Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
CHIEF COMPLAINT - Patient complains of swelling below her tongue since 1month.
HISTORY OF PRESENT ILLNESS -Patient was asymptomatic 1month back, when she
noticed pain full swelling in lower front region of jaw .patient also noticed pain during
mastication. Initially swelling size small than innate and form present stage .Pt was not visit any
doctor for such condition.
PAST MEDICAL HISTORY - Patient is suffering from arthritis (knee pain ) since a year and
taking pain killers for body pain
Oral Hygiene habit-Patient brushes his teeth once in a day with toothbrush and tooth paste. No
tongue cleaning habits present
EXAMINATION:-
Patient is conscious cooperative and well oriented with time place and person
Gait- Normal
Pulse:- 74/min
BP:- 130/90 mmHg
Temperature:- 97 0F
Skin - Normal
EXTRAORAL EXAMINATION-
1. LIPS: Competent
2. TMJ:
INTRAORAL EXAMINATION
1. SOFT TISSUES:-
a. Labial mucosa- normal
b. Labial vestibule- normal
c. Buccal mucosa- normal
d. Buccal vestibule- normal
e. Tongue- Papilla/Coating:--- normal
Movement
Lesions if any
f. Cheek - Linea alba:- normal
Parotid papilla
Lesions if any
g. Lips- Competent
h. Hard palate- normal
i. Soft palate- normal
j. Floor of mouth- A linear swelling is seen on the floor of mouth region on left
side
k. Gingival condition/Periodontium-
- Colour of the gingiva is reddish
- Consistency of gingiva oedematous
- Position of attached gingiva is below CE junction
- There is loss of attachment
- Pockets present
- Stippling present
2. TEETH
I. Teeth present- 12,13,25,26,31,32,33,34,35,38,41,42,43,44,45
II. Teeth missing- 11,14,15,16,17,18,21,22,23,24,27,28,36,37
III. Attrition/ Abrasion/Erosion/ Abfraction- absent
IV. Periodontal condition- pockets present
V. Stains- grade I Calculus- grade I
VI. Detailed examination of area of chief complaint-
DIFFERENTIAL DIAGNOSIS-
Myositis ossficaion
INVESTIGATIONS-
RADIOGRAPH-
True mandibular occlusal radiograph
OPG
Lateral oblique
RADIOGRAPH INTERPITATION -
RADIOGRAPHIC DIAGNOSIS-
FINAL DIAGNOSIS-
TREATMENT PLAN-
A. Planned treatment-
SPECIMEN OBTAINED