oral diagnosis

Oral medicine

Oral diagnosis:

Diagnostic process or Sequence:

1. Taking and recording patient history.

2. Examining the patient and performing laboratory studies.
3. Establishing a diagnosis by evaluation of the history and physical examination and laboratory studies.
4. Formulating a treatment plan .


It is a systematic method of recognition and treatment of various oral lesions.

.Taking and recording patient history:

Components:

1. Routine data.

2. Chief complaint.
3. History of present illness.
4. Past and present medical history.
5. Past dental history.
6. Family history.
7. Social history.

1. Identification of systemic disease that could require modification of dental treatment

2. Identification of contagious disease that pose a threat to dental staff or other patients.
3. Identification of drugs that could interact with treatment administered by the dentist.
4. Establishment of good patient-dentist relationship.
5. Facilitate effective communication with patient physician.
6. Provision of medico legal protection.
Medical history composed of:


1. Serious Illnesses.
2. Hospitalizations.
3. Transfusions.
4. Allergies.
5. Medications.
6. Childhood disease.
7. Pregnancy.
8. Review of systems

2. Examination of the patient:

Principle

1. Visual inspection:

2. Palpation
3. Probing
4. Percussion
5. Auscultation
6. Aspiration
7. Diascopy
8. Evaluation of function

a. Texture
b. Dimension
c. Consistency
d. Temperature
e. Functional events
a. Tear
b. Salivary gland
c. Taste
d. Mastication
e. Neurological function

Visual inspection: it is a systemic observation of the patient.

Palpation : it is a procedure wherein the examiner feels or presses upon the structures being examined .

texture ,dimension , consistency , temperature and function events

Probing :it is palpation with an instrument

Percussion:
it is the technique of stricking the tissues with the fingers or an instrument
Auscultation:
Is the act of listening for sounds within the body .

Aspiration:it is withdrawal of fluids from a body cavity

The aspiration may be used for culture and sensitivity test to identify the pathogen and its best treatment .

Diascopy