Physical Examination

MOHAMED ASSADAWY
35 –40 cm
Working With Good Posture

Maintain an erect posture

Use an adjustable chair with lumbar, thoracic and
arm support

Work close to your body:

Minimize excessive wrist movements:

Avoid excessive finger movements

Alternate work positions between sitting,

standing and side of patient:

Adjust the height of your chair and the patient’s

chair to a comfortable level:

Check the placement of the adjustable light:

Physical examinations techniques

 Inspection : visualization of the lesion ( active. Passive)

 Palpation: (examination by touch) structures not visually apparent. The characteristics

of the lesion such as tenderness, consistency, fixity, ,,,,,,,,,,,can be evaluated with
palpation

 Types (1) Bilateral palpation (2) Bidigital palpation (3) Bimanual palpation

 Probing :Probing helps to detect carious lesions, estimate the amount

of periodontal destruction and to trace sinus tracts. Probing is
carried out using straight probes, explorers, periodontal probes
and in certain cases gutta-percha points can be used
Bilateral palpation
Percussion:
Percussion can be used in order to clinically assess if the tooth
in question has an acute periapical infection. The back end of
a mirror handle can be used for percussion
Bidigital palpation
Bimanual palpation
Vertical percussion
Auscultation:
auscultation is used to study the movements of the temporomandibular joint. Bell-End
of the stethoscope is used to assess the joint sounds
Auscultation of TMJ