National Dental Assisting Examining Board (NDAEB) Practice Exam

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What are Fordyce's spots or granules?

Infection-related oral symptoms
Normal variations that sometimes appear on the buccal mucosa
Signs of gum disease
Indicators of oral cancer

The correct answer is: Normal variations that sometimes appear on the buccal mucosa

Fordyce's spots, also known as Fordyce granules, are small, painless, pale white or yellow nodules that can appear on the buccal mucosa and other areas inside the mouth. They are sebaceous (oil) glands that are ectopic, meaning they are located in areas where sebum-producing glands are not typically present. These spots are essentially a normal anatomical variant and do not indicate any disease or condition. The presence of Fordyce spots is common and generally considered to be a harmless feature of the oral cavity, with no treatment necessary. Understanding this can help dentists and dental assistants reassure patients who might be concerned about the appearance of these spots, as many may mistakenly think they represent a problem. The other options involve conditions or symptoms that suggest issues, such as infections, gum disease, or cancer, which is not applicable to Fordyce spots. This distinction clarifies that Fordyce spots are a benign finding rather than a sign of pathology.