Scores For A Certain Number Of Teeth example essay topic

Fundamentals of Clinical Dentistry: Intro to Indices and Charting Specific Objectives: 1) Define the purpose of dental indices, such as DMF-T, DMF-S, Gingival Inflammation Index and Plaque Index. Dental indices are important tools used in examinations to provide a numeric score that quantifies the magnitude of the disease measured. DMF-T: The number of teeth that are decayed, missing, or filled, the DMF index, is a total score of all affected teeth and provides a caries experience score for an individual. DMF-S: A count of tooth surfaces that are decayed, missing, or filled and provides a greater precision about the caries history of an individual or a population group when mean scores are derived. Gingival Inflammation Index: Provides an assessment of gingiva l inflammatory status that can be used in practice to compare gingiva l health before and after dental visits and or treatments. Plaque Index: Same as Gingival Inflammation Index but deals with plaque.

2) Differentiate between the terms prevalence and incidence of a disease. Disease Prevalence: The number of decayed, missing, and filled surfaces that exist in the mouth at any one time. Only one examination is required to determine prevalence. (Prevalence is what is present at one point in time!) Disease Incidence: The number of decayed, missing, and filled surfaces that occur over a given period of time.

Two different examinations are required to determine incidence- one before, and one at the end of a selected time period. (Incidence is what happens over a period of time!) 3) Describe the rationale and demonstrate how to chart existing restorations (amalgam, composite, gold, crowns, bridges, other), missing teeth, incipient caries and caries. Rationale- Well I think this is pretty common sense. Charting the information listed above will give you a record of your patient. This record can be reviewed upon future visits to note and record any changes. If you want me to explain how to wipe the fog off a mirror against the inside of your patient's cheek, let me know.

I also think I could get the point of a modified pen grasp across if someone really needs the help. Code for Dental Charting Existing Restorations: Fixed bridge (3 units) - Outline tooth crowns and place an X through tooth root to indicate which tooth is the pontic. Crown- Outline tooth crown and use diagonal lines to indicate gold. Non-metallic restoration (e.g. composite) - outline margins of the restoration. Metallic restoration (e.g. amalgam) - fill in the shape of the restoration with blue pencil". Cracked" or "chipped" restorations- use red pencil to outline the existing restoration.

Missing teeth- place an X through crown and root. Caries- Use red pencil to indicate areas of decay. 4) Describe the rationale and demonstrate how to: a) Calculate DMF-T and DMF-S from a dental chart: See the example she gave on the chart. I will retype the rules so you have them all on one summary page. Rules to calculate DMF in Preventative Clinic: -can be based on 32 or 28 teeth, we ill use 28 teeth (ignore 3rd molars) -3rd molar extractions will inflate DMF-For DMF-S, anterior teeth have 4 surfaces (canine to canine) and posterior teeth have 5 surfaces-each category in DMF is mutually exclusive (i. e., each tooth can only be counted once) If a tooth is both filled and decayed, count as decayed- note: incipient caries are not counted as decayed.

They are listed at the bottom of page 1 on the worksheet she handed out to us. b) Calculate Gingival Inflammation index 0 = Absence of all signs of inflammation 1 = Mild inflammation, slight change in color and / or slight marginal edema, but no bleeding when probed 2 = Moderate inflammation - redness, loss of stippling, edema, and / or bleeding when probed 3 = Severe inflammation - marked redness and edema, spontaneous bleeding The Gingival Index (GI) is computed by using the scores for a certain number of teeth (say #3, 5, 12, and 19) and then dividing the total by that number of teeth (in my example, 4). c) Record periodontal pocket / sulcus depth for each tooth (6 sites per tooth): There are six measurements to be taken on both anterior and posterior teeth. Begin on the buccal surface of posterior teeth as close to the DB contact as possible. Take the DB measurement and then walk the probe gently around in the sulcus to the B measurement. Continue walking the probe as far into the mesial contact as possible and take the MB measurement. Next bring the probe to the lingual surface and do the same procedure described above to take DL, L, and ML measurements. Make sure your period probe is parallel to the long axis of the tooth for correct measurements.

Furthermore, if your period probe gives you a reading over say 2 mm, record it as 3 mm (round up). For anterior teeth begin on the labial surface and take 3 measurements followed by the lingual surface. In the book, you begin on the farthest distal point and continue around the tooth exactly as described for the posterior teeth. In the video, however, it explained taking anterior teeth measurements differently. They wanted us to start in the center of the labial surface, take a measurement there, walk the probe around the sulcus to the mesial contact for the second measurement, and then walk it all the way back across to the distal reading. Ouch!

I guess you decide. d) Chart free marginal gingiva l and muco-gingiva l junction: Assuming that there is no recession, the free marginal gingiva is the coronal part of the gingiva that is not attached to the tooth. Chart this with a red pencil line on the worksheet just coronal to the CE. The muco-gingiva l junction is the line at which the attached gingiva and the alveolar mucosa meet. In healthy persons the gingiva is generally a pale pink color. Alveolar mucosa, on the other hand, has relatively little collagen and has a characteristic reddish color. On the worksheet, chart the line at which the lighter pink and darker red colors meet.

We will chart maxillary and mandibular labial only for this session. e) Record bleeding sites per tooth (upon probing) and calculate percentage of bleeding sites / number of sites probed: On your worksheet you should have six measurements for probing depths per tooth recorded as described above. Circle each number on your worksheet in red pencil if bleeding occurs. At the end of probing, divide the number of sites that you circled in red by the total number of sites probed (28 teeth x 6 sites per tooth = 168 sites probed if you are doing the whole mouth). f) Record plaque index and assist patient with modifications to improve their plaque control: We will disclose and record the plaque score for each tooth using liquid solution and the following criteria: 0 = No plaque 1 = Diffuse plaque 2 = Plaque from inter proximal to inter proximal (continuous ring from mesial to distal). 3 = Plaque on 1/2 tooth surface If computing the mean plaque score for all teeth, divide the total plaque score sum by the total number of teeth scored.