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HISTORY AND
EXAMINATION
HISTORY
• Include all pertinent information concerning the reasons for seeking treatment,
along with any personal information, including relevant previous medical and
dental experiences.
BIOGRAPHIC DATA
 Patient's name
 Address
 Phone number
 Gender
 Occupation
 Work schedule
 Marital and financial status
CHIEF COMPLAINT:
-Should be recorded in pts own words.
HISTORY OF PRESENT ILLNESS
MEDICAL HISTORY
DENTAL HISTORY
• Reason for tooth loss
• Sequence of tooth loss
• Date of last extraction
• Previous dental treatment: Received from and its experience
• Previous denture experience
• Complications faced during treatment
• Dental visits
FAMILY HISTORY
SOCIAL HISTORY
FINANCIAL STATUS
• Affording
• Compromising
• Non affording
EDUCATION
HABITS
MENTAL ATTITUDE CLASSIFICATION OF PATIENTS BY HOUSE
1. PHILOSOPHICAL
Correctly interpret their problems neither overstating nor under expressing .They understand
limitations of an artificial prosthesis
2. EXACTING
These pts. are methodical , precise and accurate. At times more demanding. Can be managed if
handled properly.
3. INDIFFERENT
Emotionally unstable. Hypersensitive , excitable.
4. HYSTERICAL
Pts have no concern. Lack motivation. Doesn’t pay attention to instructions. Non co-operative
Seek prosthesis at request of family or at the advice of physician.
EXTRA ORAL EXAMINATION
Facial form
Facial profile
LENGTH OF FACE
Long Medium Short
MUSCLE TONE
Class I: Normal tone Class II: partial loss Class III: Complete loss
TMJ
Pain Tenderness Discomfort
Clicking Crepitations
MOVEMENTS
Normal Restricted
LIP THICKNESS
Thin Normal Thick
HIGH LIP LINE
Only teeth Gingival third Gummy
LOW LIP LINE
No incisal show Incisal show
INTRAORAL EXAMINATION
MUCOSA (COLOUR)
Pink Whitish pale Reddish Dark
RIDGE THICKNESS
Type1=2mm Type 2= <2mm
2a thin 2b flat
OTHER PATHOLOGIES
Hyperplasia Hyperkeratosis
ARCH SHAPE
Squarish Ovoid Tappering
PALATAL REGION
U shape V shape Flat
SOFT PALATE
POST DAM
>5mm 2-4mm <2mm
SALIVA
QUALITY
Normal Watery Ropy
QUANTITY
Normal Excessive Deficient
OTHER FEATURES
• Bony undercuts
• Bulging maxillary tuberosity
• Tori
• Unemployed mandibular ridge
• Bony spicules
• Erosion
• Abrasion
• Abfraction
• Attrition
RESIDUAL RIDGE ATWOOD CLASSIFICATION
NO.OF MISSING TEETH
EXISTING RESTORATIONS/PROSTHESIS
PERIODONTAL EVALUATION
Gingivitis Periodontitis Bleeding
Recession Mobility Oral hygiene
OCCLUSAL ANALYSIS
Overjet Overbite
Molar relation Canine relation
RADIOGRAPHIC ANALYSIS
DIAGNOSIS
TREATMENT PLAN
THANK YOU

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HISTORY AND EXAMINATION IN PROSTHODONTICS

  • 2. HISTORY • Include all pertinent information concerning the reasons for seeking treatment, along with any personal information, including relevant previous medical and dental experiences. BIOGRAPHIC DATA  Patient's name  Address  Phone number  Gender  Occupation  Work schedule  Marital and financial status CHIEF COMPLAINT: -Should be recorded in pts own words.
  • 3. HISTORY OF PRESENT ILLNESS MEDICAL HISTORY DENTAL HISTORY • Reason for tooth loss • Sequence of tooth loss • Date of last extraction • Previous dental treatment: Received from and its experience • Previous denture experience • Complications faced during treatment • Dental visits FAMILY HISTORY
  • 4. SOCIAL HISTORY FINANCIAL STATUS • Affording • Compromising • Non affording EDUCATION HABITS
  • 5. MENTAL ATTITUDE CLASSIFICATION OF PATIENTS BY HOUSE 1. PHILOSOPHICAL Correctly interpret their problems neither overstating nor under expressing .They understand limitations of an artificial prosthesis 2. EXACTING These pts. are methodical , precise and accurate. At times more demanding. Can be managed if handled properly. 3. INDIFFERENT Emotionally unstable. Hypersensitive , excitable. 4. HYSTERICAL Pts have no concern. Lack motivation. Doesn’t pay attention to instructions. Non co-operative Seek prosthesis at request of family or at the advice of physician.
  • 6. EXTRA ORAL EXAMINATION Facial form Facial profile
  • 7. LENGTH OF FACE Long Medium Short MUSCLE TONE Class I: Normal tone Class II: partial loss Class III: Complete loss TMJ Pain Tenderness Discomfort Clicking Crepitations MOVEMENTS Normal Restricted LIP THICKNESS Thin Normal Thick HIGH LIP LINE Only teeth Gingival third Gummy LOW LIP LINE No incisal show Incisal show
  • 8. INTRAORAL EXAMINATION MUCOSA (COLOUR) Pink Whitish pale Reddish Dark RIDGE THICKNESS Type1=2mm Type 2= <2mm 2a thin 2b flat OTHER PATHOLOGIES Hyperplasia Hyperkeratosis ARCH SHAPE Squarish Ovoid Tappering PALATAL REGION U shape V shape Flat
  • 9. SOFT PALATE POST DAM >5mm 2-4mm <2mm SALIVA QUALITY Normal Watery Ropy QUANTITY Normal Excessive Deficient
  • 10.
  • 11. OTHER FEATURES • Bony undercuts • Bulging maxillary tuberosity • Tori • Unemployed mandibular ridge • Bony spicules • Erosion • Abrasion • Abfraction • Attrition RESIDUAL RIDGE ATWOOD CLASSIFICATION
  • 12. NO.OF MISSING TEETH EXISTING RESTORATIONS/PROSTHESIS PERIODONTAL EVALUATION Gingivitis Periodontitis Bleeding Recession Mobility Oral hygiene OCCLUSAL ANALYSIS Overjet Overbite Molar relation Canine relation RADIOGRAPHIC ANALYSIS DIAGNOSIS TREATMENT PLAN