Podcast
Questions and Answers
What is a characteristic feature of the buccal mucosa?
What is a characteristic feature of the buccal mucosa?
Which of the following can cause ulceration in the mouth?
Which of the following can cause ulceration in the mouth?
What is the purpose of examining the buccal mucosa?
What is the purpose of examining the buccal mucosa?
What should the healthy palate ideally resemble?
What should the healthy palate ideally resemble?
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Which condition is NOT typically associated with the buccal mucosa?
Which condition is NOT typically associated with the buccal mucosa?
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What is one method used to examine the tongue?
What is one method used to examine the tongue?
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Which of the following describes a feature of healthy mucosal membranes in the mouth?
Which of the following describes a feature of healthy mucosal membranes in the mouth?
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What type of ulceration is linked to Lichen Planus?
What type of ulceration is linked to Lichen Planus?
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What does the vestibule represent in the oral cavity?
What does the vestibule represent in the oral cavity?
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What type of assessment is performed to evaluate gingival conditions and probing depths?
What type of assessment is performed to evaluate gingival conditions and probing depths?
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Which of the following is NOT a factor observed in radiographic assessment for caries?
Which of the following is NOT a factor observed in radiographic assessment for caries?
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What type of tongue appearance is characterized by having deep grooves on its surface?
What type of tongue appearance is characterized by having deep grooves on its surface?
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Which condition is associated with the presence of salivary stones in the mouth?
Which condition is associated with the presence of salivary stones in the mouth?
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Radiographic assessment for periodontal disease focuses on identifying which of the following aspects?
Radiographic assessment for periodontal disease focuses on identifying which of the following aspects?
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The space between the mouth cavity and the pharynx is termed what?
The space between the mouth cavity and the pharynx is termed what?
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Which of the following factors is NOT typically assessed during a plaque and calculus assessment?
Which of the following factors is NOT typically assessed during a plaque and calculus assessment?
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What is the primary purpose of conducting an intra oral examination?
What is the primary purpose of conducting an intra oral examination?
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Which of the following is NOT a part of the intra oral examination?
Which of the following is NOT a part of the intra oral examination?
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What should the examiner look for when inspecting the lips during an intra oral examination?
What should the examiner look for when inspecting the lips during an intra oral examination?
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How long do aphthous ulcers usually take to heal?
How long do aphthous ulcers usually take to heal?
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Which of the following must be true for a patient to recognize what is abnormal in their oral cavity?
Which of the following must be true for a patient to recognize what is abnormal in their oral cavity?
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What can make dental treatment challenging for patients with aphthous ulcers?
What can make dental treatment challenging for patients with aphthous ulcers?
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What technique is recommended for examining the lips?
What technique is recommended for examining the lips?
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Which areas are specifically examined during an intra oral examination?
Which areas are specifically examined during an intra oral examination?
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Study Notes
Intra Oral Examination
- Intra oral examination is part of the initial patient assessment
- This examination identifies signs of health or disease in the hard and soft tissues of the oral cavity.
- Assessment considers treatment needs, and any signs or symptoms the patient presents with
- To understand what is abnormal, you need to know what is normal for each patient.
Intra Oral Examination: Components
- Lips: examining for intact mucosa, trauma, any swelling, lumps, colour, pigmentation, texture, and anything else unusual.
- Mucosa
- Hard and soft palates
- Floor of the mouth
- Tongue (including dorsum and lateral borders)
- Vestibules
- Fauces
Examination Techniques
- Wear gloves
- Stretch lips upwards and outwards
- Stretch lips downwards and outwards
- Assess colour, breaks/tears, lumps/bumps, and vessels
Aphthous Ulcers
- Commonly found on the mucous membrane
- Usually sore and painful
- Vary in size
- Usually heal completely within 14 days
- Can make oral examination challenging due to discomfort
Other Conditions
- Fordyce spots
- Mucocele
Buccal Mucosa
-
The inside lining of the cheeks
-
Normally smooth, reddish/pink/naturally pigmented
-
Moist
-
Flexible, not rigid
-
Assess colour, breaks/tears, lumps/bumps, and texture of the buccal mucosa
Buccal Mucosa: Conditions
- Traumatic ulcerative granuloma
- Lichen planus
- Aspirin burn
- Linea alba
Hard and Soft Palate
- Refer to separate lecture material.
Tongue
- Refer to separate lecture material.
Additional Tongue Information
- What should the tongue look like?
- Use gauze to pull tongue out, examining both left and right sides, and the underside against the roof of the mouth
Tongue: Conditions
- Black hairy tongue
- Tongue piercings
- Split tongue
- Geographic tongue
- Fissured tongue
- Glossitis
- Squamous cell carcinoma
Floor of the Mouth
- Refer to separate lecture material.
Floor of the Mouth: Conditions
- Lingual torus
- Lingual ranula
- Lingual salivary stone
- Floor of the mouth cancer
Vestibules
- Space between cheeks and gingiva
- Cheek forms the lateral wall
Fauces
- Space between the mouth and pharynx
- Includes hard palate, soft palate, uvula, palatine tonsils, and tongue
Periodontal Assessment
- Assess gingival condition
- Check for bleeding on probing
- Assess probing depths, BPE, and 6-point pocket charting
- Classify periodontal disease
- Check for suppuration and mobilities
Further Assessment
- Assess plaque and calculus deposits
- Disclose, and document all findings related to plaque and calculus.
Hard Tissues
- Assess for caries, staining (intrinsic/extrinsic), tooth surface loss, erosion, abrasion, and attrition
Radiographic Assessment for Caries
- Assess the tooth, enamel, dentine, primary/secondary restorations margins, and identify if there is any leakage.
- Assess pulpal distance, response, and pathology.
Radiographic Assessment (Periodontal)
- Look for degree of bone loss (horizontal/vertical)
- Assess distribution of bone loss (generalized/localized)
- Check for furcation involvement and radiolucency at apices
Treatment Planning
- Consider order of treatment (priority is given to emergencies), possible prevention measures , NSPT/restorative needs, and referral.
- Assess risk
- Review
- Monitor
Summary
- All patient assessments should be considered collectively, not in isolation
- Physical examination and verbal discussion should be part of assessment
- All assessments must be documented.
Additional Intra Oral Assessments
- Refer to separate lectures
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Description
Explore the essential components and techniques of intra oral examination in this quiz. Understand how to identify signs of health or disease in the oral cavity. Test your knowledge on normal versus abnormal findings during an intra oral assessment.
