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Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
Oral cavity & oropharynx
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  • 1. ORAL CAVITY & OROPHARYNX
  • 2. Palpation of the floor of the mouth
  • 3. Exam: Lips • Observe the color & its consistency- intra-orally and externally • Is the vermillion border distinct? • Bi-digitally palpate the tissue around the lips. Check for nodules, bullae, abnormalities, mucocele, fibroma
  • 4. Exam: Lips
  • 5. Exam: Lips • Evert the lip and examine the tissue • Observe frenum attachment/tissue tension • Clear mucous filled pockets may be seen on the inner side of the lip (mucocele). This is a frequent, non- pathologic entity which represents a blocked minor salivary gland
  • 6. Exam: Lips-palpation • Color, consistency • Area for blocked minor salivary glands • Lesions, ulcers
  • 7. Exam: Lips • Frenum: – Attachment – Level of attached gingiva
  • 8. Exam: Lips-sun exposure
  • 9. Exam: Lips • Palpate in the vestibule, observe color
  • 10. Examination: Buccal Mucosa • Linea alba • Stensen’s duct
  • 11. Examination: Buccal Mucosa • Lesions – white, red • Lichen Planus, Leukedema
  • 12. Gingiva • Note color, tone, texture, architecture & mucogingival relationships
  • 13. Gingiva
  • 14. Gingiva
  • 15. Exam: Hard palate
  • 16. Exam: Tongue • The tongue and the floor of the mouth are the most common places for oral cancer to occur • It can occur other places; so visualize all areas • You may observe: – Circumvalate papillae, epiglottis
  • 17. Exam: Tongue • Have the patient stick out their tongue • Wrap the tongue in a dry gauze and gently pull it from side to side to observe the lateral borders • Retract the tongue to view the inferior tissues
  • 18. Exam: Tongue
  • 19. Exam: Tongue • You may observe lingual varicosities
  • 20. Exam: Tongue • You may observe geographic tongue (erythema migrans)
  • 21. Exam: Tongue • You may observe drug reaction
  • 22. Exam: Tongue • Observe signs of nutritional deficiencies, immune dysfunction
  • 23. Exam: Tongue • You may observe oral cancer
  • 24. Palpation of the floor of the mouth
  • 25. Exam: Floor of mouth • Visualize, palpate - bimanually • Wharton’s duct • Must dry to observe • Does “lesion” wipe off? • Where are the two most likely areas for oral cancer? • lateral border of the tongue • Floor of mouth
  • 26. Exam: Floor of mouth • Oral Cancer: • Red • White • Red and White • Does the patient have important risk factors for oral cancer? • Counseling for smoking and alcohol • Cessation
  • 27. Exam: Floor of mouth
  • 28. Exam: Floor of mouth • Squamous Cell Carcinoma
  • 29. Exam: Floor of mouth • Squamous Cell Carcinoma
  • 30. Exam: Leukoplakic area Edentulous Mandibular Ridge
  • 31. Retromolar trigone • The small area behind the wisdom teeth.
  • 32. TMJ & OcclusionTMJ & Occlusion
  • 33. Occlusion • Orthodontic classification
  • 34. Occlusion
  • 35. Systematic Oral Examination • Done at initial exam & at recalls unless patient history requires sooner • You must visualize all areas of the oral cavity
  • 36. Systematic Oral Examination • Oral cancer can occur in other places than the lateral borders of the tongue & the floor of the mouth • Be complete • Do good, do no harm, do justice, respect autonomy
  • 37. Visualize all areas
  • 38. Exam: Oropharanyx • Color, consistency of tissue • Look to the back, beyond the soft palate • Note occasional small globlets of transparent or pink opaque tissue which are normal and may include lymphoid tissue
  • 39. Exam: Soft palate • How does soft palate raise upon “aah”? • Vibrating line, tonsilar pillars, tonsils, oropharynx
  • 40. ORAL CAVITY & OROPHARYNX

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