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Extra and Intra-Oral Clinical Examination (29/09/15)

Remember

• Blue ballpoint pen

• Safety glasses/ ABHR/ soap and water + formal

clothes

• H&N evaluation see if anything is out of thenormal!

  CCC (colour, contour, consistenc)sore/tender/sensiti!e

"eneral Im#ression

  "eneral observations # patient$s constitution! body build! general hygiene! alertness! speech! intellectual

capacity personality

  %isturbances of speech or disturbances of gait

Er$onomics 'atient feet even with or slightly higher than the tip of his/her nose (op of patient$s head should be even with the upper edge of the head rest%axillar )hair bac* // oor )hinup%andibular

)hair bac* ,-. deg to // oor )hindown

Extra-Oral Examination (no mas&)

• 0acial symmetry

•

'ro1le 2conve3! straight! concave4•  (he 0acies

• 5yes

• Nose

• S*in 2e3ternal surface of lip4o )old soreo 'impleo )ancer

• 'ec&  2bilateral palpation4o esionso carso m#* node enlar$ement 2pads middle 6

1ngers4 Submandibular! submental!

supraclavicular! anterior/posteriorchain 2turn head4! pre/postauricular! occipital

o "landular enlar$ement

'arotid! thyroid

• 0acial muscles 2temporalis! raise eyebrow!

purse lip! pu7 chee*! blow out! smile widelyand show teeth4

•  (89o Behind

)lic*ing on opening/closing

'ain on opening/closing

 (enderness/swelling of the

 :oints  (enderness of the muscles of

masticationo ;n front

Abnormal! nonsymmetrical or

 :er*y movements duringo#enin$! #rotrusi!e! or

lateral mo!ements

Intra-Oral Examination (+it* mas&)

  <abial mucosa 2wet! shiny4

  Buccal and vestibular mucosa 2linea alba4

  0loor of mouth 2palpate saliva glands side4

 

 (ongue 2move/palpate! dorsal! ventral! lateral # retract

chee*4

  Hard palate

  Soft palate 2AH4

   (onsil and pharyn3 2AH4

  Bone morphology 2e3ostoses4o Hard palate

o 8a3illary alveolar processeso 8andibular alveolar process

  Appliances and Habitso %entures

o Ort*odontic a##liance 2briefdescription4

o Habits 2bru3ism! clenching4Examination o t*e eet*

eet* present 2=, =. =6 => ?calling teeth missing@4 Restorations present and assess 2contour! margins! surface! aesthetics4 Caries 2active! inactive! monitor one tooth at a time # occlusal, acial, lin$ual, %/.4

o 'rimaryo Secondary

- Erosion/abrasion/attrition, de!elo#mental deects/#ul#al e!aluation- Occlusion

o verbite! over:et! Angle$s classi1cation! midlines! crossbites! scissor bites! crowding/spacing!drifting! rotations! occlusal interferences

- erio robin$

ummar "eneral appraisal ral hygiene State of teeth State of #eriodontal tissues 2gingiva and

supporting bone4

'resence of calculus and staining 'resence of soft and hard tissue lesions 'resence of prosthetic appliances! orthodontic

appliances etc

)lean bench! clean up bench! operator$s chair! %A$s chair! light! brac*et table! console and lines! dental chair! outside of spittoon! inside of spittoon

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Colour Red! white! coral/pale pin*! blac*!brown

ie %imensions

Contour Swelling! soft/hard! uctuant *a#eConsistenc

0riable! thinning! 1rm andmar& or location <ocaliCed/generaliCedlandmar*

Draw sticker, EO examination, IO examination, Dental examination, Commenced perio pocket depth

)lean bench! clean up bench! operator$s chair! %A$s chair! light! brac*et table! console and lines! dental chair! outside of spittoon! inside of spittoon