Diagnosis
Recently updated on November 15th, 2022 at 12:03 pm
ORAL DIAGNOSIS AND RADIOLOGY
“Oral Diagnosis” Literally Means “Intraoral Diagnosis.”
A successful oral treatment is only possible with the correct diagnosis. Oral Diagnosis determines all problems in and outside the mouth in dentistry and helps to use scientific information to determine the relationship between them and to make the right treatments in line with the conclusions reached. A good oral diagnosis is made with an out-of-mouth examination, an intraoral examination, and radiological examination.
An oral examination covers the mouth and surrounding tissues (face, jaw, jaw joint, lips, nose, neck, chin, etc.). In addition, the teeth are checked in a systematic manner during an oral examination. Gum recession, plaque, accumulation of stones, the presence of fistula, mobility, bruises, incompatible restorations, curvature, color, number and shape of defects are evaluated. After an individual dental examination, patients are also examined for closure and the relationship of the jaws with each other. If all teeth and intraoral tissues have been evaluated, it must be reported whether interventions are required for teeth that have not yet been complained of.
Tooth decay, which is not yet deep, does not cause inconvenience, but can cause discomfort when it progresses. Or, if you are informed of gum disease in the early stages, gum recession and tooth loss can be prevented.
An oral diagnosis is very important not only for dentistry, but also for systemic diseases. Systemic diseases. Patients should be asked questions about oral diagnosis. For example, doctor should ask about all diseases, such as: diabetes mellitus, heart disease, hypertension, vascular stiffness, all hormonal disorders, and also learn about the medicines used by the patient.
These diseases can change the planning of treatment. For example, medications used for diabetes, heart disease, and vascular stiffness can affect blood coagulation. In addition, some findings inside and outside the mouth may be a harbinger or symptom of some systemic diseases.
Your dentist can change the medications and interventions that he will use in accordance with your general condition, health problems, and medications that you use all the time. For this reason, the “Oral Diagnosis” takes a detailed history of the patient, and treatment is carried out in accordance with the information provided by the patients during the examination. For example, if you are allergic, you may need to be tested before anesthesia. Or, if medications such as Coumadin, Plavix, or Aspirin are used to thin the blood, you may need to consult your doctor about stopping the use of the drug before surgery.
In addition, your expectation of treatment is assessed by Oral Diagnosis.
If the reason for going to the dentist is aesthetically more beautiful teeth, the patient should very clearly indicate what result he 7 expects from the correction. In this case, your doctor will be able to more easily inform you about the applicability of your expectations.
One of the most important diagnostic methods used in dentistry is an X-ray examination. Radiographs used in dental practice are divided into two parts: intracavitary and external.
Dental Tomography
Dental tomography is a radiological diagnostic method that allows you to create an image of the cross-section of the examined area using x-rays. On the tomographic image, you can see the details of bone and soft tissues that are not visible on conventional x-rays. A large number of sections are taken from the axial, sagittal and coronal planes using a dental tomography device.
These sections are then sliced and reconstructed using advanced software so that the target area can be viewed from any angle. These sections, which provide high diagnostic information and measurement accuracy, are guiding for all kinds of treatment. In addition, the structure of the bone can be investigated by creating a three-dimensional image of the skull.
Intraoral Radiographs
Oral radiographs include periapical radiographs routinely used by many dentists. Periapical radiography can trace one or more teeth and surrounding tissues and alveolar bone around the teeth. Tooth decay, tooth root infection, periodontal bone loss, secondary caries, etc. It can be visualized by periapical radiography.
Panoramic Radiographs
Panoramic radiographs are an extraoral imaging technique that allows to examine all of the existing teeth in the mouth, impacted teeth, the bone tissue surrounding the teeth, the entire jawbone, physiological and pathological spaces in the mouth shadow and joints. once and within the same image. It is used in simple surgical procedures such as impacted tooth extraction, resection, small cysts or a small number of implants, especially for general oral examination. Imaging of all teeth at once allows the patient to be exposed to less radiation compared to serial periapical extractions, and also gives the physician a chance to make a general assessment.
Periapical Radiographs
This is an intraoral imaging technique in which only a few adjacent teeth and the surrounding bone tissue can be visualized to obtain more detailed images of suspicious conditions found on panoramic radiographs.
X-Ray During Pregnancy
X-rays are not necessary if pregnancy is suspected. Of course, the abdominal cavity can be protected with a protective x-ray gown or plate. However, as a rule, it is recommended to avoid X-rays throughout pregnancy, especially in the first trimester when the baby’s organs are forming. However, if a dental x-ray is required for diagnosis or treatment, which is of great importance for the health of the mother and baby and cannot be delayed after birth, a controlled x-ray can be taken after all protective measures are taken.
This content was recently updated, updated on 7 November 2022 at 07:00 pm