Chapter 28

Oral Diagnosis and

Treatment Planning
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Produced in the United States of America
ISBN 0-7216-9770-4

Copyright 2003, Elsevier Science (USA). All rights reserved.

 Introduction
Sound dental care begins with a thorough
examination of the head and neck areas as well
as the oral cavity.

Copyright 2003, Elsevier Science (USA). All rights reserved.

 Examination and Diagnostic
Techniques
 Visual evaluation
• Soft tissue
• Tooth structure
• Restorations
• Missing teeth
 Palpation

Copyright 2003, Elsevier Science (USA). All rights reserved.

 Examination and Diagnostic
Techniques cont’d
 Instrumentation
• Detection
• Probing
• Evaluation
 Intraoral and extraoral radiography
 Intraoral imaging
 Intraoral and extraoral photography

Copyright 2003, Elsevier Science (USA). All rights reserved.

 Recording the Examination
Table 28-1: Black’s Classification of Cavities

Copyright 2003, Elsevier Science (USA). All rights reserved.

 Recording the Examination cont’d
 Charting diagrams
• Anatomic
• Geographic
 Tooth numbering systems
 Color coding
• Black or blue
• Red

Copyright 2003, Elsevier Science (USA). All rights reserved.

 Recording the Examination cont’d
 Charting abbreviations
• Single surface/multiple surface
 Charting
• Restorative materials
• Charting symbols

Copyright 2003, Elsevier Science (USA). All rights reserved.

 Clinical Examination of the Patient
 Soft tissue examination
• Extraoral features
• Cervical lymph nodes
• Temporal mandibular joint
• Oral habits
• Interior of the lips
• Oral mucosa
• Tongue
• Floor of the mouth

Copyright 2003, Elsevier Science (USA). All rights reserved.

 Examination and Charting of the Teeth
 Teeth
 Occlusion

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 Examination and Charting of the
Periodontium
 Periodontal screening and recording (PSR)
• Probing descriptions
• Dental mobility scale

Copyright 2003, Elsevier Science (USA). All rights reserved.

 The Treatment Plan
 Levels of care
• Level I: Emergency care
• Level II: Standard care
• Level III: Optimum care
 Treatment plan presentation
 Recording dental treatment

Copyright 2003, Elsevier Science (USA). All rights reserved.