Oral Peripheral Examination Flashcards
Equipment needed for oral Periph exam
- small flashlight
- tongue depressor
- gloves
- stop watch
- cotton gauze pads
What is an oral peripheral Examination? Why do we do it?
Examination of Facial structures affecting speech.
Determine if problems exist in the structure and/or function of speech mechanism.
Should i start from front or back
usually works best to start from front
Face
First thing you should look at
structure: symmetry, drooping of the mouth or eyes, jaw size/shape, receeding chin, excesive blinkin, mouth breather, anything that seems unusual
Function: have the client move mouth and eyes- watch for any deviations
Lips
2nd
Structure: note appearance (drooping, tissue, rest position, scarring)
Function: Look at mobility and ROM range of motion (smile/pucker), ability to pressurize without losing air out nose, DDK’s rates of /pa-pa/
Teeth
3rd
note overall condition
look for caries, Children have 20 deciduous teeth (10 up and down), adults have 32 teeth,
Teeth cont.. Describe the molar occlusion:
Class I- normal dental arches (neutrocclution)
Class II- mandible too far back (distaocclution)
Class III- mandible to far forward (mesiocclusion)
This is determined by the 1st premolar relationship to the top teeth
Tongue
Structure: color, size, signs of atrophy, abnormal movements
Function: look at mobility, strength, check for ankyloglossia (tongue tie), DDK’s (rate of /ta-ta/)
Hard palate
structure: Note coloration at midline. height and width. look for any repaired clefts, fistulas or fissures. note any appliance/prosthesis.
Soft palate
structure: coloration, condition or uvula (bifid uvula- has a division), repaired clefts, surgical removal, prosthesis, symmetry, length of velum
Function: listen to voice for hyper/hyponasality or signs or nasal emission. note movement of velum during sustained and repeated phonation of /a/
