1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS...
-
Upload
erick-henry -
Category
Documents
-
view
221 -
download
1
Transcript of 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS...
![Page 1: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/1.jpg)
1
Interdisciplinary Oral Health
Adapted from ICC 2008May 2008
Mark Deutchman MD Terry Batliner DDS Rich Call DDS Brad Potter DDS MS John D. McDowell, DDS, MS John D. McDowell, DDS, MS
Lonnie Johnson DDS David Gaspar MD Bonnie Jortberg PhDLonnie Johnson DDS David Gaspar MD Bonnie Jortberg PhDKatherine Anderson MD Robin Michaels PhD Inis Bardella MD Katherine Anderson MD Robin Michaels PhD Inis Bardella MD
Kent Voorhees MD Colleen Conry MD Frank deGruy MDKent Voorhees MD Colleen Conry MD Frank deGruy MD40 Dental Students Ruthie Wilson Mark Osvirk
Delta Dental Frontier FoundationSociety of Teachers of Family Medicine Group on Oral Health
![Page 2: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/2.jpg)
2
Objectives
Developing your understanding of the importance of oral health to systemic health
Recognize oral lesions
Developing your skills to perform the oral/head/neck examination
![Page 3: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/3.jpg)
3
Major information source :
Smiles for LifeA National Oral Health
Curriculum for Family MedicineSTFM Group on Oral Health
Module 1The Relationship of Oral to Systemic
Health
![Page 4: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/4.jpg)
4
Why is oral health important?
![Page 5: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/5.jpg)
5
Prevalence of Oral Disease
Severe gum disease affects 19% of adults aged 25-44
30,000 oral cancers diagnosed annually; 8000 die
Dental caries most common chronic disease of childhood 5 times more common than asthma 50% in low income children- up to 70% in
Native Americans
![Page 6: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/6.jpg)
6
Consequences of Untreated Oral Disease Pain, infection, tooth loss Impaired chewing & nutrition Systemic complications ER visits, hospitalizations,
surgeries Extensive and costly dental
treatments (OR $5,000+) Missed school and work
52 million school hours lost/yr
![Page 7: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/7.jpg)
7
Prevention in both medical and dental
homes Caries resistance Water fluoridation Fluoridated toothpaste Fluoride topical application Sealants
Gum disease prevention Brushing Flossing Regular dental visits
Oral cancer prevention Smoking cessation Alcohol
![Page 8: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/8.jpg)
8
Colorado’s realities
• In April 2000, nearly one-third of Coloradocounties lacked access to dental services for low incomeand at-risk (Medicaid, CHP+, Medicare)populations.
• 9 Colorado counties have NO LICENSEDDENTIST at all.
• Only 11% of Colorado’s dentists participate inMedicaid’s Dental Program. 40% of Coloradocounties (25) do not have a dentist that acceptsMedicaid.
• Only 19 of the 182 counties in the three statearea of Colorado, South Dakota and NorthDakota have any pediatric dentists.
![Page 9: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/9.jpg)
9
The Disconnect Most patients have a medical home; many fewer
have dental home Children are 2.5 times more likely to lack dental
coverage than medical coverage Dentists per capita declining Few pediatric dentists >90% of physicians think oral health should be
addressed at well visits, yet… Surveys of physicians
• > 50% had little or no oral health training• Only 9% could answer 4 simple questions correctly• Averaged <2 hours of oral health training
![Page 10: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/10.jpg)
10
Oral Health
Dental Home
Systemic Health
Medical Home
Oral and systemic health are linked so care should be too
![Page 11: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/11.jpg)
11
Systemic conditions with oral manifestations
Poor glucose control in diabetics oral candidiasis and periodontal disease
Immunosuppression due to illness or chemotherapy periodontal disease
Dry mouth from illness or medications periodontal disease Sjogren’s syndrome Rheumatologic disorders
![Page 12: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/12.jpg)
12
Oral effects of medications
Candidiasis from inhaled or oral steroids
Xerostomia from diuretics, anticholinergics, antihistamines and many antihypertensives
Gingival hyperplasia from phenytoin
Ulcerative stomatitis from methotrexate
Mucositis from chemotherapy or radiation treatment
![Page 13: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/13.jpg)
13
Oral and systemic conditions that appear
linked Adverse pregnancy outcome Preterm labor Preterm delivery
Atherosclerosis (Coronary heart disease and stroke) Obesity Osteoporosis also affects alveolar bone Potential mechanisms:
Bacteremia from infected gums (evidence: oral bacteria in atherscloerotic plaque)
Inflammatory mediators leak into bloodstream
![Page 14: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/14.jpg)
14
Oral Anatomy
1. Tongue2. Palatine tonsil3. Tonsillar pillar4. Tonsillar pillar5. Uvula6. Palate (soft and
hard)7. Posterior wall of
pharynx8. Teeth
![Page 15: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/15.jpg)
15
Anatomy of a Tooth
![Page 16: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/16.jpg)
16
Primary Dentition
8 incisors + 4 canines + 8 molars = 20 by age 3
![Page 17: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/17.jpg)
17
Primary Tooth Eruption
Newborn 6 -12 months
Age 1 Age 3
![Page 18: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/18.jpg)
18
Adult Dentition
8 incisors + 4 canine + 8 premolars + 12 molars = 32 Teeth
![Page 19: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/19.jpg)
19
Lesion recognition
![Page 20: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/20.jpg)
20Squamous cell carcinoma of lower lip
![Page 21: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/21.jpg)
21
Bony Torus of palate
![Page 22: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/22.jpg)
22
Torus of mandible
![Page 23: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/23.jpg)
23
Mucocele
![Page 24: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/24.jpg)
24
Gingival hyperplasia
![Page 25: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/25.jpg)
25
Hairy tongue
![Page 26: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/26.jpg)
26
Erythema migrans
![Page 27: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/27.jpg)
27
Aphthous stomatitis
![Page 28: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/28.jpg)
28
Denture sores
![Page 29: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/29.jpg)
29
Pyogenic granuloma
![Page 30: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/30.jpg)
30
Candidiasis
![Page 31: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/31.jpg)
31
Herpes labialis
![Page 32: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/32.jpg)
32
Angular chelitis
![Page 33: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/33.jpg)
33
Periodontal disease
![Page 34: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/34.jpg)
34
![Page 35: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/35.jpg)
35
Caries: Etiology Triad
Oral bacteria (Mutans Strep) break down dietary sugars into acids which eat away the tooth
Teeth
Sugars
Caries
Bacteria
![Page 36: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/36.jpg)
36
White SpotsWhite spots indicate
acids have demineralized enamel
First clinical signs of caries
White spots place a child at high risk for developing cavities
Indication for dental referral
![Page 37: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/37.jpg)
37
Early Caries
![Page 38: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/38.jpg)
38
Moderate Caries
![Page 39: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/39.jpg)
39
Severe Caries
![Page 40: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/40.jpg)
40
Leukoplakia
![Page 41: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/41.jpg)
41
Lichen planus
![Page 42: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/42.jpg)
42
Erosive lichen planus
![Page 43: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/43.jpg)
43
![Page 44: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/44.jpg)
44
![Page 45: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/45.jpg)
45
![Page 46: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/46.jpg)
46
![Page 47: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/47.jpg)
47
Squamous cancer - tongue
![Page 48: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/48.jpg)
48
Cancer
![Page 49: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/49.jpg)
49
Cancer
![Page 50: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/50.jpg)
50
Cancer
sites
![Page 51: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/51.jpg)
51Squamous cell carcinoma of lateral tongue
![Page 52: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/52.jpg)
52Squamous cell carcinoma of palatal gingiva
![Page 53: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/53.jpg)
53
Leukemic infliltrates
![Page 54: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/54.jpg)
54
Adult Oral Examination
![Page 55: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/55.jpg)
55
Oral/head/neck exam checklist
Wash hands Greet the patient Confirm supplies: light, gloves, mouth mirror, tongue blade, gauze pad Inspect the face and neck for obvious lesions, masses, nodes Palpate the TM joint Palpate the neck for nodes and masses Anterior triangle, Posterior triangle, Submandibular, Supraclavicular and infraclavicular areas Put on gloves for intraoral examination View and palpate the buccal mucosa including sulci Inspect gingival tissues Inspect teeth Inspect palate Inspect tonsillar pillars Inspect tongue: top, lateral edges, under-surface. Use gauze pad to grasp
tip of tongue when examining lateral edges. Palpate floor of mouth Explain exam findings to patient Discard gloves
![Page 56: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/56.jpg)
56
Inspect/palpate face/neck
![Page 57: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/57.jpg)
57
Inspect lips
![Page 58: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/58.jpg)
58
Labial mucosa - upper
![Page 59: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/59.jpg)
59
Labial mucosa - lower
![Page 60: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/60.jpg)
60
Right buccal mucosa
![Page 61: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/61.jpg)
61
Left buccal mucosa
![Page 62: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/62.jpg)
62
Gingiva
![Page 63: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/63.jpg)
63
Dorsum of tongue
![Page 64: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/64.jpg)
64
Tongue left margin
![Page 65: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/65.jpg)
65
Tongue right margin
![Page 66: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/66.jpg)
66
Ventral tongue
![Page 67: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/67.jpg)
67
Floor of mouth
![Page 68: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/68.jpg)
68
Hard palate
![Page 69: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/69.jpg)
69
Oropharynx
![Page 70: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/70.jpg)
70
Palpate floor of mouth
![Page 71: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/71.jpg)
71
Child Oral Exam (Knee to Knee)
1: Child is held facing caregiverin a straddle position
2: Child leans back onto examiner while caregiver holds child’s hands
3: Provider performs exam while caregiver holds child’s hands and legs
![Page 72: 1 Interdisciplinary Oral Health Adapted from ICC 2008 May 2008 Mark Deutchman MD Terry Batliner DDS John D. McDowell, DDS, MS Rich Call DDS Brad Potter.](https://reader036.fdocuments.us/reader036/viewer/2022081512/56649cee5503460f949bcbe3/html5/thumbnails/72.jpg)
72
Oral/head/neck exam checklist
Wash hands Greet the patient Confirm supplies: light, gloves, mouth mirror, tongue blade, gauze pad Inspect the face and neck for obvious lesions, masses, nodes Palpate the TM joint Palpate the neck for nodes and masses Anterior triangle, Posterior triangle, Submandibular, Supraclavicular and infraclavicular areas Put on gloves for intraoral examination View and palpate the buccal mucosa including sulci Inspect gingival tissues Inspect teeth Inspect palate Inspect tonsillar pillars Inspect tongue: top, lateral edges, under-surface. Use gauze pad to grasp
tip of tongue when examining lateral edges. Palpate floor of mouth Explain exam findings to patient Discard gloves