Oral Mech Exam Procedure

Front 1

NAME STEPS to ORAL MECH EXAM

Back 1

1) Observe Structure/ Facial Features
2)Work Front to BACk
Observe Lips-resting position
RETRACT(smile)- PROTRACT/ (FORWARD)
can they drink through straw?
3) OBSERVE TONGUE coordination of mvnt on command
4) Breath control (buccal strength)
5) Observe UVULA back of throat- does velum rise?
6) Observe Detention (teeth)
7) Coordination of syllables "pataka"

Front 2

tools of oral mech?

Back 2

gloves, light, tongue depressor, cotton swabs

Front 3

1st step

Back 3

observe in conversation symmetry of face (top to bottom) Spacing features
(5 eyes width)
chin formation

Front 4

2nd step

Back 4

Working front to back:
Start at LIPS
are they open? observe resting position. is there weakness?
TEST : RETRACT(smile)/ PROTRACT (PUCKER/ blow bubbles)
is there drooling?-loss sensation?

Front 5

3rd step

Back 5

Tongue OBSERVE
protrude tongue. coordination of mvmnt
is there signs of APRAXIA?
ability to do mvmnt on command?
MAKE CIRCLE with tongue.
Touch raphe of palate with tip of tongue

Front 6

4th step

Back 6

Breath control
hold breath in cheecks (check BUCCAL cavity strngth

Front 7

5th step

Back 7

OBSERVE UVULA/VELUM
check color say "ah" is velum rising?
if not causes nasality

Front 8

6th step

Back 8

DETENTION OBSERVATION (TEETH)
age appropriate teeth?
is there bottle rot? may need to exercise cheeck muscles more if so. eroded teeth?
say "PATAKA" observe syllale coordination

Front 9

if tongue to one side may indicate?

Back 9

Neurological damage/

Front 10

if velum doesnt rise may have voice that indicates?

Back 10

HYPERNASALITY

Front 11

wh observe the face?

Back 11

CHECK SYMMETRY

Front 12

if there is Paresis it would be indicated by?

Back 12

inability to pucker or RETRACT

Front 13

WIth vocal folds which part vibrates?

Back 13

Ventricular FOlds/ FALSE folds

Front 14

which muscle contains VF?

Back 14

THYROID muscle