Clinical Kit The ADA Clinical Kit includes two valuable books to aid in clinical diagnosis and treatment: The ADA Practical Guide to Patients with Medical Conditions plus The ADA Practical Guide to Soft Tissue Oral Disease, at a savings of $20 off individual prices. The Extraoral and Intraoral Soft Tissue Head and Neck Screening Examination 7 the patient’s mouth wide open so that the cheek is stretched taut. Place four fingers flat on the face over the parotid gland in the preauricular area and milk the gland by using digital pressure to compress it against the masseter muscle or ramus area. Most patients exhibit a subtle white line at the occlusal plane of the buccal mucosa (i.e. linea alba), which is considered a variation of normal. While retracting the cheeks, use mirror‐assisted indirect vision to examine the tuberosity/hamular notch area and then, with direct vision, use the fingers and a mirror face to retract the buccal and labial mucosa, and observe the facial alveolar mucosa, mucogingival junction, attached gingiva, and free Hard palate Soft palate Uvula Geniohyoid and mylohyoid muscles supporting the floor of the mouth Buccal mucosa Lingual tonsil Palatine tonsil Upper lip Anterior two-thirds of the tongue Base of the tongue (Posterial one-third) Nasal cavity Pharyngeal tonsil Upper labial mucosa (a) (b) Maxillary gingiva Hard palate Soft palate Maxillary tuberosity Tonsil and pillars Retromolar pad Mandibular vestibule Lower labial mucosa Mandibular gingiva Hamulus Uvula Figure 1.2 (a) Oral cavity proper, frontal view. (b) Major components forming the bounda- ries of the oral cavity proper, sagittal view. The oral cavity (unshaded area) is divided from the oropharynx (shaded area) anteriorly/posteriorly at the posterior extent of the anterior two‐thirds of the tongue the superior/inferior extent of the oral cavity is the hard palate and floor of the mouth the superior/inferior extent of the oropharynx is the nasopharynx and hypopharynx. 0003397706.INDD 7 03/16/2018 8:28:42 AM Medical History/Physical Evaluation/Risk Assessment 11 Figure 1.11 Spontaneous gingival bleeding due to severe thrombocytopenia. Figure 1.12 Hemosiderin‐stained calculus on teeth from chronic oral bleeding due to severe hemophilia A. Figure 1.13 Jaundice of sclera of eye due to severe liver cirrhosis. Figure 1.14 Spider angioma of skin due to severe liver disease. vascular diseases and clotting‐prone condi- tions, and some of the most commonly used over‐the‐counter analgesic medicines (aspirin, ibuprofen) may alter hemostasis. Dental pro- viders also need to be aware that use of herbal supplements, often not revealed in the health history, can enhance bleeding risk. Four of the top five supplements (green tea, garlic, ginko biloba, and ginseng) taken by dental patients in a dental‐school‐based study are reported to enhance bleeding risk.6 Weighing against the need to discontinue aspirin therapy for dental extractions, a recent case–control study demonstrated no The ADA Practical Guide to Soft Tissue Oral Disease, Second Edition, takes you through screening examinations, description and documentation, differential diagnosis and guidelines for observation and referral. Well-suited as a clinical handbook or review guide, it is full of color photos, case studies and discussion, along with synopses of best current treatments based on up-to-date literature. The ADA Practical Guide to Patients with Medical Conditions updates the protocols and guidelines for treatment and medications and adds information to aid patient medical assessments. The book organizes individual conditions under three headings: background, medical management and dental management. Written by more than 25 expert academics and clinicians, the evidence-based guide takes a patient-focused approach to help you deliver safe, coordinated oral health care for patients. K018 Kit, 2 paperback books Members $129.95 Retail $189.95 22 ORDER BY PHONE: 800.947.4746
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