Extra and Intra Oral Examination

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Extra and Intra Oral Examination by Mind Map: Extra and Intra Oral Examination

1. Types of Examination

1.1. Complete

1.2. Screening

1.3. Limited Examination

1.4. Follow-up

1.5. Continuing care/reevaluation

2. Methods for Examination

2.1. Visual examination

2.1.1. Direct observation

2.1.2. Radiographic examination

2.1.3. Transillumination

2.2. Palpation

2.2.1. Digital

2.2.2. Bidigital

2.2.3. Bimanual

2.2.4. Bilateral

2.3. Instrumentation

2.4. Percussion

2.5. Electrical test

2.6. Ausculation

3. Sequence of Examination

3.1. Extraoral Examination

3.2. Intraoral examiantion

3.3. Document Findings

3.4. Physical Characteristics

4. Morphologic Categories

4.1. Elevated Lesions

4.1.1. Blisterform

4.1.2. Nonblisterform

4.2. Depressed lesions

4.2.1. Ulcer

4.2.2. Erosion

4.3. Flat lesions

4.3.1. Macule

4.4. Other Descriptive terms

4.4.1. Erythemia

4.4.2. Exophytic

4.4.3. Indurated

4.4.4. Papillary

4.4.5. Petechie

4.4.6. Pseudomembrane

4.4.7. Polyp

4.4.8. Punctate

4.4.9. Torus

4.4.10. Verrocus

5. Oral Cancer

5.1. Location

5.1.1. lateral borders of tongue

5.1.2. Floor of the mouth

5.1.3. The lips

5.1.4. Soft palate complex

5.2. Appearance of early cancer

5.2.1. White areas

5.2.2. Red areas

5.2.3. Ulcers

5.2.4. Masses

5.3. Pigmentation

5.3.1. Brown or black areas

6. Procedure for Determining When a Suspicious Lesion Requires a Biopsy

6.1. Exfoliative Cytology

6.1.1. Cytological Smear

6.1.2. Liquid-Based Cytology

6.1.3. Oral Brush Cytology

6.2. Spectroscopy

6.2.1. Laser-Induced Autofluorescence Spectroscopy

6.2.2. Diffuse Felectance Spectroscopy

6.3. Biopsy

6.3.1. Removal and microscopic examination of tissue "gold standard"

6.3.1.1. Excisional

6.3.1.2. Incisional

6.3.2. Indications for biopsy

6.3.2.1. unusual lesion not identifiable

6.3.2.2. lesion not healed in 2 weeks

6.3.2.3. Persistent, thick, white hyperkeratotic lesion and mass that does not break through surface epithelium

6.3.3. Pathology report

6.3.3.1. Class I : Normal

6.3.3.2. Class II : Atypical, but not malignant

6.3.3.3. Class III : Uncertain

6.3.3.4. Class IV : Probable for cancer

6.3.3.5. Class V : Positive for cancer