Oral Health Assessment

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  • Created by: gibs
  • Created on: 28-05-15 14:42

Methods used to carry out assessment

VISUAL INSPECTION / abnormalites/ size/ colour changes

MANUAL INSPECTION/ to feel abnormalites, such as lump where non should be present

USE OF MOUTH MIRRORS 

USE OF DENTAL PROBES 

USE OF RADIOGRAPHS TO RECORD VISIBLE APPREANCE OR STRUCTURE OR PATHOLOGY

USE OF PHOTOGRPAHS TO RECORD VISIBLE APPERANCE OF STRUCTURE

USE OF STUD MODELS TO RECORD THE OCCLUSION OF TEETH AND INDIVIDUAL APPERANCE AND POSITION OF EACH TOOTH 

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EXTRA ORAL SOFT TISSUE ASSESSMENT

EXTERNAL FACIAL SIGNS- checking for skin colour, facial symmetry and the presence of any blemishes, especially moles and cold sores 

THE LIPS- Checking for any change in colour or size, the presence of any blemishes and palpated for any abnormalities 

THE LYMPTH NODES- lying under the mandible and in the neck, these are palpated to detect any swellings or abnormalities, the presence of which may indicate an infection or  more senister lesion 

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USE OF RADIOGRAPHS

Dental caries 

presencse and extent of periodontal disease

Periodontal and periapical abcess

Cysts affecting the dental tissues 

latrogenic problems (those caused by the dentist) 

To detect supernumerary teeth and unerupted teeth or to detect the congenital absence of unerupted tetth

To diagnose hard tissue lesions, such as bone cysts and tumours, salivary calcui and jaw fractures 

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USE OF PHOTOGRAPHS

To record soft tissue lesions to aid diagnosis 

To record the extent of injury following a trauma 

To record before and after views fo dental treatment 

To record potentially sinister lesions that can be emailed to specislists immediately, to aid a speedy diagnosis 

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USE OF STUDY MODELS

- Occlusal analysis in complicated crown or bridge cases 

- Orthodontic cases, to detrmine if extractions are required and which tyoe of appliance is necessary 

- Occlusual analysis where full mouth treatment may be necessary, to determine the functioning of the dnetition 

- Where tooth surface loss is evident, either by erosion from acid foods and drinks, or by attriton due to tooth grinding, so that the progression of the tooth wear can be monitored and treatment determined 

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VITALITY TESTING

cold stimulus- ETHYL CHLORIDE 

Hot stimulus with warmed  gutta-percha 

Electrical test with electric pulp tester

ADVANTAGE- a positive response enables the dentist to correctly determine which tooth requires treatment at that time, rather than having to treat several adjacent teeth in a quadrant beofre the correct one is identified

DISADVANTAGE- patient often had to experience a painful stimulus before the correct tooth is identified  

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MATERIALS USED IN AN ORAL ASSESSMENT

Alginate impression material- consiting of calcium and alginate salts which are mixed with water

Dental stone- a yellow- coloured, hardened calcium sulphate plaster mixed with water

Dental Plaster- A white coulored calcium sulphate plaster 

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