Oral Pheripheral Exam

Question 1

What is an oral peripheral exam?

Answer 1

Examinations of facial structures affecting speech production

Question 2

Why do we perform oral peripheral exams?

Answer 2

To determine if problems exist in structure or function of speech mechanism

Question 3

5 equipment for op exam

Answer 3

Flashlight 
Tongue depressor
Gloves
Stop watch 
Cotton gauze pads

Question 4

What are you looking for when examining the face?

Answer 4

Symmetry 
Looking for drooping of eye or mouth
Jaw size 
Abnormal facial movements 
Mouth breathing

Question 5

What do you have client do when examining the face?

Answer 5

Have them move eyes and mouth and watch for deviations

Question 6

What are you looking for when examining the lips?

Answer 6

Note appearance

Drooping, extra tissue, rest position, drooling, scarring

Question 7

What do you have patient do when examining lips?

Answer 7

Look at mobility and ROM (smile/pucker)
Ability to pressurize without losing air out of nose
DDK’s
Rates of pa-pa

Question 8

How many deciduous teeth?

Answer 8

20. 4 incisors
    2 canines
    4 molars

Question 9

How many permanent teeth?

Answer 9

32
4 incisors
2 canines 
4 premolars
6 molars

Question 10

When to first deciduous teeth appear?

Answer 10

About 7 months

Question 11

When do baby teeth usual all come in ?

Answer 11

Age 2

Question 12

When do permanent teeth appear? And when to they last erupt?

Answer 12

6 or 7 years old

17 to 21 years old

Question 13

What is neutrocclusion?

Answer 13

The upper and lower dental arches are in normal occlusion

Question 14

What is distocclusion?

Answer 14

Class II

The mandible is too far back in relation to the maxilla

Question 15

What is mesiocclusion?

Answer 15

Class 3

The mandible is is too far foward in relation to maxilla

Question 16

Define labioversion

Answer 16

Tooth is displaced toward lip

Question 17

What is buccoversion?

Answer 17

Tooth is displaced toward the cheek

Question 18

Define linguaversion

Answer 18

Tooth is displaced toward the tongue

Question 19

Define supernumerary

Answer 19

Extra teeth

Question 20

Name 4 times of frontal occlusion

Answer 20

Open bit
Over jet
Close bit
Cross bit

Question 21

What do you have clients do when examining the tongue?

Answer 21

Look for mobility
Strength
Check ankyloglossia
DDK’s

Question 22

What to you look for when examining the hard palate

Answer 22

Coloration at midline
Note height and width
Look for repaired clefts, fistula, or fissures

Question 23

What is the bony bump on. Hard palate

Answer 23

Torus palatines

Question 24

What is a signal of submucus cleft palate?

Answer 24

Brigid uvula

Question 25

What to you look for when examining the soft palate?

Answer 25

Note coloration.condition, symmetry and length of soft palate Note condition of uvula Note repaired cleft, or surgical removed portions or prostheses Note symmetry, movement, and length of velum

Question 26

What do you have client do when examining soft palate?

Answer 26

Listen to voice for hyper/hyponasality Listen to sign of nasal emission

Question 27

What is the oral peripheral development of 0-3 year old

Answer 27

Still developing at the time. It’s a wide range.

Question 28

What is the oral peripheral development of 3-8 year old?

Answer 28

Gradual refined motor skills. Ora motor skills are in control by age 11

Question 29

What is tongue thrust?

Answer 29

AKA Reverse swallow or immature swallow Tongue exerts and amount of pressure on the teeth upon swallowing. Infant to this but by 6 age, children to change to normal swallow patterns

Question 30

What causes tongue thrust?

Answer 30

Thumb sucking Hereditary Delay or interruption in the oral maturational process

Question 31

Symptoms of tongue thrust (7)

Answer 31

``` Liquid spilling between teeth Facial grimace when swallowing Mouth breathing Open bite Difficulty with /s/ and /z/ Forward tongue position at rest Lip puckering/licking before swallowing ```

Question 32

Effects of tongue thrust

Answer 32

Irregular positions of teeth | Difficulty with certain sounds

Question 33

How to correct tongue thrust?

Answer 33

Train child to put tongue on the alveolar ridge instead of teeth Refer to orthodontist Focus on oral motor exercised to strengthen lips, tongue, and jaw

Question 34

4 appliances to correct tongue thrust

Answer 34

Cages Cement spikes behind teeth Removable plastic appliances Slp work