Term
| what is the purpose of Dental Charting? |
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Definition
Treatment planning
Communication
Legal Documentation
Forensic uses
Financial Audits
Quality Audits |
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Term
| Define Dental Charting... |
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Definition
| Graphic representation of the condition of the client's teeth observed on a specific date. |
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Term
| what is Universal numbering system? |
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Definition
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Term
| what is International numbering system? |
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Definition
| two digits (Quadrant 1-4 and tooth #1-8) |
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Term
| when calling out charting what are the nomenclature rules to follow? |
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Definition
- Identify all teeth present/ not present/ Clear/ restoration
- Follow appropriate sequence, begin at URQ |
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Term
| what is the Infection Control during charting? |
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Definition
-Do not touch paperwork with contaminated hand
- Utilize overgloves while holding pencil
- Slip into over gloves without touching outside of glove |
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Term
| Generally what is charted in the blue Pencil? |
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Definition
| Things that have already been done in the mouth. (restorations) |
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Term
| what color would you chart missing (permanent & Deciduous) teeth and unerupted teeth? |
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Definition
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Term
| How would you chart Extracted Teeth? |
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Definition
| In Blue put an X through Tooth and Number above tooth |
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Term
| How would you chart an Edentulous Arch? |
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Definition
| In Blue put an X through all teeth not present |
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Term
| How would you chart a Mixed Dentition? |
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Definition
| In Blue put a X through Exfoliated primary tooth numbers AND Circle the number of any Unerupted permanent teeth. |
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Term
| How would you chart Unerupted teeth? |
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Definition
| In Blue circle the tooth number NOT the whole tooth. |
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Term
| how would you chart an open Contact? |
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Definition
| Use Blue Pencil and make Parallel vertical lines between the two teeth that are open. |
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Term
| what is a Diastema and how would you chart it? |
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Definition
| gap between two front teeth, chart with Blue two parallel lines between the two teeth. |
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Term
| How would you chart a Supernumerary tooth? |
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Definition
| Draw a tooth in blue relative to the location its in. |
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Term
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Definition
| lots of movement in tooth due to trauma, but not mobile. |
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Term
| how would you indicate Fremitus when Charting? |
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Definition
| Indicate +; ++; +++ beside the tooth number to show where and how sever the fremitus is in BLUE |
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Term
| How would you indicate a drifted tooth when Charting? |
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Definition
| raw an arrow above tooth number showing direction in blue |
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Term
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Definition
| the wearing away of tooth material as a result of friction |
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Term
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Definition
| the wearing away of tooth surface as a result of tooth to tooth contact. |
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Term
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Definition
| pathologic loss of tooth structure usually at the Cervical region from heavy occlusal forces (can be single tooth) |
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Term
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Definition
| Chemical destruction of tooth tissue |
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Term
| what all Restorations are charted with a Blue Pencils? |
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Definition
- Amalgams
-Non metallic restorations
-Gold Restorations
-Crowns (except temporary)
-Bridges |
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Term
| what are the 14 well known restorations in the mouth? |
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Definition
1. Amalgam
2. Partial Gold Crown (3/4GC)
3. Tooth-colored/ Composite
4. Full gold crown (FGC)
5.Sealant (S)
6. Porcelain fused to metal (PFM)
7. Gold Foil (GF)
8. Porcelain Jacket Crown (PJC)
9. Gold Inlay (GI)
10. Acrylic Facing (AF)
11. Gold Onlay (GO)
12. Root Canal (RC)
13. Stainless Steel Crown (SSC)
14. Dental Implant (DI) |
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Term
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Definition
| any alloy that contains mercury |
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Term
| what metals does Amalgam include? |
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Definition
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Term
| how would you chart Amalgam? |
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Definition
| Solid Blue representing the exact shape. |
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Term
| what color is a composite filling? |
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Definition
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Term
| where is a composite filling used? |
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Definition
| where the existing fillings or areas of decay are small enough that the remaining tooth structure has not been overly weakened. |
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Term
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Definition
| thin Porcelain facings that cover the front of teeth. |
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Term
| when/why are Veneers used? |
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Definition
| used cosmetically to change the length, color, and shape of teeth. |
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Term
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Definition
| outline the exact shape in Blue |
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Term
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Definition
| pre-made piece of ceramic material that is bonded into the tooth. |
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Term
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Definition
| in similar situations as fillings except they are pre-made. |
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Term
| what material was traditionally used for Inlays? |
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Definition
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Term
| what is the difference between and Inlay and an Onlay? |
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Definition
| inlays lay inside the occlusal surface, Onlays cover the entire or most of the biting surface (cusp tips) |
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Term
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Definition
| In situations where the tooth is fractured or has been severely weakened. |
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Term
| How would you chart an Inlay or an Onlay? |
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Definition
For Gold, Outline the shape and draw Horizontal lines through the outline in Blue.
For Ceramic, just outline the shape in Blue. |
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Term
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Definition
| a crown is the largest tooth restoration. It covers all sides of the the tooth as well as the end (occlusal). |
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Term
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Definition
used when:
- there is limited tooth structure left
- an existing crown must be replaced
- the tooth is an "anchor" tooth for a fixed bridge |
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Term
| what kind of Crown restorations are there? |
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Definition
-stainless steel
-Gold
-High Nobel Metal Crowns
-Porcelain Jackets
-Porcelain Fused to metal
-Acrylic temporary Crowns
-3/4 Crowns |
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Term
| when is a Stainless Steel Crown used? |
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Definition
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Term
| How would you Chart a Stainless Steel Crown? |
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Definition
| Outline and Indicate SSC on facial surface |
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Term
| How would you Chart a Porcelain Crown? |
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Definition
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Term
| who Sets the Alloy Classifications? |
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Definition
| The American Dental Association Council on Dental Materials |
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Term
| what are HIgh Noble Alloys? |
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Definition
have a noble metal content of 60% or greater.
At least 40% must be Gold |
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Term
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Definition
| Have a noble metal content of at least 25%. |
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Term
| what are Predominantly base alloys? |
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Definition
| are less than 25% noble metal |
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Term
| How would you Chart Gold or Noble Metal (alloy) Crowns? |
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Definition
| Outline & Horizontal Lines through the outline. |
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Term
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Definition
| a crown that covers 3/4 of the tooth surfaces |
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Term
| How would you chart a 3/4 Crown? |
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Definition
| Outline in Blue and Horizontal lines in Blue through the outline |
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Term
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Definition
| to Replace missing teeth when sufficient "anchor"teeth are available on each side of the gap. |
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Term
| what kind of Bridges are Available? |
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Definition
~Fiber-reinforced Ceramics
~Zirconium-based Ceramics
~Porcelain fused to metal Bridges |
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Term
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Definition
| anchor tooth or teeth in a Bridge. |
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Term
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Definition
| the missing tooth in a Bridge. |
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Term
| How would you Chart a Bridge with a Porcelain Facial Surface? |
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Definition
-Outline Gold aspects with Blue and draw Horizontal lines/ Outline the Acrylic or Porcelain Face but NO lines.
-Place 'X' on roots of missing tooth (pontic) AND 'X' tooth #.
-Connect Crowns with Horizontal Line across the Facial. |
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Term
| When is a Removable Partial Denture Used? |
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Definition
| to replace Missing teeth when insufficient teeth remain to support fixed bridges or a patient does not test well for bridge materials. |
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Term
| What materials can a Removable Partial Denture Be made of? |
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Definition
| can be metal or acrylic-based. |
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Term
| Why might People prefer a metal partial? |
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Definition
| Metal partials can be made with precision attachments that eliminate the use of unsightly metal clasps. |
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Term
| How would you Chart the presence of removable partial Dentures? |
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Definition
| In blue note the tooth numbers and RP above the teeth. Example: RP #20; 30-31, clasps on 19, 21, 29, 32 |
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Term
| When would a Removable Full Denture be used? |
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Definition
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Term
| How would you chart a Full Denture? |
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Definition
| place a Blue X through all the teeth and write FD. |
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Term
| How would you chart an Impacted tooth? |
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Definition
| Circle tooth and place a line through Facial and Lingual tooth numbers. |
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Term
| what is necessary to know if a patient has a pin in a tooth? |
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Definition
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Term
| How would you chart a pin buildup? |
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Definition
| chart as solid Blue line as seen on radiograph. |
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Term
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Definition
| A titanium posts surgically placed into the jawbone. |
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Term
| What is the purpose of Implants? |
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Definition
| to support a dental prosthesis. |
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Term
| What structures use implants as support? |
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Definition
| from single crowns all the way to full dentures |
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Term
| How long does it usually take for an Implant to have the bone grow around the post? |
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Definition
| usually three months after placement. |
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Term
| How would you chart an implant? |
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Definition
| Solid blue rectangle over root, & indicate Stage 1 or 2 at the tooth number. |
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Term
| How would you chart a Stage 1 Implant? |
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Definition
| Cross out tooth crown and draw solid blue rectangle over root. |
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Term
| How would you chart a Stage 2 Implant? |
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Definition
| Chart restorative Crown and Solid blue rectangle covering the root. |
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Term
| How would you chart an mouth with Implants and a full Denture? |
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Definition
| Estimate where the implants are and draw solid blue rectangles through the roots, X out the teeth and write full Denture. |
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Term
| How would you chart a root Canal? |
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Definition
| draw root in blue on the teeth with the RC. |
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Term
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Definition
| white filling material in a "flowable" form. |
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Term
| What are Sealants used for? |
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Definition
| to fill the decay-suseptable grooves of the back teeth as a preventative procedure. (usually in children 6-18 yrs) |
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Term
| How would you chart Sealants? |
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Definition
| In a Lead color, color in the grooves where the sealants were placed. |
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Term
| Generally what is charted with the RED Pencil? |
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Definition
| Things that need to be done in the patients mouth. |
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Term
| What color are Caries charted in? |
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Definition
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Term
| What kind of caries may you see on a chart? |
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Definition
-pit & fissure caries
-smooth surface caries
-Root caries |
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Term
| What classification system do we use with Caries? |
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Definition
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Term
| Other than Caries what is Charted in RED? |
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Definition
-Food Impaction
-Periapical radiolucency(Abscess), circle at the Apex
- Temporary Restorations (outline and write temp over tooth)
-Fractures (draw as you see it)
- Overhang Margin
-Retained Root Tip |
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Term
| How would you chart Food impaction? |
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Definition
| Red Squiggly arrow at location |
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Term
| How would you chart a Periapical Radiolucency? |
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Definition
| Circle the Apex of the tooth in RED |
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Term
| How would you chart a Temporary Restoration? |
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Definition
| Outline in RED and write Temp over the tooth. |
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Term
| How would you chart a Fracture in a tooth? |
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Definition
| In RED draw it as you see it. |
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Term
| How would you chart an Overhang Margin? |
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Definition
| In RED Draw an Open Triangle above area. |
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Term
| How would you Chart a Retained Root Tip? |
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Definition
| write RRT over the area in RED. |
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Term
| When Identifying where Caries are on a tooth What letters will you use and what do they stand for? |
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Definition
O- Occlusal
B-Buccal
D- Distal
M- Mesial
L-Lingual
F- Facial
I- Incisial |
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Term
| EX: How would you chart a Caries on tooth number 30 that runs from the interproximal surface on the Mesial over the top of the tooth, to the interproximal surface on the Distal? |
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Definition
| in RED, Outline the Cavity and Fill it in and then Write MOD. |
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