Diagnosis and Treatment Planning for Partially Edentulous Patients

Diagnosis

The determination of the nature of a disease.

Treatment Plan

The sequence of procedures planned for the treatment of a patient after diagnosis.

Chief Complaint

A subjective statement made by a patient describing the most significant or serious symptoms or signs of illness or dysfunction.

History of Patient Illness

A description of the development of the patient’s present illness.

Medical Examination - Oral Examination

2 Stages of clinical examination.

Ausculation - Lateral Palpation - Posterior Palpation

TMJ examination (3).

Inspection

(Clinical Examination) Uses the visual sense.

Transillumination

A visual diagnostic method that relies on the passage of light through relatively thin.

Palpation

(Clinical Examination) Relies on the sense of touch. Method depends upon the area to be examined.

Bimanual

(Palpation) Manipulation of the tissues using two hands/fingers of both hands. Used to examine cheeks, floor of the mouth, and to detect the presence of salivary gland stones.

Bidigital

(Palpation) Using two fingers of one hand. Used usually for lips and buccal mucosa.

Bimanual

(Palpation) Used to compare symmetrical tissues such as TMJ, muscles of mastication, lymph nodes, and two lobes of thyroid gland.

Percussion

(Clinical Examination) Striking of the tissues (hard & soft) with fingers or an instrument..

Acute

(Percussion) Localize tenderness and pain more exaggerated in _____ rather than chronic cases.

Apical Periodontitis

(Percussion) Greater tenderness in an apical direction suggests?

Lateral Periodontitis

(Percussion) Greater tenderness in a lateral direction suggests _______ periodontitis of gingival origin.

Probing

(Clinical Examination) Use of a slender device to identify/determine the extent of a narrow tract/cavity.

Blund

(Probing) The dental probe may be a periodontal graduated probe with a _____ end.

Probing

(Clinical Examination) Used in examination of carious lesions, testing local anesthesia, and examination of gingival and periodontal tissues.

Catch

(Probing) Decay is identified by _____ sensation when the explorer resists the withdrawal force.

Graduated Periodontal Probe (blunt)

(Probing) Used to determine the sulcus/pocket depth and the presence of bleeding in periodontal disease.

Auscultation

(Clinical Examination) Diagnostic process of listening to sounds made by various body parts.

Olfaction

(Clinical Examination) The sense of smell occasionally contributes to various information.

Aspiration

(Clinical Examination) Withdrawal of fluids from body cavity. Used for culture and sensitivity tests to identify the pathogen.