Dental charting and caries detection Flashcards
What does the patient assessment allow
information gatherting
diagnoses, prognoses and risk assesses to make a treatment plan
key stages in the patient assessment
history takin
patient examination
special tests
dental charting
recording of the current condition of the dentition at a point in time
what does dental charting detect
present absent sound restored caries tooth surface loss fractures
what should dental restorations follow
natural contours of the teeth
tooth notation systems
DI
universal
Zsigmody palmer notations
alphaneumeric system
types of restroations
indirect
direct
indirect restorations
crowns
veneers
bridges
(usually made by dental technicians)
direct restoratios
amalgam
compositite
glass ionomers
placed directly one appointment
what can caries do/lead to
as caries gets larger it proceeds to pulp
loss of tooth structure
pulp inflammation or pulp infection
factors required for caries
tooth bacteria diet time imbalance for 4 days
benefits of early caries detection
reduced need for operative intervention
greater preservation of tooth structure
reduced mechanical failure of teeth and restorations
succeptibletooth surfaces
pits and fissures of posterior teeth
gingival margin
below contact point of teeth (proximal surfaces)
caries detection steps
clean and try teeth good lighting use of magnification sharp eyes not probe careful use of round ender probe to check for cavitiation
special investigation to aid detection
radiographs
transillumination
laser fluoresence
radiograph types
bitewing
periapical
OPG
bitewing radiographs
proximal caries detection
occlusal only detected if extensive
periapical
used for more anterior teeth
can see entire extent of roots
transillumination
light shone through contact points of teeth
more reliable anterior teeth
shadowing may suggest caires
laser fluorscence
detect demineralisation
accuracy affected by plaque/food
risk of false positives
classifying carious lesiosn
size of depth site cavitiation nature of progression activity tooth restoration status https://iccms-web.com/content/icdas
types of caries
primary
secondary (caries associated with restorations and sealants)
primary caires
lesions initiating and progressing on previously unrestored tooth surface
secondary caries
initiation and progression of caries lesions on a restored tooth surface
