Chapter 7 Dental Charting Copyright 2004 by Delmar

Dental Charts • Most have two areas – Dental charting – Record treatment • Most show permanent and primary dentition • Anatomical: show both crown and root • Geometric: show teeth as circles Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED. 2

Numbering Systems • Universal/National System – Developed in 1968 – Most commonly used in the United States • Fédération Dentaire Internationale System – Canada and European countries use this – Easily adapted by computer and is widely used in most countries • Palmer System Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED. 3

Universal/National Numbering and Lettering System 8 9 Maxillary right Maxillary left E F Maxillary right 1 32 Mandibular right Third molars 25 24 16 A 17 T Mandibular left Mandibular right Maxillary left J Second molars P O Primary teeth K Mandibular left Permanent teeth Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED. 4

Fédération Dentaire Internationale System for Numbering 1 Maxillary right quadrant “ 1” 1 Maxillary left quadrant “ 2” 1 1 Maxillary right quadrant “ 5” 8 Third molars 8 8 5 Mandibular right quadrant “ 8” Mandibular right quadrant “ 4” 1 1 Mandibular left quadrant “ 3” Maxillary left quadrant “ 6” 5 Second molars 1 1 5 Mandibular left quadrant “ 7” Primary teeth Permanent teeth Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED. 5

Palmer System for Numbering 1 1 Maxillary right quadrant Maxillary left quadrant Maxillary right quadrant A A Maxillary left quadrant 8 8 E E Mandibular right quadrant Mandibular left quadrant 1 Mandibular right quadrant A A Mandibular left quadrant Primary teeth 1 Permanent teeth Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED. 6

Computerized/Automated Dental Charting • • Standardization More efficient Fewer mistakes Light pens used to highlight and color Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED. 7

Cavity (Caries) Classifications • Class I (Simple) – Developmental cavities in pit and fissures of teeth located in • Occlusal surfaces of posterior teeth • Buccal or lingual pits on the molars • Lingual pit near the cingulum of the maxillary incisors Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED. 8

Cavity (Caries) Classifications • Class II (Compound, Complex) – Proximal surfaces on the posterior teeth MO restoration MOD restoration Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED. 9

Cavity (Caries) Classifications • Class III (Simple) – Interproximal surface of anterior teeth Copyright

Cavity (Caries) Classifications • Class IV (Compound) – Interproximal surface of anterior teeth and include the incisal edge Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED. 11

Cavity (Caries) Classifications • Class V (Simple) – Cervical third of the facial or lingual surface of the tooth – Occurs because patient often sucks on sweets Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED. 12

Cavity (Caries) Classifications • Class VI (Simple) – Not part of original standard classification – Later identified in order to more clearly label cavities that involve the incisal or occlusal surface worn away from abrasion Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED. 13

Abbreviations of Tooth Surfaces • Simple: cavity involving one tooth surface – I: incisal – M: mesial – D: distal – B: buccal – O: occlusal – F: facial Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED. 14

Abbreviations of Tooth Surfaces • Compound: two tooth surfaces – DO: disto-occlusal – MO: mesio-occlusal – MI: mesio-incisal – DI: disto-lingual – LI: linguo-incisal – DL: disto-lingual – OB: occlusobuccal Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED. 15

Abbreviations of Tooth Surfaces • Complex: more than two tooth surfaces – MOD: mesio-occluso-distal – MODBL: mesio-occluso-disto-bucco-lingual Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED. 16

Basic Charting Terms • Abscess: localized area of infection • Bridge: prosthetic device placed between teeth covering space – Abutments: attaching sides – Pontic: middle area – Cantilever bridge: attached to one side – Maryland bridge: wings on the pontic that are attached to the lingual sides of the adjacent teeth Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED. 17

Basic Charting Terms • Crown (cap) – Gold, porcelain, stainless steel, or plastic – Permanent or temporary – Anterior or posterior • Denture – Full dentures are needed if all natural teeth in one arch are missing – Partial denture is needed if some natural teeth are missing Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED. 18

Basic Charting Terms • Drifting: when a tooth is removed, opposing teeth may move/erupt in space • Gold foil: restoration created when several layers of pure gold are placed in preparation; not commonly used today • Incipient: beginning decay that has not broken through the enamel Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED. 19

Basic Charting Terms • Mobility: when tooth moves in the socket – Due to periodontal disease or trauma – Numbering system is used to record how many millimeters the tooth moves • Overhang: excessive restorative material – Found interproximally near the gingiva Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED. 20

Basic Charting Terms • Periodontal pocket: space in the gingival sulcus created by periodontal disease – Healthy depth is 1 to 3 mm; beyond that is considered a pocket • Restoration: replacing the tooth structure – Often referred to as fillings Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED. 21

Basic Charting Terms • Root canal: removal of pulp and replacement of filling material • Sealant: resin material – Used to seal pits – Prevent potential decay Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED. 22

Charting Color Indications and Symbols • Red: work that needs to be done • Blue: indicates completed work Copyright © 2004 by Delmar Learning, a division of Thomson Learning, Inc. ALL RIGHTS RESERVED. 23