Monday, 20 July 2015

Intraoral examination 2

Bismillah...

Cerita hari tu terhenti sampai gingiva je..kali ni ktas
 Sambung teeth dan occlusion.

Teeth

Kena buat full dental charting

Penting utk tahu eruption of deciduos and permanent teeth. Sbb kalau lambat or premature eruption alert the clinician to poten
tial problem. Kne observe juga tooth's condition, structure and shape is also required.

Masa clinical examination for carious lesion gigi kena kering and inspected under good light

Definite routine of examination should be setablished. Contohnya dentist start upper right quadrant> upper left quadrant>lower left quadrant> lower right quadrant.

Feature yg kena note
1) caeies: arrested ke restorable ke.

2) restoration..intacr ke kurang ke

3) fissure sealants

4) tooth surface loss

Occlusion

Kena check juga rooth alignment and occlusion, kira ni sebagai early prompt kalau2 kena buat interceptive orthodontics treatment.

Certainly worth noting:

Severe skeletal abnormality

Overjet and overbite

First molar relationships

Presence of crowding/spacing


Deviations/displacement


2 keys stages of dental development

1) age 8-9 years- selalu waktu ni upper permanet incisor patient dah erupt. Jadi kena check


Increased over jet

Cross-bite

Traumatic bite

Ant open bite

Failure of eruption


2) age 10: pt dah ada upper permanent canine..jadi kena note

Permanent canine are palpable buccaly

Pŕimary canines are becoming mobile


Radiographic examination

Routine radiographic certainly not indicated for children.

Tp ada jgk kebaikan radiographs ni utk facilitate

1) caries diagnosis

2)trauma diagnosis

3) orthodontic treatment planning

4)Identification of any abnormalities in dental development

5) detection of any bone or dental pathology




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