History Taking, Clinical Examination and Diagnosis (Pt. I and II) Flashcards
Terminology oDiagnosis
n The ____ of the nature of a disease
determination
History o(1)\_\_\_\_ o(2)\_\_\_\_ o(3)\_\_\_\_aa o(4)\_\_\_\_
chief complaint
personal details
medical history
dental history
(1)Chief Complaint
oMain ____ for seeking treatment
oWhen formulating treatment plan, must determine how to resolve
reason
(1)Chief Complaint o Categories n \_\_\_\_ pPain, sensitivity, swelling n \_\_\_\_ pDifficulty in mastication or speech n \_\_\_\_ pBad taste or odor n \_\_\_\_ pFractured or unattractive teeth or restorations p Discoloration
comfort
function
social
appearance
(2)Personal Details
oName oAddress oPhone number oSex oOccupation oWork schedule oMarital status oFinancial status
yay
(3)Medical History o\_\_\_\_ taken oMedical conditions n Affecting treatment methods pAntibiotic \_\_\_\_, \_\_\_\_, anticoagulants, allergies to meds or dental materials
n Affecting treatment plan
pPrevious ____ therapy, hemorrhagic disorders, age, illness
n Systemic conditions with oral manifestations
p____, menopause, ____, anticonvulsant
medications, ____, gastroesophageal reflux
n Risk factors to dentist and auxiliaries (“universal precautions”)
p____, HIV, syphilis
medications premedications steroids radiation diabetes pregnancy bulimia hpeatitis B
(1)General Examination oGeneral appearance oGait oWeight oSkin color n For signs of \_\_\_\_ oVital signs n Refer if indicated
anemia or jaundice
(2)Extraoral Examination oFacial asymmetry o\_\_\_\_ lymph nodes palpated oTemporo- mandibular joints oMuscles of mastication oLips n \_\_\_\_
facial
tooth visibility
(4)Periodontal Examination
Gingiva
n ____, texture, ____, contour, consistency, position
o Periodontium n \_\_\_\_ probing depths/tooth n Tooth mobility or \_\_\_\_ n open or deficient \_\_\_\_ n missing or impacted teeth n recession n \_\_\_\_ involvements
oClinical Attachment level
n Measure distance between ____ extent of probing depth and ____ reference on tooth
pApical extent of restoration and/or CEJ
color size 6 malposition contacts furcation
apical
fixed
(5)Dental Charting
oOcclusal examination n(a)Initial tooth contact n(b)Tooth \_\_\_\_ n(c)\_\_\_\_ contacts n (d)Jaw maneuverability
alignment
eccentric
(a)Initial Tooth Contact oBimanual manipulation
nIs there a CR to MI slide?
Yes:
Evaluate possible elevated ___
Evaluate ___ where initial contact occurs
Evaluate ___ on teeth involved in the slide
No:
muscle tone
tooth mobility
wear facets
(b)General Alignment
oTeeth adjacent to ____ spaces often shift
n ____ movement can affect fixed prosthodontics
pTipped teeth may affect ____
n May need ____ tooth movement
edentulous
small
preparation design
minor
(c)Lateral and Protrusive Contacts oNote \_\_\_\_ and \_\_\_\_ overlap oObserve \_\_\_\_ during protrusive oObserve lateral excursions n Verify with \_\_\_\_ oFremitus
vertical
horizontal
shim stock
(c)Lateral and Protrusive Contacts
oFremitus
n A ____ ____ when the teeth come into contact
vibration
palpable
(6)Radiographic Examination oEvaluate \_\_\_\_ of teeth oEvaluate \_\_\_\_ structure oCaries/recurrent caries oExisting restorations n \_\_\_\_ margins n \_\_\_\_ margins oPulpal health/abscess n \_\_\_\_ disease oPathology oPeriodontal ligament oOpen contacts
bone support root open overhanging periapical
(6)Radiographic Examination oFull periapical series
n Normally ____ for new patients to develop a comprehensive fixed prosthodontic treatment plan
n Limit to what is needed for ____
required
tx decisions
6)Radiographic Examination oPanoramic Films n Presence or absence of teeth n Assessing third molars and impactions n Evaluating bone before \_\_\_\_ n Screening \_\_\_\_
implant placement
edentulous arches
(6)Radiographic Examination
____ radiograph DOES NOT provide sufficient data for assessing bone support, root structure, caries, or periapical disease
A full periapical series is ____ for comprehensive fixed prosthodontic treatment plan
panoramic
required
(7)Vitality Testing oPulpal health must be assessed n \_\_\_\_ ptapping n \_\_\_\_ stimulation n \_\_\_\_ stimulation n \_\_\_\_ evaluation
percussion
thermal
electrical
radiographic
Diagnostic Information
accurate dx casts > ____ > articulator >
Evaluate occlusion and ____
Perform diagnostic procedures (ex. ____) Determine ____
maximum intercuspation/centric relation
occlusal plane
diagnositc waxing
treatment plan
Diagnostic Impressions o____ hydrocolloid (alginate)
n Control reaction rate with water temperature
pWarm > ____ set
pCold > ____ set
oPour immediately n \_\_\_\_ pAbsorbs water n \_\_\_\_ pGives off liquid Results in \_\_\_\_ of impression
irreversible faster slower imbition syneresis distortion
1)Tray Selection
irreversible hydrocolloid
oRetention n \_\_\_\_, perforations, \_\_\_\_ oLargest tray to fit comfortably n Greater bulk > more \_\_\_\_ oMaterial must be supported by \_\_\_\_ n May need to \_\_\_\_ tray with modeling compound or wax oTray movement n Causes \_\_\_\_
adhesive rim-lock accurate tray extend distortion
(2)Impression Making
irreversible hydrocolloid
oTeeth should be clean, but not excessively ____
nImpression may adhere to teeth
oMix to ____ consistency:
Wipe or syringe material into ____ of occlusal surfaces and ____ fold
Load tray
dry
homogenous
crevices
mucobuccal
(2)Impression Making irreversible hydrocolloid oTray is seated into patient’s mouth n Patient should \_\_\_\_ cheek muscles n “\_\_\_\_” pTo capture mucobuccal fold and underneath \_\_\_\_
relax
close gently
upper lip
(2)Impression Making
irreversible hydrocolloid
oRemove with a \_\_\_\_ nteasing results in \_\_\_\_ due to \_\_\_\_ flow oRinse and disinfect n\_\_\_\_ in plastic bag p10 minutes oPour within \_\_\_\_ minutes
snap distortion viscous glutaraldehyde 15
