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Assessment & Treatment Of Speech Sound Disorders In Children > Oral Pheripheral Exam > Flashcards

Oral Pheripheral Exam Flashcards

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1
Q

What is an oral peripheral exam?

A

Examinations of facial structures affecting speech production

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2
Q

Why do we perform oral peripheral exams?

A

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

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3
Q

5 equipment for op exam

A 
Flashlight 
Tongue depressor
Gloves
Stop watch 
Cotton gauze pads
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4
Q

What are you looking for when examining the face?

A 
Symmetry 
Looking for drooping of eye or mouth
Jaw size 
Abnormal facial movements 
Mouth breathing
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5
Q

What do you have client do when examining the face?

A

Have them move eyes and mouth and watch for deviations

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6
Q

What are you looking for when examining the lips?

A

Note appearance

Drooping, extra tissue, rest position, drooling, scarring

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7
Q

What do you have patient do when examining lips?

A

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

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8
Q

How many deciduous teeth?

A
  1. 4 incisors
    2 canines
    4 molars
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9
Q

How many permanent teeth?

A 
32
4 incisors
2 canines 
4 premolars
6 molars
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10
Q

When to first deciduous teeth appear?

A

About 7 months

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11
Q

When do baby teeth usual all come in ?

A

Age 2

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12
Q

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

A

6 or 7 years old

17 to 21 years old

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13
Q

What is neutrocclusion?

A

The upper and lower dental arches are in normal occlusion

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14
Q

What is distocclusion?

A

Class II

The mandible is too far back in relation to the maxilla

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15
Q

What is mesiocclusion?

A

Class 3

The mandible is is too far foward in relation to maxilla

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16
Q

Define labioversion

A

Tooth is displaced toward lip

17
Q

What is buccoversion?

A

Tooth is displaced toward the cheek

18
Q

Define linguaversion

A

Tooth is displaced toward the tongue

19
Q

Define supernumerary

A

Extra teeth

20
Q

Name 4 times of frontal occlusion

A

Open bit
Over jet
Close bit
Cross bit

21
Q

What do you have clients do when examining the tongue?

A

Look for mobility
Strength
Check ankyloglossia
DDK’s

22
Q

What to you look for when examining the hard palate

A

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

23
Q

What is the bony bump on. Hard palate

A

Torus palatines

24
Q

What is a signal of submucus cleft palate?

A

Brigid uvula

25
Q

What to you look for when examining the soft palate?

A

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

26
Q

What do you have client do when examining soft palate?

A

Listen to voice for hyper/hyponasality

Listen to sign of nasal emission

27
Q

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

A

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

28
Q

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

A

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

29
Q

What is tongue thrust?

A

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

30
Q

What causes tongue thrust?

A

Thumb sucking
Hereditary
Delay or interruption in the oral maturational process

31
Q

Symptoms of tongue thrust (7)

A 
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
32
Q

Effects of tongue thrust

A

Irregular positions of teeth

Difficulty with certain sounds

33
Q

How to correct tongue thrust?

A

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

34
Q

4 appliances to correct tongue thrust

A

Cages
Cement spikes behind teeth
Removable plastic appliances
Slp work

Assessment & Treatment Of Speech Sound Disorders In Children (9 decks)

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