Oral Diagnosis And Treatment Planning Ch 28 Oral Diagnosis And Treatment Planning

Exam and Dx Techniques Visual Evaluation Overall assessment of previous dental care and existing conditions Soft tissue—pink and uniform in color Tooth structure—uniform in color and morphologically sound and intact Dentist uses mouth mirror and dental light Restorations—evaluate for discrepancies and complete coverage of tooth structure Missing teeth

Palpation Examination technique Use fingers and hands to feel for texture, size and consistency of hard and soft tissue

. Instrumentation The type of instruments selected should accomplish the following Detection Use of a sharp pointed explorer, to detect imperfections in enamel surfaces--decay Probing To measure the sulcus for loss of gingival attachment or bone loss

Radiography Used in the examination: Identify Decay Defective restorations Advanced periodontal conditions Pathology Developmental conditions Other abnormalities

Intraoral Imaging Used like a miniature video camera Allows the dentist to use computer monitor Provides Magnification of an image for evaluation Easier access for areas that are difficult to view Access to photocopy for insurance verification Case simulation or case presentation Medical and legal documentation

Photography Intraoral Extraoral Provides visual means of ID and understanding of specific problems

Black’s Classification of Cavities Pits and fissures posterior teeth Class II Proximal surfaces of posterior teeth Class III Proximal surfaces of anterior teeth Class IV Proximal surfaces of anterior teeth including incisal edges Class V Gingival 1/3 of facial or lingual surfaces of all any tooth Class VI Incisal edge of anteriors and/or cusp tips of posterior teeth

Tooth Numbering Systems Universal Numbering System 1-32 , right to left International Standards Organization system Two-digit number to each tooth, UR 1, UL 2, LL 3 and LR 4 Palmer Notation System Brackets for four quads

Color Coding Red Blue Black Condition that needs to be done Condition that has already been done Black Existing may not need any treatment

Charting Symbol Know how to chart each type of condition Refer to your complete in class charts

Abbreviations Know each abbreviation for single surfaces Know each abbreviation for multiple surfaces

Soft tissue examination Complete examination of Cheeks Mucosa Lips Lingual and facial alveolar bone Palate Tonsil area Tongue Floor of mouth Visual and palpation

Examination and charting teeth Thorough assessment of each tooth Using instruments, check each surface of each tooth and detect findings

Examination and Charting of Periodontium Assess tissue that support the teeth Gingiva Cementum Periodontal ligament Alveolar Supporting bone structures Using radiographs

Types of Treatment Plans Level I: Emergency Care Relieves immediate discomfort Level II: Standard Care Restores the dentition to normal function Level III: Optimum Care Restores the dentition to maximum function and an esthetically pleasing result. KNOW these in detail

Treatment Plan Presentation Case presentation is done in private setting, such as a conference room or office Items to have available Before and after photos Diagnosis cast of similar cases and patient cast Models of proposed appliances, ie dentures, implants, crowns, etc Patient chart X-rays Treatment plans

Treatment plans as well as patient charts are legal documents Must be done in blue or black ink Must be clear, concise and legible