The extraoral examination from the perspective of the patient

Literature suggests that the extraoral examination frequently is not offered to patients in the dental setting. The main purpose of this study was to learn more about the patients' perspective regarding the extraoral examination as performed during a dental hygiene appointment. Also of interest was the frequency with which the subjects reported having had an extraoral examination performed on them at a prior dental or medical visit. The importance of the role and responsibility of the dental hygienist in regards to performing the extraoral examination was discussed as a means of demonstrating professional behavior in practice.

Sixty-one subjects in a Sandy, Utah general dental practice participated in this descriptive study. They were each given a survey regarding the extraoral examination that was performed on them by one of four dental hygienists employed in the practice. It was explained to them both verbally and in the beginning section of the survey questionnaire, that the extraoral examination was being performed in order to make their general dental examination more complete.

The majority of the patients (97%; n = 58) reported that they had never had an extraoral examination on a prior occasion, and they felt it would be a valuable addition to their future dental visits. Overall, the majority reported the examination to be worthwhile (85%; n = 51), time well spent (89%; n = 54), and a positive experience (85%; n = 51). They also said it helped them feel more relaxed (66%; n = 40), more comfortable (64%; n = 39), more confident about their care (77%; n = 47), and more informed about their health (83%; n = 50). The only statistically significant difference found among variables was between age groups, with the older group reporting that they felt more informed about their health as a result of the extraoral examination.

This study demonstrates a positive response to the extraoral examination by adult patients. The extraoral examination is an important benefit to dental patients that they don't often receive, but would like to have performed in the future. The increasing recognition of the importance of the extraoral examination as a health screening method gives dental hygienists the opportunity to strengthen their standing as professionals while providing this valuable service to their clients. Dental hygiene education must underscore the importance of the extraoral examination and the role of the dental hygienist in the regular administration of this procedure.