Intra Oral Examination medium
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Questions and Answers

What are Fordyce spots characterized by?

  • Small, fluid-filled cysts
  • Harmless and painless spots (correct)
  • Chronic inflammatory lesions
  • White/red lacy patches

    • What is a mucocele in the context of oral health?

  • A dermatological skin condition
  • A chronic inflammatory disease
  • A fluid-filled cyst due to disrupted saliva flow (correct)
  • A type of painful ulceration

    • Which aspect is NOT examined when checking the buccal mucosa?

  • Color
  • Lumps and bumps
  • Taste sensitivity (correct)
  • Textures

    • What is a common symptom associated with chronic trauma to the buccal mucosa?

    <p>Burning sensation</p> Signup and view all the answers

    What type of foods might cause increased sensitivity in individuals with oral inflammatory conditions?

    <p>Spicy and hot foods</p> Signup and view all the answers

    Which of the following is a characteristic feature of the buccal mucosa?

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

    What does the term 'chronic inflammatory disease' typically refer to in oral conditions?

    <p>Long-term reactions causing discomfort and damage</p> Signup and view all the answers

    How should the healthy buccal mucosa ideally appear?

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

    What type of lesions can appear as a result of chronic trauma to the buccal mucosa?

    <p>Chronic ulcers</p> Signup and view all the answers

    What is the main purpose of performing an intra oral examination?

    <p>To identify signs of health and disease in the oral cavity.</p> Signup and view all the answers

    Which area is NOT typically examined during an intra oral examination?

    <p>The esophagus</p> Signup and view all the answers

    What sign should NOT be looked for during the examination of the lips?

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

    Which of the following is a characteristic of aphthous ulcers?

    <p>They typically heal within two weeks.</p> Signup and view all the answers

    What aspect of oral tissues does an intra oral examination NOT assess?

    <p>Patient's dental insurance status</p> Signup and view all the answers

    Which technique is appropriate for examining the lips?

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

    What condition is indicated by the presence of aphthous ulcers?

    <p>Vitamin deficiencies</p> Signup and view all the answers

    How does one identify abnormalities in the intra oral examination?

    <p>By comparing with standardized data of healthy individuals.</p> Signup and view all the answers

    Which of the following is NOT part of the evaluation of the oral mucosa?

    <p>Evaluating patient’s vital signs</p> Signup and view all the answers

    What is a common cause of aphthous ulcers?

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

    Which of the following conditions is characterized by horizontal white lines or ridges?

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

    What is the main cause of Tori in the mouth?

    <p>Genetic predisposition</p> Signup and view all the answers

    What is the appearance of a coated tongue commonly attributed to?

    <p>Poor oral hygiene</p> Signup and view all the answers

    Which of these best describes the pain associated with ulcers caused by nicotine exposure?

    <p>Not painful at all</p> Signup and view all the answers

    In what scenario would you use gauze when examining the tongue?

    <p>To improve visibility of the underside</p> Signup and view all the answers

    Which of the following is NOT a characteristic feature of trauma-induced ulcerative conditions?

    <p>Presence of horizontal ridges</p> Signup and view all the answers

    What is typically observed in the soft palate of a healthy individual?

    <p>Smooth texture without lesions</p> Signup and view all the answers

    What is a common misconception about thrush in the mouth?

    <p>It is always painful</p> Signup and view all the answers

    Linea alba is associated with which of the following?

    <p>Thickening of tissue lining</p> Signup and view all the answers

    Which of the following describes Thrush?

    <p>A benign condition</p> Signup and view all the answers

    What is a significant factor in assessing caries radiographically?

    <p>Surface enamel/denine</p> Signup and view all the answers

    Which type of bone loss is evaluated during periodontal assessments?

    <p>Horizontal and vertical</p> Signup and view all the answers

    What should be prioritized in the order of treatment planning?

    <p>Emergency situations</p> Signup and view all the answers

    Which aspect is NOT included in the assessment for caries?

    <p>Patient's cosmetic concerns</p> Signup and view all the answers

    What must be included in the overall patient assessment process?

    <p>Physical examination and verbal discussion</p> Signup and view all the answers

    In terms of risk assessment, what should be performed regularly?

    <p>Review and monitor</p> Signup and view all the answers

    What condition is characterized by the presence of enlarged and stained papillae on the tongue?

    <p>Black hairy tongue</p> Signup and view all the answers

    Which of the following conditions involves the presence of vesicles in the oral cavity?

    <p>Ves-bules</p> Signup and view all the answers

    What anatomical structure represents the space between the cavity of the mouth and the pharynx?

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

    In periodontal assessment, what is a key indicator of gingival condition?

    <p>Bleeding on Probing</p> Signup and view all the answers

    Which of these is NOT typically assessed during a periodontal assessment?

    <p>Appearance of tongue</p> Signup and view all the answers

    What condition may present as a prominent lump in the floor of the mouth?

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

    Which assessment technique involves checking for plaque and calculus deposits?

    <p>Assess, Disclose, Indices</p> Signup and view all the answers

    Which type of tongue condition is characterized by deep grooves or fissures?

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

    What is a common feature of periodontal disease assessment?

    <p>Calculus deposits</p> Signup and view all the answers

    What is NOT a feature commonly observed in the floor of the mouth?

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

    Study Notes

    Intra Oral Examination

    • Intra oral examination is part of the general initial patient assessment.
    • The examination identifies signs of health and disease in hard and soft tissues of the oral cavity.
    • It's used to assess treatment needs and identify concerning symptoms.
    • Understanding what is normal for the patient is key to identify what is abnormal.

    Intended Learning Outcomes

    • Explain the relevance and importance of the intra oral examination.
    • Identify important areas of focus in the intra-oral examination.
    • Learn techniques and observations for a thorough intra-oral examination.
    • Recognize signs of disease/abnormalities in soft and hard tissues.

    Intra Oral Examination Components

    • Lips: Mucosa, trauma, swelling, color/pigmentation, texture, and any other unusual findings
    • Mucosa: Intact mucosa? Trauma? Swelling? Lumps? Color? Pigmentation? Texture?
    • Hard & Soft Palates: Refer to separate lecture notes
    • Floor of the mouth: Submandibular duct opening on sublingual papilla.
    • Tongue: Refer to separate lecture notes
    • Vestibules: Space between cheeks and gingiva. Formed by the cheek.
    • Fauces: Space between mouth and pharynx. Includes hard and soft palate, uvula, palatine tonsils, and tongue.

    What do we Mean by Intra Oral Examinations?

    • Part of patient's general initial assessment.
    • Carried out to find signs of health or disease in hard and soft oral tissues.
    • Identifies treatment needs and assesses symptoms.
    • Used to act appropriately based on the findings.

    Aphthous Ulcers

    • Commonly found on mucous membranes.
    • Usually painful and sore.
    • Vary in size.
    • Typically heal within 14 days.
    • Can make oral exams/dental procedures difficult due to discomfort.
    • Possible causes include anemia, vitamin deficiencies, etc.

    Fordyce Spots

    • Harmless, painless.
    • Small, yellowish-white spots.
    • Found on the inner part of the cheek or lips.

    Mucocele

    • Harmless, painless.
    • A fluid-filled cyst.
    • May be caused by a disrupted saliva flow.
    • Common locations are lips, cheeks, or tongue.

    Buccal Mucosa

    • Inside of the mouth; lining of the cheeks.
    • Normally smooth, reddish/pink/naturally pigmented.
    • Moist.
    • Flexible, not rigid.
    • Examination should assess color, breaks/tears, lumps/bumps, vessels, and texture. Possible abnormalities include chronic trauma, ulcerative granulomas, aspirin burns, lichen planus, and linea alba.

    Hard and Soft Palate

    • Refer to the relevant lecture.

    Tongue

    • Refer to the relevant lecture.
    • Normal appearance is a key element when investigating issues with the tongue.

    Examining the Tongue

    • Use gauze and pull the tongue out, examining its left then right sides;
    • Move tongue to roof of mouth to look at underside;
    • Gauze prevents accidental swallowing of elements when examining the oral cavity .

    Floor of the Mouth

    • Contains lingual veins, frenulum, submandibular duct opening, and sublingual folds.
    • Check if normal, and report any issues/abnormalities.

    Vestibules

    • The spaces between cheeks and the gingiva,
    • Lateral walls are formed by the cheek.

    Fauces

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

    More Intraoral Assessments to Consider

    • Periodontal assessments (including recession, CAL, BPE, bleeding/plaque, furcations, and mobility).
    • Further assessments (including plaque and calculus deposits).

    Radiographic Assessment for Caries and Periodontal Issues

    • Assessing tooth enamel, dentine, restoration margins, pulp, and pathology.
    • Checking degree, type, and distribution of bone loss, furcation involvement, and radiolucency at apices.
    • Important findings must be documented in reports that are collected during exams.

    Treatment Planning

    • Prioritize order of treatment (emergency/planned).
    • Include prevention strategies.
    • Determine need for NSPT or restorative treatment, if needed.
    • Refer patient for specialist treatment if needed.
    • Assess risk.
    • Review the assessment.
    • Monitor treatment plan.

    Summary

    • All patient assessments are considered collectively, not in isolation.
    • Assessments include physical exams and verbal discussions.
    • All assessments need to be documented.

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    Related Documents

    Intra Oral Examination GN PDF

    Description

    This quiz covers the key components of the intra oral examination, which is a critical part of initial patient assessment. You'll learn to identify signs of health and disease in both hard and soft tissues of the oral cavity, understand normal vs. abnormal findings, and master essential techniques for thorough examination.

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