PATIENT VISIT I – DIAGNOSIS AND PRELIMINARY IMPRESSIONS

 

Clinical Procedures

 

ASEPSIS, EXAMINATION, DIAGNOSIS, PROGNOSIS AND TREATMENT PLANNING (1/2 HOUR)

 

  1. Obtain a starting initial on the Treatment and Receipt Record. 
  2. Data collection.
    1. Review the health history form.  Summarize the medical/dental history.
    2. Review the Physical Examination form, Intraoral survey and Periodontal Condition.  Complete the radiographic consultation portion on the back of the record.  Review this and have it signed by a faculty member.
    3. Complete a treatment plan form.
    4. A clinical faculty member will review and sign all forms.
    5. Present the treatment plan to the patient.  Outline the time involved, appointments necessary, and fee for services.  Have the patient sign the treatment plan form.
    6. Enter the total fee on the encounter form at the first clinical visit.  You will need to use two ADA codes – one maxillary(5110)  and  one mandibular(5120).
    7. All records must be reviewed by a faculty member before initiating treatment.
    8. Have this faculty member co-sign/initial all forms and progress notes.

YOU MUST HAVE A SIGNED TREATMENT PLAN IN ORDER TO BEGIN PATIENT TREATMENT

EXAMINATION AND PREPARATION FOR TREATMENT (1 HOUR)

In order to make a successful denture we have to conduct a thorough extra and intra-oral examination of the mouth including the condition of the existing dentures, the denture-supporting area and the tempro-mandibular joint.

 

Extra-oral examination

 

 

Intra-oral examination

 

PRE-PROSTHETIC SURGICAL CORRECTIONS

Surgical treatment is needed in the following conditions:

a. Denture Fibroma (Flabby Gums)  : seen in the anterior residual ridge of the maxilla or the mandible, are highly compressible and displaceable. When this is not excessive a good prosthetic management can provide good results. In severe cases, surgical intervention will be needed.

 

Non fitting upper denture

 

 

Denture Fibroma

 

b. Epulis Fissuratum.

c. Severe undercuts : in the anterior residual ridge or the maxillary tuberosity.

 

Severe Buccal Undercut

 

 

d. Pendulous maxillary tuberosity, prominent maxillary torus and mandibular tori,  and spiny ridges.

 

 

Pendulous Maxillary Tuberosity

 

 

Prominent Maxillary Tori

 

e. In severely resorbed alveolar ridges, vestibuloplasty or ridge augmentation may be needed.   

CORRECTION OF OCCLUSION.

FLOW OF SALIVA .

PATIENT REQUEST'S AND DESIRES.