PERIODONTAL CHART
Presented by : Pola Barakat
Makarios Heshmat
Shady Essam
Expectation
s
Reality ^_^
1- Administrative chart
(Patient identification)
Name Sex Age
Marital status Address Occupation
Birth place Phone number
Parent or
guardian name ,
number or
address if child
2- History
CHIEFCOMPLAINT
COMFORT
PAIN
SENSETIVITY
SWELLING
FUNCTION
MASTICATION
SPEECH
SOCIAL
BAD TASTE
BAD ODOR
APPEARNCE
DICOLORATION
FRACTERE
Historyofchief
complaint
Onset
Duration
Character and
severity
Course
Location and
site
Distribution
Percipitating
factor
Relieving factor
Associated
phenomenon
Previous
medication
Dentalhistory
Extraction
Missing teeth
Filling
restorations
Root canal
filling
Fixed
prostheses
Removable
prosthesis
Orthodontic
therapy
Local
anaesthesia
Medicalhistory Heart disease
Hepatitis
Diabetes
Allergy
Previous
Medication
Pregnancy
(female)
Familyhistory&
Personalhabits
Hereditary
diseases
Smoking
Teeth grinding
Mouth
breathing
Oral hygiene
3- Clinical Examination
Clinical
examination
Extra oral
examination
Intra oral
examination
Extra oral
examination
General
examination
Physical
appearance
Extremities,
fingers
Skin
Examination
of the Head
&Neck area
Facial
symmetry
Parotid gland
TMJ
Ear, Eye,
Hear
Lymph nodes
examination
Intraoralexamination
Oral hygiene status
Examination of the
area of chief complaint
Soft and hard tissues
Examination
Gingiva
Soft palate
Hartd palate
Labial and Buccal
Mucosa
tongue
Floor of the Mouth
Salivary glands
Teeth and Occlusion
Examination of teeth
Mobility
Discoloration
Furcation involvement
Caries
Extracted teeth
Filling restoration
Restoration ( fixed or removable)
‫؟؟‬ ‫زهقتوا‬!!!!!
Laboratory Investigations
Diagnosis
Treatment Plan
Review of systems (ROS)
Periodontal chart

Periodontal chart