rd

A Warm welcome to 3 year BDS,

And to the subject of Periodontology

By Dr.Jaffar Raza Syed

HISTORY

(Hx)

Name
Age
Occupation
Sex
Address
Date

Chief Complaint

History of Present Illness

(HOPI)

Past Dental History

Frequency of dental visit:
b. Date of last prophylaxis:
c. Frequency of oral prophylaxis:
d. History of previous dental treatment:

Family Dental History

a. History of caries/periodontal disease:
b. Unusual loss of teeth in parents or siblings:

Medical History
Cardiac: Chest pain on exertion
Palpitation
Dyspnea
Swelling of ankles
Angina pectoris
a. Fainting (Syncope):Seizures
b. Diabetes
c. Hepatitis, jaundice or liver disease
d. Tuberculosis
e. Sexually transmitted diseases
f. Abnormal bleeding associated with previous extraction,
surgery and trauma

g. Allergic Hx
Local anesthesia
Penicillin or other antibiotics
Analgesics
Others
Women:
Pregnancy
Nursing

Habits
Clenching Yes/No
Mouth breathing Yes/No
Tongue thrusting Yes/No
Pan chewing/tobacco-chewing Yes/No
Bruxism Yes/No
Chronic lip-biting, cheek/tonguebiting Yes/No
Cigarette or pipe smoking Yes/No

Oral hygiene measures

1. Age of brush, type of brush.
2.Method of brushing
a. Horizontal
b. Vertical
c. Circular
3. Frequency of brushing
4. Estimate of time spent
5. Interdental aids
a. Dental floss, toothpicks
b. Interproximal brushes

Examination
A. Extraoral Examination
a. TMJ: Pain
Clicking
Deviation
b. Symmetry of face
c. Lymph nodespalpable/nonpalpable:
Tender/non-tender
d. Lip competence

B. Intraoral Examination
Soft tissue examination
a. Buccal and labial mucosa
b. Palate
c. Floor of the mouth
d. Vestibule
e. Tongue

Mucogingival problems:
Hard tissue examination:
Number of teeth present:
Missing teeth:
Caries:
Fillings/Restoration:
Impacted teeth:
Hypoplasia/ Fluorosis of teeth:
Proximal contact form:
Pathologic migration:
Wasting diseases:
Attrition:
Abrasion:
Erosion:
Tenderness on percussion:
Pulpoperiodontal problems:

Occlusal Analysis
Angles classification:
Overjet and Overbite:
Premature Contact:
Crossbite:

Trauma from occlusion:

Fremitus Test: Class I
Class II
Class III

Investigations
Radiographic investigations: IOPA
radiographs/OPG
Horizontal bone loss:
Vertical bone loss:
Furcation involvement:
Endotreated/Overhanging restorations:
Pulpoperiodontal Pathology:
Impacted/Supernumerary teeth/ Embedded:
Caries:

Hematological investigations
Clotting time:
Bleeding time:
RBC:
WBC: Total Count:
Differential Count:
Hb percentage:
Blood sugar analysis: FBS
RBS
Urine examination for: Sugar
Albumin
Microorganisms
Biopsy:

Provisional Diagnosis
Prognosis:
Overall:
Individual:

Treatment Plan
Phase I (Etiotrophic Phase):
Phase II (Surgical Phase):
Phase III (Restorative Phase):
Phase IV (Maintenance Phase):