INTRA ORAL EXAMINATION

SOFT TISSUE EXAMINATION

LIPS:-muscular control of the lips during
conversation.
- mouth breathing
- tongur thrusting
LABIAL MUCOSA
-mucous glands in labial mucosa
-bidigital palpation for sub mucousal
nodules.
VESTIBULE:- obliteration of vestibule- visual inspection.
- palpated for any expansile lesions raising the
mucobuccal fold
to the level of alveolar ridge.

 BUCCAL MUCOSA:-LINEA ALBA BUCCALIS

-FORDYCES SPOTS
-LEUKODEMA
-MELANIN PIGMENTATION
-PAROTID PAPPILLA
HARD PALATE:- visual inspection
- palpation of ulcer
-contour of the palatal vault.
SOFT PALATE :- inspecting with mouth mirror
- palpation with index finger by pressing upwards.

 TONGUE:- size and shape of tongue.

-tremors of tongue.
-colour change.
- papillation
-length of papilla.
- bidigital palpation for any
nodules.

 FLOOR OF THE MOUTH:- submandibular gland function.

-bimanual palpation of submandibular gland.
-entire floor of the mouth palpated for any nodules.
POCKETS :-depth measured with probe on all the 6
areas of the tooth.
TONSILS:-waldeyers ring:-- pharyngeal , palatine, lingual
tonsils.
- any abnormal swelling
OROPHARYNX:-anterior and posterior faucial pillars inspected
visually.
-anterior tonsillar pillar palpated for abnormality.

 GINGIVA:-

-COLOR:- coral pink, keratinisation.

-CONTOUR:- knife edged, lost when
inflamed.
-SIZE:- area and cause of
enlargment
-SURFACE TEXTURE:-stippled.
-CONSISTENCY:- firm and
resilient.\soft and edematous.
-BLEEDING ON PROBING:present/absent
-POSITION:- recession

HARD TISSUE

TEETH PRESENT
OCCLUSION
WASTING DISEASES
CARIES
TOP
ROOT STUMPS
FRACTURE
DENTAL DEPOSITS
MOBILITY

PROVISONAL DIAGNOSIS
IS THE PROCESS OF IDENTIFYING
DISEASE PROCESS ON THE BASIS
OF FACTS OBTAINED FROM
INTERVIEWS AND EXAMINATION

DIFFERENTIAL
DIAGNOSIS
IS THE PROCESS OF IDENTIFYING
A CONDITION BY DIFFRENTIATING
FROM ALL PATHOLOGICAL
PROCESSES THAT MAY PRODUCE
SIMILAR LESIONS

INVESTIGATIONS
Radiographic :intra oral:- IOPA, BITE WING, OCCLUSAL.
extraoral:- LATERAL CEPH, SMV,WATERS,
OPG,TMJ VIEWS.
Tissue biopsy:- incisonal biosy, excisional biopsy.
Oral exfoliative cytology: Laboratory aids:-hematocrit., complete blood picture.
-ESR, Diff white blood count.

FINAL DIAGNOSIS
IS THE DIAGNOSIS ARRIVED AT
AFTER ALL THE DATA HAS BEEN
COLLECTED, ANALYSED AND
SUBJECTED TO LOGICAL
THOUGHT

TREATMENT PLAN
PRIORITY TREATMENT:proceedures that eliminate pain and manage acute infections
are included in this phase.
1.pulpally involved teeth by emergency or endodontics.
2.temporary restorations in the teeth that have caries.
3.painful periodontal condition such as necrotizing ulcerative
gingivitis, pericoronitis.
4.Patients chief complaint may or maynot be included depending
on the priority.
PHASE II- DISEASE CONTROL:proceedures to control disease process but not necessarily
to eradicate all diseases.
1. patients chief complaint
2. most oral surgery
3. occlusal analysis
4. periodontics
5. endodontics

 PHASE III:proceedures to restore the

mouth to full function and esthetics.
1.amalgam or tooth coloured
restorations
2. preprosthetic prooceedures
3.crowns and fixed bridges placment.
4.complete or removable partial
dentures.
PHASE IV
reevaluation and recall phase.

PROGNOSIS
It is the forecast of probable result of the
treatment.
factors affecting prognosis:-1. patients desires
2. systemic health
3. status of the supporting tissues
4. condition of teeth
5. matching of the treatment plan
with patients desire