Carranza’s Clinical Periodontology, 12th Ed, Chapter 29

Figure 29-26: The lesions seen in these views are subtle. They should be readily apparent to the trained eyes of either a dental hygienist or dentist with good lighting and an intraoral mirror. There is a current emphasis on interprofessional education and collaboration. In many contexts, this is a positive. An example of this is the ‘training’ of nurses or other medical and non-medical personnel to conduct intra-oral evaluations as part of the intake process in hospitals and long-term care facilities. Pictures like this give pause in this approach to oral evaluations in such settings. It seems highly unlikely that non-dental personnel could learn to notice and differentiate subtle lesions like these. Dental hygienists would be a suitable addition to short- and long-term residential settings that value the oral health of residents; legislative changes are beginning to make this possible.