1. Oral Diagnosis And Treatment Planning
Ch 28
Oral Diagnosis
And
Treatment Planning

2. Exam and Dx Techniques Visual Evaluation
Overall assessment of previous dental care and existing conditions
Soft tissue—pink and uniform in color
Tooth structure—uniform in color and morphologically sound and intact
Dentist uses mouth mirror and dental light
Restorations—evaluate for discrepancies and complete coverage of tooth structure
Missing teeth

3. Palpation Examination technique
Use fingers and hands to feel for texture, size and consistency of hard and soft tissue

4. .
Instrumentation
The type of instruments selected should accomplish the following
Detection
Use of a sharp pointed explorer, to detect imperfections in enamel surfaces--decay
Probing
To measure the sulcus for loss of gingival attachment or bone loss

5. Radiography Used in the examination: Identify Decay
Defective restorations
Advanced periodontal conditions
Pathology
Developmental conditions
Other abnormalities

6. Intraoral Imaging Used like a miniature video camera
Allows the dentist to use computer monitor
Provides
Magnification of an image for evaluation
Easier access for areas that are difficult to view
Access to photocopy for insurance verification
Case simulation or case presentation
Medical and legal documentation

7. Photography Intraoral Extraoral
Provides visual means of ID and understanding of specific problems

8. Black’s Classification of Cavities
Pits and fissures posterior teeth
Class II
Proximal surfaces of posterior teeth
Class III
Proximal surfaces of anterior teeth
Class IV
Proximal surfaces of anterior teeth including incisal edges
Class V
Gingival 1/3 of facial or lingual surfaces of all any tooth
Class VI
Incisal edge of anteriors and/or cusp tips of posterior teeth

9. Tooth Numbering Systems
Universal Numbering System
1-32 , right to left
International Standards Organization system
Two-digit number to each tooth, UR 1, UL 2, LL 3 and LR 4
Palmer Notation System
Brackets for four quads

10. Color Coding Red Blue Black Condition that needs to be done
Condition that has already been done
Black
Existing may not need any treatment

11. Charting Symbol Know how to chart each type of condition
Refer to your complete in class charts

12. Abbreviations Know each abbreviation for single surfaces
Know each abbreviation for multiple surfaces

13. Soft tissue examination
Complete examination of
Cheeks
Mucosa
Lips
Lingual and facial alveolar bone
Palate
Tonsil area
Tongue
Floor of mouth
Visual and palpation

14. Examination and charting teeth
Thorough assessment of each tooth
Using instruments, check each surface of each tooth and detect findings

15. Examination and Charting of Periodontium
Assess tissue that support the teeth
Gingiva
Cementum
Periodontal ligament
Alveolar
Supporting bone structures
Using radiographs

16. Types of Treatment Plans
Level I: Emergency Care
Relieves immediate discomfort
Level II: Standard Care
Restores the dentition to normal function
Level III: Optimum Care
Restores the dentition to maximum function and an esthetically pleasing result.
KNOW these in detail

17. Treatment Plan Presentation
Case presentation is done in private setting, such as a conference room or office
Items to have available
Before and after photos
Diagnosis cast of similar cases and patient cast
Models of proposed appliances, ie dentures, implants, crowns, etc
Patient chart
X-rays
Treatment plans

18. Treatment plans as well as patient charts are legal documents
Must be done in blue or black ink
Must be clear, concise and legible