Assessment of the Mouth and Oropharynx begins with a smile. Ask the client to say "ah" so that the soft palate rises. If the client has any history of dental caries or Periodontal disease.
Assessment of the Mouth and Oropharynx begins with a smile. Ask the client to say "ah" so that the soft palate rises. If the client has any history of dental caries or Periodontal disease.
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Assessment of the Mouth and Oropharynx begins with a smile. Ask the client to say "ah" so that the soft palate rises. If the client has any history of dental caries or Periodontal disease.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as PPT, PDF, TXT or read online from Scribd
Anatomy of the Mouth • Following areas need to be assessed: – Lips – Mucous Membranes – Gums – Teeth – Tongue – Salivary Glands – Hard and Soft Palate – Tonsils – Tonsilar Pillars – Posterior Oropharynx Mouth and Oropharynx • Function – Vocalization – Air Passage – Passage for Food – Initiation of Digestion – Sensory Organ Mouth Problems • Dental caries • Periodontal disease (pyorrhea) • Plaque • Tartar • Gingivitis • Glossitis • Parotitis • Sordes Assessing the Mouth and Oropharynx • Inquire if the client has any history of the following: • Routine pattern of dental care, last visit to dentist • Length of time ulcers or other lesions have been present • Denture discomfort • Medications client is receiving Lips and Buccal Mucosa • Inspect the outer lips for symmetry of contour, color, and texture • Uniform pink color, soft, moist smooth texture • Ability to purse lips • Symmetry of contour Inspect and palpate the inner lips and buccal mucosa for color, moisture, texture and presence of lesions Teeth and Gums • Inspect the teeth and gums while examining the inner lips and buccal mucosa • Inspect the dentures Tongue/Floor of the Mouth • Inspect the surface of the tongue for position, color and texture • Inspect the tongue movement Tongue/Floor of the Mouth • Inspect the base of the tongue, the mouth floor, and the frenulum • Palpate the tongue and the floor of the mouth for any lumps, nodules or excoriated areas Palates and Uvula • Inspect the hard and soft palate for color, shape, texture and the presence of bony prominences • Inspect the uvula for position and mobility while examining the palate. Ask the client to say “ah” so that the soft palate rises Oropharynx and Tonsils • Inspect the oropharynx for color and texture • Inspect the tonsils for color, discharge, and size • Elicit the gag reflex by pressing the posterior tongue Lifespan Considerations • Infants: • Inspect the palate and uvula for a cleft • First teeth erupt at about 6 to 7 months of age
CLEFT LIP CLEFT PALATE
Lifespan Considerations • Children • White spots on the teeth may indicate excessive fluoride ingestion • Drooling is common up to 2 years of age • Tonsils are normally larger in children than adults it may extend beyond the palatine arc until the age of 11 or 12 years old Lifespan Considerations • Elders • Oral mucosa may be drier than that of younger persons • Taste sensations diminish • Teeth may show signs of staining, erosion and abrasion • Gag reflex may be sluggish