Oral Protocol
The student will perform an Extra and Intraoral Examination on all patients utilizing the light, mouth mirror, probe, tongue depressor, air syringe and gauze according to the following criteria:
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Perform a thorough extra and intraoral exam on every patient at each visit (first appointment, re-appointment(s), and recall).
- Records findings at the first appointment, accurately record the condition of all structures, lesions, and anomalies and record on the oral exam sheet.
- Indicate in writing that all the necessary structures have been examined.
- When describing lesions, note the size (measure with a probe), color, location, consistency, duration and pain association.
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Consult Instructor/Dentist:
- Upon completion of the extra and intraoral examination, the student will assume the responsibility of consultation and follow-up.
- Check with the supervising dentist concerning any suspicious oral lesion. His/her observation should be noted on the treatment record. (Do not disclose prior to consult.)
- Make and follow through on appropriate referrals, if immediate referral is necessary.
- Inform the patient of any abnormal condition, even when it has been determined by the supervising dentist and/or instructor that the lesion does not require immediate referral. Tell the patient to consult a dentist/physician if the condition has not disappeared in two weeks.
- When the supervising dentist refers a patient, the student should be sure the dentist documents this referral and signs the record.
- Re-check at subsequent visits.
- Perform an extra and intraoral exam at all re-appointment and recall visits and record any new findings and date on the oral exam form.