Tom

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Tom’s Examination Results

PART I: Pa7ent History

PART II: Examinaion
PART III: Radiographic Examina7on

Key:
In the coming slides you will see the results of the history and clinical and radiographic examina7ons.
indicates presence of a finding or condi7on,
indicates absence or no finding.
(I) Patient History - Tom Tom

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1. Chief complaint text styles
Reduced func)on and esthe)c concerns following loss of 2 teeth a5er two trauma
occasions. He can not bite off. For example apples

2. Local symptoms
o Pain
o Infec7on, Inflamma7on
o Bleeding gums
o Food impac7on
o Bad taste
o Tooth mobility, Migra7on
ý Impaired chewing func7on
ý Enough teeth o Yes ý No
ý Aesthe7c concerns
(I) Patient History - Tom Tom

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4. Oral hygiene text styles
ý Toothbrush
ý SoU o Medium o Hard
o Nylon o Natural ý Electric
ý Applica7on: 2 mins / 2 x daily
o Disclosing
ý Addi7onal aids
o Floss o Irrigator
o Tooth picks o Interdental brush
ý Fluoride
o Tablets o Gel o Mouth rinse
ý Toothpaste
Surgery 1 one year ago, before placing BioOss and BioGide
Surgery 2 (3 month ago)
Today, your examina7on
(I) Patient History - Tom Tom

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5. General medical risk assessment
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o Allergies
o Rheuma7c fever
o Cardiovascular diseases
o Blood diseases
o Neoplasms
o Diabetes
o Hepa77s o Hep. A o Hep. B o Hep. C
o Other
(I) Patient History - Tom Tom

6. Medica7on • Click to edit Master

o Insulin text styles
o Cor7costeroids
o Dilan7n
o An7coagulant
o An7bio7cs
o Immunosuppressives
o Others

7. Smoking history
o Smoke
ý Non-smoker
(II) Examination - Tom Tom

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1. Extraoral examina7on text styles
o Skin
o Head
o Eyes
o Neck
o Hands
o Pigmenta7on
o Halitosis
ý Other. Low lip line
(II) Examination - Tom Tom

2. Intraoral examina7on • Click to edit Master

o Lips
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o Labial mucosa
o Buccal mucosa
o Alveolar mucosa
o Hard palate
o SoU palate
o Tonsils
o Floor of the mouth
o Tongue
o Salivary glands o Saliva
 (II) Examination - Tom

3. Clinical dental examina7on

17 16 15 14 13 12 11 21 22 23 24 25 26 27 28

Restoration

Abrasion / Attrition / Erosion

CO2-Test (cold ) (+ for vital pulp) + + + + + + + + + + + +

Caries

Defective restoration
(overhang)
 (II) Examination - Tom

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3. Clinical dental examina7on
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Restoration

CO2-Test + + + + + + + + + + + + + +
Abrsion/ Attrition/ Erosion

Caries
47 46 45 44 43 42 41 31 32 33 34 35 36 37
(III) Radiographic Examination - Tom
(III) Radiographic Examination - Tom
(III) Radiographic Examination - Tom
(II) Examination - Tom Tom

• Body Level One

4. 4. Func7onal analysis
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Body Level Two text styles
ý– 1/2 Min. Test (Shore 1958): TMJ palpa7on during movements
• Body Level Three
o Pain o Crepitus
– Body Level Four
Restricted mobility: oYes ýNo Opening: 62 mm
» Body Level Five
o Lateral pterygoid muscles tender to palpa7on
o Parafunc7on o Bruxism
ý Occlusal class:
Angle I: R ý L ý Angle II: R o L o Angle III: o R o L
o Prognathism
o Overbite: o Deep bite: o Primary o Secondary
ý Overjet: 2 mm
(II) Examination - Tom Tom

5. Periodontal screening
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(Basic Periodontal Examina7on: BPE)
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1 1 1
BPE
1 1 1
(II) Examination - Tom Tom

6. Periodontal indices

ý Plaque Index
(O‘Leary et al. 1975): 23 %

ý Bleeding on probing
(BOP): 32 %
 Tom
Summary • Click to edit Master
1. Chief complaint text styles
Reduced func7on and esthe7c concerns following loss of 2 teeth
aUer two trauma occasions

2. Financial situa7on
The insurance company will pay for treatment