Show:
Missing Teeth
Existing Restorations
Diseases
Abnormalities
100
#1
What is place an "X" over the root
100
Pit and Fissure Sealants #2, 3, 19, K
What is superimpose the letter “S” over the tooth number (permanent dentition) or letter (primary dentition), indicating that the tooth and or restoration margins have been sealed. Describe the surfaces sealed and type of sealant used in the narrative.
100
#22-F (facial) watch
What is for incipient lesions not requiring immediate treatment, in pencil draw an arrow with a “W’ at the tooth surface(s) to indicate an area of observation for potential treatment and annotated in Section 9.
100
Supernumerary tooth #1
What is write in “tooth #a” in the location of the supernumerary. Example: #1a for upper right molar or #8a for proximity to #8.
200
Unerupted #16
What is draw a circle around entire missing tooth
200
Mesio-occlusal-distal (MOD) amalgam #20
What is draw the restoration in the diagram of the tooth. Show the approximate size, location and shape. Outline and block in solidly.
200
Mesio-Occlusal (MO) caries #2
What is draw an outline of the carious portion on the diagram of the affected tooth. Show the approximate size, location and shape. Block it in solidly.
200
Periapical radiolucency #7
What is outline the approximate size, form and location of the periapical radiolucency.
300
Edentulous Arch
What is draw two crossing lines, each running from the uppermost aspect of one third molar to the lowermost aspect of the third molar on the opposite side
300
Porcelain fused to metal (PFM) #30
What is draw only the outline of the size, location, and shape of the restoration, crown or facing. Inscribe diagonal lines within the outline of the restoration.
300
Extraction #4
What is draw two parallel vertical lines through all aspects of the involved tooth and roots.
300
Fractured crown #8
What is trace a jagged fracture line in the relative position on the crown or roots.
400
Implant #9
What is draw a rectangular box with diagonal lines is drawn over the root of the tooth replaced.
400
Root canal with gold post and core #11
What is draw a solid line down filled canal and outline nonmetallic material and show gold alloy materials with horizontal lines
400
Alveolar resorption #23-26
What is indicate alveolar resorption by drawing a continuous line at the proper level across the roots of the teeth to indicate the extent of alveolar resorption.
400
Resorbed root #11
What is draw an even line that shows the extent of the root’s resorption.
500
#30-32 extracted, replaced by removable partial denture
What is draw an "x" over the roots of missing teeth and a line over the teeth.
500
Retained primary cuspid between #10 and #11
What is draw a circle around letter H with directional arrow of where tooth is angled.
500
Periapical radiolucency and sinus tract #10
What is outline the approximate size, form and location of the periapical radiolucency. Draw a straight line from the involved area. End it in a small circle in a position on the chart that corresponds to the location of the tract orifice.
500
Impacted #32 with mesial inclination
What is circle the impacted tooth and draw an arrow that indicates the direction of the long axis of the tooth in the crown portion of the tooth form.