Hard Tissue Charting

Why do hygientist hard tissue chart

Used for tx planning, guiding tx, record for future comparison, legal document, identification of patient in event of death under unusual circumstance

What are the types of hard tissue charting

Forensic and DMF

What is forensic charting

System where all tooth abnormalities, restoration and appliances are record

What is DMF charting

Decayed, missing or filled charting

What are some examples of dental abnormalilities hygientist should chart?

• Caries, defective margins

• Missing, partially erupted, supernumerary teeth

• Fractured crown/root

What are some examples of dental restorations that should be charted

GV Black classifications

Amalgam, composite, precious metals, sealants, prosthetics

Fixed and removable

How to identify restorations that has been used in a patient's mouth

What does apparent caries look like on the enamel and cemental

decayed, decalifiedsuspected, holes in tooth, if it has a shadowing of black around the tooth or suppected caries araea

The only time we chart caries in fsu clinic is if

the dentist say so

What does defective resorations look like

may be stained, have a leak because of decay, open margins around filling, fractored in filling,

what is recurrent decay

Decay under another decay thats building

What does recurring decay looks like on a Xray image

a tringular look that black that goes from the enamel through dentin

Overhang can look like what if not done right

extra resorative material that is going over or falling on the sides of slight areas where it can cause bacteria to come in,

Do we chart overhangs at the FSU clinic?

No, but other office may ask for it and what tooth it occurs at

Do we chart missing teeth at fsu clinic

Yes

What do you need to do for missing teeth for charting

Chart the teeth as missing, clinically, missing and radiographially missing

Un-erupted and partially erupted charting is

teeth as coming out or the teeth has not came in at all.

Supernumerary teeth (hyperdontia) is what

an additional tooth that has been added to the mouth that is not a normal additional tooth that usually comes in human mouth

Fractured teeth

when their is a crack in the teeth or the teeth is completely sepeated in half

What teeth is usually fractured

the first maxillary premoalr

Restoration: Amalgam Class I is on what surfaces of the tooth

Occlusal or buccal/lingual restorations and will not cross any marginal ridge

What class is this

Class one amalgam , lob-A

Restoration: Amalgam Class II occurs on which tooth surface

Mesio-occlusal, Disto- occlusal or MOD

Both occlusal surface and mesial/distal marginal ridge are restored

How to identify Restoration: Amalgam Class V

Gingival margin restorations

Some times you can have multiple restartion types which means

You have to input each restoration type on the tooth seprately

For the following image what would we do when charting at the fsu clinic

Chart two different occusal restorations

Class one and two for restoration occur on which teeth

posteror only

Class three and four for restorations occur on which teeth

anterior only

How does Pit and Fissure Sealant look

PFS can be transparent, amber or white

Whats the different between a sealant and composite← listen to audio

How does a pit and fissure sealant feel of the occual surface

feel smooth like staking on ice with explorer

Prosthesis defin

an appliance for the replacement of a missing body part by an appliance

prosthetic defin

replacement of partially or totally lost human part

applicance defin

device used to provide function

This is an example of a what

fixed dental appliance which is a bridge

What type of bridge is being shown in the image

Marilyn bridge - only on lingual side of the tooth

How to identify porcelay-fused metal porcelain

white prodeonemant but has a clearish white around the bright white

What is the missing tooth of a restoartion called

What is the teeth that are going to act and hold the bridge called

What are types of dental appliacnes

multiple spacers, single spacer, braced, denture

How to identify dentures and the different types

implanted supported dentures, fliipers, or partical dentures

porcelain fused to metal crown are

Crowns are used to restore a severely decayed or fractured tooth

You can tell what a crown looks like from a clinical view is the black line that they have around the ginigiva

Ceramic crowns

Gold crowns is

The same function as PFM but without the cosmetics of porcelain

what is being shown in the image

Gold foil restoations

what is being shown in the image

Inlay

what is being shown in the image

Onlay

Stainless steel crowns looks like a a dental image

looksl like a jelly fish

Stainless stell crown sare usually used for

temporarily placed over a tooth that will eventually receive a permanent crown

Crowns are only used on which teeth

Posterior or primary teeth

What are crowns used for

Temporarily placed over a tooth that will eventually receive a permanent crown

Dental impants

What is being shown in the image

PFM

Diastema

any spacing between teeth

What would this be called

diastema

Attrition defintion

Wear resulting from tooth-to-tooth contact

Abrasion definintion

Mechanical wearing away of tooth structure

Where is abrasions usually seen

on cervical areas or mandibular incisors

Erosion defin

Loss of tooth due to chemical agents

What is Hypocalcification

White areas within the tooth resulting from insufficient calcium levels in the enamel

what is hypoplsia

Surface irregularities caused by improper enamel formation

What are GV Black Classification used for classifying

cavities, cavity preparartions and restorations

What are all the classes for GV Black classification

Class I,II,III,IV,V, VI

Class 3 classification is

interproximal decay on anterior

Class 4 classification is

incisal and interproximal decay

Class 6 classification is

just cusp tip or incisal

What is gold foil

a one surface restoration used on facial/lingual surface

What is a inlay

1, 2 or 3 surface restoration, cusp tips are not restored, restoration sets down into the tooth

What is a inlay

2 or more surfaces are restored, and 1 or more cusp tips are restored