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Oral Diagnosis m5

Oral Diagnosis m5

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Published by Rosette Go
Oral Diagnosis Midterms Lesson 5
Oral Diagnosis Midterms Lesson 5

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Categories:Topics
Published by: Rosette Go on Sep 27, 2013
Copyright:Attribution Non-commercial

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04/09/2015

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ORAL DIAGNOSIS M5INTRAORAL EXAM1.EXAM OF ORAL SOFT TISSUES2.EXAM OF THE TEETH AND PERIODONTIUMGUIDELINES/PROTOCOL:
1.Perform the intraoral exam in asystematic/procedural manner/routine2.Proper positioning of the patient, properillumination/lighting and proper use of clean basicinstruments3.Practice proper infection control4.Whatever findings seen in intraoral exam must bechecked with the other findingsa.Must be analyzed, checked and examinedall together
EXAMINATION OF THE ORAL SOFT TISSUES1.LIPS
Inspection and bidigital palpation
Check the intraoral and extraoral surfaces
Evert the lups to check the inner surface of the lips and the vestibule
Common abnormalities include:i.Ulcersii.Rough surface textureiii.Patchy homogenous thickening
SOLAR/ACTINIC CHELOSIS
i.Patchy homogenous thickening dueto too much exposure to the sun
2.BUCCAL MUCOSA AND VESTIBULE
Get a mouth mirror, place it on the innercheeki.The patient’s mouth should beslightly closed
LINEA ALBA
i.White line should be bilateral for itto be normal (anatomic variation)ii.Due to the physiologic thickeningof the buccal mucosa due to somehabitsiii.Aka. TORUS BUCCALIS
PAROTID PAPILLA
i.Elevation at the opening of theStensen’s duct
FORDYCE GRANULES
i.Sometimes there are yellowishgranules (normal anatomicvariationsii.Brought about by
ectopicsebaceous glands
Inspection and/or bidigital palpation
3.HARD/SOFT PALATE
Bidigital palpation
Direct visualization –
Submentalperspective (without the use of mouthmirror)
Indirect visualization –
uses mouth mirror
Rough at the hard palate and smooth at thesoft palate
TORUS PALATINUS
i.Reaction of bone to stressii.Bony exostosisiii.Not pathologic because it stopsgrowing after it reaches itssaturation pointiv.Removed under 3 circumstances:1.If it interferes with speech2.If it interferes withmastication3.If it interferes withplacement of prosthesis
4.OROPHARYNX
Visualizationi.inspection of the oropharynx bydepressing the tongue with amouth mirror while patientresponds to the request to say “ah”
Palpation not routinely performed unless anabnormality is visually apparent
5.TONGUE
DORSAL

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