Examination, Diagnosis and

Treatment planning in patients with

Complete Denture.
Case history and examination
and diagnosis of patient.
CASE HISTORY.
The collected data about an individual, family,
environmental factors (including medical / dental
history ) and any other information that may be
useful in analyzing and diagnosing conditions or
for instructional purposes, best termed as the
patient history.
history. GPT 8
 A good clinician is one who is able to
diagnose potential problems during the
initial examination and suggest the best
treatment plan compatible with the age,
physical, mental and financial status of
the patient.
 Recording General Information

NAME:
AGE:
SEX:
OCCUPATION:
O.P.NO.
ADDRESS:
TELEPHONE NUMBER:
CHIEF COMPLAINT: IN PATIENTS OWN WORDS
OTHERS.
KMASTICATION, ESTHETICS, PHONETICS, OTHERS.
HISTORY OF PRESENT ILLNESS:
PATIENTS EXPECTATIONS:
PAST MEDICAL HISTORY:
- CARDIOVASCULAR DISEASES.
K RESPIRATORY DISEASES.
K DIABETES.
K NEUROLOGIC DISEASES.
K BLOOD DYSCRASIAS.
K SKIN DISORDERS.
KRHEUMATOID ARTHRITIS / BONE DISORDERS.
- HEPATITIS.
- IMMUNE DISORDERS.
KORAL MALIGNANCIES.
CURRENT MEDICATION:
NUTRITIONAL STATUS:
PSYCHOLOGICAL EVALUATION:
DE VAN STATED ³MEET THE MIND OF THE
PATIENT BEFORE MEETING THE MOUTH OF THE
PATIENT.´
MM HOUSE CLASSIFICATION.
CLASS I - PHILOSOPHICAL.
CLASS II - EXACTING.
CLASS III - HYSTERICAL.
CLASS IV - INDIFFERENT.

HABITS: PANCHEWING, SMOKING,

ALCOHOL CONSUMPTION, PARAFUNCTIONAL
HABITS.

DENTAL HISTORY:
REASONS FOR LOSS OF TEETH.
CARIES, PERIODONTAL, CONGENITAL,
TRAUMA, OTHERS.
SEQUENCE OF LOSS OF TEETH
MAXILLA / MANDIBLE.
ANTERIOR / POSTERIOR.

DURATION OF COMPLETE EDENTULOUSNESS.

PREVIOUS DENTURE EVALUATION.
PATIENTS COMMENTS ON COMFORT, CHEWING EFFICIENCY,
ESTHETICS, SPEECH, SORENESS, OTHERS.
OPERATORS EVALUATION ON VERTICAL DIMENSION,
RETENTION, STABILITY, OCCLUSION, ARTICULATION, ESTHETICS,
DENTURE HYGIENE, PARAFUNCTIONAL HABITS.
CLINICAL EXAMINATION
EXTRA ORAL EXAMINATION
BUILT / GAIT OF THE PATIENT.
PHYSICAL DEFORMITIES.
FACIAL SYMMETRY.
FACE FORM. HOUSE, FRUSH AND FISHER
--SQUARE.
--SQUARE.
--SQUARE
--SQUARE TAPERING.
--TAPERING.
--TAPERING.
--OVOID.
--OVOID.
FACE PROFILE. EDWARD HENRY ANGLE
-CLASS I NORMAL.
-CLASS II RETROGNATHIC.
-CLASS III PROGNATHIC.

SKIN COLOUR.
LYMPH NODE EXAMINATON
LIP:
LENGTH. ± LONG , MEDIUM, SHORT
THICKNESS. THICK , THIN.
TONICITY.--
TONICITY.
NORMAL, HYPOTONIC, HYPERTONIC
LIP CONTACT.
--CLASS
--CLASS I,
--CLASS
--CLASS II.
--CLASS
--CLASS III
LIP SUPPORT. ADEQUATE , INADEQUATE.
LIP LINE. HIGH, LOW, NORMAL.
LIP MOBILITY.
CLASS I ± NORMAL.
CLASS II ± REDUCED MOBILITY.
CLASS III ± PARALYSIS.
WRINKLES.
NASOLABIAL FOLD.
PHILTRUM ›

TMJ EXAMINATION.
EXTRA AURICULAR AND INTRA AURICULAR.
TENDERNESS, DISCOMFORT.
CREPITUS.
MANDIBULAR MOVEMENTS.

NEUROMUSCULAR CONTROL.
CLASS I EXCELLENT
CLASS II FAIR
CLASS III POOR

SPEECH. NORMAL / AFFECTED

INTRA ORAL EXAMINATION