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Chapter 14- Clinical Examination: Extraoral/Intraoral Examination and…
Chapter 14- Clinical Examination: Extraoral/Intraoral Examination and Dental Evaluation
6 steps to EOIO
Visual examination
Palpation
Instrumentation
Percussion
Electrical Test
Auscultation
Act of listening to sounds from different parts of the body
Reflection: In clinic, minus the electrical test, we do all of these EOIO steps
The intraoral examination involves screening for oral cancer by examining the tongue, gingiva, lining mucosa, and hard palate for color, bleeding, enlargement, and the presence of pain.
Dental Evaluation
Dental charting is done and analyzed not only for existing restorations, periodontal factors, and needed care, but also for the impact of each findings on gingival health
Evaluate the number of teeth
Caries
Restoration status
Dental implants
Malpositioning and proximal contact relationship
Intraoral appliance
Tooth Stain Evaluation
Types of Intrinsic stain
Tetracycline
Grayish brown
Nonvital pulp
Brownish red, bluish black
Decalcification
Whitish brown Localized
Types of Extrinsic Stain
Tobacco (nicotine), coffee or tea, Chlorhexidine
Brown
Gran-negative rods
Black-line
Reflection: I feel like I have these black stains, but wasn't sure on the real cause of it.
Chromogenic bacteria
Green stain
Dental Hypersensitivity
Painful response to an irritation where roots are exposed. Transient, sharp pain arising from the exposed dentin in response to a stimulus; it does not last very long
Etiology: Hydrodynamic theory- States that the fluid in the exposed dentinal tubules contracts or expands when an external stimulus is applied