Dental charting

Question 1

importance of charting

Answer 1

accurate record of dental condition, communication with colleagues, medio-legal issues, forensics

Question 2

What has charting been used for in forensic dentistry?

Answer 2

identifying bodies and murderers, crime

Question 3

What should be charted?

Answer 3

caries, dentures, crowded/rotated teeth, missing teeth, restorations, splint, veneers, bridges

Question 4

What do you need to include when charting restorations?

Answer 4

type of material - AM, COMP, AU

Question 5

Difference between periodontal disease and periodontitis

Answer 5

Periodontal disease is a broad term for diseases of the gingivae and supporting tissues of the teeth, whereas periodontitis is the inflammation of the supporting tissues of the teeth, resulting in irreversible tissue destruction.

Question 6

how do you identify pockets?

Answer 6

probing

Question 7

Plaque retention factors

Answer 7

calculus, overhanging restorations, poor margins on dentures/crowns…

Question 8

What does BPE stand for?

Answer 8

Basic Periodontal Exam

Question 9

How many segments is the mouth split into during a BPE?

Answer 9

6

Question 10

What should you chart first?

Answer 10

missing teeth

Question 10

what does FDI stand for?

Answer 10

Federation Dental International

Question 11

How does FDI deciduous charting work?

Answer 11

Starts at UR with 5,6,7,8 (LR). second number is still tooth number (1-5)

Question 12

How does Palmer charting work?

Answer 12

Using drawing of corner with tooth number inside. 1-8 for permanent teeth, A-E for deciduous.

Question 13

What to draw if there is caries and a restoration is needed?

Answer 13

Hollow circle on surface with caries. or circle and triangle for interproximal caries/extensions

Question 14

if a restoration has been completed what should you draw?

Answer 14

Fill in the hollow circle / circle triangle

Question 15

if a restoration requires replacing, what should you draw?

Answer 15

line around restoration

Question 16

why would a restoration need replacing?

Answer 16

caries, lost restoration, fractured

Question 17

How to indicate a buccal cervical restoration (down at gingiva)?

Answer 17

filled in semi-circle at edge of box

Question 18

What to do if there are 2 separate occlusal restorations on the same surface?

Answer 18

draw two separate filled-in circles

Question 19

What to do if there is a partially erupted tooth?

Answer 19

PE under/over box

Question 20

what to do is there is an unerupted tooth?

Answer 20

UE

Question 21

How would you confirm the presence of an UE tooth?

Answer 21

Radiograph

Question 22

how to indicate the presence of a fissure sealant?

Answer 22

FS

Question 23

How to indicate if a tooth has drifted distally/mesially?

Answer 23

Horizontal arrow over box in the direction

Question 24

how to indicate a tooth outstanding or instanding?

Answer 24

Vertical arrow in correct direction

Question 25

How to indicate if a tooth needs extracting?

Answer 25

diagonal line across box

Question 26

how to indicate if a tooth has now been extracted? (in that appointment)

Answer 26

X in box (draw second diagonal line)

Question 27

how to indicate that a tooth is missing? (e.g. appointment after an extraction)

Answer 27

Horizontal line across box

Question 28

how to indicate a fractured incisal edge?

Answer 28

#

Question 29

how to indicate the presence of a crown

Answer 29

bold outline of box lines

Question 30

how to indicate retained roots

Answer 30

+ (number of + equivalent to number of roots present/should be present if uncertain)

Question 31

How to indicate a temporary dressing/filling?

Answer 31

Vertical stripes in circle/triangle

Question 32

How to indicate if root canal treatment is required due to cavity?

Answer 32

Draw a hollow circle at the surface of the tooth where caries is present. write RCT under/over tooth

Question 33

How to indicate a root canal filling with a complete restoration?

Answer 33

Fill in circle that indicates caries. RCT should still be written there.

Question 34

What do you call the structures on the teeth adjacent to the missing teeth that are supporting the bridge?

Answer 34

Bridge retainer (BR)

Question 35

What do you call the structure that replaces missing teeth in a bridge?

Answer 35

Bridge pontic (BP)

Question 36

How to indicate the presence of a bridge

Answer 36

Draw a thickened edge around the crown and write BR and the material used (e.g. MCC). Draw a horizontal line across the missing tooth and write BP

Question 37

How to indicate a splint or retainer

Answer 37

Double ended horizontal arrow above/below boxes

Question 38

How to indicate a porcelain veneer?

Answer 38

PV written above/below box

Question 39

How to indicate a missing tooth with the space closed (ortho)

Answer 39

Double headed arrow across box

Question 40

How to indicate a retained deciduous tooth?

Answer 40

Box off a corner of the tooth and write C in the small box created.

Question 41

Why might a deciduous tooth be retained?

Answer 41

In the case of hypodontia where a lower number of teeth develop compared to normal.