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Diagnosis & Prognosis
CLINICAL DIAGNOSIS
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Medical history
Dental history
extra-oral exam
intra-oral exam
– soft tissue
– hard tissue
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Radiographic Assessment
Periodontal Survey
Medical History
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antibiotic prophylaxis
systemic disease
pregnancy
drug habit
Dental History
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chief complaint
oral habits
history
Extra-oral Exam
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lymph nodes
Intra-oral Exam
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Soft Tissue
– evaluate for an atypical or abnormal
appearances
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Hard Tissue
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malpositioned teeth
caries
restorations
habits
Abfractions
Radiographic Assessment
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full mouth series
Look At:
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lamina dura
crown:root ratio
interproximal bone
hypercementosis
furcation
involvement
– periapical
pathology
– overhangs
– calculus
– resoption
Examination of the Teeth
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wasting of the teeth
stains
hypersensitivity
prox. contacts
mobility
Examination of the
Periodontium
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plaque and calculus
clinical attachment loss
– periodontal pockets
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amount of attached gingiva
furcation
– Class I, II, III
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mobility
– Grade I, II, III
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periodontal abscess
– suppuration
Radiographic Aids
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bone destruction
furcation involvement
periodontal abscess
trauma from occlusion
skeletal disturbances
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osteities fibrosa cystica
Paget’s disease
fibrous dysplasia
osteopetrosis
Prognosis
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Overall
Individual
Treatment
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Preliminary Phase
Phase I
Phase I Evaluation
Phase II therapy (surgical)
Phase III therapy (restorative)
Preliminary Phase
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treatment of emergencies
– periapical
– periodontal
Phase I
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self care education
nutritional analysis
debridement
antimicrobial
caries management
occlusal therapy
plaque-retentive factors removed
Phase II
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periodontal surgery
endodontic therapy
implants
Phase III
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final management of dental caries
reevaluation of periodontal
assessment
Phase IV
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periodontal maintenance
procedures
assessment
self-care education
deposit removal