History Taking, Clinical Examination and Diagnosis (Pt. I and II) Flashcards Preview

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Flashcards in History Taking, Clinical Examination and Diagnosis (Pt. I and II) Deck (63)
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1

Terminology oDiagnosis
n The ____ of the nature of a disease

determination

2

History
o(1)____
o(2)____
o(3)____aa
o(4)____

chief complaint
personal details
medical history
dental history

3

(1)Chief Complaint
oMain ____ for seeking treatment
oWhen formulating treatment plan, must determine how to resolve

reason

4

(1)Chief Complaint
o Categories
n ____
pPain, sensitivity, swelling n ____
pDifficulty in mastication or speech
n ____
pBad taste or odor
n ____
pFractured or unattractive
teeth or restorations p Discoloration

comfort
function
social
appearance

5

(2)Personal Details
oName oAddress oPhone number oSex oOccupation oWork schedule oMarital status oFinancial status

yay

6

(3)Medical History
o____ taken oMedical conditions
n Affecting treatment methods
pAntibiotic ____, ____, anticoagulants,
allergies to meds or dental materials

n Affecting treatment plan
pPrevious ____ therapy, hemorrhagic disorders, age, illness

n Systemic conditions with oral manifestations
p____, menopause, ____, anticonvulsant
medications, ____, gastroesophageal reflux

n Risk factors to dentist and auxiliaries (“universal precautions”)
p____, HIV, syphilis

medications
premedications
steroids
radiation
diabetes
pregnancy
bulimia
hpeatitis B

7

(1)General Examination
oGeneral appearance
oGait oWeight oSkin color
n For signs of ____
oVital signs
n Refer if indicated

anemia or jaundice

8

(2)Extraoral Examination oFacial asymmetry
o____ lymph nodes palpated
oTemporo- mandibular joints
oMuscles of mastication
oLips
n ____

facial
tooth visibility

9

(4)Periodontal Examination

Gingiva
n ____, texture, ____, contour, consistency, position

o Periodontium
n ____ probing depths/tooth
n Tooth mobility or ____
n open or deficient ____ n missing or impacted teeth n recession
n ____ involvements

oClinical Attachment level
n Measure distance between ____ extent of probing depth and ____ reference on tooth
pApical extent of restoration and/or CEJ

color
size
6
malposition
contacts
furcation

apical
fixed

10

(5)Dental Charting

oOcclusal examination
n(a)Initial tooth contact
n(b)Tooth ____
n(c)____ contacts
n (d)Jaw maneuverability

alignment
eccentric

11

(a)Initial Tooth Contact oBimanual manipulation
nIs there a CR to MI slide?

Yes:
Evaluate possible elevated ___
Evaluate ___ where initial contact occurs
Evaluate ___ on teeth involved in the slide

No:

muscle tone
tooth mobility
wear facets

12

(b)General Alignment
oTeeth adjacent to ____ spaces often shift
n ____ movement can affect fixed prosthodontics
pTipped teeth may affect ____
n May need ____ tooth movement

edentulous
small
preparation design
minor

13

(c)Lateral and Protrusive
Contacts
oNote ____ and ____ overlap
oObserve ____ during protrusive
oObserve lateral excursions
n Verify with ____
oFremitus

vertical
horizontal
shim stock

14

(c)Lateral and Protrusive Contacts
oFremitus
n A ____ ____ when the teeth come into contact

vibration
palpable

15

(6)Radiographic Examination
oEvaluate ____ of teeth
oEvaluate ____ structure oCaries/recurrent caries oExisting restorations
n ____ margins
n ____ margins
oPulpal health/abscess
n ____ disease
oPathology
oPeriodontal ligament
oOpen contacts

bone support
root
open
overhanging
periapical

16

(6)Radiographic Examination oFull periapical series
n Normally ____ for new patients to develop a comprehensive fixed prosthodontic treatment plan
n Limit to what is needed for ____

required
tx decisions

17

6)Radiographic Examination oPanoramic Films
n Presence or absence of teeth
n Assessing third molars and impactions
n Evaluating bone before ____
n Screening ____

implant placement
edentulous arches

18

(6)Radiographic Examination

____ radiograph DOES NOT provide sufficient data for assessing bone support, root structure, caries, or periapical disease

A full periapical series is ____ for comprehensive fixed prosthodontic treatment plan

panoramic
required

19

(7)Vitality Testing
oPulpal health must be assessed
n ____ ptapping
n ____ stimulation
n ____ stimulation
n ____ evaluation

percussion
thermal
electrical
radiographic

20

Diagnostic Information

accurate dx casts > ____ > articulator >

Evaluate occlusion and ____
Perform diagnostic procedures (ex. ____) Determine ____

maximum intercuspation/centric relation
occlusal plane
diagnositc waxing
treatment plan

21

Diagnostic Impressions o____ hydrocolloid (alginate)
n Control reaction rate with water temperature
pWarm > ____ set
pCold > ____ set

oPour immediately
n ____
pAbsorbs water
n ____
pGives off liquid
Results in ____ of impression

irreversible
faster
slower
imbition
syneresis
distortion

22

1)Tray Selection
irreversible hydrocolloid

oRetention
n ____, perforations, ____
oLargest tray to fit comfortably
n Greater bulk > more ____
oMaterial must be supported by ____
n May need to ____ tray with modeling
compound or wax
oTray movement
n Causes ____

adhesive
rim-lock
accurate
tray
extend
distortion

23

(2)Impression Making
irreversible hydrocolloid

oTeeth should be clean, but not excessively ____
nImpression may adhere to teeth

oMix to ____ consistency:
Wipe or syringe material into ____ of occlusal surfaces and ____ fold
Load tray

dry
homogenous
crevices
mucobuccal

24

(2)Impression Making
irreversible hydrocolloid
oTray is seated into patient’s mouth
n Patient should ____ cheek muscles
n “____”
pTo capture mucobuccal fold and underneath ____

relax
close gently
upper lip

25

(2)Impression Making
irreversible hydrocolloid

oRemove with a ____
n􏰄teasing􏰅 results in ____ due to ____ flow
oRinse and disinfect
n____ in plastic bag p10 minutes
oPour within ____ minutes

snap
distortion
viscous
glutaraldehyde
15

26

(2)Impression Pouring

oType ____ or ____ dental stone
n Ideal to vacuum mix
oSmall amounts added in ____ location to minimize bubbles
o Ideal to store tray side ____n until set
n Minimize ____ surface
n Minimize ____ on teeth
oAdd more stone for sufficient base
oDo not immerse setting cast in ____
n Due to ____
oIdeally, separate after 1 hour

IV
V
one
down
rough and grainy
air bubbles
water
setting expansion

27

o ____ height from base to occlusal table

1 inch

28

Corner ____ to canine

o____ from gingival margin to base

distal
10

29

(4)Articulators
o____ do not enable analysis of functional relationships
o____ device that simulates mandibular movement
oClassified according to how closely they can reproduce ____ movements
o If border movements are reproduced, can reduce ____ and adjustments on delivery

handheld casts
mechanical
mandibular border
chair time

30

Types of articulators
(a)____
(b)____
(c)____

small non-adjustable
semiadjustable
fully adjustable