foaia de observatie stomatologie estetica

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foaie de observatie estetica

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Judetul Nr

Judetul Nr. Inregistrare

Localitatea........................ Student: ..Cadru didactic: ..........................................

FOAIE DE OBSERVATIE

NUMELE................................................PRENUMELE................................Sexul M/FVARSTA DATA NASTERII : ziua luna anul Mediul U / R PROFESIA......................................................................................

Statut asigurat: C.N.A.S. Asigurare voluntara Neasigurat C.N.P. ..

MOTIVUL PREZENTARII:

Istoricul bolii: ..........................................................................................................................

.................................................................................................................................................. ....................................................................................................................................................................................................................................................................................................Antecedente HC generale:

Antecedente HC

Stomatologice:

Antecedente personale

generale:Antecedente personale

Stomatologice:

Obiceiuri vicioase (daca exista)..................................................................................................

I. EXAMENUL EXOBOCAL1. General

Dezvoltare generala: Hiposom Normosom Hipersom

Tip constitutional: Entomorf Mezomorf EctomorfSistem nervos: Tare Slab ; Echilibrat Neechilibrat

2. Examenul extremitatii cefalice

INSPECTIEForma figurii : 1-muscular 2-respirator 3-cerebral 4-digestiv Forma fetei: dreptunghiulara |_| triunghiulara |_| ovala |_| trapez cu baza sus |_|

(norma frontala) trapez cu baza jos |_| rotunda |_| alte forme |_| Forma fetei drept |_| convex sup |_| convex inf |_| convex asociat|_|

(norma laterala) concav sup |_| concav inf |_| concav asociat |_|Alte aspecte patologice...........................................................................................................

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PALPARE

Textura teg.: elastica (normala) |_| indurate |_| flasca |_| cu anestezie |_| arii anestezice |_|

Contururi osoase.............................................................................................................................................

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..................................................................................................................................................Puncte de emergenta trigeminale: ........................................................................................................................................................................................................................................

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..................................................................................................................................................Grup ganglionar: ...................................................................................................................

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..................................................................................................................................................Formatiuni tumorale: ..............................................................................................................................................................................................................................................................

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Examenul A.T.M.....................................................................................................................................................................................................................................................................

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II. EXAMENUL ENDOBUCALExaenul oncologic preventive

inspectia:..................................................................................................................................

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palpare:..................................................................................................................................... ....................................................................................................................................................................................................................................................................................................

formatiuni si coloratii deosebite:..............................................................................................

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Examenul odontal

APELUL DINTILOR.1.8.1.7.1.6.1.5.1.4.1.3.1.2.1.1.2.1.2.2.2.3.2.4.2.5.2.6.2.7.2.8

.4.8.4.7.4.6.4.5.4.4.4.3.4.2.4.1.3.1..3.2.3.3.3.4.3.5.3.6.3.7.3.8

EXAMENUL OCLUZIEII. In statica

1. In plan SAGITAL:

2. In plan TRANSVERSAL:

3. In plan VERTICAL:

II. In dinamica

1. Ghidaj anterior

2. Ghidaj lateral

Forma arcadelor: superioara :.................................................................................... inferioara:......................................................................................Aprecierea curburilor dentare:- curba lui SPEE ......................................................................................................................

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- curba lui WILSON.................................................................................................................

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- curba incizala (vestibulara)....................................................................................................

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Bolta palatina..........................................................................................................................

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Planseul bucal.........................................................................................................................

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Alte exemene complementare:

Radiografii Fotografii

DIAGNOSTIC

1.Diagnosticul de urgenta ........................................................................................................................................................................................................................................................

2.Diagnosticul odontal .............................................................................................................................................................................................................................................................

3. Diagnosticul parodontal.......................................................................................................................................................................................................................................................

4. Diagnosticul de edentatie.....................................................................................................................................................................................................................................................

5.Diagnosticul de ocluzie.........................................................................................................................................................................................................................................................

6.Diagnosticul ortodontic.........................................................................................................................................................................................................................................................

7.Diagnosticul afectiunilor A.T.M. ..........................................................................................................................................................................................................................................

8.Diagnosticul afectiunilor mucoasei bucale............................................................................................................................................................................................................................

9.Diagnosticul chirurgical........................................................................................................................................................................................................................................................

10.Diagnosticul oncologic.......................................................................................................................................................................................................................................................

11.Diagnostic evolutiv.............................................................................................................................................................................................................................................................

12.Diagnosticul afectiunilor generale..........................................................................................................................................................................................................................................................................................................................................................................................DIAGNOSTICUL COMPLET............................................................................................................................................................................................................................................

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........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................PLAN DE TRATAMENT....................................................................................................................................................................................................................................................

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EVOLUTIE

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SEMNATURA :________________________________________________________________________________

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