Screening Examination Early clinical experience
Upcoming SlideShare
Loading in...5

Screening Examination Early clinical experience






Total Views
Slideshare-icon Views on SlideShare
Embed Views



0 Embeds 0

No embeds



Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
Post Comment
Edit your comment

    Screening Examination Early clinical experience Screening Examination Early clinical experience Presentation Transcript

    • Screening Examination Early clinical experience Dent 1010
    • Objectives
      • To provide the rationale for the screening examination
      • To prove an overview of the techniques for the screening examination
      • To emphasize how important it is to provide a full examination at every full examination and whenever the patient returns for their regular “check-up”
    • Rationale
      • These are the steps to follow when planning
      • patient care:
      • Data gathering including patient input.
      • Data analysis/interpretation of the information
      • Formulation of the diagnosis and prognosis.
      • Development of the treatment plan
      • Communicating findings and presenting rainbow of options to patient
    • Data gathering
      • Making sense of a whole lot of information
      • Looking for cancer, other growths, other pathology that can be intercepted
      • Gathering as much information about the patient as possible
    • Methods of Examination
      • Use sight, sound, smell, and touch
      • Observation
      • Palpation & Percussion
      • Smell
    • Observation
      • Start as soon as the person answers the telephone – assess voice, hearing, memory, ‘busyness’,
      • enthusiasm
      • Continue assessment when they are greeted in the waiting room
      • - gait, ease, appearance
      • Continue observation throughout appointments
    • Palpation
      • Using the hands to examine to provide more
      • information about the salivary glands, lymph
      • nodes, (thyroid gland, TMJ) by compressing
      • structures against other fingers, hand, bone or other
      • tissues
      • Digital
      • Bidigital
      • Bimanual
      • Bilateral
    • Correct technique
      • Just use fingertips
      • Compress tissue about 10mm in a circular motion – use some pressure
      • When ready to move on, lift and move and then circular motion in new area
    • Digital
    • Bidigital
    • Bimanual
    • Bilateral palpation
    • Percussion
      • Tapping
      • In dentistry used mostly for teeth – best just to use one finger or may use other end of mirror handle
    • Screening Examination
    • Important to develop a routine
      • Start with observation at 12 o’clock position
      • Palpate temporalis – ask about pain or tenderness
    • Move to TMJ
      • Have patient open slowly, fully and watch as they open – deviation? sounds? pain?
      • Watch as they slowly close
    • Ask about history of any sinus pain
      • Palpate both maxillary and frontal sinuses
    • Move to angle of mandible
      • Palpate parotid gland (‘mumps’ gland while here)
      • Ask about tenderness
    • Move to submandibular salivary glands
      • Palpate asking about tenderness
    • Begin neck palpation
      • Remember correct palpation technique
      • Constantly looking for any tenderness or change in consistency
    • Lymph nodes
    • Perioral exam
      • Ala
      • Nasiolabial fold
      • Philtrum
      • Vermillion border
      • Commissure of lips
      • Look for symmetry, scar tissue, swelling
    • Intraoral soft tissue
      • Examine and palpate mucosal surface of lips
      • Check for scar tissue, bite marks, growths
    • Check cheeks
      • Again, palpate for swelling – easiest bidigital
    • Move to floor of mouth
      • Palpate in floor of mouth bidigitally to examine the submandibular and sublingual salivary glands
    • Examination of the tongue
      • Using a gauze, have patient extend tongue
      • Hold tongue and examine dorsal, ventral, and lateral surfaces and floor of mouth and throat
    • Abnormal or Normal?
    • Throat
    • Teeth
      • Start with quadrant 1, go to 2, 3,and 4
      • Check every surface
    • Summary
      • Use sight, hearing, touch, and smell for examination purposes
      • The more information you gather, the better the examination – the better you can diagnose, predict outcome (prognosis) and the better the treatment plan