Intra Oral Examination Overview
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Intra Oral Examination Overview

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@FineLookingAquamarine248

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Questions and Answers

What is the space called that exists between the cheeks and gingiva?

  • Floor of the mouth
  • Vestibules (correct)
  • Lingual torus
  • Fauces

    • What is the primary aim of the Intra Oral examination?

  • To evaluate the overall health of the patient's body
  • To perform dental procedures directly
  • To identify signs of health and disease in the oral cavity (correct)
  • To administer medication to the patient

    • Which of the following assessments is not typically included in a periodontal assessment?

  • Bleeding on probing
  • Radiographic assessment (correct)
  • Probing depths
  • Gingival condition

    • Which type of tongue condition is characterized by a fissured appearance?

    <p>Fissured tongue</p> Signup and view all the answers

    Which area is NOT specifically mentioned as part of the Intra Oral examination?

    <p>Throat</p> Signup and view all the answers

    When assessing the lips during the Intra Oral examination, which of the following is NOT a focus area?

    <p>Dental caries</p> Signup and view all the answers

    What is a key characteristic of a healthy buccal mucosa?

    <p>Smooth and reddish/pink in color</p> Signup and view all the answers

    What type of oral assessment involves looking for signs of caries on the tooth surface?

    <p>Radiographic assessment</p> Signup and view all the answers

    What is true about Aphthous ulcers based on the information provided?

    <p>They are common on the mucous membrane</p> Signup and view all the answers

    Which of the following can be a possible cause of ulceration in the buccal mucosa?

    <p>Traumatic ulcerative granuloma</p> Signup and view all the answers

    Which type of periodontal bone loss is characterized by a horizontal pattern?

    <p>Generalized bone loss</p> Signup and view all the answers

    Which condition refers to a swelling containing saliva in the floor of the mouth?

    <p>Lingual ranula</p> Signup and view all the answers

    What should be observed during the examination of the buccal mucosa?

    <p>Presence of lumps/bumps and texture</p> Signup and view all the answers

    Which technique is recommended for examining the lips?

    <p>Stretching the lips upwards and outwards</p> Signup and view all the answers

    Which condition affects the palate and may present as ulceration?

    <p>Nicotinus stomatitis</p> Signup and view all the answers

    What must a clinician understand to identify what is abnormal in an Intra Oral examination?

    <p>What is considered normal for that patient</p> Signup and view all the answers

    What type of tooth surface loss is characterized by wear from mechanical action?

    <p>Abrasion</p> Signup and view all the answers

    What action should be taken to examine the tongue effectively?

    <p>Pull the tongue out with gauze and view from the left and right</p> Signup and view all the answers

    In a radiographic assessment, which feature is least likely to be evaluated for periodontal health?

    <p>Dentine condition</p> Signup and view all the answers

    What may complicate oral examination or dental treatment according to the information provided?

    <p>Soreness from Aphthous ulcers</p> Signup and view all the answers

    How often do Aphthous ulcers usually heal according to the content?

    <p>Within 14 days</p> Signup and view all the answers

    What is a common feature of Fordyce spots?

    <p>They are typically found in the oral cavity</p> Signup and view all the answers

    What is the primary purpose of examining the texture of the buccal mucosa?

    <p>To determine overall health and detect abnormalities</p> Signup and view all the answers

    What condition might be indicated by the presence of ulceration on the soft palate?

    <p>Lichen planus</p> Signup and view all the answers

    Study Notes

    Intra Oral Examination

    • Aim: Gain understanding of intra oral examination's relevance in clinical practice.

    • Intended Learning Outcomes:

      • Explain the relevance and importance of intra oral examination of the patient.
      • Identify areas of particular significance in relation to intra oral examination.
      • Explore techniques and observations for thorough intra oral examination.
      • Recognize signs of disease and abnormalities in hard and soft tissues.

    • What is Intra Oral Examination?:

      • Part of the general initial assessment of the patient.
      • Identifies signs of health and disease in hard and soft oral tissues.
      • Assesses treatment needs and identifies worrying signs/symptoms.

    • What is Normal?:

      • Knowing what is normal for the patient is necessary to identify abnormalities.

    • Intra Oral Examination Areas:

      • Lips
      • Mucosa
      • Hard & soft palates
      • Floor of the mouth
      • Tongue (including dorsum and lateral borders)
      • Vestibules
      • Fauces

    • Lip Examination:

      • Intact mucosa?
      • Any trauma?
      • Any swelling/lumps?
      • Colour/pigmentation?
      • Texture?
      • Anything else?

    • Examination Procedures:

      • Wear gloves
      • Stretch lips upwards and outwards
      • Stretch lips downwards and outwards
      • Examine colour
      • Look for breaks/tears
      • Check for lumps/bumps
      • Check for vessels

    • Potential Issues:

      • Aphthous ulcers (major, minor, traumatic)
      • Fordyce spots
      • Mucocele

    • Buccal Mucosa:

      • Lining of the cheeks
      • Normally smooth, reddish/pink/naturally pigmented
      • Moist
      • Flexible

    • Examining Buccal Mucosa:

      • Colour
      • Breaks/tears
      • Lumps/bumps
      • Vessels
      • Texture

    • Buccal Mucosa Issues:

      • Traumatic ulcerative granuloma
      • Lichen planus
      • Aspirin burn
      • Linea alba

    • Hard & Soft Palate:

      • Refer to Hard & Soft Palate Lecture for further details.

    • Palate Examination:

      • Describe a healthy palate.

    • Specific concerns to look for in palates:

      • Thrush
      • Nicotinus stomatitis
      • Ulceration
      • Tori

    • Tongue Examination:

      • Refer to Tongue Lecture for further details.

    • Tongue Issues:

      • Black hairy tongue
      • Tongue piercings
      • Split tongue
      • Geographic tongue
      • Fissured tongue
      • Glossitis
      • Squamous cell carcinoma

    • Floor of the Mouth:

      • Submandibular duct opening
      • Sublingual fold

    • Issues/abnormalities of the Floor of the Mouth:

      • Lingual torus
      • Lingual ranula
      • Lingual salivary stone
      • Floor of mouth cancer

    • Vestibules:

      • Space between cheeks and gingiva
      • Lateral wall formed by the cheek itself

    • Fauces Anatomy:

      • Represents the space between the mouth and pharynx
      • Includes hard palate, soft palate, uvula, tonsils, and tongue.

    • Periodontal Assessment Areas:

      • Gingival condition?
      • Bleeding on probing?
      • Probing depths/BPE/6-point pocket charting?
      • Classification of periodontal disease?
      • Suppuration?
      • Mobilities?

    • Further Assessment Considerations:

      • Plaque and calculus deposits.
      • Assess, disclose, indices, observe and document.

    • Other Considerations

      • YouTube video on intra oral examination is available.
      • Consult each lecture for specific considerations.

    Hard Tissues

    • Caries
    • Staining (intrinsic vs. extrinsic)
    • Tooth Surface Loss
    • Erosion
    • Abrasion
    • Attrition
    • Additional issues

    Radiographic Assessment

    • Assessment of Teeth:
      • Tooth, enamel/dentine
      • Primary/secondary
      • Restoration margins
      • Leakage
      • Pulpal distance
      • Response
      • Pathology
    • Periodontal radiographic assessment:
      • Bone loss (horizontal/vertical)
      • Distribution (generalized/localized)
      • Furcation involvement
      • Radiolucency at apices

    Treatment Planning

    • Treatment order: Prioritize planned/emergency needs.
    • Prevention: Identify and include preventive measures.
    • NSPT (non-surgical periodontal therapy)/Restorative Dentistry: address as needed.
    • Referral
    • Assess risk
    • Review
    • Monitor

    Summary

    • Holistic assessments of patients, not in isolation.
    • Physical and verbal examinations form part of the assessments.
    • Document all examinations and assessments.

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    Related Documents

    Intra Oral Examination PDF

    Description

    This quiz explores the significance of intra oral examination in clinical practice. Participants will learn about techniques for assessment, recognition of diseases, and the anatomy involved in a thorough examination. Gain insights into identifying normal and abnormal findings in patients' oral tissues.

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