Diagnosis, Radio, and Treatment Planning Flashcards
\_\_\_\_\_\_ \_\_\_\_\_\_: Why is patient here? Pain or problems with teeth or mouth? Past dental experiences? Habits? Current oral hygiene routine? Fluoridated water and/or toothpaste?
medical history
Roles of _____ _______:
- Remove plaque/calculus – You may need a scaler if there is calculus
- Demonstrate proper hygiene methods to parent/caregiver
- Facilitate a thorough clinical examination
- Introduce the patient to dental procedures
dental prophylaxis
t/f: COMPLETE THE ORAL EXAM AND PROPHYLAXIS BEFORE DECIDING WHAT RADIOGRAPHS TO TAKE
true
t/f: Order of Patient Visit: 1- med history 2. oral exam and charting and prophylaxis 3. determine radiographs with faculty 4. finalize charts and treatment plan 5. Faculty final check 6. Fluoride and patient dismissed
true
t/f: all of the following are critical when performing the occlusal exam:
Evaluate presence/absence of spacing – developmental
Primate Spaces present or absent
Note occlusal status ie. Mesial step, Distal step or Flush terminal plane
Note Canine relationship ie. Class I, II or III
Note crowding
true
Where is the maxillary primate space located?
between the primary maxillary canine and primary maxillary lateral incisor.
Where is the mandibular Primate Space located?
between the primary mandibular canine and primary mandibular first molar.
_____ _______ are the spaces between the primary
anterior teeth maxillary and mandibular.
Developmental spaces
t/f: Developmental spaces along with the primate spaces help to alleviate crowding during the transition from the primary dentition to the mixed dentition and permanent dentition.
ture
t/f:
If the permanent first molars are unerrupted use the molar relation terminology of mesial step, flush terminal plane, or distal step.
If the patient has permanent molars, use Angle’s Classification of Class I, II, and III.
True
_____ _____ ____- the distal surface of the
maxillary and mandibular second primary molars
are in the same plane.
flush terminal plane
____ _____- the distal surface of the mandibular
second primary molar is mesial to the distal
surface of the maxillary second primary molar.
mesial step
____ ____: the distal surface of the mandibular
second primary molar is distal to the distal
surface of the maxillary second molar.
distal step
_______ _ - the MB cusp of the maxillary first permanent molar
is located in the buccal groove of the mandibular first
permanent molar.
class I
_____ _- the MB cusp of the maxillary first permanent
molar is located mesial to the buccal groove of the
mandibular first permanent molar.
class II
_____ _- the MB cusp of the maxillary first permanent
molar is located distal to the buccal groove of the mandibular first permanent molar.
class III
_____ _ canine Relation: the distal incline of the mandibular canine occludes with the mesial incline of the maxillary canine.
Class I
____ _ canine relation: the distal incline of the mandibular canine occludes distal to the mesial incline of the maxillary canine.
class II
____ - canine relation: the distal incline of the mandibular canine occludes mesial to the mesial incline of the maxillary.
class III
Canine Relation classification is the same for both primary and permanent.
true
Anterior Relation: ____ __ ____:
when the patient is in centric occlusion and the incisal edges of the upper and lower incisors are contacting.
end to end
classified as yes or no
Anterior relation: ____ ____: when the patient is in centric occlusion and the posterior teeth are in contact but the upper and lower incisors are not overlapping.
open bite
Classified as yes or no
Anterior Relation: ____ ___ The amount of vertical overlap that is present between the incisal edge of the maxillary central incisors and mandibular central incisors.
Over bite
classified by percentage
NORMAL (30 - 50%)
MODERATE (50 - 75%)
SEVERE (>75%)
N/A SPECIFY
Malocclusion:
Class _:
Normal relationship of molars, but the line of occlusion incorrect because of malposed teeth, rotations, or other causes.
class one
Malocclusion:
Class _:
Upper molar mesially positioned relative to lower molar.
class two
Malocclusion:
Class _:
Upper molar distally positioned relative to lower molar.
class three
______: Inadequate arch length to accommodate the mesial- distal width of all the teeth in the arch.
measured and categorized:
MILD (<5MM)
MODERATE (8-10MM)
SEVERE (>10MM)
NONE
Crowding
______: Excess arch perimeter compared to the total mesial-distal width of all the teeth in the arch in the permanent or mixed dentition, not including space from lost primary teeth or developmental spaces in the primary dentition.
measured and categorized
MILD (<5MM)
MODERATE (8-10MM)
SEVERE (>10MM)
NONE
spacing
_______ Crossbite:
maxillary incisors occlude lingual to the
mandibular incisors.
anterior crossbite
_____ crossbite:
occurs on one side of the arch or only on
one tooth. Both Anterior and posterior.
unilateral
____ crossbite:
occurs on both sides of the arch. Both Posterior and Anterior
bilateral
Anterior ______ crossbite:
caused by an occlusal interference that requires the mandible
to shift anteriorly in order to achieve maximum occlusion.
functional crossbite
_________ crossbite:
buccal cusps of the maxillary posterior teeth occlude lingual to the buccal cusps of the mandibular posterior teeth.
Posterior Crossbite
Posterior ______ ______ Crossbite:
Caused by an occlusal interference that requires the mandible to shift laterally in order to achieve maximum occlusion. Most posterior corssbites in peds patients are functional in nature
functional shift.
Caries Risk Assessment:
____ ____: no carious teeth
no white spot lesions
no visible plaque or gingivitis
low risk
Caries Risk Assessment:
____ risk:
carious teeth in past 24 months 1 area of enamel demineralization gingivitis
moderate risk
Caries Risk Assessment:
_____ _____:
carious teeth in the past 12 months more than 1 area of enamel demineralization visible plaque on front teeth radiographuc enamel caries high titers of bacteria
high risk
Environmental Characteristics (caries risk):
____ risk:
Optimal fluoride exposure Consumption of cariogenic foods at mealtime High caregiver socioeconomic status Regular use of dental care
low risk
Environmental Characteristics (caries risk):
____ risk:
Suboptimal fluoride exposure Occasional between-meal snacks with cariogenic snacks Midlevel caregiver socioeconomic status Irregular use of dental services
moderate risk
Environmental Characteristics (caries risk):
____ risk:
Suboptimal fluoride exposure Frequent cariogenic snacks Low-level caregiver socioeconomic status No usual source of dental care
high risk
Prescribing radiographs: New Patient
Primary Teeth/No visible caries/No closed contacts = _________
no bitewings
Prescribing radiographs: New Patient
Primary Teeth/No visible caries or pathology/Closed contacts= _______
BITEWINGS
Prescribing radiographs: New Patient
Mixed Dentitions/No visible caries/Closed Contacts = _____________________________-
BITEWINGS AND PANORAMIC FILM OR SELECTED PERIAPICAL FILMS
Panoramic Timing:
_____ _____: preferably after first permanent molars and permanent incisors have all erupted Delaying until those teeth have erupted will give you a better idea of permanent canine positioning
Mixed Dentition
t/f: Take another panoramic film after the 2nd permanent molars have erupted to evaluate the presence of 3rd molar
true
Prescribing Radiographs :
Recall patients with clinical caries or ↑ caries risk=
Recall patients with clinical caries or ↑ caries risk= Bitewings every 6-12 months if contacts closed
Prescribing Radiographs : Recall patients with primary dentition and no clinical caries and ↓ caries risk =
Bitewings every 12 - 24 months if contacts closed
Prescribing Radiographs :
Recall patients with mixed dentition and no clinical caries and ↓ caries risk =
Bitewings every 18- 36 months if contacts closed
What size film is used for ped patients?
Size Zero for bitewings and PA films.
progress to size two as soon as they can tolerate it.
When to conduct the knee to knee position exam?
Should be recommended to occur at 12 months of age or within 6 months of the eruption of the first tooth
