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WESTERN CAREER COLLEGEWESTERN CAREER COLLEGE SACRAMENTO CALIFORNIASACRAMENTO CALIFORNIA

You Can Do It!You Can Do It!

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.

• Surface Closest to the MidlineSurface Closest to the Midline• on All Teethon All Teeth

• Surface Farthest from the MidlineSurface Farthest from the Midline• on All Teethon All Teeth

• Surface Closest to the TongueSurface Closest to the Tongue• on All Teethon All Teeth

• Surface Closest to LipsSurface Closest to Lips• on Anterior teethon Anterior teeth

CUSPIDCUSPID CUSPIDCUSPIDINCISORSINCISORS

• Surface Closest to CheeksSurface Closest to Cheeks• on Posterior teethon Posterior teeth

BICUSPIDSBICUSPIDS

MOLARSMOLARS BICUSPIDSBICUSPIDS MOLARSMOLARS

• Biting EdgeBiting Edge• of Anterior Teethof Anterior Teeth

CUSPIDCUSPID CUSPIDCUSPIDINCISORSINCISORS

• Chewing SurfaceChewing Surface• of Posterior Teethof Posterior Teeth

BICUSPIDSBICUSPIDS

MOLARSMOLARS BICUSPIDSBICUSPIDS MOLARSMOLARS

use use BlueBlue pencil for: pencil for:• Existing ConditionsExisting Conditions

use use RedRed pencil for: pencil for:• Work needs to be doneWork needs to be done• Things that need attentionThings that need attention

• This tooth is missing• Mark with a blue M

• Tooth needs to be Extracted• Mark with a red X

• Permanent Tooth has not Erupted• Circle around the outside in red• write IMP

ATTENTION WORTHY! MARK IN RED!ATTENTION WORTHY! MARK IN RED!

• Silver-colored Mercury Filling• Fill-in indicated surface

• Tooth-colored Light-Cured Filling• Circle around indicated surface

AmalgamAmalgamFill-inFill-in

CompositeCompositeOutlineOutline

• Outline surfaces• plus Diagonal lines on surfaces• write GF

• Outline surfaces• plus Diagonal lines on surfaces

• Diagonal lines on entire tooth• write FGC

• Circle Tooth on Inside• write PMC

• Extra Tooth• red dot and S

ATTENTION WORTHY! MARK IN RED!ATTENTION WORTHY! MARK IN RED!

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

• 3 lines away from lingual

• Blue or Red

• Tooth Infection

• a red pimple and 2 lines

ATTENTION WORTHY!ATTENTION WORTHY!MARK IN RED!MARK IN RED!

• Root Slice• line thru the root

• v-shape

• M over missing tooth• boxes over anchor teeth• line on the bottom

• M over missing tooth• Circle Abutment Teeth• 2 lines in between

• How many teeth in the normal adult mouth?

• 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

Where are the Midline and Lingual lines?Where are the Midline and Lingual lines?

• Surface Closest to the Surface Closest to the MidlineMidline• on All Teethon All Teeth

What is the Mesial?What is the Mesial?

• Surface Farthest from the Surface Farthest from the MidlineMidline• on All Teethon All Teeth

What is the Distal?What is the Distal?

• Surface Closest to the Surface Closest to the TongueTongue• on All Teethon All Teeth

What is the Lingual?What is the Lingual?

• Surface Closest to LipsSurface Closest to Lips• on Anterior teethon Anterior teeth

What is the Facial?What is the Facial?

• Surface Closest to CheeksSurface Closest to Cheeks• on Posterior teethon Posterior teeth

What is the Buccal?What is the Buccal?

• Biting EdgeBiting Edge• of Anterior Teethof Anterior Teeth

What is the Incisal?What is the Incisal?

• Chewing SurfaceChewing Surface• of Posterior Teethof Posterior Teeth

What is the Occlusal?What is the Occlusal?

Which color pencil would you useWhich color pencil would you useto indicate work that needs to be done?to indicate work that needs to be done?

What color pencil would you normally useWhat color pencil would you normally useto record Existing Conditions?to record Existing Conditions?

But what if it’s a pre-existing But what if it’s a pre-existing issue that’s in particular need ofissue that’s in particular need ofspecial attention… what colorspecial attention… what color

pencil would you use then?pencil would you use then?

any attention-worthyany attention-worthyissue must be in issue must be in RedRed,,

even Pre-Existing!even Pre-Existing!

• mark with a blue M

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

• Mark with a red X

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

• Circle around the outside in red• and write IMP

How do you mark down an Impacted tooth?How do you mark down an Impacted tooth?

ATTENTION WORTHY! MARK IN RED!ATTENTION WORTHY! MARK IN RED!

• Fill-in indicated surface• Blue for existing• Red for to-be-done

How do you mark Amalgam filling?How do you mark Amalgam filling?

• Circle around indicated surface

How do you mark Composite filling?How do you mark Composite filling?

• Outline surfaces• plus Diagonal lines on surfaces• write GF

How do you mark Gold Foil?How do you mark Gold Foil?

• Outline surfaces• plus Diagonal lines on surfaces

How do you mark Gold Inlay?How do you mark Gold Inlay?

• Diagonal lines on entire tooth• write FGC

How do you mark a Full Gold Crown?How do you mark a Full Gold Crown?

• Circle Tooth on Inside• write PMC

How do you mark Porcelain Crown?How do you mark Porcelain Crown?

• red dot and S• DDS will indicate

between which two teeth

How do you mark SuperNumerary?How do you mark SuperNumerary?

ATTENTION WORTHY! MARK IN RED!ATTENTION WORTHY! MARK IN RED!

• 3 lines away from lingual

• Blue or Red

How do you markHow do you mark““Root Canal Treatment”?Root Canal Treatment”?

• a red pimple and 2 lines

How is an Abscess indicated?How is an Abscess indicated?

ATTENTION WORTHY!ATTENTION WORTHY!MARK IN RED!MARK IN RED!

• line thru the root

How do you indicate Apicoectomy?How do you indicate Apicoectomy?

• v-shape

How do you mark-down Bone Absorption?How do you mark-down Bone Absorption?

• M over missing tooth• boxes over anchor teeth• line on the bottom

How do you record a Partial Denture?How do you record a Partial Denture?

• M over missing tooth• Circle Abutment Teeth• 2 lines in between

How about a “3 unit Fixed Bridge” ?How about a “3 unit Fixed Bridge” ?

Other Methods of Charting

• Anatomical• Computer

created by Jeff Reyes – class of ‘09created by Jeff Reyes – class of ‘09