Odontogram hard tissue charting
There are a few things I think would greatly improve the current odontogram hard tissue charting to make it more accurate.
1. Posterior teeth have occlusal splint into two so you are able to chart MO, DO and it be visible on the chart without having to open the history of the tooth.
2. Having an additional buccal/palatal surface to chart the root aspect of the tooth, often there will be a restoration but additional abrasion on the root aspect and the only way to see all of this information is to open the history of the tooth. Additionally only having one area to chart makes it difficult to know if the watch is on the root aspect of new the coronal portion of the buccal etc
3. Being able to select exactly where you want cracks, watches, chips etc charted on the surface. Currently as they always appear in one place this is not accurate enough. Additionally, having the ability to place these in the exact spot and allowing multiple of each per surface would be helpful. eg. often there area two cracks on the buccal of a lower 6, or to cracks on the distal. As each of these is the same colour I can see why they are auto set to a different area but changing the colour of each might allow easier charting, eg watch red, crack black, chip orange etc. As the chart has the buccal view visible it would be helpful to have the chart reflected on this view also as you could then very clearly show if a watch is at the cervical margin or closer to the coronal portion of the crown
4. Charting rotation of teeth, it would be helpful to make a note if the tooth is clockwise or anticlockwise rotated, bucally/palatally displaced or mesially/distally inclined (to help show impaction).
5. Being able to see deciduous and permanent dentition at the same time. Currently as you can only have one or the other this becomes difficult for patients with mixed dentition who may have both teeth present in the area. Exact dental software does this well when you can switch the view from deciduous, to permanent and then to both visible.
6. Different labels for caries, eg. active, arrested, incipient - currently for incipient lesions you can place a watch but being able to differentiate between the stages of caries would be helpful to track the progression of a lesion closely across each examination
7. The ability to chart hypomineralisation and hypoplasia
8. The ability to chart a retained root, currently I put 'defective' on all surfaces and have to write in my notes additionally the area is a retained root. Having the visual reflected would solve this as the buccal aspect of the tooth is already present, it would be easy when 'retained root' is selected for the crown to be removed
Please sign in to leave a comment.
Comments
1 comment