Podcast
Questions and Answers
What is the space called that exists between the cheeks and gingiva?
What is the space called that exists between the cheeks and gingiva?
What is the primary aim of the Intra Oral examination?
What is the primary aim of the Intra Oral examination?
Which of the following assessments is not typically included in a periodontal assessment?
Which of the following assessments is not typically included in a periodontal assessment?
Which type of tongue condition is characterized by a fissured appearance?
Which type of tongue condition is characterized by a fissured appearance?
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Which area is NOT specifically mentioned as part of the Intra Oral examination?
Which area is NOT specifically mentioned as part of the Intra Oral examination?
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When assessing the lips during the Intra Oral examination, which of the following is NOT a focus area?
When assessing the lips during the Intra Oral examination, which of the following is NOT a focus area?
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What is a key characteristic of a healthy buccal mucosa?
What is a key characteristic of a healthy buccal mucosa?
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What type of oral assessment involves looking for signs of caries on the tooth surface?
What type of oral assessment involves looking for signs of caries on the tooth surface?
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What is true about Aphthous ulcers based on the information provided?
What is true about Aphthous ulcers based on the information provided?
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Which of the following can be a possible cause of ulceration in the buccal mucosa?
Which of the following can be a possible cause of ulceration in the buccal mucosa?
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Which type of periodontal bone loss is characterized by a horizontal pattern?
Which type of periodontal bone loss is characterized by a horizontal pattern?
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Which condition refers to a swelling containing saliva in the floor of the mouth?
Which condition refers to a swelling containing saliva in the floor of the mouth?
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What should be observed during the examination of the buccal mucosa?
What should be observed during the examination of the buccal mucosa?
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Which technique is recommended for examining the lips?
Which technique is recommended for examining the lips?
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Which condition affects the palate and may present as ulceration?
Which condition affects the palate and may present as ulceration?
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What must a clinician understand to identify what is abnormal in an Intra Oral examination?
What must a clinician understand to identify what is abnormal in an Intra Oral examination?
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What type of tooth surface loss is characterized by wear from mechanical action?
What type of tooth surface loss is characterized by wear from mechanical action?
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What action should be taken to examine the tongue effectively?
What action should be taken to examine the tongue effectively?
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In a radiographic assessment, which feature is least likely to be evaluated for periodontal health?
In a radiographic assessment, which feature is least likely to be evaluated for periodontal health?
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What may complicate oral examination or dental treatment according to the information provided?
What may complicate oral examination or dental treatment according to the information provided?
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How often do Aphthous ulcers usually heal according to the content?
How often do Aphthous ulcers usually heal according to the content?
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What is a common feature of Fordyce spots?
What is a common feature of Fordyce spots?
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What is the primary purpose of examining the texture of the buccal mucosa?
What is the primary purpose of examining the texture of the buccal mucosa?
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What condition might be indicated by the presence of ulceration on the soft palate?
What condition might be indicated by the presence of ulceration on the soft palate?
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Study Notes
Intra Oral Examination
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Aim: Gain understanding of intra oral examination's relevance in clinical practice.
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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.
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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.
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What is Normal?:
- Knowing what is normal for the patient is necessary to identify abnormalities.
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Intra Oral Examination Areas:
- Lips
- Mucosa
- Hard & soft palates
- Floor of the mouth
- Tongue (including dorsum and lateral borders)
- Vestibules
- Fauces
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Lip Examination:
- Intact mucosa?
- Any trauma?
- Any swelling/lumps?
- Colour/pigmentation?
- Texture?
- Anything else?
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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
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Potential Issues:
- Aphthous ulcers (major, minor, traumatic)
- Fordyce spots
- Mucocele
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Buccal Mucosa:
- Lining of the cheeks
- Normally smooth, reddish/pink/naturally pigmented
- Moist
- Flexible
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Examining Buccal Mucosa:
- Colour
- Breaks/tears
- Lumps/bumps
- Vessels
- Texture
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Buccal Mucosa Issues:
- Traumatic ulcerative granuloma
- Lichen planus
- Aspirin burn
- Linea alba
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Hard & Soft Palate:
- Refer to Hard & Soft Palate Lecture for further details.
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Palate Examination:
- Describe a healthy palate.
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Specific concerns to look for in palates:
- Thrush
- Nicotinus stomatitis
- Ulceration
- Tori
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Tongue Examination:
- Refer to Tongue Lecture for further details.
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Tongue Issues:
- Black hairy tongue
- Tongue piercings
- Split tongue
- Geographic tongue
- Fissured tongue
- Glossitis
- Squamous cell carcinoma
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Floor of the Mouth:
- Submandibular duct opening
- Sublingual fold
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Issues/abnormalities of the Floor of the Mouth:
- Lingual torus
- Lingual ranula
- Lingual salivary stone
- Floor of mouth cancer
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Vestibules:
- Space between cheeks and gingiva
- Lateral wall formed by the cheek itself
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Fauces Anatomy:
- Represents the space between the mouth and pharynx
- Includes hard palate, soft palate, uvula, tonsils, and tongue.
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Periodontal Assessment Areas:
- Gingival condition?
- Bleeding on probing?
- Probing depths/BPE/6-point pocket charting?
- Classification of periodontal disease?
- Suppuration?
- Mobilities?
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Further Assessment Considerations:
- Plaque and calculus deposits.
- Assess, disclose, indices, observe and document.
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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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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.
