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Leukoplakia located on the floor of the mouth, the posterior and lateral tongue, and the retromolar areas (the region behind the wisdom teeth) have higher risk, whereas white patches in areas such as the top surface of the tongue and the hard palate do not have significant risk. [3]
Visual inspection with a penlight shows a healthy palate as whitish in color, with a firm texture and irregular transverse rugae. Abnormal findings include yellowness or extreme pallor, and diseases include torus palatinus, cleft palate, submucous cleft palate, High-arched palate, Kaposi's sarcoma and leukoplakia.
Hairy leukoplakia is a white patch on the side of the tongue with a corrugated or hairy appearance. It is caused by Epstein-Barr virus (EBV) and occurs usually in persons who are immunocompromised , especially those with human immunodeficiency virus infection/ acquired immunodeficiency syndrome (HIV/AIDS).
The hard palate is formed by the palatine process of the maxilla and horizontal plate of palatine bone.It forms a partition between the nasal passages and the mouth.On the anterior portion of the hard palate are the plicae, irregular ridges in the mucous membrane that help hold food while the teeth are biting into it while also facilitating the movement of food backward towards the larynx once ...
Inflammatory papillary hyperplasia almost exclusively involves the hard palate, specifically the vault of the palate. Extension of the lesion to the mucosa of the residual ridges have also been observed. 11% to 13.9% of patients who wear maxillary complete dentures with complete palatal coverage has been reported to have IPH. [22]
The lesions of several other oral conditions are sometimes described as aphthae, including Bednar's aphthae (infected, traumatic ulcers on the hard palate in infants), [30] oral candidiasis, and foot-and-mouth disease. When used without qualification, aphthae commonly refers to lesions of recurrent aphthous stomatitis.
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The oral mucosa has no muscularis mucosae, and clearly identifying the boundary between it and the underlying tissues is difficult. Typically, regions such as the cheeks, lips, and parts of the hard palate contain submucosa (a layer of loose fatty or glandular connective tissue containing the major blood vessels and nerves supplying the mucosa ...