patient assessment and exam Flashcards
what can having a relaxed conversation with your px tell you?
aesthetics retention speech face height support of face tissues
what questions should be asked in a full denture history?
why were teeth lost how long have they worn dentures how many dentures have they had have they got a favourite have they got a preferred design do they prefer metal/acrylic
during a medical history what problems might be revealed?
attending for tx
procedure tolerance
living with dentures
eg arthritis, neuromuscular
what should be asked in a social history?
living-alone/supported/care distance travelled-ability to attend accompanying person hobbies eg trumpet smoking alcohol diet
what should be checked in an extra-oral exam?
lower facial height nasio-labial angle facial support smile line aesthetics of existing dentures abnormalities limited opening
what should be done in a general exam?
chart remaining teeth and any caries or restorations
basic PDE
-perio disease=flat ridge
what is included in a general soft tissue exam?
tongue floor of mouth buccal mucosa hard palate soft palate
what is included in residual ridge exam?
number position length ridge form any displaceable tissue
what should be examined in the denture bearing area?
feel ridges with your finger look for soft tissue undercuts sulcus depth frenum position appearance -healthy -any trauma -denture stomatitis
describe craddock class 1
tooth borne
saddles supported on both sides by substantial abutments
describe craddock class 2
mucosa borne
vertical biting forces resisted entirely by soft tissues
describe craddock class 3
combination
tooth supported at only one end of saddle
what may you discover about abutment teeth after exam?
caries
periodontitis
endodontic problems
what may radiographs tell you about abutment teeth?
long term prognosis
bone support
root length
what other special tests can be used?
electric pulp test
thermal test
6-point pocket chart
clinical photos
