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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:


  1. 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


  1. 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


  1. Occlusion

Well-structured. Add if needed:

Functional shift

Habits: thumb sucking, tongue thrust, mouth breathing

Temporomandibular joint (TMJ) evaluation


  1. 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.