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To make the assessment more accurate an additional record form is made for direct mouth assessment which allows the recording and scoring of mandibular function, facial asymmetry, lower lip malposition in relation to the maxillary incisor teeth and desirability of treatment. [17]
Before an assessment of the mouth, patient is sometimes advised to remove any dentures. The assessment begins with a dental-health questionnaire, including questions about toothache , hoarseness , dysphagia (difficulty swallowing), altered taste or a frequent sore throat, current and previous tobacco use and alcohol consumption and any sores ...
Enamel hypoplasia can take a variety of forms, but all types are associated with a reduction of enamel formation due to disruption in ameloblast production. [1] One of the most common types, pitting enamel hypoplasia (PEH), ranges from small circular pinpricks to larger irregular depressions. [2]
Periodontal pocketing < 3mm, but calculus (dental) present with or without plaque retentive factors such as "overhanging" restorations 3: Shallow periodontal pockets (i.e. first band on probe partially visible) 4: Deep periodontal pockets > 5.5 mm (first band on probe disappears) * (star added to the score, e.g. 4*)
Dental fluorosis is a common [2] disorder, characterized by hypomineralization of tooth enamel caused by ingestion of excessive fluoride during enamel formation. [ 3 ] [ needs update ] It appears as a range of visual changes in enamel [ 4 ] causing degrees of intrinsic tooth discoloration , and, in some cases, physical damage to the teeth.
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