Oral Diagnosis The foundation for building a healthy practice.
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Transcript of Oral Diagnosis The foundation for building a healthy practice.
![Page 1: Oral Diagnosis The foundation for building a healthy practice.](https://reader036.fdocuments.net/reader036/viewer/2022062305/5697bfc51a28abf838ca6d76/html5/thumbnails/1.jpg)
Oral Diagnosis
The foundation for building a healthy practice
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Listen to your patient: Open ended questions
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Consider the whole patient
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Blood pressure
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Full mouth series
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Panoramic radiograph
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Anterior peri-apical (PA)
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Posterior PA
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BW radiograph
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Mixed Dentition
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Abnormal path of eruption
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Soft tissue exam
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Common Pathology
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Gingivitus
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Gingivitus
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Gum recession
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Canker Sores
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Cold sores (Herpes simplex)
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Fistula
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Amalgam tatoo
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Geographic tongue
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Mandibular Tori
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Pericornitus
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Fibrous Hyperplasia
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Oral Yeast infection (Candida)
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The golden question
• How long has it been there?• “When in doubt, cut it out”• “Oral CDX”
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TMJ dysfunction
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Cervical Lymph Glands
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Periodontal evaluation
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Periodontal Screening and Recording (PSR)
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Orthodontic Evaluation
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Cosmetic Evaluation
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• SMILE EVALUATION FORM• Patient Name ________________________________________ Date ____________• Size and outline form
– Width of centrals __________– Length of centrals __________– W/L ratio __________ (75-80%)– Golden proportions ____:_____:____ (1.6:1:0.6)
• Midline and canting– Is the midline centered?– Is the smile canted
• Axial Inclination– The teeth are properly mesially inclined– Mesial/distal incline which need correction– Leave teeth as is, even though not properly inclined
• Lip line vs. Incisal edge of teeth– Incisal edges properly follows lip line– Reverse smile– Deficiency (describe)
• Extra hard tissue guidelines– Contact points proper (gingival migration posteriorly)– Gradation of teeth proper– Arch form proper– Correction necessary
• Soft tissue conditions– Good gingival symmetry/ correction– Good height and contour/ correction– Gingival zenith correct/ correction
• Occlusion– Molar occlusion _______– Crowding _______– Deep bites _______– Cross bites _______– Evidence of bruxing _______
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Treatment Planning
• Educate your patient• Prioritize• Minimize anesthetic• Present different options as needed• Work out finances before starting• Schedule consults for complex
treatment plans.
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Dental politics
• How do you tell someone that their dental work is defective?