Eruption of a Permanent Tooth – by Dr. Richard Simpson, DMD

image captured with TelScope Telehealth System

image captured with TelScope Telehealth System

PROBLEM

10-year-old female patient says, “I feel something in the top of my mouth”. No pain reported.

DIAGNOSIS

A clinical exam, documented here with a TelScope image, confirms an over retained primary (baby) tooth with a stainless steel crown present.

It’s replacement permanent tooth is emerging (erupting) in the palate. The primary tooth was not mobile because a portion of the roots failed to resorb. Although this is not an urgent situation, the removal of the primary tooth by a dentist is indicated to allow the permanent tooth to fully erupt. The permanent tooth will likely drift back toward a more ideal position if the baby tooth is removed soon.

INTERESTING FACT

This is not an uncommon problem, and is an excellent example of a situation that can be pre-screened by a dentist through a teledentistry consultation with a clear photograph such as this that can easily be taken with a TelScope Telehealth System.

About the Author: Dr. Richard Simpson, DMD

Dr. Richard is a board certified pediatric dentist in private practice.
His achievements include:
• Diplomate in the American Board of Pediatric Dentistry
• Fellow in the American College of Dentists
• Fellow in the International College of Dentists
• Fellow in the American Academy of Pediatric Dentistry
• Advisory Board Member of The TeleDentists
• Advisory Board Member of Holland Healthcare
Dr. Richard’s experience and active interests include telehealth, child advocacy, health disparities, policy, and advancing improved medical-dental access to care. Dr. Richard is also a veteran with 15 years of military service.
————
INFORMATION & CONTENT DISCLAIMER

This content is for information only. This content is not for advice, diagnosis, or
guarantee of outcome for patients. No patients should use the information,
resources, or tools contained within to self-diagnose or self-treat any health-related
conditions. 

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Dental Growing Pains – by Dr. Richard Simpson, DMD

PROBLEM

An 11-year-old female patient is complaining of occasional pain in the lower right quadrant of her mouth in the evenings and at night for two weeks now.  The patient’s mother is concerned about possible “swelling”. This teledentistry photo taken with TelScope Telehealth System shows there is a permanent second molar emerging (“erupting”) in a normal position.

DIAGNOSIS

The tissue over the back of the tooth will recede with time as the tooth erupts into the mouth further. There is no inflammation or infection, and no treatment is indicated. The patient’s mother was instructed that the patient should brush the emerging tooth as normal. She could give her child an over the counter pain medication like acetaminophen or ibuprofen if needed.

INTERESTING FACT

Children grow, and teeth move, in the evenings and nighttime, as their growth hormone increases during this time. It is not uncommon to occasionally have discomfort from tooth movement that may come and go with no other symptoms – dental “growing pains”.

However, other more significant oral health issues can also cause night time pain. A photograph and a teledentistry consult with a dentist can help determine if an in-office examination is indicated.

About the Author: Dr. Richard Simpson, DMD

Dr. Richard is a board certified pediatric dentist in private practice.
His achievements include:
• Diplomate in the American Board of Pediatric Dentistry
• Fellow in the American College of Dentists
• Fellow in the International College of Dentists
• Fellow in the American Academy of Pediatric Dentistry
• Advisory Board Member of The TeleDentists
• Advisory Board Member of Holland Healthcare
Dr. Richard’s experience and active interests include telehealth, child advocacy, health disparities, policy, and advancing improved medical-dental access to care. Dr. Richard is also a veteran with 15 years of military service.
————
INFORMATION & CONTENT DISCLAIMER

This content is for information only. This content is not for advice, diagnosis, or
guarantee of outcome for patients. No patients should use the information,
resources, or tools contained within to self-diagnose or self-treat any health-related
conditions. 

Sign up for more content like this from Holland Healthcare:

Subscribe

* indicates required

Profession / Field

Which upcoming device(s) are you interested in?


Introducing TelScope Oral Telehealth System

Introducing TelScope Oral Telehealth System

Introducing the telehealth version of Throat Scope: TelScope Oral Telehealth System.

Connect intraoral concerns to a doctor or specialist quickly without leaving home, or have clients connect directly to you.

TelScope is a product and app combination. The TelScope handle is like the upgraded Throat Scope – it’s antimicrobial, rechargeable, and connects to any smart device.

When you connect TelScope to your smart device, open the TelScope app (available on iOS and Android) to snap an intraoral picture. Then you can measure, circle and comment on any areas of concern. Finally, send the image instantly to a doctor, dentist or specialist securely within the app.

 

TelScope Oral Telehealth System TelScope Oral Telehealth System

You can learn more about TelScope on our parent company website here.

TelScope is ready for preorder – for an amazing discount – via Indiegogo. Preorder here.

 

What Are People Saying About Throat Scope?

What are people saying about Throat Scope? Pediatricians, general practitioners, primary care physicians, dentists, speech-language pathologists and more across 155 countries are using Throat Scope. Read reviews from professionals across all scopes of practice.

Throat Scope makes experiences for yourself and your patient faster, easier, and most importantly – more accurate. Throat Scope frees up an extra hand instead of the old flashlight-depressor combo by placing the light source directly inside the mouth.

Throat Scope is also used as a speech and articulation tool, an examination tool, and an oral cancer screening tool.

Here’s what people are saying about Throat Scope:

“This is an absolute essential for every dental and medical practitioner to provide the best possible oral assessment and ability to discover oral cancer in its earliest stages.”
Jo-Anne Jones – Dental Hygienist & Oral Cancer Motivational Speaker

:This is a product that I have been using like crazy with a few of my /k/ and /g/ kids, actually all of my kids. It also looks like a light saber which makes every kid want to do it. Finally a therapy tool we can afford!”
Jenna – Speech Language Pathologist – Speech Room News

“I’m a school nurse and with all the strep and flu going around, I am going to fly through my box of 100!
Throat Scope is life changing for me! It makes checking kids a breeze. I am awestruck! I’m a “one man band” it’s singing praises to professionals and family and friends. Brilliant!”
Paula – School Nurse

“We are loving using our new Throat Scopes in the clinic. What a difference it makes to be able to see inside our ‘littlies’ mouths quickly and easily. What a great idea! Also very useful for identifying air escaping down the nose during speech for our Cleft Palate clients as it so happens!”
Kim – Speech Language Pathologist

“Throat Scope is high-tech compared to the organic incumbent.”
ZD Net – Worldwide News Media

“Throat Scope provides medical professionals with one free hand, a light source located inside the mouth for a fast, accurate and pleasant oral examination experience.”
The Daily Floss Worldwide News Media

One word: Genius.
SLP Toolkit – Speech Language Pathologist

“It lights up the whole mouth! You can see a lot more than redness at the back of the mouth #brilliant
Eva Grayzel – Motivational Speaker for Oral Cancer

“Parents and school nurses who have students with special needs who have trouble getting their kids open their mouths long enough to see what going in the back of their throat. At least with Throat Scope, you get a clear look even if it is quick!”
Carla Butorac – Speech Language Therapist

“This award comes with a lot of “firsts”. While only a couple of Australian companies have been honoured with an Edison Award since their inception in 1987, Holland Healthcare is the first Australian female led company to be recognised. It is also the first Australian medical device to win.”
Hunter Headline Newcastle Newspaper

Cannot believe my daughter did not gag. She was so excited to have Throat Scope that she didn’t mind the usual discomfort that goes along with an oral examination!”
Katy – Speech Pathology Mama

“No more juggling with a torch and a wooden craft stick to look into a kid’s gob. It’s a blessing for clinicians and parents. Who knew oral cavity examinations could be so much fun?”
The Australian Newspaper

“The Throat Scope is great. More kid friendly than a traditional tongue depressor and pen-torch, for assessing children’s mouth and throat.”
Kathryn Harber – Speech Language Pathologist

“This product is well made and arrived really quickly. I love the product and it’s been very useful already.”
Melody Humphries- Speech Language Pathologist

“It works, reduces the materials I need, and engages kids. It’s a win.”
Jenna – Speech Language Pathologist – Speech Room News

“Having another ‘tool’ to help illuminate challenging areas of the mouth including the tongue, floor of the mouth, palate and throat makes earlier discovery more feasible. Great adjunct for screening examinations and oral self exams.”
Jo-Anne Jones – Motivational Speaker on Oral Cancer

“This is an SLP’s dream!”
Amanda Schaumburg – Speech Language Pathologist – Panda Speech

“My kids love it, it has a light saber element to it.”
Nacole – Registered Nurse – NurseNacole

I have 3 of these scopes, one in each exam room. I purchased 150 count of the blades. I use them not only in assessment but in treatment with patients. I place one blade with each patient for sensory targets, or useful in resistive exercises and in demonstrations of therapeutic exercises-side by side.
I also use these with my current cancer patients undergoing radiation treatment . I am able to take photographic images for communication with the radio-oncologist and or ENT to quickly manage mucositis; thrush and lesion development.”
Tamatha Rutherford – Speech Language Pathologist

“This is a great product especially for patients with structural abnormalities, oral apraxia or macroglossia which can make visualizing the oral cavity a real challenge! Much more effective than using tongue depressor in one hand and pen light in the other!
Anne Brockman – Speech Language Pathologist

“Throat Scope is a game changer for OME and oral exams”
Graham Speech Therapy – Speech Language Pathologist

Best Intraoral Exam Tool Ever.
Dr Keith Grimes – UK Doctor

“My area of specialization in dermatology is blistering diseases. Patients may have erosions and blisters inside the mouth as well as other mucous membranes and of course, on the skin. During these patient reviews, I have found it time saving and patient friendly to wear the lanyard which attaches to a device called a ‘throat scope’ which contains a battery-powered light. There is a disposable see-through plastic tongue depressor which is individually wrapped that I attach to this in order to easily view inside the mouth and take photos with my free hand. It is also useful for examining the mouth for skin cancers and infections.”
Dedee F. Murrell, Professor of Dermatology, University of Sydney, Australia

“I could be a salesperson for Throat Scope. I love this tool and use it daily as a clinician . As a clinical teacher, I’m constantly introducing it to the next generation of SLPs. Not only is it functional, but it is also fun. A” must have ” when working with pediatrics.”

“Received my delivery today (arrived within days of placing my order). Had a little play around and am very impressed with the quality of manufacture and ease of use. What a valuable tool to have at home and very affordable. I hope to see my GP using this next time I have to visit.”

“Just received this, and with frequent mouth ulcers I expect it will help. BUT, I ordered a 2nd set for my neighbor who has 15 grandkids, the oldest being 16 yrs old, and the youngest being 2 yrs, 1 yr, and 3 days old. Giving it to her since most of the kids are in and out of her house every single day. Thanks for a simple but genius product!

“Great product! So useful for dental assessments particularly when assessing clients outside the dental clinic. (ie. in ages care facilities) and apprehensive children.”

“I love this product – I love this product, all the oral cavity can be seen and even deep into the pharyngeal walls. The light is bright enough and the scope is clear to allow a better view. The throat scope is easy to use, once you connect the clear tongue depressor to the white attachment the light turns on and it’s ready to use. Clear disposable plastics are available and can be placed on the clear tongue depressor for each person.”

“A must have for every SLP! I am a speech-language pathologist and Throat Scope is so helpful for my job! This makes completing oral mech exams so much easier!”

“Came as pictured, words great, very fast. This came exactly as pictured and very quickly! It was super helpful checking my kids after tonsillectomies for healing process and at work for oral mech exams.”

“Good for moms to check their kids throats.”

“These work great. Take it from the Doc, these are worth the cost.”

“Effective to detect problems in the throat. These are very useful when my children get sick.”

“FANTASTIC! This a great product and it performs exactly as advertised. It makes it real easy to see in the persons mouth. I highly recommend it.”

“Great tool! This is an awesome invention. Completing an oral assessment or checking your kids throats or teeth- light and tongue blade in one hand!!!”

“Great product, I even bought one for my doctor!”

“Useful and affordable.”

“I cannot wait to use these in the upcoming school year. This product will make oral examinations much easier than holding a flashlight in one hand and a tongue depressor in the other.”

Check Your Mouth: Oral Cancer Foundation’s Early Self Discovery Campaign

Check Your Mouth: The Early Self Discovery Campaign for Oral Cancer

The Oral Cancer Foundation (OCF) has launched a new nationwide campaign aimed at the early self discovery of oral cancers. The Check Your Mouth Campaign  is an interactive website designed to help individuals learn to self-discover suspicious tissue changes in their own mouths.

“Early discovery of oral cancers has profound implications. Individuals whose disease is found at early stages of development through opportunistic screenings have less invasive treatments, reducing treatment related morbidity, and there is also the opportunity for better long-term outcomes.”

-Dr. Ross Kerr, Oral Medicine Specialist at NYU

The new website, www.checkyourmouth.org, provides the knowledge and tools needed to recognize and find early symptoms of disease. The process is a very simple visual and tactile process. A person who finds suspect areas in their mouths that persists for over two weeks is then prompted to seek further evaluation from a dental professional.

With a step-by-step video, a very effective and inexpensive intra-oral light from Throat Scope, and examples of abnormalities to look for, this interactive campaign’s objective is to reduce late stage discovery of oral cancer. Throat Scope is available here.

About Oral Cancer

Oral cancer is incredibly deadly, killing one person in America every hour of every day, all year. In 2018, the foundation predicts there will be approximately 51,550 individuals diagnosed with an oral or oropharyngeal cancer.

Of those newly diagnosed today, only about 60% will be alive in 5 years.

The high fatality rate is largely due to late discovery of the disease.

To compound the problem, a national screening policy is not in place, and many individuals are not even aware that oral cancer is a significant and increasing common issue in the U.S.

“Reaching the general public with a message can be an expensive idea for a small nonprofit like OCF. Our partner organizations and the members they represent have been long-time leaders of performing oral cancer screenings as a part of the services they provide to patients. These organizations have been champions of routine visual and tactile screenings, and through ongoing advocacy efforts have made them part of the routine screenings dental hygienists perform.”

-Brian Hill, Executive Director of OCF, who is also a survivor of a late stage oral cancer

To help meet that challenge, the Oral Cancer Foundation has engaged two key strategic partners, the American Dental Hygienists’ Association (ADHA) and the Canadian Dental Hygienists Association (CDHA). The combined membership of these partners exceeds 200,000 dental hygienists in the U.S. and Canada.

Now the foundation looks to these long-term partners in screening to introduce their patient populations to the idea of self-exams at home between professional appointments. The foundations should also expose their patient population to the Check Your Mouth concept and website.

How Can Early Self Discovery Benefit You?

Self-examination has become a major part of the general cancer conversation. Other cancer organizations have created campaigns to encourage people to discover abnormalities early. Notable examples are a program to discover deadly melanoma skin cancers early, and self-exams through breast palpation for breast cancers. Check Your Mouth hopes to do the same with their early self discovery campaign.

With the measurable impact of early discovery in other forms of cancer, the Oral Cancer Foundation has moved forward with a similar objective. Oral cancers and their premalignant tissue changes are often easily visible with the naked eye. The model is not so different, with a learning curve that is short and simple to become effective, and an examination process that can be accomplished in about 5 minutes.

The OCF educates and encourages the public to learn the common risk factors mostly found in lifestyle choices such as smoking for oral cancer and avoid them. However, they cannot stop oral cancer from happening.

Clearly, finding the cancer early is the next best idea. Check Your Mouth makes early self discovery easy.

Check Your Mouth is a campaign with the objective of producing better long-term outcomes, which is a very tangible opportunity we can capitalize on today.

Read the original blog by the Oral Cancer Foundation HERE.