ICD-10 Dental Diagnosis Codes
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Glossary for Narrative Writing
Periodontal Assessment and Treatment Planning Gingival description Color: o pink o erythematous o cyanotic o racial pigmentation o metallic pigmentation o uniformity Contour: o recession o clefts o enlarged papillae o cratered papillae o blunted papillae o highly rolled o bulbous o knife-edged o scalloped o stippled Consistency: o firm o edematous o hyperplastic o fibrotic Band of gingiva: o amount o quality o location o treatability Bleeding tendency: o sulcus base, lining o gingival margins Suppuration Sinus tract formation Pocket depths Pseudopockets Frena Pain Other pathology Dental Description Defective restorations: o overhangs o open contacts o poor contours Fractured cusps 1 ww.links2success.biz [email protected] 914-303-6464 Caries Deposits: o Type . plaque . calculus . stain . matera alba o Location . supragingival . subgingival o Severity . mild . moderate . severe Wear facets Percussion sensitivity Tooth vitality Attrition, erosion, abrasion Occlusal plane level Occlusion findings Furcations Mobility Fremitus Radiographic findings Film dates Crown:root ratio Amount of bone loss o horizontal; vertical o localized; generalized Root length and shape Overhangs Bulbous crowns Fenestrations Dehiscences Tooth resorption Retained root tips Impacted teeth Root proximities Tilted teeth Radiolucencies/opacities Etiologic factors Local: o plaque o calculus o overhangs 2 ww.links2success.biz [email protected] 914-303-6464 o orthodontic apparatus o open margins o open contacts o improper -
Small Dog, Big Smile
Small Dog, Big Smile How to make sure your little dog has a happy, healthy mouth Christine Hawke Sydney Pet Dentistry INTRODUCTION Hello and thanks for downloading my book, ‘Small Dog, Big Smile – How to make sure your little dog has a happy, healthy mouth’. Small dogs are gorgeous, and deservedly very popular throughout the world. Centuries of careful and selective breeding has provided us with a huge range of small breeds to choose from, each with their own specific characteristics and charm. While good things certainly come in small packages, one of the drawbacks of their small size is that many of these dogs suffer silently from serious dental issues. While all dog breeds are susceptible to ‘teething problems’, periodontal infection and orthodontic disorders, dogs with small mouths have the added issue of overcrowded teeth to contend with. Similar to their larger ancestors, they have to find space for 42 teeth, which is sometimes no easy feat. As a result, things don’t always go according to plan…. My name is Christine Hawke, and I am a veterinarian with almost 20 years experience in small animal practice. After many years in general practice, I developed a passion for all things dental, and have been running a small animal dentistry-only practice in Sydney since 2007. I am a Member of the Australian and New Zealand College of Veterinary Scientists in the field of Veterinary Dentistry (this can only be attained through examination), and the American Veterinary Dental Society. I am currently the President of the Australian Veterinary Dental Society, and teach veterinary dentistry to vet students (at The University of Sydney), vets and nurses across Australia. -
Oral Health in Prevalent Types of Ehlers–Danlos Syndromes
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Ghent University Academic Bibliography J Oral Pathol Med (2005) 34: 298–307 ª Blackwell Munksgaard 2005 Æ All rights reserved www.blackwellmunksgaard.com/jopm Oral health in prevalent types of Ehlers–Danlos syndromes Peter J. De Coster1, Luc C. Martens1, Anne De Paepe2 1Department of Paediatric Dentistry, Centre for Special Care, Paecamed Research, Ghent University, Ghent; 2Centre for Medical Genetics, Ghent University Hospital, Ghent, Belgium BACKGROUND: The Ehlers–Danlos syndromes (EDS) Introduction comprise a heterogenous group of heritable disorders of connective tissue, characterized by joint hypermobility, The Ehlers–Danlos syndromes (EDS) comprise a het- skin hyperextensibility and tissue fragility. Most EDS erogenous group of heritable disorders of connective types are caused by mutations in genes encoding different tissue, largely characterized by joint hypermobility, skin types of collagen or enzymes, essential for normal pro- hyperextensibility and tissue fragility (1) (Fig. 1). The cessing of collagen. clinical features, modes of inheritance and molecular METHODS: Oral health was assessed in 31 subjects with bases differ according to the type. EDS are caused by a EDS (16 with hypermobility EDS, nine with classical EDS genetic defect causing an error in the synthesis or and six with vascular EDS), including signs and symptoms processing of collagen types I, III or V. The distribution of temporomandibular disorders (TMD), alterations of and function of these collagen types are displayed in dental hard tissues, oral mucosa and periodontium, and Table 1. At present, two classifications of EDS are was compared with matched controls. -
Cytokines and Their Genetic Polymorphisms Related to Periodontal Disease
Journal of Clinical Medicine Review Cytokines and Their Genetic Polymorphisms Related to Periodontal Disease Małgorzata Kozak 1, Ewa Dabrowska-Zamojcin 2, Małgorzata Mazurek-Mochol 3 and Andrzej Pawlik 4,* 1 Chair and Department of Dental Prosthetics, Pomeranian Medical University, Powsta´nców Wlkp 72, 70-111 Szczecin, Poland; [email protected] 2 Department of Pharmacology, Pomeranian Medical University, Powsta´nców Wlkp 72, 70-111 Szczecin, Poland; [email protected] 3 Department of Periodontology, Pomeranian Medical University, Powsta´nców Wlkp 72, 70-111 Szczecin, Poland; [email protected] 4 Department of Physiology, Pomeranian Medical University, Powsta´nców Wlkp 72, 70-111 Szczecin, Poland * Correspondence: [email protected] Received: 24 October 2020; Accepted: 10 December 2020; Published: 14 December 2020 Abstract: Periodontal disease (PD) is a chronic inflammatory disease caused by the accumulation of bacterial plaque biofilm on the teeth and the host immune responses. PD pathogenesis is complex and includes genetic, environmental, and autoimmune factors. Numerous studies have suggested that the connection of genetic and environmental factors induces the disease process leading to a response by both T cells and B cells and the increased synthesis of pro-inflammatory mediators such as cytokines. Many studies have shown that pro-inflammatory cytokines play a significant role in the pathogenesis of PD. The studies have also indicated that single nucleotide polymorphisms (SNPs) in cytokine genes may be associated with risk and severity of PD. In this narrative review, we discuss the role of selected cytokines and their gene polymorphisms in the pathogenesis of periodontal disease. Keywords: periodontal disease; cytokines; polymorphism 1. -
2021 Follow-Up After Emergency Department Visits for Non-Traumatic Dental Conditions in Adults
DQA Measure EDF-A-A Effective January 1, 2021 **Please read the DQA Measures User Guide prior to implementing this measure.** DQA Measure Specifications: Administrative Claims-Based Measures Follow-up after Emergency Department Visits for Non-Traumatic Dental Conditions in Adults Description: The percentage of ambulatory care sensitive non-traumatic dental condition emergency department visits among adults aged 18 years and older in the reporting period for which the member visited a dentist within (a) 7 days and (b) 30 days of the ED visit Numerators: Number of ambulatory care sensitive non-traumatic dental condition ED visits in the reporting period for which the member visited a dentist within (a) 7 days (NUM1) and (b) 30 days (NUM2) of the ED visit Denominator: Number of ambulatory care sensitive non-traumatic dental condition ED visits in the reporting period Rates: NUM1/DEN and NUM2/DEN Rationale: The use of emergency departments (EDs) for non-traumatic dental conditions has been a growing public health concern across the United States (US)1,2,3,4,5,6,7,8 with over 2 million visits occurring in 2015.9 The majority of ED visits are semi-urgent (53.8%) or non-urgent (23.9%)10, which can be better managed in an ambulatory care setting. Dental care in an ED setting is not definitive with limited care continuity that ultimately leads to poor oral health outcomes.11,12,13 This process of care measure can be used to assess if the patient had timely follow-up with a dentist for more definitive care. References: 1. -
Non-Syndromic Occurrence of True Generalized Microdontia with Mandibular Mesiodens - a Rare Case Seema D Bargale* and Shital DP Kiran
Bargale and Kiran Head & Face Medicine 2011, 7:19 http://www.head-face-med.com/content/7/1/19 HEAD & FACE MEDICINE CASEREPORT Open Access Non-syndromic occurrence of true generalized microdontia with mandibular mesiodens - a rare case Seema D Bargale* and Shital DP Kiran Abstract Abnormalities in size of teeth and number of teeth are occasionally recorded in clinical cases. True generalized microdontia is rare case in which all the teeth are smaller than normal. Mesiodens is commonly located in maxilary central incisor region and uncommon in the mandible. In the present case a 12 year-old boy was healthy; normal in appearance and the medical history was noncontributory. The patient was examined and found to have permanent teeth that were smaller than those of the average adult teeth. The true generalized microdontia was accompanied by mandibular mesiodens. This is a unique case report of non-syndromic association of mandibular hyperdontia with true generalized microdontia. Keywords: Generalised microdontia, Hyperdontia, Permanent dentition, Mandibular supernumerary tooth Introduction [Ullrich-Turner syndrome], Chromosome 13[trisomy 13], Microdontia is a rare phenomenon. The term microdontia Rothmund-Thomson syndrome, Hallermann-Streiff, Oro- (microdentism, microdontism) is defined as the condition faciodigital syndrome (type 3), Oculo-mandibulo-facial of having abnormally small teeth [1]. According to Boyle, syndrome, Tricho-Rhino-Phalangeal, type1 Branchio- “in general microdontia, the teeth are small, the crowns oculo-facial syndrome. short, and normal contact areas between the teeth are fre- Supernumerary teeth are defined as any supplementary quently missing” [2] Shafer, Hine, and Levy [3] divided tooth or tooth substance in addition to usual configuration microdontia into three types: (1) Microdontia involving of twenty deciduous and thirty two permanent teeth [7]. -
June 18, 2013 8:30 Am – 11:30 Am
Tuesday – June 18, 2013 8:30 am – 11:30 am Poster Abstracts – Tuesday, June 18, 2013 #1 ORAL LESIONS AS THE PRESENTING MANIFESTATION OF CROHN'S DISEASE V Woo, E Herschaft, J Wang U of Nevada, Las Vegas Crohn’s disease (CD) is an immune-mediated disorder of the gastrointestinal tract which together with ulcerative colitis, comprise the two major types of inflammatory bowel disease (IBD). The underlying etiology has been attributed to defects in mucosal immunity and the intestinal epithelial barrier in a genetically susceptible host, resulting in an inappropriate inflammatory response to intestinal microbes. The lesions of CD can affect any region of the alimentary tract as well as extraintestinal sites such as the skin, joints and eyes. The most common presenting symptoms are periumbilical pain and diarrhea associated with fevers, malaise and anemia. Oral involvement has been termed oral CD and may manifest as lip swelling, cobblestoned mucosa, mucogingivitis and linear ulcerations and fissures. Oral lesions may precede gastrointestinal involvement and can serve as early markers of CD. We describe a 6-year-old male who presented for evaluation of multifocal gingival erythema and swellings. His medical history was unremarkable for gastrointestinal disorders or distress. Histopathologic examination showed multiple well-formed granulomas that were negative for special stains and foreign body material. A diagnosis of granulomatous gingivitis was rendered. The patient was advised to seek consultation with a pediatric gastroenterologist and following colonoscopy, was diagnosed with early stage CD. Timely recognition of the oral manifestations of CD is critical because only a minority of patients will continue to exhibit CD-specific oral lesions at follow-up. -
Pediatric Oral Pathology. Soft Tissue and Periodontal Conditions
PEDIATRIC ORAL HEALTH 0031-3955100 $15.00 + .OO PEDIATRIC ORAL PATHOLOGY Soft Tissue and Periodontal Conditions Jayne E. Delaney, DDS, MSD, and Martha Ann Keels, DDS, PhD Parents often are concerned with “lumps and bumps” that appear in the mouths of children. Pediatricians should be able to distinguish the normal clinical appearance of the intraoral tissues in children from gingivitis, periodontal abnormalities, and oral lesions. Recognizing early primary tooth mobility or early primary tooth loss is critical because these dental findings may be indicative of a severe underlying medical illness. Diagnostic criteria and .treatment recommendations are reviewed for many commonly encountered oral conditions. INTRAORAL SOFT-TISSUE ABNORMALITIES Congenital Lesions Ankyloglossia Ankyloglossia, or “tongue-tied,” is a common congenital condition characterized by an abnormally short lingual frenum and the inability to extend the tongue. The frenum may lengthen with growth to produce normal function. If the extent of the ankyloglossia is severe, speech may be affected, mandating speech therapy or surgical correction. If a child is able to extend his or her tongue sufficiently far to moisten the lower lip, then a frenectomy usually is not indicated (Fig. 1). From Private Practice, Waldorf, Maryland (JED); and Department of Pediatrics, Division of Pediatric Dentistry, Duke Children’s Hospital, Duke University Medical Center, Durham, North Carolina (MAK) ~~ ~ ~ ~ ~ ~ ~ PEDIATRIC CLINICS OF NORTH AMERICA VOLUME 47 * NUMBER 5 OCTOBER 2000 1125 1126 DELANEY & KEELS Figure 1. A, Short lingual frenum in a 4-year-old child. B, Child demonstrating the ability to lick his lower lip. Developmental Lesions Geographic Tongue Benign migratory glossitis, or geographic tongue, is a common finding during routine clinical examination of children. -
Periodontitis and Peri-Implantitis Biomarkers in Human Oral Fluids and the Null-Allele Mouse Model
Department of Cell Biology of Oral Diseases Institute of Dentistry, Biomedicum Helsinki, University of Helsinki, Helsinki, Finland Department of Oral and Maxillofacial Diseases Helsinki University Central Hospital (HUCH), University of Helsinki, Helsinki, Finland Department of Diagnostics and Oral Medicine Institute of Dentistry, University of Oulu, Oulu University Hospital, Oulu, Finland PERIODONTITIS AND PERI-IMPLANTITIS BIOMARKERS IN HUMAN ORAL FLUIDS AND THE NULL-ALLELE MOUSE MODEL Heidi Kuula Academic Dissertation To be presented with the permission of the Faculty of Medicine, University of Helsinki, for public discussion in the Lecture Hall 1 at Biomedicum Helsinki, Haartmaninkatu 8, Helsinki, on June 12th 2009, at 12 noon Helsinki 2009 Supervised by: Professor Timo Sorsa, DDS, PhD, Dipl Perio Department of Cell Biology of Oral Diseases, Institute of Dentistry, University of Helsinki, and Department of Oral and Maxillofacial Diseases, Helsinki University Central Hospital (HUCH) Helsinki, Finland Professor Tuula Salo, DDS, PhD Department of Diagnostics and Oral Medicine, Institute of Dentistry, University of Oulu, and Oulu University Hospital (OYS) Oulu, Finland Reviewed by: Assistant Professor Marja L. Laine, DDS, PhD Department of Oral Microbiology, Academic Centre for Dentistry Amsterdam Amsterdam, the Netherlands Professor Denis F. Kinane, BDS, PhD Associate Dean for Research and Enterprise Delta Endowed Professor Director, Oral Health and Systemic Disease Research Group University of Louisville Louisville, Kentucky, USA Opponent: Professor Anders Gustafsson, DDS, PhD Institute of Odontology Department of Periodontology Karolinska Institutet Huddinge, Sweden ISBN 978-952-92-5634-1 (paperback) ISBN 978-952-10-5603-1 (PDF) Helsinki 2009 Yliopistopaino 2 CONTENTS List of original publications Abbreviations Abstract 1. Introduction 2. -
Oral Manifestations of Systemic Disease Their Clinical Practice
ARTICLE Oral manifestations of systemic disease ©corbac40/iStock/Getty Plus Images S. R. Porter,1 V. Mercadente2 and S. Fedele3 provide a succinct review of oral mucosal and salivary gland disorders that may arise as a consequence of systemic disease. While the majority of disorders of the mouth are centred upon the focus of therapy; and/or 3) the dominant cause of a lessening of the direct action of plaque, the oral tissues can be subject to change affected person’s quality of life. The oral features that an oral healthcare or damage as a consequence of disease that predominantly affects provider may witness will often be dependent upon the nature of other body systems. Such oral manifestations of systemic disease their clinical practice. For example, specialists of paediatric dentistry can be highly variable in both frequency and presentation. As and orthodontics are likely to encounter the oral features of patients lifespan increases and medical care becomes ever more complex with congenital disease while those specialties allied to disease of and effective it is likely that the numbers of individuals with adulthood may see manifestations of infectious, immunologically- oral manifestations of systemic disease will continue to rise. mediated or malignant disease. The present article aims to provide This article provides a succinct review of oral manifestations a succinct review of the oral manifestations of systemic disease of of systemic disease. It focuses upon oral mucosal and salivary patients likely to attend oral medicine services. The review will focus gland disorders that may arise as a consequence of systemic upon disorders affecting the oral mucosa and salivary glands – as disease. -
Common Dental Diseases in Children and Malocclusion
International Journal of Oral Science www.nature.com/ijos REVIEW ARTICLE Common dental diseases in children and malocclusion Jing Zou1, Mingmei Meng1, Clarice S Law2, Yale Rao3 and Xuedong Zhou1 Malocclusion is a worldwide dental problem that influences the affected individuals to varying degrees. Many factors contribute to the anomaly in dentition, including hereditary and environmental aspects. Dental caries, pulpal and periapical lesions, dental trauma, abnormality of development, and oral habits are most common dental diseases in children that strongly relate to malocclusion. Management of oral health in the early childhood stage is carried out in clinic work of pediatric dentistry to minimize the unwanted effect of these diseases on dentition. This article highlights these diseases and their impacts on malocclusion in sequence. Prevention, treatment, and management of these conditions are also illustrated in order to achieve successful oral health for children and adolescents, even for their adult stage. International Journal of Oral Science (2018) 10:7 https://doi.org/10.1038/s41368-018-0012-3 INTRODUCTION anatomical characteristics of deciduous teeth. The caries pre- Malocclusion, defined as a handicapping dento-facial anomaly by valence of 5 year old children in China was 66% and the decayed, the World Health Organization, refers to abnormal occlusion and/ missing and filled teeth (dmft) index was 3.5 according to results or disturbed craniofacial relationships, which may affect esthetic of the third national oral epidemiological report.8 Further statistics appearance, function, facial harmony, and psychosocial well- indicate that 97% of these carious lesions did not receive proper being.1,2 It is one of the most common dental problems, with high treatment. -
Oral Hard Tissue Lesions: a Radiographic Diagnostic Decision Tree
Scientific Foundation SPIROSKI, Skopje, Republic of Macedonia Open Access Macedonian Journal of Medical Sciences. 2020 Aug 25; 8(F):180-196. https://doi.org/10.3889/oamjms.2020.4722 eISSN: 1857-9655 Category: F - Review Articles Section: Narrative Review Article Oral Hard Tissue Lesions: A Radiographic Diagnostic Decision Tree Hamed Mortazavi1*, Yaser Safi2, Somayeh Rahmani1, Kosar Rezaiefar3 1Department of Oral Medicine, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran; 2Department of Oral and Maxillofacial Radiology, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran; 3Department of Oral Medicine, School of Dentistry, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran Abstract Edited by: Filip Koneski BACKGROUND: Focusing on history taking and an analytical approach to patient’s radiographs, help to narrow the Citation: Mortazavi H , Safi Y, Rahmani S, Rezaiefar K. Oral Hard Tissue Lesions: A Radiographic Diagnostic differential diagnoses. Decision Tree. Open Access Maced J Med Sci. 2020 Aug 25; 8(F):180-196. AIM: This narrative review article aimed to introduce an updated radiographical diagnostic decision tree for oral hard https://doi.org/10.3889/oamjms.2020.4722 tissue lesions according to their radiographic features. Keywords: Radiolucent; Radiopaque; Maxilla; Mandible; Odontogenic; Nonodontogenic METHODS: General search engines and specialized databases including PubMed, PubMed Central, Scopus, *Correspondence: Hamed Mortazavi, Department of Oral Medicine,