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Oral soft tissue diseases: a reference manual for diagnosis and management - Amazon.com: oral soft tissue



Simple intra-oral soft tissue biopsy is a common surgical procedure which can be performed by both general dental practitioners and dental specialists. It is crucial that all dental practitioners who perform biopsy procedures have a thorough knowledge of oral anatomy, oral pathology and oral surgery. Performing a clinical extraoral and intraoral soft tissue examination is an essential part of the initial assessment of a patient and often leads to the recognition of an oral pathologic lesion by a dental practitioner.1

Simple intra-oral soft tissue biopsy procedures are most often performed using local anesthetics. The use of adjunctive sedation techniques, including Nitrous Oxide and/or IV sedation, is based on patient assessment, patient request and often times, the location of the lesion. A dental practitioner must have a thorough understanding of regional anatomy and possess good surgical skills, prior to attempting an intra-oral soft tissue biopsy procedure.1 In the case of lesions close to major anatomical structures and/or more proximally located lesions, the patient should be referred to an oral surgeon.

The patient should initially be informed of the clinical findings and should be provided with a provisional diagnosis of the lesion. All of the potential risks and complications, including pain, swelling, bleeding, bruising, wound infection, nerve injury and sinus involvement associated with surgical intervention must be discussed with the patient pre-operatively. A verbal and written informed consent should be obtained prior to the surgical procedure.

Practical Oral Care for People With Developmental Disabilities – This booklet presents an overview of physical, mental, and behavioral challenges common in patients with developmental disabilities and offers strategies for providing oral care.

Description:
This exam is abstracted from the standardized oral examination method recommended by the World Health Organization. The method is consistent with those followed by the Centers for Disease Control and Prevention and the National Institutes of Health. It requires adequate lighting, a dental mouth mirror, two 2" x 2" gauze squares, and gloves; it should take no longer than 5 minutes.

The examination is conducted with the patient seated. Any intraoral prostheses are removed before starting. The extraoral and perioral tissues are examined first, followed by the intraoral tissues.

Simple intra-oral soft tissue biopsy is a common surgical procedure which can be performed by both general dental practitioners and dental specialists. It is crucial that all dental practitioners who perform biopsy procedures have a thorough knowledge of oral anatomy, oral pathology and oral surgery. Performing a clinical extraoral and intraoral soft tissue examination is an essential part of the initial assessment of a patient and often leads to the recognition of an oral pathologic lesion by a dental practitioner.1

Simple intra-oral soft tissue biopsy procedures are most often performed using local anesthetics. The use of adjunctive sedation techniques, including Nitrous Oxide and/or IV sedation, is based on patient assessment, patient request and often times, the location of the lesion. A dental practitioner must have a thorough understanding of regional anatomy and possess good surgical skills, prior to attempting an intra-oral soft tissue biopsy procedure.1 In the case of lesions close to major anatomical structures and/or more proximally located lesions, the patient should be referred to an oral surgeon.

The patient should initially be informed of the clinical findings and should be provided with a provisional diagnosis of the lesion. All of the potential risks and complications, including pain, swelling, bleeding, bruising, wound infection, nerve injury and sinus involvement associated with surgical intervention must be discussed with the patient pre-operatively. A verbal and written informed consent should be obtained prior to the surgical procedure.


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