Soft tissue exam

  • Appreciate why a thorough examination of soft tissues is essential

    • for accurate diagnosis and treatment planning, as it helps identify underlying pathologies that may not be apparent through imaging alone.

    • Also allows for a comprehensive understanding of the patient's condition, guiding clinicians in selecting the most effective therapeutic interventions.

  • Recognise, describe and record surface anatomy of the healthy oral cavity, and identify features that deviate from health.

    • Soft tissue structures include:

    • The lips: Critical for function and aesthetics, their health can indicate overall oral hygiene.

    • The cheeks (buccal mucosa): Important for protecting the oral cavity; any lesions could indicate systemic conditions.

    • The tongue: A muscle with a unique surface texture; changes in color or texture can signify underlying issues.

    • The gums: Healthy gums are pink and firm; signs of inflammation or recession should be documented.

    • The palate: Includes hard and soft tissues; abnormalities may affect swallowing or speech.

    • Floor of mouth: The area beneath the tongue; abnormalities, such as swelling or lesions, can indicate systemic conditions or infections.

    • Fauces: The region at the back of the mouth that connects the oral cavity to the oropharynx; any swelling, discoloration, or lesions may signal underlying health issues.

  • Describe and identify examples of structures that represent the range of normal variability

    • Uvula: The small, fleshy extension at the back of the soft palate; variations in size and shape are typical among individuals.

    • Tonsils: Lymphoid tissues located on either side of the fauces; they can vary in size, often being larger in children and smaller or even absent in adults.

    • Lingual frenum: The tissue connecting the underside of the tongue to the floor of the mouth; its length and thickness can differ significantly, affecting tongue mobility.

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