11.01.17 Oral Mechanism Exam (Age: 7)
Overall expression, appearance, and size of Alissa’s facial features appeared symmetrical and within normal limits (WNL). The lips were parted at rest and function was adequate as evidenced by the ability to press, purse, and retract her lips. Jaw mobility was sufficient. The appearance and size of her tongue at rest were symmetrical and WLN; mobility of the tongue was WNL as evidenced by the ability to lateralize the tongue, elevate the tongue, lick lips with tongue, move the tongue independently from the jaw, and sweep palate from the alveolar ridge with tongue. The length of the lingual frenulum was also WNL. The client contracted the back of her throat …show more content…
The lips appeared symmetrical and were closed at rest. The mobility of her lips was adequate as evidenced by the ability to press, purse, and retract her lips while remaining symmetrical. The clients’ jaw mobility was WNL. The appearance and size of the tongue was symmetrical and WNL. Mobility of the client’s tongue was also WNL as evidenced by the ability to lateralize the tongue, elevate the tongue, lick lips with tongue, move the tongue independently from the jaw, and sweep palate from the alveolar ridge with tongue. The length of the lingual frenulum was also WNL. The appearance of the clients’ hard palate and the length of the clients’ soft palate were WNL. The mobility of the soft palate was also WNL. The client previously had her tonsils, adenoids, and uvula removed in order to treat her sleep apnea. When the client spoke, her speech was characterized by hyper-nasality due to incomplete closure. Results of the diadochokineses test were WNL when compared to normative data. The client did not present with any evidence of a tongue thrust. Dental observations revealed that spacing was WNL and no teeth were missing. Alignment, and occlusion of the clients teeth was normal; the teeth were in good condition. The client was a nose