EXAMINATION CHECKLIST The Faculty Practice 480.588.9108 Gary M. DeWood, D.D.S., M.S. [email protected] 7201 E. Princess Blvd Observations for ___________________________________ on _________________ The following areas were observed and examined today. Boxes that are marked indicate conditions that warrant discussion and possible therapy. APPEARANCE OBSERVATIONS ------------------------------------------------------------------------------------------ Tooth Position Tooth Arrangement Tooth Color Tooth Wear Gingival Display Gingival Levels Papilla Position/Contact Length BITE OBSERVATIONS --------------------------------------------------------------------------------------------------------- TM Joint Sounds TM Joint Pain Muscle Pain Tooth Wear Tooth Fracture Tooth Mobility Mal-alignment of Teeth TOOTH CONDITION OBSERVATIONS ---------------------------------------------------------------------------------- Decay Cracks/Craze Lines Fractures Erosion Failing Fillings and Restorations Missing Teeth Missing Teeth which Need Replacement Teeth that will need future attention BIOLOGIC OBSERVATIONS ------------------------------------------------------------------------------------------------ Gingival Inflammation Gingival Recession Bone Loss Gingival or Bone Hyperplasia Pathology around the Tooth Root Pulpal Inflammation Abnormal X-ray findings
EXAMINATION CHECKLIST - Spear Education CHECKLIST The Faculty Practice 480.588.9108 Gary M. DeWood, D.D.S., M.S. [email protected] 7201 E. Princess Blvd Observations for ...
May 07, 2018
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EXAMINATION CHECKLIST The Faculty Practice 480.588.9108 Gary M. DeWood, D.D.S., M.S. [email protected] 7201 E. Princess Blvd Observations for ___________________________________ on _________________
The following areas were observed and examined today. Boxes that are marked indicate conditions that warrant discussion and possible therapy.
APPEARANCE OBSERVATIONS ------------------------------------------------------------------------------------------
q Tooth Position q Tooth Arrangement q Tooth Color q Tooth Wear q Gingival Display q Gingival Levels q Papilla Position/Contact Length
BITE OBSERVATIONS ---------------------------------------------------------------------------------------------------------
q TM Joint Sounds q TM Joint Pain q Muscle Pain q Tooth Wear q Tooth Fracture q Tooth Mobility q Mal-alignment of Teeth
TOOTH CONDITION OBSERVATIONS ----------------------------------------------------------------------------------
q Decay q Cracks/Craze Lines q Fractures q Erosion q Failing Fillings and Restorations q Missing Teeth q Missing Teeth which Need Replacement q Teeth that will need future attention
BIOLOGIC OBSERVATIONS ------------------------------------------------------------------------------------------------
q Gingival Inflammation q Gingival Recession q Bone Loss q Gingival or Bone Hyperplasia q Pathology around the Tooth Root q Pulpal Inflammation q Abnormal X-ray findings
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