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DENTAL EXAMINATION
SYPTOMATOLOGY
INSPECTION
PALPATION
Palpation of lymph node
INSPECTION
Simplest and earliest method of diagnosis
3 ‘c’ inspected
Soft tissue
• Color - pink
• Contour – change in any pathology
• Consistency – spongy ,firm, soft
Hard tissue
• Color – white
• Contour – normal shape
• Consistency –hard
PALPATION
With the help of index finger tip
Palpate gingiva and tooth – feel tenderness ,location of pain, hardness
PERCUSSION
With the help of handle of instrument or index finger
Advice patient to rise his/her hand when feel pain
Percussion – vertical and horizontal
Response
+ve periodontitis
-ve normal or chronic periapical inflammation
MOBILITY TEST
With the help of handle of instrument or index finger
Grasp tooth from the crown and move anterior – posteriorly or mesial - distal
Grading
• 0 – no mobility or physiological mobility
• 1 – mobile up to 0.5 mm
• 2 – 0.5 to 1.5 mm
• 3 – more than 1.5 mm mobility
THERMAL TEST
2 Types – heat and cold test
• Heat test – perform with the help of hot air/hot water/hot gutta purcha
• Cold test – Co2 snow/ice stick
 Isolate each quadrant
 Stimuli on the control teeth on mesio-labial or occluso-buccal surface
 Response
• No response – non vital tooth / false due to truma or calcification
• Painful response – subside when stimuli removed – reversible pulpitis
- not subside when stimuli removed – irreversible pulpitis
• Moderate response - normally
dental examination.pptx
dental examination.pptx
dental examination.pptx
dental examination.pptx
dental examination.pptx
dental examination.pptx
dental examination.pptx
dental examination.pptx

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dental examination.pptx

  • 5.
  • 6. INSPECTION Simplest and earliest method of diagnosis 3 ‘c’ inspected Soft tissue • Color - pink • Contour – change in any pathology • Consistency – spongy ,firm, soft Hard tissue • Color – white • Contour – normal shape • Consistency –hard
  • 7.
  • 8. PALPATION With the help of index finger tip Palpate gingiva and tooth – feel tenderness ,location of pain, hardness PERCUSSION With the help of handle of instrument or index finger Advice patient to rise his/her hand when feel pain Percussion – vertical and horizontal Response +ve periodontitis -ve normal or chronic periapical inflammation
  • 9.
  • 10. MOBILITY TEST With the help of handle of instrument or index finger Grasp tooth from the crown and move anterior – posteriorly or mesial - distal Grading • 0 – no mobility or physiological mobility • 1 – mobile up to 0.5 mm • 2 – 0.5 to 1.5 mm • 3 – more than 1.5 mm mobility
  • 11.
  • 12.
  • 13. THERMAL TEST 2 Types – heat and cold test • Heat test – perform with the help of hot air/hot water/hot gutta purcha • Cold test – Co2 snow/ice stick  Isolate each quadrant  Stimuli on the control teeth on mesio-labial or occluso-buccal surface  Response • No response – non vital tooth / false due to truma or calcification • Painful response – subside when stimuli removed – reversible pulpitis - not subside when stimuli removed – irreversible pulpitis • Moderate response - normally