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Principles of Interpretation (Characteristics: (Concise, Systematic,…
Principles of Interpretation
Characteristics:
Concise
Systematic
Objective
Complete
Section 1: Bone Patterns and Osseous + Soft tissue anatomy
This section would include interpretation of:
bone/soft tissue variations
neoplasms
cysts
developmental changes
Section II: General Dental Assessment
Eruptive + positional variation (tipping, over erupting/ shifting, impaction, rotation, crowding)
Unerupted teeth
Assess
Surrounding bone
Adjacent teeth
Follicle
Eruption pattern
Delayed
Accelerated
Symmetry
Impaction
If normal, indicate NAD
Impacted teeth
Assess
Surrounding bone
Adjacent teeth
Follicle
If all normal, indicate impacted 18,47: NAD
Included type/orientation
Horizontal
Angular
Vertical
Note relation to canal + sinuses
Regressive tooth ∆s
Crown
Erosion
Abrasion/abfraction
Attrition
Root
Pulp Sclerosis
Resorption
External
Internal
Missing/supernumerary teeth
count the teeth
Anomalies of teeth
Crown
Enamel
Dentin
Shape
Pulp
Size
Root
Shape
Size
Number
Section III: Periodontal Assessment
Bone ∆s
Severity
Moderate
Severe
Mild
Type
Vertical
Horizontal
Inconsistent plates (recession)
Crater form (loss of bone in b/w the teeth form buccal to lingual)
Furcation involvement
Loss of crestal definition
LD + PDL space
Mesial + distal root
Funnelling
Do not include periapical inflammatory disease
Causative factors
Calculus
Restorations
Deficient margins
Over contoured crowns
Overhang margins
Appliances
Caries
Occlusion
Open contacts
Crowding
Crown to root ratios (sometimes placed in root resorption category)
Section IV: Periapical Assessment
Periapical bone
RL
Rarefying osteitis
Radicular cyst
Abscess
Granuloma
Incomplete healing following RCT
Anatomic variations
Large marrow spaces
Mental incisive foramen
Apical scar, following RCT, Surgery
Other conditions (like cancers)
RO
Condensing/sclerosing osteitis
Idiopathic osteosclerosis/ dense bone island
Other conditions
Variation of healing
Root end ∆s associated with periapical abnormalities
Open apex
External root resorption
LD + PDL space
Widening of apical PDL space + loss of LD are early signs of inflammatory disease
Section V: Caries assessment
Tooth surface
Extent
Tooth #
Ex: 14M3D3 (check notes)
Section VI: Previous tx
Pins/posts
Indicate the teeth w pins rather than number, do not indicate # of pins either
Implants
Assess oleo-integration
RC fillings
Record material if not GP
Dont record failed RCT
Can record incomplete fill/short apex, overextended fill
Restorations
do not list, if > 1 just write multiple restorations
Section VII: Summary ex: Bone loss, Caries, etc... just conditions, no details