Oral Examination Flashcards
What is the Process of Clinical Examination of the Oral Cavity?
GE, IE, P, M, I - Go Inside Pamelas Mouth Intra
General Examination - head, neck, face
symmetry, swelling, DMF teeth, anomalies
Intraoral examination
hard tissue - teeth and bone
soft tissue
gums
lips
vermillion border
buccal mucosa
tongue
floor
hard palate
uvula
tonsils
pharyngeal arches
Palpation - jaw, submandibular and cervical lymph, salivary glands, swellings
Medical History
Instruments to Use
What 6 Things can you Look for on the Vermillion Border?
hyperpigmentation
fordyce granules
angular cheilitis (red swollen on corners)
viral infections - herpes
black pigmentation - associated with peutz-jeghers syndrome
labial ulcers (shalla)
What is a Mucocele?
a benign, mucus-containing cystic lesion of the minor salivary gland
- 75% on the lower lip
What 4 Things are there to look for on the Buccal Mucosa, also 4 Abnormalities?
fordyce granules (dots)
linea alba (white lines)
leukedema (white whisp)
parotid duct opening
abnormalities
- herpetic ulcers
- leukoplakia (white patch from irritation)
- erytheroplakia - red patch, can be cancer
- squamous cell carcinoma
What are 3 Parotid Gland Lesions?
Sialolithiasis - hard mineral deposit
Sialadenitis - infection
pleomorphic adenoma - benign tumour
What are some Immunological Lesions that can be Presented on the Labial and Buccal Aspects?
Labial - Lichen Planus
Buccal - Lichen Planus, Erythroma Multiform, Pemphigus vulgaris
What do You Expect to see on a Tongue and 2
Possible Abnormalities
papillae, pigmentation , lingual tonsils
abnormalities
- geographic tongue - lots of spots
- median rhomboid glossitis - if its the only thyroid tissue, dont removed - smooth and red in the middle
What 4 Abnormalities found on the Floor of the Mouth?
What are Abnormalities found on the Floor of the Mouth?
A
Mandibular Tori - mass of bone growth
Sialolithiasis
Ranula Cysts
Sublingual Ulcers
What are 2 Abnormalities Found on the Hard Palate?
Nicotinic Stomatitis - look like tiny holes
Torus Palatinus - bone growth
3 Conditions Relating to the Tonsils
Tonsilitis
Peritonsillar Abcess
Pharyngitis - sore throat
How do you Diagnose Oral Ulcers?
In order:
- severity - acute/chronic
- number - solitary/multiple
- aetiology
How can Ulcers be Caused?
virus
immunological disorder - lichen planus - white rash
systemic disease - chrons, vit def, diabetes
-cancerous, thermal, traumatic, chemical
How do you Describe an Ulcer? (8)
Site
Size
Shape
Colour
Edge - is it flat? punched out? rolled? everted?
Depth
Discharge - serous, blood, purulent
Surrounding - changes, colour, scar
After how many days, would you be concerned of an ulcer?
10 days
When would you take a biopsy of an ulcer?
if its there after 3 weeks
