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Index
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ORSRGD1
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Chapter 1
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DIAGNOSIS AND EXAMINATION
level: DIAGNOSIS AND EXAMINATION
Questions and Answers List
level questions: DIAGNOSIS AND EXAMINATION
Question
Answer
Pre examination patient interview, which helps identify conditions that could alter, complicate or contraindicate proposed dental procedures
MEDICAL HISTORY
consists of reviewing previous dental experiences and current dental problems
DENTAL HISTORY
TRUE OR FALSE: All teeth have a slight amount of physiologic mobility
TRUE
Tooth mobility:slight mobility, up to 0.5 mm
GRADE I
Tooth mobility:moderate mobility, more than 0.5 mm but less than 1 mm
GRADE II
Tooth mobility:severe mobility, tooth is movable both mesiodistally and labiolingually and may be depressible in the socket
GRADE III
For indentifying subperiosteal swelling
Palpation
To delineate borders and relative firmness of an abscess
Palpation
Detect lymphadenopathy/lymphadenitis
Palpation
Also a critical tool for ruling in/out cancer from the differential diagnosis
Palpation
Primary technique used to determine the presence of periapical inflammation
Percussion
It will help to determine if a tooth is indicated for extraction or root canal therapy
Percussion
Periodontal probing:Bleeding on probing
means active gingival infection
Periodontal probing:Sensitivity on probing
periodontal problem
Periodontal probing:Isolated narrow pocket that traverses to the apex of the tooth
concurrent endodontic and periodontal problem
Periodontal probing:Isolated deep pocket
vertical tooth fracture
Confirms the presence and severity of occlusal trauma, periodontal disease, or dental/periodontal abscess
Tooth mobility
Determine the tooth’s prognosis
Tooth mobility
Determines the usability of the tooth as a future abutment for a prosthesis
Tooth mobility
strong indicator of bone support loss
MOBILITY
To determine the state of health of the pulp in an offending tooth
Pulp vitality testing
A test used to ascertain the vitality of the tooth
Pulp vitality testing
The identification of the nature of an illness or other problem by examination of the symptoms
DIAGNOSIS
Examination of the mouth and teeth toward the identification and diagnosis of intraoral disease or manifestation of non-oral conditions
ORAL DIAGNOSIS
Types of Diagnosis: Is arrived at after evaluating the case history and performing the physical examination
Provisional diagnosis
Types of Diagnosis: The positive findings are listed down and the possibility of a specific diagnosis is evaluated
Provisional diagnosis
Types of Diagnosis: If the diagnosis is not conclusive for a definite disease process, a list of probable diagnoses is recorded in the patient’s case history
Differential diagnosis
Types of Diagnosis: These diseases may have a similar course, progress or signs and symptoms
Differential diagnosis
Types of Diagnosis:Usually reached by chronologic organization and critical evaluation of the information obtained from patient’s case history, physical examination and result of radiological and laboratory examinations.
Final diagnosis
Types of Diagnosis: It usually identifies the chief complaint first and then the subsidiary diagnosis of other problems
Final diagnosis
TREATMENT PLAN:First and the preliminary phase of treatment planning
EMERGENCY PHASE
TREATMENT PLAN:first thing to be treated and managed. E.g. relief of pain; It addresses the c.c
EMERGENCY PHASE
TREATMENT PLAN:It addresses the c.c
EMERGENCY PHASE
TREATMENT PLAN:Protection from and prevention of the high risk factors such as: Sticky, sugary diet, Calculus retentive factors, Deep pits and fissures
PREVENTIVE PHASE
TREATMENT PLAN:Oral prophylaxis, Caries control, Endodontic treatment, Extraction
PREPARATORY PHASE
TREATMENT PLAN:Permanent restoration and other prosthetic replacement
CORRECTIVE PHASE
TREATMENT PLAN:Check condition of existing restoration, new caries formation, calculus or plaque accumulation
MAINTENANCE PHASE
prediction of the probable course, duration and outcome of a disease based on a general knowledge of the pathogenesis of the disease and the presence of risk factors for the disease.
PROGNOSIS
inspection is aided by
exploration and transillumination
used to identify the location of impacted tooth if radiograph is inconclusive; to find maxillary canine
Palpation