Clinical Dh Tech Week 4 - Charting Basics

Front 1

What method of charting do we use?

Back 1

Anatomical Charting, same form as Periodontal Assessment

Front 2

What color are existing conditions charted in?

What is charted?

Back 2

• Existing conditions are charted in blue

• Missing teeth, impacted teeth, supernumerary teeth
• Restorations, endodontic treatment, implants, bridges

Front 3

What Color is pathology diagnosed by the dentist charted in?

What pathology is charted?

Back 3

• Pathology is charted in Red

• Caries, lesions, fractured teeth, diagnosed sealants

Front 4

How are missing teeth charted?

Back 4

• Charted First for accurate representation of the mouth
• Verified clinically and through radiographs
• X is drawn through all aspects of the tooth and probing sections

Front 5

How are multiple missing teeth charted?

Back 5

• Adjacent missing teeth may be marked with a large X through the group

• Edentulous arch is marked with one large X over entire arch

Front 6

How are impacted teeth charted?

Back 6

Impacted teeth are charged by drawing a blue circle around all aspects of the tooth
Fully imparted teeth have not erupted through the bone or tissue- only detectable in radiographs

Front 7

How are partially erupted teeth charted?

Back 7

• Partially erupted teeth are charted by drawing a blue line demonstrating gingival margin around crown and writing PE at the apex.
• Partially erupted teeth - only part of tooth erupts through tissue due to mandible length

Front 8

How big are restorations?

what are they made of?

How are restorations found?

Back 8

• Come in all shapes and sizes on one or all surfaces of the tooth.
• May be amalgam, composite, porcelain, gold, porcelain fused to metal, stainless steel, porcelain fused to zirconia, or temporary materials.
• MUST use radiographs and clinical exam w/ air and explorer for accuracy (dehydrating tooth makes edges stand out)

Front 9

Blacks classification of Caries: I

Back 9

Pits and Fissures

Front 10

Blacks classification of Caries: II

Back 10

Interproximal (posterior)

Front 11

Blacks classification of Caries: III

Back 11

Interproximal (anterior)

Does Not Involve Incisal Edge

Front 12

Blacks classification of Caries: IV

Back 12

Interproximal (anterior)

Involves Incisal Edge

Front 13

Blacks classification of Caries: V

Back 13

Cirvical Third of Crown

Front 14

Blacks classification of Caries: VI

Back 14

Cusp Tips

Front 15

How do you chart Amalgam fillings?

Composite? Gold onlays or inlays?

Back 15

• Amalgam is drawn and filled in in blue
• Composite is outlined in blue
• Gold onlay is outlined in blue with GO in center
• Gold inlay is outlined in blue with GI in center

Front 16

How are sealants charted?

Back 16

• Existing is charted as a blue S on surface (occlusal or buccal/lingual)
• Pathology is charted as a red S on surface
• Sealants appear milky white compared to tooth surface
• CANNOT be detected on radiographs!

Front 17

How are crowns charted?

Back 17

• All aspects of the crown are outlined in blue and indicated on buccal/facial surface of type
• FG = Full Gold
• PMF = Porcelain-fuzed-to-metal
• PFZ = Porcelain-fused-to-Zirconia
• FP = Full Porcelain
• SS = Stainless Steel
• NPM = Non-precious Metal
• CER = Ceramic

Front 18

How are bridges charted?

Back 18

• Abutments = All aspects of the crown are outlined in blue and indicated on buccal/facial surface of type (like crowns)
• Pontics = Charted same way but with a large blue X through all aspects of the tooth.
• A line is drawn connecting the roots of abutments on the buccal/facial aspect indicating a bridge.
• Tooth number, Type, and Placement Date are noted in Comments.

Front 19

How are Maryland Bridges charted?

Back 19

• Pontic = All aspects of the crown are outlined in blue and indicated on buccal/facial surface of type (like crowns). Large blue X is drawn through all aspects of the tooth.
• Abutments = Outline in blue on occlusal surface representing attachment
• Tooth number, Type, and Placement Date are noted in Comments.

Front 20

How are Dentures Charted?

Back 20

• Large blue X is drawn through arch.
• Noted in Comments that Pt has full denture, type (i.e. acrylic) and how it fits

Front 21

How are Porcelain Veneers charted?

Back 21

• Facial crown is outlined on facial and incisal aspects of the tooth with PV on facial surface.
• Often extends slightly onto lingual surface

Front 22

How are implants charted?

Back 22

• Crown is outlined in blue with material indicated on buccal suface
• Virtical line with 3 horizontal lines are drawn in buccal root attached to crown
• Tooth is marked with a large blue X through all aspects
• Tooth number, type, date, and Dr are noted in Comments

Front 23

How are space maintainers charted?

Back 23

• Occlusal aspect of banded tooth is outlined in blue
• Unerupted tooth is circled in blue around all aspects of the tooth
• two horizontal lines are drawn through the occlusal aspect within the circle.

Front 24

How are malposed teeth charted?

Back 24

• Blue arrows are drawn around occlusal/incisal aspects of the tooth indicating the directing the tooth is rotated/tipped/tilted/drifting
• A comment can be made to further explain the position(s) if necessary.

Front 25

How is a lingual bar charted?

Back 25

• An outline of attachments are drawn on the lingual surface of attached teeth
• A blue line is drawn across the lingual crowns of teeth from canine to canine.
• May see a tiny wire bonded to the maxillary centeral incisors

Front 26

How are Open contacts and Diastemas charted?

Back 26

• Two vertical lines between teeth that have open contact
• Diastemas are charted the same way but the number of mm's is written between the lines.

Front 27

How are Carious Lesions charted on Molars?

Back 27

• Charted in red.
• Outlined if MOD

Dot on occlusal for occlusal only

• Triangle outline for mesial, distal, or both

Front 28

How are recurrent caries charted?

Back 28

• Chart restoration in blue as previously indicated
• Then outline restoration in red

Front 29

How are anterior caries or fracture Charted?

Back 29

• Charted in red.
• Triangle outline indicates mesial, distal, or both
• Dot on facial/lingual indicates facial/lingual only
• Jagged line indicates a fracture.

Front 30

How are endodontic treatments, Post and core, and lesions charted?

Back 30

• Endodontic treatment is charted as a line in the roots of the buccal/facial aspect (blue=existing, red=purposed)
• Post and crown is drawn the same way except cirvical half of line is a filled in rectangle. Tooth number, type, date, and Dr is noted in Comments
• Lesions are drawn as a red circle at the apex of the root.

Front 31

How are extractions charted?

Back 31

• Purposed extractions are charted as two red lines drawn through all aspects of the tooth
• If the extraction is an impacted tooth, it is also circled in blue.

Front 32

How is attrition charted?

Back 32

• Charted as two vertical lines drawn across incisal surface of facial aspect

Front 33

Who's job is it to make sure charting is done accurately?

Back 33

• Everyone's!