Diagnosis Flashcards
Types of Dental Radiographs
Panoramic Radiograph
Periapical Radiograph
Bitewing Radiograph
CBCT
Screening Radiographs
Edentulous –
Panoramic radiograph
Screening Radiographs
Partially edentulous (less than 10 teeth) –
panoramic and PAs of
remaining teeth
Screening Radiographs
Dentulous: no significant history of dental disease –
panoramic and 2-
4 BWs, isolated Pas
Screening Radiographs
Dentulous: history of dental disease –
FMX
Screening Radiographs
Dentulous: history of dental disease, third molars –
FMX and
panoramic
Head, Neck and Oral Exam Definition
- Oral cancer screening is an examination performed by a dentist or
doctor to look for signs of cancer or precancerous conditions in your
mouth.
- The goal of oral cancer screening is to identify
- Diagnostic tools –
mouth cancer early,
when there is a greater chance for a cure.
VELScope, brush biopsy
skipped
Periodontal Exam Definition
- Examination of teeth and dental implants to
evaluate the topography of the gingiva and related
structures; to measure probing depths, the width of
keratinized tissue, gingival recession, and attachment
level; to evaluate the health of the subgingival area
with measures such as bleeding on probing and
suppuration; to assess clinical furcation status; and
to detect endodontic–periodontal lesions. - Assessment of the presence, degree, and/or distribution
of plaque/biofilm, calculus, and gingival inflammation
Hard Tissue Exam Charting
(4)
- Previous Dental Work
- Positional Conditions
- Diagnostic Conditions
- Endodontic Conditions
- Positional Conditions
- Rotated Teeth, Tipped Teeth, etc.
- Diagnostic Conditions
- Caries, Defective restorations, Occlusal Wear, Abfractions/Erosions, etc.
- Endodontic Conditions
- Periapical Abscess, Symptomatic tooth, Sinus Tract, etc.
Occlusal Exam
(3)
*Orthodontic Classification
*Occlusal Interferences
*Centric Relation
Occlusal Interference Definition:
*Any tooth contact that inhibits the
remaining occluding surfaces from achieving
stable and harmonious contacts
Three signs of Instability
- Hypermobility of teeth not related to Periodontal disease.
- Excessive Wear
- Change in tooth position
Five Signs of Stability
- Tempromandibular Joints are healthy and
stable - All teeth are firm
- No excessive wear
- All teeth have stayed in their present position
- Supporting Structures are healthy
Five requirements for Stability
- Stable TMJ
- Anterior guidance in harmony with mandibular function
- Non interfering posterior teeth
- All teeth in vertical harmony with contraction of elevator muscles.
- All teeth in horizontal harmony with the neutral zone.
- Non interfering posterior teeth
(2)
- Equal intensity contacts in Centric Relation Occlusion (CRO) or Centric Occlusion (CO)
- Posterior disclusion when condyles leave Centric Relation
- All teeth in horizontal harmony with the neutral zone.
(1)
- Neutral zone definition is the area where the forces exerted by the tongue are
balanced by the forces exerted by the musculature of the cheek and lips.
Mounted Casts
* Should be mounted with a facebow
transfer for
* —- should be taken to
treatment planning appointments with
faculty when formalizing a treatment
plan.
* Custom guide table required for
extensive (3 units or more)
crown and bridge work and for
removable partial dentures.
Unmounted casts
anterior crowns, FPDs and/or veneers
Consults by Specialists
(4)
- Periodontal Disease
- Restorative (removable and fixed prosthodontic treatment)
- Oral Lesion
- Oral Surgery
