Chapter 13 Flashcards
What is the essential goal of an extraoral examination?
A. To asses periodontal health
B. Identification of abnormalities and pathologies, especially oral cancer
C. To measure tooth mobility
D. To diagnose diseases
B. Identification of abnormalities and pathologies, especially oral cancer
The essential goal of the IOE and EOE is to
Detect possible early signs of cancer
What are the components of an Examination?
Total patient being treated
Exam is all-inclusive
Assesses risks for cancer
Exam is done at new patient exam, comp exam and every continuing care appt
What are the 10 risks during an examination?
History of previous cancer
Family history of SCC
Tobacco use
Alcohol use
Cultural and genetic susceptibility
Sun expose w/o sunscreen
Diet
Surgeries like organ transplant and bone marrow transplant as well as long term use of immunosuppressants
HPV vaccination status
Contraction of HPV from orogenital contact
What are the five types of exams?
Comp
Screening
Limited
Follow-up
Continuing care/ re-eval
What are the six methods of examination for IO and EO?
Visual, palation, instrumentation, percussion, electricity test, auscultation
Examination using direct observation in a systematic sequence; also includes radiographic examination and transillumination
Visual examination— one method of examination
Examination using the sense of touch thru tissue manipulation or pressure on an area with the gloved fingers of one or both hands.
Palpation- one method of examination
The four types of palpation
Digital, Bidigital, Bimanual, BIlateral
Palpation by use of a single finger
Digital
Palpation by use of the finger and the thumb
Bidigital
Palpation by use of finger or fingers and thumb from each hand applied simultaneously in coordination
Bimanual
Two hands are used at the same time to examine corresponding structures on opposite sides of the body
Bilateral
Examination using a perio probe or explorer
Instrumentation—one method of examination
Examination using the act of tapping a surface or tooth with an instrument and assessing sound or response of patient
Percussion—one method of examination
Examination using an electrical pulp vitality tester
Electrical test- one method of examination
Examination by use of sound.
Auscultation— one method of examination