7/21/2019 Patient Exam Page 2

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Occlusal ExamA.) Patient History:

1.) Have you ever been diagnosed with a problem with either aw oint!"""""""""""""" 

  #.) $oes your aw oint clic%& pop. Or ma%e noise when you open or close!"""""""""""   '.) $o you have pain or tenderness in your aw when you open or close!""""""""""""" 

  (.) Has you aw ever loc%ed open or closed!""""""""""""""""""""""""""""""""""" 

  .) $o you have *re+uent headaches! ,* so how o*ten and when!"""""""""""""""""""   -.) $o you clench or grind your teeth& or ever been told you do!""""""""""""""""""" 

  .) $o you have a history o* trauma to your chin or aw!""""""""""""""""""""""""" 

 /.) 0ange o* otion: Protrusion

  Open"  """""""""""""

Protrusion""""""""" 2e*t 0ight  0t 2ateral"""""""""

2t 2ateral""""""""" Opening

3.) 30 2oad 4est:  """"""""""""""""""""""""""""""""""""""""""   0t 562 4ension 4ender on light medium *irm loading *irst tooth in contact 30 """" 

  """""""""""""""""""""""""""""""""""""""""""""""""""""""" 

  2t 562 4ension 4ender on light medium *irm loading direction o* slide"""""""""   """""""""""""""""""""""""""""""""""""""""""""""""""""""" 

$.) 2ateral Pole Palpation 0ight"""""""""""" 2e*t""""""""""" 7scale18)

E.)9oint ounds:  9;A <uic% 0ight 9oint $iagnosis:""""""""""""" 

  2e*t 9oint $iagnosis"""""""""""""""   49 $oppler Auscultation

  """""""""""""""""""""""""""""""""""""""""""""""""""""""" 

0ight hinging mild moderate coarse clic%7mm)"""" Piper 3lass"""""""""""""   translation mild moderate coarse clic%7mm)""""

 """""""""""""""""""""""""""""""""""""""""""""""""""""""" 

  2e*t hinging mild moderate coarse clic%7mm)"""" Piper 3lass"""""""""""""   translation mild moderate coarse clic%7mm)"""" 

  """""""""""""""""""""""""""""""""""""""""""""""""""""""" 

=.) uscle Palption 7scale 18)

  0ight 2e*t

  uper*icial assater 4scan8E> screen ?es 6O  $eep assater 0estingE>

  Ant. 4emporalis 3linch8Protrusion test

  Poterior 4emporalis 3linch82e*t 2ateraledial Pterygoid 3linch80ight 2ateral

  3 3linch @'

$igastic

>.) 4eeth with wear:""""""""""""""""""""""""""""""""""" 

  4eeth with mobility7 see perio charting)""""""""""""""""" 

  4ooth igration""""""""""""""""""""""""""""""""""" 

H.) 6eed diagnostic mounted casts yes no

,.) ,maging Panorex Pan849 *ilm 4omogram 0, 3eph

9.) 4reatment Position aximum ,ntercuspation  3entric 0elation Other"""""""""""