Oral and Dental Considerations in Pediatric Leukemic Patient

Table 3

Oral assessment guide [12].

Category	Numerical and descriptive ratings
	1	2	3
Voice	Normal	Deeper or raspy	Difficulty in talking, painful
Swallow	Normal swallow	Some pain on swallow	Unable to swallow
Lips	Smooth, pink, and moist	Dry or cracked	Ulcerated or bleeding
Tongue	Pink and moist and papillae are present	Coated or loss of papillae with shiny appearance, with or without redness	Blistered/cracked
Saliva	Watery	Thick or copy	Absent
Mucous membrane	Pain and moist	Reddened or coated (increased whiteness) without ulcerations	Ulceration with or without bleeding
Gingiva	Pink, stippled, and firm	Edematous with or without redness	Spontaneous bleeding or bleeding on pressure
Teeth or dentures	Clean and no debris	Plaque or debris in localized areas (between two teeth, if present)	Plaque or debris generalized along gum line or denture bearing areas