NORMA I.

TECHNICAL odontographs PURPOSE: To improve the management of tooth prin ts in order to provide standardized information, protect the legal interests of users and the responsibilities of health professionals and the dental service es tablishments. II. OBJECTIVES: 1. Standardize the chart and the basic nomenclatur e for recording of findings in the odontogram, which allow dentists to handle th e same information. 2. Establish criteria for recording data on the anomalies an d pathologies of the teeth and the use and management of tooth prints, in variou s production units of dental services, can be used in clinical, legal, forensic, statistical, research or teaching. SCOPE: This technical standard is mandatory for dentists in public and private institutions and the private practice through out the country. • • • • • • • • • • V. LEGAL BASIS: 1993 Constitution of Peru. Law No. 26 842, the General Health Law. Law No. 27 604, which amends the General Health Law in Articles 3 and 39. Supreme Decree N º 014-2002-SA, which approved the Regulations of the General Health Law. Law No. 27 604, Law of the Ministry of Health. Supreme Decree 023-2005-SA approving the Regulations of organization and functions of the Ministry of Health. Ministerial Resolution No. 776-2004/MIN SA Technical Standards adopted by the clinical history of Health Facilities in t he Public and Private. Law No. 27 878, Labour Law Dentist. Supreme Decree 016-20 05-SA which approved the Regulations of the Dentist Act. Code of Ethics and Prof essional Conduct of the clinics in Peru. III. IV. GENERAL PROVISIONS: 1. The odontogram should be part of the Summary of Dental an d Medical History. 2. The numbering system for odontogram should be two, or bina ry digit system proposed by the International Dental Federation and accepted by the World Health Organization. 3. The odontogram be developed individually for e ach patient during the first dental appointment and will be unchanged. 4. In par allel, should develop a odontogram to register the evolution of dental treatment . 5. In the initial odontogram must register only observed in the time of examin ation and should not sign the treatment plan. 6. Each record is made in the odon togram must respect proportionately the size, location and method of the finding s. 7. For the recording of finds in the odontogram only used the colors red and blue. 8. In the boxes corresponding to the teeth where you specify the type of treatme nt is recorded in blue stands when treatment is in good condition and in red whe n you are in poor condition. Any processing time will be recorded in red. 9. In the area of specifications should explain, identify, clarify with the findings t hat individuality can not be recorded graphically. 10. In the event that a tooth this more of an anomaly, these should be recorded in the item specifications. 1 1. The radiographic findings should be entered in the odontogram. 12. The graph in odontogram provisions of this rule is unique, and must be printed in black. T he crown must be at least an inch square and the root will be proportional to th is. (See Annex II). 13. The odontogram must be completed without emendations or deletions. For any change to occur by treating the professional responsible must record and sign the modification made to the item specifications. 14. Dental sp ecialties may add other classifications related to his field, but not modify or contradict well established by this rule. 15. The odontogram should be developed in a maximum time of 10 minutes. VI. SPECIFIC PROVISIONS: 1. The record of the findings will be made through the following notation: 1.1. Fixed orthodontic app liances square draw a cross inside, at the apices of the teeth which correspond to the ends of the orthodontic appliance, combining both squares with a straight line. The drawing will be blue when the unit is in good condition and in red wh en you are in poor condition. Specifications will be detailed in the type of app liances found. REMOVABLE orthodontic appliances will draw a line in zig-zag blue to match the tips of the maxillary teeth in treatment and this should be red wh en the unit is in poor condition.€Specifications will be detailed in the type of

appliances found. CARIES should draw the following carious lesion shape in the tooth surfaces will be fully committed and painted red. FINAL CROWN will draw a blue circle, which encloses the crown of the tooth presented by this treatment. In the corresponding box enter the symbol of the type of crown in capital letter s and blue. Complete = Corona Corona Corona Metal Ceramics fenestrated = Partial = CC = Crown (Only Metal Crowns) CF CMC (Corona completely coated metal veneer material) 3 / 4, 4 / 5, 7 / 8 (Only partial crown metal) 1.2. 1.3. 1.4. Veneer Corona Corona Jacket = = CJ CV (Corona metal front teeth) (Corona aesthetic metal-free) Specifications must be registered in the metal color of the crown, gold or silve r. 1.5. TEMPORARY CROWN draw a red circle, which encloses the crown of the tooth to provide this treatment. WEAR occlusal / incisal. Be recorded with the letter s "DES" in capital letters, blue, box corresponding to the tooth that has this f eature. Diastema will draw the sign of the blue inverted parentheses, between th e teeth that have this feature. 1.6. 1.7. 1.8. A missing tooth blade is drawn in blue on the figure of the tooth that is not ob served. TOOTH dyschromic be recorded with the letters "DIS" in uppercase, blue i n the box on the tooth that has this feature. Ectopic tooth was recorded with th e letter "E" in upper, blue, inside the box on the tooth that has this feature. Peg teeth will draw a blue triangle by limiting the number that corresponds to t he tooth that has this feature. Extruded tooth is drawn a blue arrow pointing to wards the occlusal plane of the tooth that has this feature. Intruded tooth will draw an arrow blue vertical line, directed toward the apex of the tooth that ha s this feature. 1.9. 1.10. 1.11. 1.12. 1.13. 1.14. Complete edentulism draw a horizontal line in blue on the crowns of the teeth ed entulous maxilla absent. FRACTURE a straight line is drawn in red, in the sense of the fracture on the figure of the crown and / or root as appropriate. Geminat

ion / FUSION intercepted two circles are drawn in blue, enclosing the numbers co rresponding to the teeth with those characteristics. GIROVERSION will draw a blu e curved arrow following the direction of the giroversión, at the occlusal plane . 1.15. 1.16. 1.17. 1.18. Impaction: Record the letter "I" capitalized, blue in the box on the tooth that has this feature. 1.19. IMPLANT Record the letters "IMP" in uppercase, blue in the box on the tooth repl aced. 1.20. Macrodontia be recorded with the letters "MAC" in uppercase, blue, box correspon ding to the tooth that has this feature. Microdontia be recorded with the letter s "MIC" in uppercase, blue, box corresponding to the tooth that has this feature . 1.21. 1.22. MIGRATION is drawn, an arrow blue horizontal line following the direction of mig ration at the occlusal plane. 1.23. MOBILITY be recorded in blue, with the letter "M" in capital letters, followed b y the Arabic number representing the degree of tooth mobility in the box on the tooth that has this feature. Specifications indicates the type of classification used. FIXED PROSTHESIS will draw a horizontal line of blue color indicates the length of the bridge, with vertical lines on the pillars. Will be plotted at the apices of the teeth involved. When the prosthesis is in poor condition will be drawn in red. REMOVABLE DENTURE blue will draw two parallel horizontal lines at the apices of the teeth replaced. If the prosthesis is in bad shape you drew in red. The type of material will be recorded in the item specifications. TOTAL PRO STHESIS draw two lines are parallel and horizontal lines in blue on the crowns o f the maxillary teeth presented by this treatment. If the prosthesis is in bad s hape you drew in red. The type of material will be recorded in the item specific ations. 1.24. 1.25. 1.26. 1.27. REMAINING ROOT be recorded with the letters "RR" capital, red, on the root of th

e tooth concerned. RESTORATION: We must draw the restoration according to its fo rm in the areas involved and will be completely painted with blue. Box The symbo l for the type of material used in capital letters and blue. Amalgam = AM Resin Glass Ionomer = R = IV = IM Embedding Embedding Metal Aesthetic = IE TEMPORARY R ESTORATION 1.28. 1.29. Should be drawn in red outline of the restoration according to its form in the a reas involved. 1.30. SEMI-impaction: We recorded the letters "SI" in uppercase, blue in the box on the tooth that has this feature. 1.31. Supernumerary filed wi th the letter "S" capitalized enclosed in a blue circle, located between the tip s of the teeth adjacent to the supernumerary tooth. . 1.32. Transposition draw t wo blue arrows crossed curves, at the height of the numbers on the teeth that ha ve this feature. 1.33. Octopus TREATMENT draw a vertical line of blue, graphical representation of the root of the tooth presented by this treatment. Box The sy mbol for the type of pulp treatment, in capital letters and blue. TC = Root cana l. PC = pulpectomy. PP = pulpotomy. VII. RESPONSIBILITIES: 1. The central level through the Directorate General of Health of the People, will ensure the dissemination and monitoring of compliance with the above technical standards. 2. The disas and DIRESA as regional health author ities, will be responsible to implement, operationalize, monitor and supervise t he implementation of the Technical Standard odontographs. 3. The dentists of the various production units of dental services will be responsible for recording a nd proper use of tooth prints. FINAL PROVISIONS: 1. Institutions should dissemin ate this rule through their representatives, who participated in the development of tooth prints. 2. The implementation of this standard must be accompanied by training and information to staff of the dental service establishments. 3. Failu re to comply with the provisions of this rule will be punished according to exis ting administrative arrangements, the General Health Law and the Code of Ethics and Dental College, subject to any civil or criminal incurred. 4. The process of implementation of this standard will be progressively until six months after th e approval. VIII. The graph odontographs be as follows: IX. ANNEXES ANNEX I DEFINITION OF TERMS AMALGAM .- alloy of mercury with one or more metals than when freshly prepared s ilver is a soft paste that hardens subsequently becoming a crystalline structure . It is used to fill or restore the prepared teeth. ABNORMALITIES. State contrar y to nature. Alterations in size, shape, color, structure, and number of erupted teeth. CARIES .- destructive disease characterized by the dissolution of the or ganic component and demineralization of the inorganic component of hard tissues of the tooth. CORONAS .- In therapeutic terms are sleeves that cover the teeth, simulating the entire coronary anatomy, after they have been carved. FULL CROWN (CC) .- The fully covering the stump. CC is considered as the only complete meta l crowns. CORONA Fenestra (CF) .- Crown metal vestibular window. CORONA JACKET ( CJ) .- Corona metal-free aesthetic. CERAMIC METAL CROWN (CMC) .- Crown coated me tal core material completely aesthetic. PARTIAL CROWN .- Under this heading is c

onsidered the crown 3 / 4, 4 / 5, 7 / 8. TEMPORARY CROWN .- Corona is installed on an interim basis. VENEER CROWN Crown .- complete with front teeth. WEAR occlu sal / incisal .- is any loss of tooth structure at the occlusal or incisal produ ced gradually, appearing surfaces smooth, polished. The causes can be varied, in cluding abrasion, attrition, etc. Diastema .- Free space or gap between two teet h correlated. .- Missing tooth part that is not present because they were extrac ted by agenesis or being impacted. .- Ectopic tooth Tooth erupted outside where it belongs. DENTAL dyschromia .- Alterations of tooth color. Edentulous (toothle ss) .- Individuals with partial or total absence of teeth.€SPECIFY: Explain to d eclare something with individuality. EXTRUSION .- On eruption of a tooth toward the opposing arch, without their accompanying support structures in motion. FRAC TURE .- Rupture of the tooth trauma or spontaneously produced. FUSION .- Union o f two teeth or germs developing in a single structure. Gemination .- In one enam el organ form two teeth or trying to form. GIROVERSIÓN .- Rotation of a tooth ab out its longitudinal axis. .- Impacted teeth erupted not filed any physical barr ier in the eruption and has no communication with the oral cavity. IMPLANT .- Th is is a mechanical device that is installed in the bone to replace a missing too th root and thereby retain and support a prosthesis or artificial tooth. Embeddi ng .- Restoration consisting of the partial replacement of the crown of a tooth by direct or indirect method, in exact correspondence with the cavity carved by the operator, and were later tested and cemented. INTRUSION .- A condition in wh ich this tooth is that having reached the occlusal plane has been altered and wa s below him. .- Macrodontia volume anomaly in which the tooth is increased relat ive to its normal volume. .- Microdontia volume anomaly in which the tooth is de creased relative to its normal volume. MIGRATION spontaneous .- Displacement of a tooth after the eruption in any direction in the horizontal plane. MOBILITY PA THOLOGY .- Displacement of the tooth in its socket. Pulpectomy .- pulpal therapy involves removing the infected pulp and root coronal to retain the tooth by dis infection, debridement and filling of canals with a resorbable material. Pulpoto my .- pulp therapy in deciduous piece, which is the removal of cameral pulp. FIXED PROSTHESIS .- restores lost or missing teeth, using restorations cemented on abutments. REMOVABLE DENTURE .- restores lost or missing teeth in partially e dentulous and can be removed from its place. REMAINING ROOT .- root fragment fou nd in the tooth socket. COMPOSITE RESIN .- aesthetic restorative material compri sing an organic matrix, an inorganic filler and a bonding agent between them. RE STORATION .- Treatment consists in the reconstruction of the crown of a tooth. . - SEMI-Impacted teeth not fully erupted by a physical barrier interposed during the eruption. SUPERNUMERARY .- anomaly number, consisting of increasing the numb er of teeth that commonly occur bow. DENTAL TRANSPOSITION .- Change of two teeth when they erupt on-site one another. PULP TREATMENT .- Therapy of all or part o f the dental pulp in deciduous and permanent parts. TREATMENT OF CONDUCT .- pulp treatment in permanent teeth. ANNEX II odontographs PARTS