

Central giant cell granuloma

5. Central giant cell granuloma
Description: Large radiolucent lesion with scalloped borders of the body of the mandible. Note the root resorption of involved teeth.

Location: Body of the right mandible extending from the anterior teeth to the first molar

MESH Subject Headings: Pathology, Oral; Giant Cell Granuloma; Mandible -- pathology

Type of abnormality: radiographic

Chronic cheek bites

6. Chronic cheek bites
Alternative title: Chronic cheek chewer

Description: Thickened ragged appearing white patch of the buccal mucosa

Location: Right buccal mucosa

MESH Subject Headings: Pathology, Oral; Mouth Mucosa -- pathology;

Type of abnormality: soft tissue

Complex odontoma

7. Complex odontoma
Alternative title: Complex odontoma

Description: Large irregular shaped radiodense mass preventing the eruption of tooth #30. Note that the radiodensity of the mass is the same as the adjacent teeth.

Location: Posterior right mandible in area of unerupted tooth #30 and missing #31

MESH Subject Headings: Pathology, Oral; Odontoma; Mandible -- pathology

Type of abnormality: radiographic

Compound odontoma

8. Compound odontoma
Alternative title: Compound odontoma

Description: Dome-shaped radiodense mass above the crown of the unerupted canine composed of numerous small tooth-like structures . The mass is surrounded by a radiolucent zone.

Location: Anterior maxilla in the area of the unerupted tooth #6

MESH Subject Headings: Pathology, Oral; Odontoma; Maxilla -- pathology

Type of abnormality: radiographic

Condensing osteitis

9. Condensing osteitis
Description: Localized area of increased radiodensity of the alveolar bone extending from the apical portion of the distal root into the underlying bone forming a bulbous appearing radiodense mass. Note the faint outline of the root visible within this bone showing the increased radiodensity.

Location: Distal root of lower first molar

MESH Subject Headings: Pathology, Oral; Osteitis; Mandible -- pathology

Type of abnormality: radiographic

Dentigerous cyst

10. Dentigerous cyst
Description: Large well-defined unilocular radiolucency associated with the crown of the unerupted molar

Location: Posterior body and ramus of the mandible

MESH Subject Headings: Pathology, Oral; Dentigerous Cyst; Mandible -- pathology

Type of abnormality: radiographic

Enlarged lingual tonsil

11. Enlarged lingual tonsil
Alternative title: Reactive lymphoid hyperplasia

Description: Reddish smooth-surfaced papules of the posterior lateral border of the tongue

Location: Posterior lateral border of the tongue in the foliate papilla area

MESH Subject Headings: Pathology, Oral; Lymphoid Tissue; Tongue --pathology

Type of abnormality: soft tissue

Epidermoid cyst

12. Epidermoid cyst
Description: Large sessile swelling of the floor of the mouth

Location: Floor of the mouth

MESH Subject Headings: Pathology, Oral; Cysts; Mouth Mucosa--pathology

Type of abnormality: soft tissue

Epulis fissuratum

13. Epulis fissuratum
Description: Folds of hyperplastic tissue

Location: Anterior maxillary right and left labial vestibule

MESH Subject Headings: Pathology, Oral; Gingival Diseases; Hyperplasia

Type of abnormality: soft tissue

Fibroma

14. Fibroma
Description: Sessile smooth surfaced nodule

Location: Anterior buccal mucosa

MESH Subject Headings: Pathology, Oral; Fibroma; Mouth Mucosa--pathology

Type of abnormality: soft tissue

Fissured tongue

15. Fissured tongue
Description: Numerous grooves or fissures of the tongue surface

Location: Dorsal surface of tongue

MESH Subject Headings: Pathology, Oral; Tongue, Fissured; Tongue -- pathology

Type of abnormality: soft tissue

Florid cemento-osseous dysplasia

16. Florid cemento-osseous dysplasia
Description: Multiple mixed radiopaque and radiolucent lesions of the mandible and maxilla

Location: Entire body of the mandible and areas of the maxillary alveolar ridge

MESH Subject Headings: Pathology, Oral; Bone Diseases; Mandible -- pathology

Type of abnormality: radiographic

Focal osteoporotic marrow defect

17. Focal osteoporotic marrow defect
Description: Ill-defined round radiolucency in the area of the previously extracted tooth #19

Location: Posterior left mandible in the area of the missing tooth #19

MESH Subject Headings: Pathology, Oral; Mandible -- pathology;

Type of abnormality: radiographic

Fordyceᄀᆵs granules

18. Fordyce's granules
Description: Multiple small yellow papular lesions

Location: Buccal mucosa

MESH Subject Headings: Pathology, Oral; Mouth Mucosa; Sebaceous Glands

Type of abnormality: soft tissue

Geographic tongue

19. Geographic tongue
Alternative title: Erythema migrans

Description: Multiple areas of erythema surrounded by yellowish-white borders

Location: Dorsal surface of tongue

MESH Subject Headings: Pathology, Oral; Glossitis, Benign, Migratory; Tongue -- pathology

Type of abnormality: soft tissue

Geographic tongue (Erythema migrans)

20. Geographic tongue (Erythema migrans)
Alternative title: Erythema migrans

Description: Multiple areas of erythema surrounded by yellowish-white borders

Location: Left lateral border and ventral surface of tongue

MESH Subject Headings: Pathology, Oral; Glossitis, Benign, Migratory; Tongue -- pathology

Type of abnormality: soft tissue

Hairy tongue

21. Hairy tongue
Description: Greatly elongated and dark brown stained filiform papillae of the tongue

Location: Midline of the dorsal surface of the tongue

MESH Subject Headings: Pathology, Oral; Tongue, Hairy; Tongue -- pathology

Type of abnormality: soft tissue

Hemangioma

22. Hemangioma
Description: Two raised bluish lesions

Location: Left dorsal surface of tongue

MESH Subject Headings: Pathology, Oral; Hemangioma; Mouth Mucosa -- pathology

Type of abnormality: soft tissue

Hemangioma

23. Hemangioma
Description: Raised red lesion

Location: Vermilion border of lower lip left side

MESH Subject Headings: Pathology, Oral; Hemangioma; Mouth Mucosa -- pathology

Type of abnormality: soft tissue

Hemangioma (compressed)

24. Hemangioma (compressed)
Alternative title: Compressed hemangioma

Description: Raised red lesion that blanches under compression

Location: Vermilion border of lower lip left side

MESH Subject Headings: Pathology, Oral; Hemangioma; Mouth Mucosa -- pathology

Type of abnormality: soft tissue

Hematoma

25. Hematoma
Description: Sessile bluish-black lesion of the floor of the mouth

Location: Right floor of the mouth

MESH Subject Headings: Pathology, Oral; Hematoma; Mouth Mucosa -- pathology

Type of abnormality: soft tissue

Herpes labialis

26. Herpes labialis
Description: Fluid filled vesicles

Location: Skin adjacent to vermilion border of lower lip

MESH Subject Headings: Pathology, Oral; Herpes Labialis; Lip -- pathology

Type of abnormality: soft tissue

Incisive canal cyst

27. Incisive canal cyst
Alternative title: Nasopalatine duct cyst

Description: Heart-shaped well-circumscribed radiolucency of the midline of the anterior hard palate

Location: Midline of the anterior maxilla above and between the apices of central incisors

MESH Subject Headings: Pathology, Oral; Cysts; Maxilla -- pathology

Type of abnormality: radiographic

Inflammation or irritation of tongue

28. Inflammation or irritation of tongue
Description: Reddish patch

Location: Dorsolateral border

MESH Subject Headings: Pathology, Oral; Glossitis; Inflammation

Type of abnormality: soft tissue

Inflammatory papillary hyperplasia (IPH)

29. Inflammatory papillary hyperplasia (IPH)
Alternative title: IPH

Description: Erythematous palatal mucosa with numerous papillary projections

Location: Hard palate

MESH Subject Headings: Pathology, Oral; Hyperplasia; Mouth Mucosa -- pathology

Type of abnormality: soft tissue

Inflammatory papillary hyperplasia (IPH, Dentures)

30. Inflammatory papillary hyperplasia (IPH, Dentures)
Description: Ill-fitting dentures in place

Location: Hard palate

MESH Subject Headings: Pathology, Oral; Hyperplasia; Denture, Complete

Type of abnormality: soft tissue

Lateral periodontal cyst

31. Lateral periodontal cyst
Description: Well-circumscribed unilocular radiolucency lateral to the roots of the premolar teeth

Location: Between the roots of the lower premolars

MESH Subject Headings: Pathology, Oral; Periodontal Cyst; Mandible -- pathology

Type of abnormality: radiographic

Leukoplakia

32. Leukoplakia
Description: White patch

Location: Floor of mouth

MESH Subject Headings: Pathology, Oral; Leukoplakia; Mouth Mucosa--pathology

Type of abnormality: soft tissue

Lichen planus

33. Lichen planus
Description: Interlacing white lines (Wickham's striae) of buccal mucosa

Location: Right buccal mucosa

MESH Subject Headings: Pathology, Oral; Lichen Planus; Mouth Mucosa -- pathology

Type of abnormality: soft tissue

Lingual mandibular salivary gland depression

34. Lingual mandibular salivary gland depression
Description: Well-circumscribed radiolucency with a sclerotic border of the posterior mandible

Location: Posterior left mandible below the inferior alveolar nerve canal

MESH Subject Headings: Pathology, Oral; Salivary Glands; Mandible -- pathology

Type of abnormality: radiographic

Lipoma

35. Lipoma
Description: Yellowish smooth-surfaced sessile mass of the lower lip.

Location: Left side of lower lip

MESH Subject Headings: Pathology, Oral; Lipoma; Mouth Neoplasms

Type of abnormality: soft tissue

Mandibular tori

36. Mandibular tori
Description: Bilateral lobulated bony protuberances

Location: Lingual of mandible bilaterally

MESH Subject Headings: Pathology, Oral; Exostoses; Mandible--pathology

Type of abnormality: soft tissue

Median rhomboid glossitis

37. Median rhomboid glossitis
Description: Erythematous area of the dorsum of the tongue

Location: Midline of the posterior dorsal surface of the tongue

MESH Subject Headings: Pathology, Oral; Glossitis; Tongue -- pathology

Type of abnormality: soft tissue

Mucocele

38. Mucocele
Description: Bluish dome-shaped fluctuant swelling

Location: Lower left labial mucosa

MESH Subject Headings: Pathology, Oral; Mucocele; Mouth Mucosa -- pathology

Type of abnormality: soft tissue

Odontogenic keratocyst

39. Odontogenic keratocyst
Description: Large well-delineated multilocular radiolucent lesion of the body of the mandible. Note the displaced unerupted permanent teeth.

Location: Body of the left mandible extending from the anterior teeth to the first molar

MESH Subject Headings: Pathology, Oral; Odontogenic Cysts; Mandible -- pathology

Type of abnormality: radiographic

Oral melanotic macule

40. Oral melanotic macule
Description: Dark brown macular lesion of lower lip

Location: Vermilion border of lower right lip

MESH Subject Headings: Pathology, Oral; Mouth Mucosa -- pathology;

Type of abnormality: soft tissue

Osteomyelitis

41. Osteomyelitis
Alternative title: Acute osteomyelitis; Osteomyelitis acute

Description: Ill-defined radiolucencies of the body and ramus of the mandible

Location: Left body and ramus of the mandible

MESH Subject Headings: Pathology, Oral; Osteomyelitis; Mandible -- pathology

Type of abnormality: radiographic

Osteosclerosis

42. Osteosclerosis
Description: Localized irregular shaped area of bone showing increased radiodensity in the area of the missing tooth #19

Location: Alveolar bone of left mandible in the area of the missing tooth #19

MESH Subject Headings: Pathology, Oral; Osteosclerosis; Mandible --pathology

Type of abnormality: radiographic

Palatal torus

43. Palatal torus
Description: Bony hard lobulated protuberance

Location: Midline hard palate

MESH Subject Headings: Pathology, Oral; Exostoses; Palate -- pathology

Type of abnormality: soft tissue

Papilloma

44. Papilloma
Description: Pedunculated exophytic lesion with numerous finger-like projections on the surface

Location: Left lateral border of tongue

MESH Subject Headings: Pathology, Oral; Papilloma; Mouth Neoplasms

Type of abnormality: soft tissue

Papilloma (buccal mucosa)

45. Papilloma (buccal mucosa)
Description: Exophytic white lesion with numerous finger-like projections on the surface.

Location: Right buccal mucosa

MESH Subject Headings: Pathology, Oral; Papilloma; Mouth Neoplasms

Type of abnormality: soft tissue

Periapical cemento-osseous dysplasia

46. Periapical cemento-osseous dysplasia
Description: Circumscribed mixed radiolucent and radiopaque lesions at the apical area of the lower anterior teeth

Location: Periapical area of lower anterior teeth

MESH Subject Headings: Pathology, Oral; Mandible -- pathology;

Type of abnormality: radiographic

Periapical pathosis

47. Periapical pathosis
Description: Well-delineated ovoid-shaped radiolucency at the apex of the lateral incisor.

Location: Periapical area of maxillary lateral incisor

MESH Subject Headings: Pathology, Oral; Periapical Diseases; Maxilla -- pathology

Type of abnormality: radiographic

Residual cyst

48. Residual cyst
Description: Large round radiolucency of left mandible in previously extracted tooth #18 area

Location: Left mandible in the area of the missing tooth #18

MESH Subject Headings: Pathology, Oral; Cysts; Mandible -- pathology

Type of abnormality: radiographic

Root tip

49. Root tip
Description: Radiopaque area of the alveolar ridge with the structural appearance of the apical portion of a tooth root. A thin periodontal ligament space is visible on the distal. Note the similarity of the radiodensity of the root tip and the adjacent premolar root

Location: Mandibular alveolar ridge distal to the root of the second premolar

MESH Subject Headings: Pathology, Oral; Tooth Root; Mandible --pathology

Type of abnormality: radiographic

Scar tissue

50. Scar tissue
Description: Linear scar tissue of gingiva

Location: Gingiva adjacent to the upper lip in the area of the missing central incisor

MESH Subject Headings: Pathology, Oral; Cicatrix; Gingiva -- pathology

Type of abnormality: soft tissue

Smokeless tobacco pouch keratosis

51. Smokeless tobacco pouch keratosis
Alternative title: Early smokeless tobacco pouch keratosis; Smokeless tobacco pouch keratosis early

Description: Fissured or rippled white lesion of lower lip mucosa

Location: Lower lip mucosa

MESH Subject Headings: Pathology, Oral; Mouth Mucosa -- pathology;

Type of abnormality: soft tissue

Smokeless tobacco pouch keratosis

52. Smokeless tobacco pouch keratosis
Alternative title: 40-year smokeless tobacco pouch

Description: Leathery appearing fissured white patch of buccal and vestibular mucosa

Location: Right buccal mucosa

MESH Subject Headings: Pathology, Oral; Mouth Mucosa -- pathology;

Type of abnormality: soft tissue

Smooth red tongue

53. Smooth red tongue
Description: Smooth red tongue secondary to atrophy of the papillae

Location: Dorsum of tongue

MESH Subject Headings: Pathology, Oral; Tongue -- pathology;

Type of abnormality: soft tissue

Sublingual varicosities

54. Sublingual varicosities
Description: Multiple bluish-purple dilated veins

Location: Ventral surface of tongue

MESH Subject Headings: Pathology, Oral; Tongue -- pathology;

Type of abnormality: soft tissue

Tori

55. Tori
Alternative title: Mandibular tori; Tori mandibular

Description: Bilateral mandibular tori superimposed on the roots of the canine teeth on the radiograph appear as round smooth surfaced radiopaque structures

Location: Mandibular lingual alveolar ridge bilaterally in the area of premolars

MESH Subject Headings: Pathology, Oral; Exostoses; Mandible --pathology

Type of abnormality: radiographic

Traumatic bone cyst

56. Traumatic bone cyst
Alternative title: Simple bone cyst

Description: Well-delineated radiolucent lesion with projections between the roots of the vital premolar and molar teeth producing a scalloped appearance

Location: Body of the posterior mandible beneath the roots of the second premolar and first and second molars

MESH Subject Headings: Pathology, Oral; Bone Cysts; Mandible -- pathology

Type of abnormality: radiographic

Traumatic ulcer

57. Traumatic ulcer
Description: Erythematous area surrounding a central yellow fibrinopurulent membrane

Location: Right lateral border of tongue

MESH Subject Headings: Pathology, Oral; Oral Ulcer; Mouth Mucosa--pathology

Type of abnormality: soft tissue


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