The document describes how to examine the oral cavity and surrounding structures. It defines intraoral and perioral areas and provides details on examining the lips, labial mucosa, buccal mucosa, hard palate, soft palate, oropharynx, gingiva, tongue, and floor of the mouth. It also lists variations of normal anatomy and common pathological findings for each structure.
The document describes how to examine the oral cavity and surrounding structures. It defines intraoral and perioral areas and provides details on examining the lips, labial mucosa, buccal mucosa, hard palate, soft palate, oropharynx, gingiva, tongue, and floor of the mouth. It also lists variations of normal anatomy and common pathological findings for each structure.
The document describes how to examine the oral cavity and surrounding structures. It defines intraoral and perioral areas and provides details on examining the lips, labial mucosa, buccal mucosa, hard palate, soft palate, oropharynx, gingiva, tongue, and floor of the mouth. It also lists variations of normal anatomy and common pathological findings for each structure.
The document describes how to examine the oral cavity and surrounding structures. It defines intraoral and perioral areas and provides details on examining the lips, labial mucosa, buccal mucosa, hard palate, soft palate, oropharynx, gingiva, tongue, and floor of the mouth. It also lists variations of normal anatomy and common pathological findings for each structure.
more of what you see, and almost all of what you experience and fully understand. Moore & Dalley Clinically Oriented Anatomy Richard P Madden, DDS, MS Richard P Madden, DDS, MS RMadden@umn.edu RMadden@umn.edu PHYSICAL EVALUATION I PHYSICAL EVALUATION I (Dent 5121) (Dent 5121) Intra Intra - - oral Examination: oral Examination: Normal Anatomy Normal Anatomy Lecture Objectives Lecture Objectives After today After today s lecture, the student will be able to: s lecture, the student will be able to: Describe how to examine peri Describe how to examine peri- -oral and intra oral and intra- -oral oral structures structures Identify and describe normal peri Identify and describe normal peri- -oral and intra oral and intra- -oral oral topographic anatomy topographic anatomy Identify and describe variations in normal Identify and describe variations in normal topographical anatomy and some of the more topographical anatomy and some of the more common pathological findings common pathological findings See list of anatomic structures, variations of normal, and commo See list of anatomic structures, variations of normal, and common pathological findings n pathological findings
Oral and peri
Oral and peri - - oral oral
working definitions working definitions
Intra Intra - - oral oral Oral cavity Oral cavity Oral cavity proper Oral cavity proper The area between the dental arches occupied by The area between the dental arches occupied by the anterior portion of the tongue the anterior portion of the tongue Oral vestibule Oral vestibule The area between the teeth and cheeks The area between the teeth and cheeks Oropharynx Oropharynx The portion of the pharynx (throat) visualized through The portion of the pharynx (throat) visualized through the oral cavity the oral cavity
Peri Peri - - oral oral The facial skin around the mouth The facial skin around the mouth Normal Lip Surface Anatomy Normal Lip Surface Anatomy Perioroal and lip examination: Observation then palpation Philtrum Vermillion border / Mucocutaneous junction Lip vermillion Commisure of the mouth Angular Cheilitis Common pathological findings of lips Common pathological findings of lips Actinic Cheilosis Common pathological findings of lips Common pathological findings of lips Actinic Cheilosis Common pathological findings of lips Common pathological findings of lips Actinic Cheilosis Common pathological findings of lips Common pathological findings of lips Recurrent Herpes Labialis Common pathological findings of lips Common pathological findings of lips Recurrent Herpes Labialis Common pathological findings of lips Common pathological findings of lips Recurrent Herpes Labialis Labial Mucosa Labial Mucosa Labial mucosa examination: Observation then palpation Labial Mucosa Labial Mucosa Labial Mucosa Labial Mucosa Palpation of Labial Mucosa Palpation of Labial Mucosa Digital and Bi-digital palpation Variations of normal labial mucosa Variations of normal labial mucosa Fordyce Granules Variations of normal labial mucosa Variations of normal labial mucosa Fordyce Granules Morsicatio labiorum Common pathological findings Common pathological findings of labial mucosa of labial mucosa Apthous Common pathological findings Common pathological findings of labial mucosa of labial mucosa Mucocele Common pathological findings Common pathological findings of labial mucosa of labial mucosa Mucocele / Fibrosing mucocele Buccal mucosa Buccal mucosa Buccal mucosa examination: Observe then palpate Parotid papilla Salivary glands Salivary glands Parotid gland Submandibular gland Milking the Parotid Gland Milking the Parotid Gland Palpation of Buccal Mucosa Palpation of Buccal Mucosa Pterygomandibular raphe A tendinous band running from the pterygoid hamulus of the medial ptyergoid palte to the mylohyoid line of the mandible. The pterygomandibular raphe separates and gives rise to the superior constrictor of the pharynx and the buccinator muscle. Pterygomandibular Raphe Pterygomandibular Raphe Variations of normal buccal mucosa Variations of normal buccal mucosa Linea alba Variations of normal buccal mucosa Variations of normal buccal mucosa Linea alba Variations of normal buccal Variations of normal buccal mucosa mucosa Leukoedema Leukoedema is a diffuse grey-white, milky, opaque appearance of the buccal mucosa mostly disappears upon stretching. Variations of normal buccal mucosa Variations of normal buccal mucosa Leukoedema Variations of normal buccal mucosa Variations of normal buccal mucosa Fordyce granules Variations of normal buccal mucosa Variations of normal buccal mucosa Morsicatio buccarum Variations of normal buccal mucosa Variations of normal buccal mucosa Morsicatio buccarumor traumatic hyperkeratosis Lichenoid Lichenoid mucositis mucositis Lichen planus versus Contact allergy to a dental material ADDED ADDED Dentifrice stomatitis Variations of normal Variations of normal buccal mucosa buccal mucosa Common pathological findings Common pathological findings of the buccal mucosa of the buccal mucosa Fibroma Hard Palate Hard Palate Anterior palate Anterior palate Incisive papilla Palatal rugae Median palatal raphe Hard Palate Hard Palate Incisive papilla Median palatal raphe Palatal rugae Fovea palatine Palatal rugae Fovea palatine Variations of a normal hard palate Variations of a normal hard palate Torus palatinus Nicotinic Stomatitis Common pathological findings of the hard palate Common pathological findings of the hard palate Soft palate Soft palate and and Oropharynx Oropharynx Fovea palatine Examination of the oropharynx And palate is accomplished mostly by observation. The soft palate should be gently palpated. Beware of the gag reflex. Oropharynx Oropharynx Anterior tonsillar pillar = glossopalatine arch Uvula Posterior tonsillar pillar = glossopharyngeal arch Posterior pharyngeal wall Oropharynx Oropharynx Soft Palate Soft Palate Common pathological findings Common pathological findings of the of the oropharynx oropharynx Tonsillitis Common pathological findings Common pathological findings of the of the oropharynx oropharynx Tonsillitis Gingival Gingival Anatomy Anatomy Gingiva and Alveolar Mucosa Gingiva and Alveolar Mucosa Mucogingival junction Gingiva Gingiva Gingiva and Alveolar Mucosa Gingiva and Alveolar Mucosa Gingiva and Alveolar Mucosa Gingiva and Alveolar Mucosa Retromolar pad Variations of normal Variations of normal gingiva gingiva Racial / Physiologic pigmentation Common pathological findings of the Common pathological findings of the gingiva gingiva and alveolar mucosa and alveolar mucosa Gingivitis Common pathological findings of Common pathological findings of the the gingiva gingiva and alveolar mucosa and alveolar mucosa Periodontitis Common pathological findings of Common pathological findings of the the gingiva gingiva and alveolar mucosa and alveolar mucosa Pericoronitis Common pathological findings of Common pathological findings of the the gingiva gingiva and alveolar mucosa and alveolar mucosa Amalgam tattoo Common pathological findings of Common pathological findings of the the gingiva gingiva and alveolar mucosa and alveolar mucosa Amalgam tattoo Common pathological findings of Common pathological findings of the the gingiva gingiva and alveolar mucosa and alveolar mucosa Dorsal Tongue Dorsal Tongue Retraction of Tongue Retraction of Tongue Palpate Tongue Palpate Tongue Fungiform and Filiform papillae Fungiform and Filiform papillae Circumvallate Papillae Circumvallate Papillae Foliate Papilla and Lingual Tonsils Foliate Papilla and Lingual Tonsils Lingual Tonsils Lingual Tonsils Foliate papilla Ventral Tongue Ventral Tongue Tongue Tongue Plica fimbriata Tongue Tongue Lingual frenulum Variations of a normal tongue Variations of a normal tongue Lingual varicosities Lingual veins Lingual veins Lingual veins Lingual veins Variations of a normal tongue Variations of a normal tongue Scalloped tongue Variations of a normal tongue Variations of a normal tongue Hairy tongue Variations of a normal tongue Variations of a normal tongue Fissured tongue Geographic tongue (erythema migrans) Variation of normal Geographic tongue (erythema migrans) Variation of normal Unusual findings of the tongue Unusual findings of the tongue Forkedtongue Floor of Mouth Floor of Mouth Floor of mouth examination: Observe then palpate Floor of Mouth Floor of Mouth Bi-manual palpation Floor of Mouth Floor of Mouth Variations of a normal Variations of a normal floor of mouth floor of mouth Mandibular tori
