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Intra Oral Examination
The (In)s and (Out)s about oral diagnosis
By
Dr. Mohsen S. Mohamed
BDS, Misr International Universi...
Tell me what You see ??
Well its Actually An Oreo
5 Sensations
 See
 Hear
 Smell
 Feel
 Taste
(I don’t think we taste our patients, Do we?)
See: Inspection
 It’s the art of detecting any unusual
changes in the oral cavities, as its
based on vision a light sourc...
Feel: Palpation
 This depends on our sense of touch to
feel any abnormalities and to
diffrenitte it from the normal.
 Th...
Feel: Percussion
 We examine the this by striking an
object on the tooth and evaluate the
produced sound.
 This techniqu...
Probing
 This is critically important technique as
it can help detect caries and any
periodontal dieses
Hear: Ausculation
 Depends on the fact we listen to the
normal sounds produced by the
patient
◦ Wheezing = Respiratory di...
Smell: Odor
 Just by smelling the patient oral odor,
we can help in the differential
diagnosis.
 Acetone odor= Uncontrol...
Functional Evaluation
 Simple to evaluate its function:
 E.g. Salvia flow from the glands. Pulp
testing and occulasal re...
Some Weird Stuff in
Egypt

Diagnosis sheet
Lips
 Fordyce granules (also seen on
buccal mucosa)
Lips
 Angular cheilitis
Lips
 Herpes labialis
Lips
 Melanotic macule
LABIAL MUCOSA
 Mucocele
BUCCAL MUCOSA
 Linea alba
BUCCAL MUCOSA
 Leukoedema
BUCCAL MUCOSA
 Cheek-chewing
BUCCAL MUCOSA
 Fibroma
BUCCAL MUCOSA
 Lichen planus
Palatal Lesion
 Torus
Palatal Lesion
 Denture stomatitis
Palatal Lesion
 Inflammatory papillary hyperplasia
Palatal Lesion
 Nicotine stomatitis
TONGUE LESIONS
 "Coated" tongue & "hairy" tongue
TONGUE LESIONS
 Fissured tongue
TONGUE LESIONS
 Benign migratory glassitis/ Geographic
Tongue
TONGUE LESIONS
 Foliate papillitis/lingual tonsil
TONGUE LESIONS
 Cancer
TONGUE LESIONS
 Median rhomboid glossitis
Gingivae
 Mandibular tori
Gingivae
 Amalgam tattoo
Gingivae
 Pericoronitis
Gingivae
 Acute necrotizing ulcerative gingivitis
NO SPECIFIC LOCATION
 Traumatic ulcer
NO SPECIFIC LOCATION
 Aphthous ulcer
NO SPECIFIC LOCATION
 Papilloma
NO SPECIFIC LOCATION
 Leukoplakia
Teeth
 Caries
Teeth
 Severe Erosion
Teeth
 Severe Abrasion
Teeth
 Hutchinson's Teeth
Remember…
 What ever your Techniques is, it is as
good as how you diagnosed your
case.
 To Know to diagnosis is just hal...
OUR EXAMS!!!!
ITS SO ABNORMAL TO HAVE TO STUDY 12 SUBGECTS IN 8 Days
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Intra oral examination

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A simple Presentation Created by me in 2008, titled Intra-oral Examination.
its light heart-ed and fun to watch...
It contains some images of the most common lesions you might face during oral examination.

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Intra oral examination

  1. 1. Intra Oral Examination The (In)s and (Out)s about oral diagnosis By Dr. Mohsen S. Mohamed BDS, Misr International University 200 Author and Owner of OziDent.com
  2. 2. Tell me what You see ??
  3. 3. Well its Actually An Oreo
  4. 4. 5 Sensations  See  Hear  Smell  Feel  Taste (I don’t think we taste our patients, Do we?)
  5. 5. See: Inspection  It’s the art of detecting any unusual changes in the oral cavities, as its based on vision a light source is of high need.  We can see : Color changes. “pigmentation or caries” Tooth Fracture. And Different Lesions. Eg: Erosion.
  6. 6. Feel: Palpation  This depends on our sense of touch to feel any abnormalities and to diffrenitte it from the normal.  The types as we all know are ◦ Bidigtal P. ◦ Bimanual P. ◦ Bilateral P.  We can detect the different consistency, temperature, Mobility, in duration…etc
  7. 7. Feel: Percussion  We examine the this by striking an object on the tooth and evaluate the produced sound.  This technique also helps in grading the tooth mobility
  8. 8. Probing  This is critically important technique as it can help detect caries and any periodontal dieses
  9. 9. Hear: Ausculation  Depends on the fact we listen to the normal sounds produced by the patient ◦ Wheezing = Respiratory dieses ◦ TMJ clicking= TMJ disorder
  10. 10. Smell: Odor  Just by smelling the patient oral odor, we can help in the differential diagnosis.  Acetone odor= Uncontrolled DM  Foul odor = ANUG
  11. 11. Functional Evaluation  Simple to evaluate its function:  E.g. Salvia flow from the glands. Pulp testing and occulasal relationship are just a few of the different methods of evaluation.
  12. 12. Some Weird Stuff in Egypt 
  13. 13. Diagnosis sheet
  14. 14. Lips  Fordyce granules (also seen on buccal mucosa)
  15. 15. Lips  Angular cheilitis
  16. 16. Lips  Herpes labialis
  17. 17. Lips  Melanotic macule
  18. 18. LABIAL MUCOSA  Mucocele
  19. 19. BUCCAL MUCOSA  Linea alba
  20. 20. BUCCAL MUCOSA  Leukoedema
  21. 21. BUCCAL MUCOSA  Cheek-chewing
  22. 22. BUCCAL MUCOSA  Fibroma
  23. 23. BUCCAL MUCOSA  Lichen planus
  24. 24. Palatal Lesion  Torus
  25. 25. Palatal Lesion  Denture stomatitis
  26. 26. Palatal Lesion  Inflammatory papillary hyperplasia
  27. 27. Palatal Lesion  Nicotine stomatitis
  28. 28. TONGUE LESIONS  "Coated" tongue & "hairy" tongue
  29. 29. TONGUE LESIONS  Fissured tongue
  30. 30. TONGUE LESIONS  Benign migratory glassitis/ Geographic Tongue
  31. 31. TONGUE LESIONS  Foliate papillitis/lingual tonsil
  32. 32. TONGUE LESIONS  Cancer
  33. 33. TONGUE LESIONS  Median rhomboid glossitis
  34. 34. Gingivae  Mandibular tori
  35. 35. Gingivae  Amalgam tattoo
  36. 36. Gingivae  Pericoronitis
  37. 37. Gingivae  Acute necrotizing ulcerative gingivitis
  38. 38. NO SPECIFIC LOCATION  Traumatic ulcer
  39. 39. NO SPECIFIC LOCATION  Aphthous ulcer
  40. 40. NO SPECIFIC LOCATION  Papilloma
  41. 41. NO SPECIFIC LOCATION  Leukoplakia
  42. 42. Teeth  Caries
  43. 43. Teeth  Severe Erosion
  44. 44. Teeth  Severe Abrasion
  45. 45. Teeth  Hutchinson's Teeth
  46. 46. Remember…  What ever your Techniques is, it is as good as how you diagnosed your case.  To Know to diagnosis is just half the way, a true doctor must use his diagnosis capability as tools to pave the way to identify the problem or Dieses .  With the proper diagnosis, and identification the proper action and treatment plan can be done, and the prognosis and be seen easily
  47. 47. OUR EXAMS!!!! ITS SO ABNORMAL TO HAVE TO STUDY 12 SUBGECTS IN 8 Days

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