Diagnosis, Radiography and Treatment Planning for the Pediatric Patient Flashcards
Oral examination:
Answer
questions in axiUm chart
(i.e. gingival health,
presence of ulcers etc.)
Remember to look at the
gingival tissues as well as
the teeth
Role of Dental Prophylaxis
(4)
Remove
Demonstrate
Facilitate
Introduce
Remove
Remove plaque/calculus – You may need a
scaler if there is calculus
Demonstrate
Demonstrate proper hygiene methods to
parent/caregiver
Facilitate
Facilitate a thorough clinical examination
Introduce
Introduce the patient to dental procedures
SEQUENCE OF EVENTS
Remember that the dentist is
the one who prescribes
—
— is used to
determine how the patient
may respond to radiographs
COMPLETE THE ORAL EXAM
AND PROPHYLAXIS BEFORE
DECIDING WHAT
— TO TAKE
radiographs
Prophylaxis
RADIOGRAPHS
Charting
Primary teeth (A-T)
Permanent teeth (un-
erupted, missing)
Charting
Chart —
after your clinical exam
Use this information to
determine which
— you want to
take.
Then re-chart adding
areas of — that can be
seen radiographically
caries and teeth
radiographs
decay
Occlusal Examination
Evaluate presence/absence of
— – developmental
— present or absent
Note — status ie. Mesial step, Distal step or Flush terminal plane
Note — relationship ie. Class I, II or III
Note crowding
spacing
Primate Spaces
occlusal
Canine
Primate spaces are present in two locations:
(2)
Maxillary Primate Space - between the primary maxillary
canine and primary maxillary lateral incisor.
Mandibular Primate Space – between the primary
mandibular canine and primary mandibular first molar.
Developmental Spaces
Developmental spaces are the spaces between the primary
anterior teeth maxillary and mandibular.
These spaces along with the primate spaces help to alleviate
crowding during the transition from the primary dentition to
the mixed dentition and permanent dentition.
Molar Relation
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.
PRIMARY DENTITION
When looking at the primary dentition to determine
the molar relationship you want to focus on the
relation of the
distal surfaces of the maxillary and
mandibular primary second molars.
Flush Terminal Plane –
the distal surface of the
maxillary and mandibular second primary molars
are in the same plane.
Mesial Step –
the distal surface of the mandibular
second primary molar is mesial to the distal
surface of the maxillary second primary molar.
Distal Step –
the distal surface of the mandibular
second primary molar is distal to the distal
surface of the maxillary second molar.
FIRST PERMANENT MOLARS
When looking at the molar relation and the patient has
firstpermanent molars focus on the MB cusp of the maxillary firstmolar in relation to the buccal groove of the mandibular firstmolar.
Class I -
the MB cusp of the maxillary first permanent molaris located in the buccal groove of the mandibular firstpermanent molar.
Class II –
the MB cusp of the maxillary first permanent
molar is located mesial to the buccal groove of themandibular first permanent molar.
Class III –
the MB cusp of the maxillary first permanent
molar is located distal to the buccal groove of the mandibularfirst permanent molar.
Canine Relation
Class I -
the distal incline of the mandibular canine
occludes with the mesial incline of the maxillary canine.
Canine Relation
Class II -
the distal incline of the mandibular canine occludes distal to the
mesial incline of the maxillary canine.
Canine Relation
Class III -
the distal incline of the mandibular canine occludes mesial to
the mesial incline of the maxillary. canine
End to End -
when the patient is in centric occlusion
and the incisal edges of the upper and lower incisors are
contacting.
Open Bite -
when the patient is in centric occlusion
and the posterior teeth are in contact but the upper and
lower incisors are not overlapping.
OVERBITE
The amount of vertical overlap that is present between the
incisal edge of the maxillary central incisors and
mandibular central incisors.
Malocclusion
Class I -
Normal relationship of molars, but the line
of occlusion incorrect because of malposed teeth,
rotations, or other causes.