Mathew Julie Elizabeth, Varma Beena, Jacob Jubbin Jagan, Kalra Sanjay
Department of Oral Medicine and Radiology, Amritha School of Dentistry, Amritha Viswa Vidyapeedom, Kochi, Kerala, India.
Department of Endocrinology, Christian Medical College and Hospital, Ludhiana, Punjab, India.
Indian J Endocrinol Metab. 2020 May-Jun;24(3):244-250. doi: 10.4103/ijem.IJEM_119_20. Epub 2020 Jun 30.
A complete examination of the oral cavity is a neglected part of physical examination and is not taught in both undergraduate and postgraduate medical training. We believe that a thorough oral examination helps in the identification of a variety of endocrine disorders and so to emphasize this, we have proposed the term "orocrinolgy." Orocrinology is the art of using a Thorough oral cavity examination to diagnose a variety of adult and pediatric endocrine disorders. Under "orocrinology," we have highlighted an easy to perform a seven-step technique to perform a complete examination of the oral cavity. The common endocrine-related abnormalities that you might encounter during each of these seven steps is summarized along with the steps. The seven steps start with the examination of the salivary glands, followed by the lips. This is followed by the examination of labial, buccal, alveolar, and gingival mucosa in two steps. The fifth step is the Inspection of the tongue and the base of the mouth followed by the sixth step, which is the evaluation of the palate, uvula, and tonsils. The final seventh step is the examination of the hard structures in the oral cavity, which includes the teeth, mandible, and the maxilla.
口腔的全面检查是体格检查中被忽视的部分,在本科和研究生医学培训中都未被教授。我们认为,全面的口腔检查有助于识别多种内分泌疾病,为强调这一点,我们提出了“口腔内分泌学”这一术语。口腔内分泌学是运用全面的口腔检查来诊断各种成人和儿童内分泌疾病的技术。在“口腔内分泌学”范畴下,我们着重介绍了一种易于操作的七步检查法,用于对口腔进行全面检查。在这七个步骤中,你可能遇到的与内分泌相关的常见异常情况会与步骤一同总结。这七个步骤首先是检查唾液腺,接着是嘴唇。之后分两步检查唇、颊、牙槽和牙龈黏膜。第五步是检查舌头和口腔底部,随后第六步是评估腭、悬雍垂和扁桃体。最后第七步是检查口腔中的硬组织,包括牙齿、下颌骨和上颌骨。