1. Chapter 7 Dental Charting
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2. 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
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3. 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
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4. 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
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5. 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
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6. Palmer System for Numbering1
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
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7. Computerized/Automated Dental Charting
Standardization
More efficient
Fewer mistakes
Light pens used to highlight and color
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8. 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
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9. Cavity (Caries) Classifications
Class II (Compound, Complex)
Proximal surfaces on the posterior teeth
MO restoration
MOD restoration
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10. Cavity (Caries) Classifications
Class III (Simple)
Interproximal surface of anterior teeth
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11. Cavity (Caries) Classifications
Class IV (Compound)
Interproximal surface of anterior teeth and include the incisal edge
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12. Cavity (Caries) Classifications
Class V (Simple)
Cervical third of the facial or lingual surface of the tooth
Occurs because patient often sucks on sweets
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13. 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
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14. Abbreviations of Tooth Surfaces
Simple: cavity involving one tooth surface
I: incisal
M: mesial
D: distal
B: buccal
O: occlusal
F: facial
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15. 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
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16. Abbreviations of Tooth Surfaces
Complex: more than two tooth surfaces
MOD: mesio-occluso-distal
MODBL: mesio-occluso-disto-bucco-lingual
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17. 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
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18. 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
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19. 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
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20. 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
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21. 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
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22. Basic Charting Terms
Root canal: removal of pulp and replacement of filling material
Sealant: resin material
Used to seal pits
Prevent potential decay
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23. Charting Color Indications and Symbols
Red: work that needs to be done
Blue: indicates completed work
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