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Patient examination: extra oral and intramural status. Diagnosis and DD…
- Patient examination: extra oral and intramural status. Diagnosis and DD
extraoral
appearance and build, colouration
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anemia, thyroid, long term corticosteroids, parotid swellings, etc, lymphadenopathy
tmj clicks, deviation- palpate
PALPATE - one hand, two hands (bimanually) or both hands against each other on opp sides of the gland/duct, start distant from site of pain to not cause relax of muscles. Downforce of palpation can classify if superficial or deep.
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intraoral
movement of mandible, any pain
open mouth freely, 4-5cm between incisors, no pain
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gingiva, dentition- probe any pockets or crevices
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dry the teeth, good lighting
dental exam, mobility, PD, caries, percussion,
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opening of salivary ducts- gentle pressure, saliva should be clear, free flowing
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diagnosis
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clinical DD
order of probability, prevalence,
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