When should an oral exam take place - Answers annually or at each recall
A general practitioner is held to what? - Answers the standard of care of a reasonable general dentist
standard of care applies to - Answers treatment and diagnosis
Basic oral exam techniques - Answers visual inspection, probing, percussion, palpation, diascopy,
auscultation, aspiration, and evaluation of function
Type of exam that is a routine part of dental and medical check ups - Answers Head and neck exam
during head and neck exam- record history of what? - Answers tobacco and alcohol use
tobacco use in smokers is measured in - Answers pack-years= packs per day x number of years
tools and time of oral exam - Answers 1. good lighting
2.mouth mirror
3.gauze squares
4. gloves
5. ~ 5 minutes (actually about 1.5 minutes)
function of gauze squares - Answers grip the tongue
Type of tonsils - Answers 1. lingual
2. palatine
3. pharyngeal
Lingual Tonsils - Answers at the base of tongue
palatine tonsils - Answers lateral at posterior oral cavity
pharyngeal tonsils - Answers in roof of the pharynx- "adenoids"
papilla - Answers outy
opening of bone - Answers foraman- passage of nerve, artery, vein
Major salivary glands - Answers 1. parotid
2. submandibular
3.sublingual
,parotid gland - Answers Stenson's duct housed in the parotid papilla
submandibular gland - Answers Wharton's duct
lingual carunle - Answers houses the wharton's duct
sublingual salivary gland - Answers opens into the floor of the mouth
Minor salivary glands - Answers ~500- 1000 (small)
places with a lot of calculus - Answers 1. buccal of maxillary molars
2. lingual of manidbular incisors
Tongue papillae - Answers 1. filiform papillae
2. fungiform papillae
3. foliate papillae
4. circumvallate papillae
filiform papillae - Answers white small ones covering whole tongue
fungiform papillae - Answers red circles
foliate papillae - Answers lines on edge of tongue
circumvallate papillae - Answers big bumps on the posterior part of the tongue
True/ False: Taste buds are the same as papillae - Answers False
Masticatory - Answers gets blunt of trauma of mastication
-hard palate and attached gingiva
-keratinized tissue
gingiva in interpromixal space - Answers interdental papilla
gingiva touching the tooth - Answers gingival margin
gingiva between the gingival margin and the gingival groove - Answers free gingiva covering sulcus
zone of attached gingiva - Answers between gingival groove and the mucogingival junction
mucogingival junction - Answers where gingiva meets alevolar mucsoa
Normal Tissue variations - Answers 1. bilateral symmetry
, 2. predictable loctaions
3. asymptomatic
4. independent finding
5. static
6. increased prominence with age
7. remains unchanged following treatment
Bilateral symmetry example of common oral findings - Answers buccal fat pads
predictable location example of common oral findings - Answers -palatal torrus- hard protrusion on the
roof of mouth
-mandibular tori- bumps in the floor of mouth along the teeth
- exostosis- bone outy
Asymptomatic example of common oral findings - Answers fordyce granules- sebaceous glands in the
cheek- show up after puberty
independent finding example of common oral findings - Answers parotid papilla (Stenson's duct)- in the
cheek by the maxillary 3rd molars
static example of common oral findings - Answers physiologic pigmentation- black gums
increased prominence with age - Answers 1. fissured tongue- lines in the tongue
2. lingual varices- purple/black veins under the tongue
remains unchanged following treatment example of common oral findings - Answers leukoedema- white
lining in the mouth- disappears when stretched
- linea alba- line along tongue of cheek
vermillion border - Answers lips
** look at labeled pictures** - Answers oral exam and normal anatomy slides
objective of four handed dentistry - Answers dental exam team can deliver optimal dental health care to
a maximum number of patients while working in a comfortable and stress free manner
principles of four handed dentistry - Answers 1. treatment is organized and tasks are simplified
2. patient and dental team are seated and positioned properly