Intra Oral ExaminationThe (In)s and (Out)s about oral diagnosis

By Dr. Mohsen S. Mohamed

BDS, Misr International University 2009Author and Owner of OziDent.com

Tell me what You see ??

Well its Actually An Oreo

5 SensationsSee HearSmell FeelTaste

(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 source is of high need.

We can see :Color changes. “pigmentation or caries”Tooth Fracture.And Different Lesions.Eg: Erosion.

Feel: PalpationThis 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, induration…etc

Feel: PercussionWe examine the this by striking

an object on the tooth and evaluate the produced sound.

This technique also helps in grading the tooth mobility

ProbingThis is critically important

technique as it can help detect caries and any periodontal dieses

Hear: AusculationDepends on the fact we listen to

the normal sounds produced by the patient

◦Wheezing = Respiratory dieses ◦TMJ clicking= TMJ disorder

Smell: OdorJust by smelling the patient oral

odor, we can help in the differential diagnosis.

Acetone odor= Uncontrolled DMFoul odor = ANUG

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.

Some Weird Stuff in Egypt

Diagnosis sheet

LipsFordyce granules (also seen on

buccal mucosa)

LipsAngular cheilitis

LipsHerpes labialis

LipsMelanotic macule

LABIAL MUCOSAMucocele

BUCCAL MUCOSALinea alba

BUCCAL MUCOSALeukoedema

BUCCAL MUCOSACheek-chewing

BUCCAL MUCOSAFibroma

BUCCAL MUCOSALichen planus

Palatal LesionTorus

Palatal LesionDenture stomatitis

Palatal LesionInflammatory papillary

hyperplasia

Palatal LesionNicotine stomatitis

TONGUE LESIONS"Coated" tongue & "hairy"

tongue

TONGUE LESIONSFissured tongue

TONGUE LESIONSBenign migratory glassitis/ Geographic

Tongue

TONGUE LESIONSFoliate papillitis/lingual tonsil

TONGUE LESIONSCancer

TONGUE LESIONSMedian rhomboid glossitis

GingivaeMandibular tori

GingivaeAmalgam tattoo

GingivaePericoronitis

GingivaeAcute necrotizing ulcerative

gingivitis

NO SPECIFIC LOCATIONTraumatic ulcer

NO SPECIFIC LOCATIONAphthous ulcer

NO SPECIFIC LOCATIONPapilloma

NO SPECIFIC LOCATIONLeukoplakia

TeethCaries

TeethSevere Erosion

TeethSevere Abrasion

TeethHutchinson's Teeth

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

OUR EXAMS!!!!

ITS SO ABNORMAL TO HAVE TO STUDY 12 SUBGECTS IN 8 Days