Extraoral And Intraoral Examination And Diet

Question 1

What is an extra oral examination

Answer 1

Examination of the face, jaw, head and neck

Question 2

What are the specific areas examined in an extra-oral exam?

Answer 2

1. Face symmetry - looking for swellings or lesions
2. Palpation of lymph nodes - Submental and Mandibular, and cervical chain
3. Mouth opening - difficulties opening or any deviations
4. TMJ joint - clicking or tenderness
5. Muscles of mastication - tenderness, spasms or hypertrophy

Question 3

What lymph nodes are palpated?

Answer 3

Sub mental
Sub Mandibular
Cervical chain - follows down from ear to supraclavicular nodes
- to palpate generally roll over the nodes with fingers together

Question 4

What is looked for when examining the TMJ

Answer 4

1. Range of motion - at least 40-55mm deviation on opening/closing
2. Make sure it protrudes and retracts
3. Any nodes when moving

Question 5

How to look for symmetry in the face?

Answer 5

1. Draw a line down the middle
2. Check for any differences on opening and closing

Question 6

How are the muscles of mastication checked?

Answer 6

1. Palpate the areas ( masseter and temporalis)
2. Check for enlargement or tenderness

Question 7

What areas are checking in an intra-oral exam?

Answer 7

1. Lips
2. Mucosa - buccal, lingual and palatal
3. Tongue
4. Gingiva
5. Floor of mouth
6. Pharynx / Fauces
7. Palate

Question 8

What are the differences between fungiform and filiform papillae?

Answer 8

1. Filiform appear as white dots
2. Fungiform appear as red dots and mushroom shaped

Question 9

How much of your diet should free sugars make up?

Answer 9

5% of daily energy intake

Question 10

What are free sugars?

Answer 10

These are non milk extrinsic sugars and added sugars e,g, sugars added in honey, syrups but it excludes sugars in milk products