1. Patient’s chart
Diagnostic procedures
1-patient’s history:
Personal & social details:
The name:
The age:
The address:
The telephone number:
The occupation:
The sex:
The physiological state:
The attitude to the denture:
b-the chief complaint:
The past medical history:
The past dental history:
-The cause of loss of the natural teeth and its duration:
-Which are missed first the anterior or the posterior teeth:
2-The clinical or the visual examination
a-The extra oral examination:
1-the facial appearance of the patient:
a-The lip:
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2. The length or the lip line: (low, medium or high lip line)
The form of the lip: (thin, medium, thick)
The vermillion border:
The angle of the mouth:
b-The face:
The shape of the face from front- facial view (square, tapered or oval)
The facial profile (straight, convex or concave)
The curvature of the mento-labial sulcus or the arch relationship (class I, II, III)
The muscles of the mastication and the muscles of the facial expression: (streashed, normal or flaccid)
2-The TMJ:
The range of the mandibular motion:
The detection of any clicking popping or crepitation:
3-extra-oral pathological lesion:
Presence of any abscess, cyst, ulcer or facial asymmetry
b-The intra-oral examination:
1-the oral mucosa and the border tissues (the oral vestibule):
The resiliency: (firm, resilient, (displaceable or flabby ridge)…… use cusp less teeth)
The color: (pink or red in color)
The condition: (healthy, irritated or pathologic)
The frenal attachment: (high, normal or low)
2-the dental arch:
The size: (large, moderate or small)
The form: (square, tapering or ovoid)
3-the contour of the residual ridge:
(Normal (U- shaped), flat (resorbed), knife edge (v shape) or undercut ridge)
The areas being relieved:
3. 4-the upper and lower arch relationship:
Angle class (I: normal, II: retro-gnathia, III: pro-gnathia)
5-the parallelism between the upper and lower residual ridges:
They are parallel or diverge anteriorly
6-the depth of the palatal vault:
Flat, medium or high and narrow palatal vault
7-the type of the soft palate:
Class I (genital curvature), class II (medium curvature), class III (sharp curvature)
8-the inter-arch space:
Limited, moderate, excessive inter arch space
9-the salivary secretion:
The amount of secretion: (Normal, excessive or insufficient)
The consistency of the saliva: (thin watery or thick ropy)
10-the tori: (absent, small, large)
11-the tone of the facial muscles:
Tense, normal, weak muscle tone
