Treatment

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Treatment

  1. 1. Oral Diagnosis and Treatment Planning Chapter 28
  2. 2. Introduction <ul><li>Sound dental care begins with a thorough examination of the head and neck areas and the oral cavity. </li></ul>
  3. 3. Patients Will Seek Dental Care <ul><li>As a new patient </li></ul><ul><li>For an emergency of a specific problem </li></ul><ul><li>For consultation with a specialist </li></ul><ul><li>As a returning patient for continued care </li></ul>
  4. 4. Techniques Used for Assessment <ul><li>Visual evaluation : provides an overall assessment of existing conditions. </li></ul><ul><ul><li>Soft tissue </li></ul></ul><ul><ul><li>Tooth structure </li></ul></ul><ul><ul><li>Restorations </li></ul></ul><ul><ul><li>Missing teeth </li></ul></ul>
  5. 5. Techniques Used for Assessment-cont’d <ul><li>Palpation : the examiner’s fingers and hands are used to evaluate hard and soft tissue. </li></ul><ul><li>Instrumentation : the use of instruments to examine the teeth and surrounding tissues. </li></ul><ul><ul><li>Detection </li></ul></ul><ul><ul><li>Probing </li></ul></ul>
  6. 6. Techniques Used for Assessment-cont’d <ul><li>Intraoral and Extraoral Radiography provides indispensable tools for identifying: </li></ul><ul><ul><li>Decay </li></ul></ul><ul><ul><li>Defective restorations </li></ul></ul><ul><ul><li>Advanced periodontal conditions </li></ul></ul><ul><ul><li>Pathology </li></ul></ul><ul><ul><li>Developmental conditions </li></ul></ul><ul><ul><li>Abnormalities </li></ul></ul>
  7. 7. Fig. 28-3 and Fig. 28-4 Intraoral and extraoral radiographs
  8. 8. Techniques Used for Assessment-cont’d <ul><li>Intraoral Imaging allows the use of a video system: </li></ul><ul><ul><li>To magnify an image for better evaluation </li></ul></ul><ul><ul><li>For easier access to difficult areas </li></ul></ul><ul><ul><li>For photocopying images for insurance </li></ul></ul><ul><ul><li>For case simulation or presentation </li></ul></ul><ul><ul><li>For medical and legal documentation </li></ul></ul>
  9. 9. Fig. 28-5 Intraoral imaging
  10. 10. Techniques Used for Assessment-cont’d <ul><li>Intraoral and Extraoral Photography </li></ul><ul><ul><li>Provides a visual means to identify and understand specific problems. </li></ul></ul>
  11. 11. Fig. 28-6 Photography used in dentistry
  12. 12. Recording the Dental Examination <ul><li>Specific criteria required to know prior to charting: </li></ul><ul><ul><li>Black’s classification of cavities </li></ul></ul><ul><ul><li>Tooth diagrams </li></ul></ul><ul><ul><li>Tooth numbering systems </li></ul></ul><ul><ul><li>Color coding </li></ul></ul><ul><ul><li>Charting </li></ul></ul>
  13. 13. Fig. 28-7 Black’s classification of cavities
  14. 14. Fig. 28-8 Anatomic diagram for charting
  15. 15. Fig. 28-9 Geometric diagram for charting
  16. 16. Fig. 28-10 A, Universal numbering system
  17. 17. Fig. 28-10 B, ISO/FDI numbering system
  18. 18. Fig. 28-9 C, Palmer Notation System
  19. 19. Fig. 28-11 Color coding in charting (Courtesy of Eaglesoft)
  20. 20. Soft Tissue Examination <ul><ul><li>Extraoral Features </li></ul></ul><ul><ul><ul><li>Face, neck, tissue changes, skin abrasions, lips </li></ul></ul></ul><ul><ul><ul><li>Cervical lymph nodes </li></ul></ul></ul><ul><ul><ul><li>Temporomandibular joint </li></ul></ul></ul><ul><ul><ul><li>Oral habits </li></ul></ul></ul><ul><ul><li>Intraoral Features </li></ul></ul><ul><ul><ul><li>Interior of the lips </li></ul></ul></ul><ul><ul><ul><li>Oral mucosa </li></ul></ul></ul><ul><ul><ul><li>Tongue </li></ul></ul></ul><ul><ul><ul><li>Floor of the mouth </li></ul></ul></ul>
  21. 21. Examination and Charting of the Periodontium <ul><li>Specific periodontal findings to be recorded: </li></ul><ul><ul><li>Overall health condition of gingiva </li></ul></ul><ul><ul><li>Signs and location of inflammation </li></ul></ul><ul><ul><li>Location and amount of plaque and calculus </li></ul></ul><ul><ul><li>Areas of unattached gingiva </li></ul></ul><ul><ul><li>Areas of periodontal pockets measuring greater than 3 mm </li></ul></ul><ul><ul><li>Presence of furcation involvement </li></ul></ul><ul><ul><li>Dental mobility scale </li></ul></ul>
  22. 22. Dental Mobility Scale
  23. 23. Description of Probing Scores
  24. 24. The Treatment Plan <ul><li>Levels of Care </li></ul><ul><ul><li>Level I, Emergency Care : relieves immediate discomfort. </li></ul></ul><ul><ul><li>Level II, Standard Care : restores to normal function. </li></ul></ul><ul><ul><li>Level III, Optimum Care : restores to maximum function </li></ul></ul><ul><li>Treatment Plan Presentation </li></ul><ul><li>Recording Dental Treatment </li></ul>

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