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Yadira is a one year old girl who visits your office for her routine well child visit. After advising her parents about the importance of brushing twice daily, taking her fluoride supplement (her town has non-fluoridated water) and making an appointment to see their dentist soon, you prepare to perform an oral exam. Yadira is experiencing some age-appropriate stranger anxiety and does not want to let you look in her mouth.
Which of the following approaches would most increase your chance of success with Yadira’s oral examination?
Using the knee to knee exam, Yadira is much more cooperative. You are able visualize the entire mouth using your gloved fingers and a tongue blade.
You have a student working with you who has never seen such a thorough oral examination before. She asks you to explain what you are looking for.
Important elements of a thorough well child oral exam for children between 6 months and three years old include all of the following EXCEPT:
Your next patient is Peter, a 61 year old man with Trisomy 21 (Down Syndrome). He is cared for by his elderly mother and requires a great deal of care especially recently since he began to develop Alzheimer’s Dementia. He has a full upper denture because all of upper teeth were extracted second to rampant caries. His caregiver is concerned one of his remaining lower teeth may be hurting him as he holds his jaw and refuses to eat solid foods. She asks you to examine his mouth and advise her on what to do next. She adds that she tries very hard to keep his teeth clean but it is difficult due to lack of understanding and cooperation on his part.
Which of the following is true about performing an oral examination on Peter?