Dental index
Your division is fundamentally correct and clinically sound. You've captured the major components required for comprehensive dental documentation. Here's a checklist with minor refinements and additions to ensure it's complete and systematic:
- Tooth-Level (Hard Tissue)
You're on point here. Consider these additions:
Restoration Type: amalgam, composite, crown, bridge, temporary
Prosthetics: implants, FPD/RPD involvement
Tooth Status: sound, decayed, missing, filled, impacted, retained
Endodontics: root canal treated (RCT), periapical radiolucency
- Oral Cavity Parts (Soft Tissues)
a. Tongue
You’ve covered this well. Also consider:
Fissured, geographic, hairy
Taste sensation
b. Mucosa
Very good. Add:
Linea alba
Fordyce spots
Lichen planus (reticular/erosive)
c. Gingiva
Well done. Optionally include:
Gingival index score
Papillary involvement
Gingival enlargement (drug-induced, idiopathic)
d. Palate
You’ve covered it.
e. Floor of Mouth
All good. Optionally add:
Palpability of salivary glands
Sialography if indicated
- Occlusion
Well-structured. Add if needed:
Functional shift
Habits: thumb sucking, tongue thrust, mouth breathing
Temporomandibular joint (TMJ) evaluation
- Additional Important Areas (if applicable)
a. Salivary Glands
Swelling, tenderness
Duct patency
Dry mouth (xerostomia)
b. Lymph Nodes
Submandibular, submental, cervical
Enlarged/tender/matted
c. Oral Hygiene
Plaque index
Calculus presence
Halitosis
Optional Format Sections
You could format your records as:
Tooth: 46¶
- Condition: Caries (occlusal), pain on percussion
- Restoration: None
- Pulp Status: Vital
Tongue¶
- Coated dorsum, no ulcers
Gingiva¶
- Generalized bleeding on probing, mild enlargement
Occlusion¶
- Class I molar, 2 mm overjet, no crossbite
Let me know if you want a template, markdown structure, or even a digital form version.