Chapter 7 Dental Charting Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED.

Dental Charts Most have two areas Dental charting Record treatment Most show permanent and primary dentition Anatomical: show both crown and root Geometric: show teeth as circles Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED.

Numbering Systems Universal/National System Developed in 1968 Most commonly used in the United States Fédération Dentaire Internationale System Canada and European countries use this Easily adapted by computer and is widely used in most countries Palmer System Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED.

Universal/National Numbering and Lettering System Third molars 1 8 9 16 32 25 24 17 Maxillary right Maxillary left Mandibular right Mandibular left Permanent teeth Second molars A E F J K T P O Maxillary right Maxillary left Mandibular right Mandibular left Primary teeth Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED.

Fédération Dentaire Internationale System for Numbering Maxillary right quadrant “1” Maxillary left quadrant “2” Mandibular right quadrant “4” Mandibular left quadrant “3” Permanent teeth 1 8 Third molars 1 Second molars 5 Maxillary right quadrant “5” Maxillary left quadrant “6” Mandibular right quadrant “8” Mandibular left quadrant “7” Primary teeth Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED.

Palmer System for Numbering 1 Maxillary left quadrant Mandibular left quadrant 8 Permanent teeth Mandibular right quadrant Maxillary right quadrant A E Primary teeth Maxillary left quadrant Mandibular left quadrant Maxillary right quadrant Mandibular right quadrant Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED.

Computerized/Automated Dental Charting Standardization More efficient Fewer mistakes Light pens used to highlight and color Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED.

Cavity (Caries) Classifications Class I (Simple) Developmental cavities in pit and fissures of teeth located in Occlusal surfaces of posterior teeth Buccal or lingual pits on the molars Lingual pit near the cingulum of the maxillary incisors Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED.

Cavity (Caries) Classifications Class II (Compound, Complex) Proximal surfaces on the posterior teeth MO restoration MOD restoration Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED.

Cavity (Caries) Classifications Class III (Simple) Interproximal surface of anterior teeth Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED.

Cavity (Caries) Classifications Class IV (Compound) Interproximal surface of anterior teeth and include the incisal edge Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED.

Cavity (Caries) Classifications Class V (Simple) Cervical third of the facial or lingual surface of the tooth Occurs because patient often sucks on sweets Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED.

Cavity (Caries) Classifications Class VI (Simple) Not part of original standard classification Later identified in order to more clearly label cavities that involve the incisal or occlusal surface worn away from abrasion Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED.

Abbreviations of Tooth Surfaces Simple: cavity involving one tooth surface I: incisal M: mesial D: distal B: buccal O: occlusal F: facial Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED.

Abbreviations of Tooth Surfaces Compound: two tooth surfaces DO: disto-occlusal MO: mesio-occlusal MI: mesio-incisal DI: disto-lingual LI: linguo-incisal DL: disto-lingual OB: occlusobuccal Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED.

Abbreviations of Tooth Surfaces Complex: more than two tooth surfaces MOD: mesio-occluso-distal MODBL: mesio-occluso-disto-bucco-lingual Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED.

Basic Charting Terms Abscess: localized area of infection Bridge: prosthetic device placed between teeth covering space Abutments: attaching sides Pontic: middle area Cantilever bridge: attached to one side Maryland bridge: wings on the pontic that are attached to the lingual sides of the adjacent teeth Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED.

Basic Charting Terms Crown (cap) Denture Gold, porcelain, stainless steel, or plastic Permanent or temporary Anterior or posterior Denture Full dentures are needed if all natural teeth in one arch are missing Partial denture is needed if some natural teeth are missing Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED.

Basic Charting Terms Drifting: when a tooth is removed, opposing teeth may move/erupt in space Gold foil: restoration created when several layers of pure gold are placed in preparation; not commonly used today Incipient: beginning decay that has not broken through the enamel Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED.

Basic Charting Terms Mobility: when tooth moves in the socket Due to periodontal disease or trauma Numbering system is used to record how many millimeters the tooth moves Overhang: excessive restorative material Found interproximally near the gingiva Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED.

Basic Charting Terms Periodontal pocket: space in the gingival sulcus created by periodontal disease Healthy depth is 1 to 3 mm; beyond that is considered a pocket Restoration: replacing the tooth structure Often referred to as fillings Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED.

Basic Charting Terms Root canal: removal of pulp and replacement of filling material Sealant: resin material Used to seal pits Prevent potential decay Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED.

Charting Color Indications and Symbols Red: work that needs to be done Blue: indicates completed work Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED.