The foundation for building a healthy practice Listen to your patient Open ended questions Consider the whole patient Blood pressure Full mouth series Panoramic radiograph Anterior periapical PA ID: 624832
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Slide1
Oral Diagnosis
The foundation for building a healthy practiceSlide2
Listen to your patient: Open ended questionsSlide3
Consider the whole patientSlide4Slide5Slide6
Blood pressureSlide7
Full mouth seriesSlide8
Panoramic radiographSlide9
Anterior peri-apical (PA)Slide10
Posterior PASlide11
BW radiographSlide12Slide13Slide14
Mixed DentitionSlide15
Abnormal path of eruptionSlide16
Soft tissue examSlide17
Common PathologySlide18
GingivitusSlide19
GingivitusSlide20
Gum recessionSlide21
Canker SoresSlide22
Cold sores (Herpes simplex)Slide23
FistulaSlide24
Amalgam tatooSlide25
Geographic tongueSlide26
Mandibular ToriSlide27
PericornitusSlide28
Fibrous HyperplasiaSlide29
Oral Yeast infection (Candida)Slide30
The golden question
How long has it been there?
“When in doubt, cut it out”
“Oral CDX”Slide31
TMJ dysfunctionSlide32
Cervical Lymph GlandsSlide33Slide34
Periodontal evaluationSlide35
Periodontal Screening and Recording (PSR)Slide36Slide37
Orthodontic EvaluationSlide38
Cosmetic EvaluationSlide39
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 _______Slide40
Treatment Planning
Educate your patient
Prioritize
Minimize anesthetic
Present different options as needed
Work out finances before starting
Schedule consults for complex treatment plans.Slide41
Dental politics
How do you tell someone that their dental work is defective?