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What is the purpose of an oral facial exam?
look at the structure of the oral anatomy, function
(physiology) and check if the oral structure and function is
adequate for speech production.
TERM 2
OFE: as a student
DEFINITION 2
Do all the steps. Learn all the steps.
TERM 3
OFE: in real life
DEFINITION 3
focus may be specific. goal: quick and accurate
TERM 4
OFE: what will you
do?
DEFINITION 4
Observe the structures at rest and in motion
TERM 5
OFE: what are you looking
for?
DEFINITION 5
IF a speech production disorder has been identified (in search
of an explanation).
What if no speech production disorder has
been identified?
Complete OFE anyway. As a student, they need practice and
ASHA requires it.
TERM 7
OFE: what will you
need?
DEFINITION 7
latex-free gloves, flashlight, tongue depressors, cotton
gauze, stop watch, cotton swabs and recording device
TERM 8
When is imitation permitted?
DEFINITION 8
when testing strength (lips, tongue etc...), labial seal (ability
to seal lips and keep them sealed), vowel sustenation, verbal
diadacholkinetic rate (rapid alternating movements during
speech). Also when instructing patient to open mouth, puff
cheeks and say /a/.
TERM 9
When is imitation not permitted?
DEFINITION 9
when testing motor planning and agility. also verbally
instruct (don't model for) lips (pucker and smile) and tongue
(protrude, elevate, depress, rotate and lateralize)
TERM 10
Where does OFE fit into the full assessment?
DEFINITION 10
This is the most invasive part, so we do it last. Always tell the
client exactly what you will do next.
Under Bite
maxillary incisors are behind the mandibular
TERM 17
Closed Bite
DEFINITION 17
(over bite) maxillary incisors completely cover mandibular
incisors
TERM 18
Over Jet
DEFINITION 18
maxillary incisors stick out or protrude out of mouth
TERM 19
Class I
Occlusion
DEFINITION 19
(neutroclusion, normal) maxillary first molar about first
mandibular molar; maxillary center in front
TERM 20
Class II
Occlusion
DEFINITION 20
(distoclusion, retrognathic jaw) maxillary first molar rests
about first mandibular molar; maxillary center in front.
Class III
Occlusion
(mesioclusion, prognathic jaw) maxillary first molar above
first mandibular molar; with maxillary center noticeable
behind (under bite)
TERM 22
OFE: testing tongue
activities
DEFINITION 22
To test planning and agility have the client protrude, elevate,
depress, lateralize, rotate their tongue. When testing the
tongue elevation you want to see: articulator differentiation,
smooth motion and absence of jerkiness. For strength: touch
tongue depressor to lips, have client push away with tongue,
there should be no chin and jaw movement.
TERM 23
Articulator Differentiation
DEFINITION 23
Want client to only use a particular articulator. Those with
imprecise articulation may have issue with this. Watch for
jaw movement.
TERM 24
Oral Interior: what to view with the mouth is
open
DEFINITION 24
Teeth (alignment, condition, number), hard palate (color,
integrity, shape, texture), velum, uvula, pillars (color,
integrity, shape, texture), pharyngeal wall (color, integrity,
shape, texture), tonsils (color, condition, number, size,
texture), tongue surface at rest (color, condition, shape, size,
texture, fasciculation)
TERM 25
Oral Interior: healthy coloring
DEFINITION 25
shades of pink and symmetrical shading.
Jumbling/Crowding
Too many teeth and not enough space
TERM 32
Infra-Version
DEFINITION 32
short tooth that doesn't meet the bite line of neighboring
teeth
TERM 33
Supra-Version
DEFINITION 33
Tooth that is too long,
TERM 34
Axio-Version
DEFINITION 34
a tooth that leans (over, out, or in)
TERM 35
Disto-Version
DEFINITION 35
Too leans out; towards the outside
Facio-version
Tooth that leans towards the face.
TERM 37
Buccoverison
DEFINITION 37
Tooth that leans towards the cheeks
TERM 38
Labio-version
DEFINITION 38
Tooth that leans towards the lips.
TERM 39
Overjet
DEFINITION 39
Special type of labio-version; central maxillary incisors lean
out towards the lips
TERM 40
Mesioversion
DEFINITION 40
tooth leans towards the middle
