Physical Evaluation and Treatment Planning in Dental Practice

The revised Second Edition of Physical Evaluation and Treatment Planning in Dental Practice has been expanded to include information pertinent when considering comprehensive treatment planning for a wide variety of dental procedures. Written by internationally recognized specialists and discipline experts in their field, the Second Edition offers new chapters on dental and oral diseases and disorders, including insights and diagnostics for each category. Readers will learn about diagnosis and planning considerations for orofacial pain, caries, periodontics, oral surgery, endodontics, restorative, prosthodontics and esthetic dentistry, and more.

Beginning with a complete introduction of oral health and associated systemic health, the book incorporates discussions of patient history profiles, basic procedures in physical examinations, including examination of the head, neck, extraoral and intraoral tissues, radiographic examination and interpretation, as well as laboratory methods. Readers will also find:

• A thorough introduction to the orofacial clinical processes, including the essential phases in treatment, quality management, patient-doctor communication, documentation, and management of critical patient information.
• An exploration of basic procedures in physical examinations in dentistry, including inspection, palpation, percussion, auscultation, olfaction, and evaluation of function, form, and detailed analysis.
• A thorough review of the head and neck complex. 
• An analysis of the examination and diagnosis of the intraoral and extraoral features, including all hard and soft tissues of the orofacial complex.

Designed for general dental practitioners, periodontists, prosthodontists, dental residents and fellows, and dental students, Physical Evaluation and Treatment Planning in Dental Practice is a logically organized one-stop reference for patient evaluation and treatment.

The authors 

Géza T. Terézhalmy, DDS, MA, is Professor and Dean Emeritus in the School of Dental Medicine at Case Western Reserve University in Cleveland, Ohio, USA. 

Michaell A. Huber, DDS, is Professor at the University of Texas Health Science Center at San Antonio in San Antonio, Texas, USA.  

Lily T. García, DDS, MS, FACP, is Professor and Dean of the UNLV School of Dental Medicine in Las Vegas, Nevada, USA. 

Ronald L. Occhionero, DDS, is Professor at Case Western Reserve School of Dental Medicine in Cleveland, Ohio, USA. 

Preface to the second edition

Preface to the first edition

List of Contributors

About the Companion Website

1. Introduction to the Clinical Process

1.1. Essential Elements of the Clinical Process

1.2. Quality Management in the Clinical Process

1.3. Patient–Doctor Communication in the Clinical Process

1.4. Characteristics of the Patient–Doctor Relationship

1.5. Documentation of the Clinical Process

1.6. Designations and Abbreviations

1.7. Summary

Suggested Reading

2. The Historical Profile

2.1. Patient Identification

2.2. Chief Complaint (Problem)

2.3. Dental History

2.4. Medical History

2.5. Family History

2.6. Social History

2.7. Review of Organ Systems

2.8. Summary

Suggested Reading

3. Basic Procedures in Physical Examination

3.1. Inspection

3.2. Palpation

3.3. Percussion

3.4. Auscultation

3.5. Olfaction

3.6. Evaluation of Function

3.7. Summary

Suggested Reading

4. Examination of the Head and Neck

4.1. Examine the Head and Face

4.2. Examine the Ears and Temporomandibular Joints

4.3. Examine the Nose

4.4. Examine the Eyes

4.5. Examine the Hair

4.6. Examine the Neck

4.7. Examine the Lymph Nodes

4.8. Conclusion

Suggested Reading

5. Examination of the Oral Cavity

5.1. Examine the Vermilion of the Lips

5.2. Examine the Labial and Buccal Mucosa

5.3. Examine the Hard Palate

5.4. Examine the Soft Palate and Tonsillar Area

5.5. Examine the Tongue

5.6. Examine the Glossopharyngeal (IX) and Vagus (X) Nerves

5.7. Examine the Floor of the Mouth

5.8. Examine the Gingivae

5.9. Examine the Teeth

5.10. Summary

Suggested Reading

6. Radiographic Examination

6.1. Radiographic Examination of the New Patient

6.2. Radiographic Examination of the Recall Patient

6.3. Introduction to Radiographic Interpretation

6.4. Radiographic Manifestations of Common Conditions

6.5. Conclusion

Suggested Reading

7. Laboratory Methods

7.1. Hematology Screening

7.2. Evaluation of Hemostasis

7.3. Biochemical Tests

7.4. Tissue Studies

7.5. Summary

Suggested Reading

8. Diagnostic and Treatment Planning Considerations for Orofacial Pain

8.1. Subjective Information

8.2. Objective Findings

8.3. Plan: Treatment Options

8.4. Summary

Suggested Reading

9. Evidence-Based Treatment Planning in Restorative Dentistry

9.1. Historical Perspective

9.2. Etiology of Dental Caries

9.3. Caries Lesion Detection, Assessment and Diagnosis

9.4. Primary Caries Lesion Diagnosis and Risk Assessment

9.5. Developing a Minimally Invasive Evidence-Based Treatment Plan Predicated on Caries Risk

9.6. Diagnosis and Treatment of Root Caries Lesions

9.7. Clinical Detection and Diagnosis of Secondary or Recurrent Caries Lesions

9.8. Repair Versus Replacement of Direct Restorations

9.9. Summary

Suggested Reading

10. Periodontal and Peri-Implant Examination

Guy Huynh-Ba and Theodoros Katsaros

10.1. Periodontal Evaluation

10.2. Establishing a Periodontal Diagnosis

10.3. Basic Principles of Periodontal Treatment Planning

10.4. Peri-Implant Examination and Diagnosis

10.5. Summary

References

11. Oral and Maxillofacial Surgery

11.1. Introduction

11.2. Medical History

11.3. Chief Complaint (CC)

11.4. History of Present Illness (HPI)

11.5. Past Medical History

11.6. Past Surgical History

11.7. Medications

11.8. Allergies

11.9. Social History

11.10. Last Meal

11.11. Review of Systems (ROS)

11.12. Physical Examination

11.13. Medical Status

11.14. Anesthesia Requirements

References

12. Endodontic Evaluation: Diagnosis and Treatment Planning

Anibal R. Diogenes and Fabricio B. Teixeira

12.1. Introduction

12.2. Pulp Status

12.3. Periradicular Status

12.4. Imaging Assessment

12.5. Additional Clinical Evaluations

12.6. Diagnosis

12.7. Endodontic Treatment Planning

12.8. Concluding Remarks

References

13. Prosthodontic Restoration: Diagnosis and Treatment Planning

13.1. Documenting Patient Health Histories

13.2. Documenting Clinical, Radiographic, and Photographic Findings

13.3. Designing Prosthodontic Treatment Plans

Case 1 Diagnostic Summary and Treatment Planning for a Patient

13.4. Summary

References

14. Exam, Diagnosis and Treatment Planning in Pediatric Patients

14.1. The Complete History and Examination

14.2. Diagnosis

14.3. Treatment Planning

14.4. Risk Based, Age Appropriate Diagnosis and Treatment Planning

Recommended Textbooks and Additional Reading

References

15. Orthodontics for the General Practitioner

15.1. Introduction to Orthodontics

15.2. Diagnosis and Malocclusion Classification

15.3. Orthodontic Interventions Commonly Accomplished by the General Practitioner

15.4. Management of the Mixed Dentition

Recommended Resources and Textbooks

References

16. Putting It All Together: Introduction to Treatment Planning

16.1. Rational Approach to Treatment Planning

16.2. Putting It All Together

Case 1 (Dr. Leena Palomo)

16.3. Presentation of the Treatment Plan

16.4. Consultations and Referrals

16.5. Conclusion

Suggested Reading

Index

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