Oral Pheripheral Exam Flashcards
What is an oral peripheral exam?
Examinations of facial structures affecting speech production
Why do we perform oral peripheral exams?
To determine if problems exist in structure or function of speech mechanism
5 equipment for op exam
Flashlight Tongue depressor Gloves Stop watch Cotton gauze pads
What are you looking for when examining the face?
Symmetry Looking for drooping of eye or mouth Jaw size Abnormal facial movements Mouth breathing
What do you have client do when examining the face?
Have them move eyes and mouth and watch for deviations
What are you looking for when examining the lips?
Note appearance
Drooping, extra tissue, rest position, drooling, scarring
What do you have patient do when examining lips?
Look at mobility and ROM (smile/pucker)
Ability to pressurize without losing air out of nose
DDK’s
Rates of pa-pa
How many deciduous teeth?
- 4 incisors
2 canines
4 molars
How many permanent teeth?
32 4 incisors 2 canines 4 premolars 6 molars
When to first deciduous teeth appear?
About 7 months
When do baby teeth usual all come in ?
Age 2
When do permanent teeth appear? And when to they last erupt?
6 or 7 years old
17 to 21 years old
What is neutrocclusion?
The upper and lower dental arches are in normal occlusion
What is distocclusion?
Class II
The mandible is too far back in relation to the maxilla
What is mesiocclusion?
Class 3
The mandible is is too far foward in relation to maxilla
Define labioversion
Tooth is displaced toward lip
What is buccoversion?
Tooth is displaced toward the cheek
Define linguaversion
Tooth is displaced toward the tongue
Define supernumerary
Extra teeth
Name 4 times of frontal occlusion
Open bit
Over jet
Close bit
Cross bit
What do you have clients do when examining the tongue?
Look for mobility
Strength
Check ankyloglossia
DDK’s
What to you look for when examining the hard palate
Coloration at midline
Note height and width
Look for repaired clefts, fistula, or fissures
What is the bony bump on. Hard palate
Torus palatines
What is a signal of submucus cleft palate?
Brigid uvula
What to you look for when examining the soft palate?
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
What do you have client do when examining soft palate?
Listen to voice for hyper/hyponasality
Listen to sign of nasal emission
What is the oral peripheral development of 0-3 year old
Still developing at the time. It’s a wide range.
What is the oral peripheral development of 3-8 year old?
Gradual refined motor skills. Ora motor skills are in control by age 11
What is tongue thrust?
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
What causes tongue thrust?
Thumb sucking
Hereditary
Delay or interruption in the oral maturational process
Symptoms of tongue thrust (7)
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
Effects of tongue thrust
Irregular positions of teeth
Difficulty with certain sounds
How to correct tongue thrust?
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
4 appliances to correct tongue thrust
Cages
Cement spikes behind teeth
Removable plastic appliances
Slp work
