Appendix A
Glossary of Descriptive Terminology

abrasion     the wearing away of a substance or structure through some unusual or abnormal mechanical process.
annular     shaped like a ring.
atrophy     loss of the normal thickness of the mucosa resulting in an increased translucency.
contusion (bruise)     a superficial injury, usually painful or tender, produced by impact without laceration. There may or may not be a color due to hemorrhage.
crust     dried residue of a combination of any or all of the following: serum, blood, cellular detritus, purulent discharge, or other exudates. Crust is seen on skin, including vermilion of lip.
ecchymosis     a nonelevated area of hemorrhage, larger than a petechia.
erosion     a depressed, superficial lesion that results from partial loss of the mucosa. The epithelium above the basal cell layer is denuded. An erosion often arises secondary to rupture of a vesicle or bulla; therefore, the base of a ruptured vesicle could represent an area of erosion. Erosions are moist and slightly depressed; healing rarely results in scarring.
eschar     a slough produced by burning or a corrosive application.
excoriation     a scratch that removes the cutaneous epidermis, producing a superficial lesion.
fissure    a narrow, linear cleavage or groove of the mucosa that may or may not extend through the mucosa. A fissure may be normal or abnormal; it typically affects the lips and paraoral tissues. When pathogenic organisms infect a fissure, pain, ulceration, and inflammation often result.
fistula     an abnormal passageway that leads from a suppurative cavity, cyst, or abscess to the surface of the mucosa (epithelium). An abscessed tooth often produces a clinically evident pustule at the terminal end of the fistula known as a parulis (gum boil).
keratosis     increased production and retention of keratin resulting in a raised lesion.
laceration     a wound made by tearing. As a consequence, it has irregular edges.
linear     arranged in a fashion to resemble a line.
papilla    a small nipple-shaped projection or elevation.
papillary     describing a tumor or growth exhibiting numerous surface projections.
papillomatous     similar to or resembling a papilloma; another term for papillary.
patch     a circumscribed area that is larger than a macule and differentiated from the surrounding epidermis by color or texture, or both. Like the macule the patch is neither elevated nor depressed.
pedunculated     describing a tumor or growth whose base is narrower than the widest part of the lesion.
petechia     a round, pinpoint area of hemorrhage.
plaque     a lesion that is slightly elevated and is flat on its surface.
polypoid     a lesion resembling a polyp.
pseudomembrane     a membranous layer of exudate containing organisms, precipitated fibrin, necrotic cells, and inflammatory cells that is produced by an inflammatory reaction on the surface of a tissue.
punctate     resembling or marked with points or dots.
scale     an increased rate of Malpighian cell proliferation of the epidermis results in nonretention of superficial cells; the desquamating layers are scales.
scar     the result of an injury that produces either an atrophy or a hypertrophy of the mucosa with an increase in the amount of underlying collagen tissue. The scar usually acquires a lighter color because of decreased vascularity. It is a permanent mark after a wound heals, a visible sign that indicates a disruption in the integrity of the epidermis and dermis. Scars are infrequently found in the oral cavity but may be of any shape or size.
sessile     describing a tumor or growth whose base is the widest part of the lesion.
sinus tract     an abnormal passageway that leads from a suppurative cavity, cyst, or abscess to the surface of the skin (epidermis).
slough     a mass of dead tissue.
stellate     pointed, shaped like a star.
telangiectasia     a vascular lesion caused by permanent dilatation of a small, superficial blood vessel.
ulcer     lesion characterized by the loss of the surface epithelium and frequently some of the underlying connective tissue. It often appears depressed or excavated.
verrucous     describing a tumor or growth that exhibits a rough, warty surface.
wheal     an edematous papule or plaque that results from acute extravasation of serum into the upper dermis. Usually pale red, pruritic, and of short duration; they are often seen in allergic individuals.

Recommended Reading

  1. Cawson RA, Binnie WH, Barret AW, Wright JM. Oral Disease, 3rd edition. St. Louis, MO: Mosby; 2001.
  2. Eversole LR. Oral Medicine: A Pocket Guide. Philadelphia: W.B. Saunders; 1996.
  3. Neville BW, Damm DD, Allen CM, Bouquot JE. Oral and Maxillofacial Pathology, 3rd edition. St. Louis, MO: Saunders Elsevier; 2009.
  4. Newland JR, Meiller TF, Wynn RL, Crossley HL. Oral Soft Tissue Diseases, 5th edition. Hudson, OH: LexiComp, Inc.; 2011.
  5. Regezi JA, Sciubba JJ, Jordan RCK. Oral Pathology: Clinical Pathologic Correlations, 5th edition. St. Louis, MO: Saunders Elsevier; 2008.
  6. Sapp JP, Eversole LR, Wysocki GP. Contemporary Oral and Maxillofacial Pathology, 2nd edition. St. Louis, MO: Mosby; 2004.
  7. Scully C, Bagan JV, Carrozzo M, Flaitz CM, Gandolfo S. Pocketbook of Oral Disease. Edinburgh, UK: Churchill Livingstone Elsevier; 2013.