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?


Holland Healthcare to Partner with The TeleDentists for Instant Teledentistry

Coming Soon: TelScope Care 24/7

Connect your intraoral issue to a dentist instantly.

Holland Healthcare is partnering with The TeleDentists, using the TelScope Oral Telehealth System. Together, the TelScope and The TeleDentists can capture a superior-quality images inside the mouth and connect that image to a dentist instantly.

Available only in the United States.

More to come soon…

About the TeleDentists

The TeleDentists is transforming the way people treat urgent oral and dental problems. Their first-to-market virtual care solution for teledentistry creates an improved way to access care, providing essential dental services 24/7/365 wherever a dentist is needed.

Learn more about The TeleDentists

Teledentistry image captured with TelScope.

TelScope Telehealth System

Examine. Capture. Connect.

TelScope Telehealth System allows you to complete an intraoral examination, capture a superior quality telehealth image, and connect that telehealth image to a professional.

TelScope Images with Different Smart Devices

TelScope Telehealth System

Phone Image Comparison

How to Capture Amazing Oral Telehealth & Teledentistry Images with TelScope Telehealth System

How to Get Amazing Oral Telehealth & Teledentistry Images with TelScope Telehealth System

Examine the patient with the TelScope handle and single-use depressor before attaching to the smart device

Be sure to depress the tongue to illuminate inside the mouth.

For teledentistry and to get a good view of the molars and the teeth, retract the cheek and slide the TelScope sideways between the gum and the cheek.

If you see something of interest, proceed to attach TelScope to your smart device. Open the TelScope app to capture an intraoral telehealth or teledentistry image.

  • The single-use depressor should be attached to the TelScope handle before attaching the TelScope handle to your smart device

Now capture an amazing telehealth or teledentistry image.

The TelScope app is automatically set with optimal lighting, focus, and zoom settings for superior quality intraoral imagery.

The TelScope app camera is automatically zoomed to focus on the inside of the mouth. We do not recommend zooming in or out except for capturing specific images.

Place the TelScope blade inside your patient’s mouth and depress the tongue to illuminate inside the mouth. 

A good indication of a well-lit mouth is when the uvula is illuminated. 

For teledentistry images, turn your phone sideways, retract the cheek, and slide the depressor sideways between the cheek and the gum. This technique will allow you to capture images of the molars and the teeth.

We recommend practicing with TelScope on yourself in the mirror to get a hang of how to capture amazing images.

TelScope App Best Practices

• Make sure you are using a HIPAA compliant smart device

• Images should be uploaded to your patient file or sent to a peer for review, and then deleted from the app directly after your patient’s appointment

• Capture multiple images during the patient exam, then choose the best images from the app to upload to the patient file. Delete images from app after upload

• For measurement indications, your TelScope metal clip must be accurately placed and depressor visible in photo

Watch a TelScope Telehealth System Demonstration with Inventor Jennifer Holland:

Still need help? 

Reach out to Mike at mvogel@hollandhealthcareinc.com to schedule a free TelScope live tutorial!

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 People Are Saying About Throat Scope

Dentist Oral Hygienist using Throat Scope Illuminating Tongue Depressor with Child

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.”

Activity Tailor – Easier Assessments & Articulation with Throat Scope

Throat Scope is the world’s first all-in-one light and tongue depressor that makes for more accurate and easier assessments and articulation therapy.

Original blog by Kim from Activity Tailor

Oral Mech Exams

Let’s talk assessments and articulation. I need to come clean here. I don’t do a lot of oral mech exams. I’ll do a cursory look at how the tongue is moving and see if the can modify the movement with some verbal cues during assessments, but I’m hesitant to alienate a child I might start seeing for therapy during their assessment by holding their tongue down with a tongue depressor and really getting in there. (And I would never try for a gag reflex! Not with my population who would be much more likely to throw-up on me than give me any neurological insight.)

I do pull out Dum-Dum, flavored tongue depressors and the occasional toothette to help kiddos see or feel where I’m asking them to position their lips/tongues, but… now I’ve got an even better trick up my sleeve.

How can you see what’s actually going on in the mouth during assessments?

The main problem is that it’s so hard to see what’s actually going on in there. I always feel vaguely like I’m spelunking. Which is why I was so keen to try out Throat Scope after I’d seen several photos in my social media feed over the summer and heard all the positive feedback.

What I – and the kiddos – love about Throat Scope

It’s justified. My little ones were so excited about the Throat Scope (which is definitely not what I call it in the speech room–speech light saber is (ironically) much less ominous sounding) and looking in their mouths and looking at all the stuff in there. All of the sudden they were attending to their tongue position, seeing and feeling what I was asking them to do. Makes assessments and articulation exercises much, much easier!

Everyone seemed to find the plastic, even though it’s unflavored, much more palatable than wood tongue depressors.

How does it work?

Here’s how it works. You have a handle with the light inside that you use each time. You buy a box of clear, plastic, disposable depressors that simply slide on to the end (pushing down the toggle and turning the light on). When you’re done, just toss the clear plastic part.

Except most of the kiddos I tried this with begged to keep their “saber” even though they wouldn’t be able to make it illuminate their light. I even had a couple kids bring the saber back to our next session!

To read the original blog by Activity Tailor, head HERE


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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.”

How to Do an Oral-Facial Exam with Throat Scope

Melanie Potock, MA, CCC-SLP and Amy Graham, MA, CCC-SLP show us how to do an oral-facial exam with Throat Scope.

 


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