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WESTERN CAREER COLLEGE. SACRAMENTO CALIFORNIA. Dental. Charting. You Can Do It!. www.WesternCollege.edu. What is Dental Charting for?.

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WESTERN CAREER COLLEGE

SACRAMENTO CALIFORNIA

Dental

Charting

You Can Do It!

www.WesternCollege.edu


What is Dental Charting for?

  • Dental Charting is a task that Dental Assistants will do for the dentist on a daily basis. You will need to become familiar with surfaces of a tooth, existing conditions, and restorations.


Terminology

  • Maxillary – Upper Teeth

  • Mandibular – Lower Teeth

  • Anterior – Front Teeth

  • Posterior – Back Teeth

  • Midline – Imaginary line down the very center


Surfaces

  • Mesial – closest to Midline

  • Distal – farthest from Midline

  • Lingual – closest to Tongue

  • Facial – closest to Lips (Anterior)

  • Buccal – closest to Cheeks (Posterior)

  • Incisal – Biting Edge of Tooth (Anterior)

  • Occlusal – Chewing Surface (Posterior)


  • The adult mouth normally has 32 teeth.

    • Extraction of Wisdom Teeth is normal.


  • Teeth are numbered from 1 to 32.

  • On the upper arch, from left to right (dentist view) going from 1 to 16.

  • Then on lower arch, from right to left, going 17 to 32.


  • This is how a Dental Geometric Chart looks.


  • The “Midline” is an imaginary line that goes down the center, as illustrated by the turquoise line.

  • The “Lingual” would be the surface closest to the tongue, as illustrated by the green line.


Mesial

  • Surface Closest to the Midline

  • on All Teeth


Distal

  • Surface Farthest from the Midline

  • on All Teeth


Lingual

  • Surface Closest to the Tongue

  • on All Teeth


Facial

  • Surface Closest to Lips

  • on Anterior teeth

á

á

á

á

á

á

cuspid

cuspid

incisors


Buccal

  • Surface Closest to Cheeks

  • on Posterior teeth

á

á

á

á

á

á

á

á

á

á

Bicuspids

molars

Bicuspids

molars


Incisal

  • Biting Edge

  • of Anterior Teeth

á

á

á

á

á

á

cuspid

cuspid

incisors


Occlusal

  • Chewing Surface

  • of Posterior Teeth

á

á

á

á

á

á

á

á

á

á

Bicuspids

molars

Bicuspids

molars


  • use Blue pencil for:

  • Existing Conditions

  • use Red pencil for:

  • Work needs to be done

  • Things that need attention


missing

  • This tooth is missing

  • Mark with a blue M


extract

  • Tooth needs to be Extracted

  • Mark with a red X


impacted

  • Permanent Tooth has not Erupted

  • Circle around the outside in red

  • write IMP

ATTENTION WORTHY! MARK IN RED!


Amalgam

  • Silver-colored Mercury Filling

  • Fill-in indicated surface


Composite

  • Tooth-colored Light-Cured Filling

  • Circle around indicated surface


Fillings

Amalgam

Fill-in

Composite

Outline


gold foil

  • Outline surfaces

  • plus Diagonal lines on surfaces

  • write GF


gold inlay

  • Outline surfaces

  • plus Diagonal lines on surfaces


full gold crown

  • Diagonal lines on entire tooth

  • write FGC


porcelain crown

  • Circle Tooth on Inside

  • write PMC


super numerary

  • Extra Tooth

  • red dot and S

ATTENTION WORTHY! MARK IN RED!


root canal

  • Nerve removed from tooth and replaced with rubber material called Gutta Percha

  • 3 lines away from lingual

  • Blue or Red


abscess

  • Tooth Infection

  • a red pimple and 2 lines

ATTENTION WORTHY!

MARK IN RED!


apicoectomy

  • Root Slice

  • line thru the root


bone absorption

  • v-shape


partial denture

  • M over missing tooth

  • boxes over anchor teeth

  • line on the bottom


3 unit fixed bridge

  • M over missing tooth

  • Circle Abutment Teeth

  • 2 lines in between


Let’s Review!


  • How many teeth in the normal adult mouth?

32


Where are the Midline and Lingual lines?

  • Midline

    • vertical line that goes down the center

      • between teeth #8 & #9

      • also between teeth #25 & #24

  • Lingual

    • horizontal line which represents the surface closest to the tongue

      • between Maxillary & Mandibular arches


What is the Mesial?

  • Surface Closest to the Midline

  • on All Teeth


What is the Distal?

  • Surface Farthest from the Midline

  • on All Teeth


What is the Lingual?

  • Surface Closest to the Tongue

  • on All Teeth


What is the Facial?

  • Surface Closest to Lips

  • on Anterior teeth


What is the Buccal?

  • Surface Closest to Cheeks

  • on Posterior teeth


What is the Incisal?

  • Biting Edge

  • of Anterior Teeth


What is the Occlusal?

  • Chewing Surface

  • of Posterior Teeth


Which color pencil would you use

to indicate work that needs to be done?

Red


What color pencil would you normally use

to record Existing Conditions?

Blue


any attention-worthy

issue must be in Red,

even Pre-Existing!

Red

But what if it’s a pre-existing issue that’s in particular need of

special attention… what color

pencil would you use then?


If a Tooth is Missing, how do you write it?

  • mark with a blue M


How do you mark a tooth that needs to be Extracted?

  • Mark with a red X


How do you mark down an Impacted tooth?

  • Circle around the outside in red

  • and write IMP

ATTENTION WORTHY! MARK IN RED!


How do you mark Amalgam filling?

  • Fill-in indicated surface

  • Blue for existing

  • Red for to-be-done


How do you mark Composite filling?

  • Circle around indicated surface


How do you mark Gold Foil?

  • Outline surfaces

  • plus Diagonal lines on surfaces

  • write GF


How do you mark Gold Inlay?

  • Outline surfaces

  • plus Diagonal lines on surfaces


How do you mark a Full Gold Crown?

  • Diagonal lines on entire tooth

  • write FGC


How do you mark Porcelain Crown?

  • Circle Tooth on Inside

  • write PMC


How do you mark SuperNumerary?

  • red dot and S

  • DDS will indicate between which two teeth

ATTENTION WORTHY! MARK IN RED!


How do you mark

“Root Canal Treatment”?

  • 3 lines away from lingual

  • Blue or Red


How is an Abscess indicated?

  • a red pimple and 2 lines

ATTENTION WORTHY!

MARK IN RED!


How do you indicate Apicoectomy?

  • line thru the root


How do you mark-down Bone Absorption?

  • v-shape


How do you record a Partial Denture?

  • M over missing tooth

  • boxes over anchor teeth

  • line on the bottom


How about a “3 unit Fixed Bridge” ?

  • M over missing tooth

  • Circle Abutment Teeth

  • 2 lines in between


Other Methods of Charting

  • Anatomical

  • Computer


The

End

created by Jeff Reyes – class of ‘09


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