Dental examination template
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Dental examination template

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USE OF THIS TEMPLATE FOR EACH AND EVERY PATIENT CARE WILL HELP US IN GIVING OUR PATIENTS THE BEST DENTAL CARE POSSIBLE. THIS IS MADE IN A CONCISE FORMAT AND THEREFORE TOPICS LIKE MEDICAL HISTORY MUST ...

USE OF THIS TEMPLATE FOR EACH AND EVERY PATIENT CARE WILL HELP US IN GIVING OUR PATIENTS THE BEST DENTAL CARE POSSIBLE. THIS IS MADE IN A CONCISE FORMAT AND THEREFORE TOPICS LIKE MEDICAL HISTORY MUST BE ELABORATED.

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    Dental examination template Dental examination template Presentation Transcript

    • Dental Examination Template and Treatment Planning
    • Patient Details • Name • Sex • Age • Marital Status • Occupation • Date
    • HISTORY • PRESENTING COMPLAINT • HISTORY OF PATIENT’S PRESENTING COMPLAINT(S) • MEDICAL HISTORY • DENTAL HISTORY • SOCIAL HISTORY
    • Oral Hygiene Habit • Toothbrushing • Interdental Aids • Mouthwash • Tongue Cleaning
    • Personal History • Smoking • Drinking • Contact Sports • Other Habits • PARAFUNCTION
    • DIET • CHARTS • ANALYSIS
    • CLINICAL EXAMINATION • EXTRA-ORAL • ASYMMETRY • MOUTH OPENING • INTRA-ORAL • BPE
    • OCCLUSION • CLASS I / II / III • OVERJET / OVERBITE • ARCH SHAPE • CO:CR • RIGHT LATERAL • LEFT LATERAL • PROTRUSIVE
    • DENTITION • TEETH PRESENT • CARIES • RESTORATION • HARD TISSUE PATHOLOGY • RESTORATION FAILURES • IMPACTED TEETH
    • TOOTH SURFACE LOSS • ATTRITION • EROSION • ABRASION • ABFRACTION
    • SPECIAL TESTS • RADIOGRAPHS • DIAGNOSTIC CASTS • PULP TESTS • PHOTOGRAPHS • CBCT • SALIVA TESTS
    • DIAGNOSIS • DESCRIPTION ALONG WITH THE PROBABLE CAUSE
    • TREATMENT OBJECTIVES • AIMS AND OBJECTIVES OF TREATMENT
    • TREATMENT PLAN • BASED ON ALL THE FINDINGS • CUSTOMIZED INFORMED CONSENT SIGNED
    • KEY STAGES IN TREATMENT PROGRESS • ALONG WITH DIFFICULTIES AND CHALLENGES ENCOUNTERED
    • POST-TREATMENT PHOTOGRAPHS: EXTRA-ORAL AND INTRA-ORAL
    • TREATMENT APPRAISAL • MAY REQUIRE A CHANGE OF PLAN • PLAN FOR FUTURE MANAGEMENT • PROGNOSIS REVISITED
    • CUSTOMIZED • TREATMENT PLAN BASED ON FINDINGS • INFORMED CONSENT
    • LONG-TERM TREATMENT PLAN AND FUTURE CONSIDERATIONS • MAINTENANCE AND FURTHER
    • DISCUSSION AND REFLECTION • REFLECTIVE SUMMARY
    • REFERENCES • EVIDENCE BASED DENTISTRY