The following will be done during your 21 POINT INITIAL EVALUATION
1. Review your medical and dental history
2. Clarifying your concerns, wants and expectations and/or problems
3. Oral cancer examination
4. Tooth examination to check for decay, cracks, wear etc.
Periodontal Examination
5. Measuring all gum crevices to check for hidden gum disease
6. Condition (quality, quantity and recession level) of gum tissue
7. Measurement of mobility or looseness, another sign of problems
8. Are fillings or crowns causing gum irritation?
Temporomandibular joint orthopedic examination
9. Palpation (pressing with finger tips) to check for inflammation
10. Range of motion tests to check jaw movements
11. Listening with ultrasound to check for clicks or grating
12. Orthopedic load testing to check TMJ disc
Muscle examination (sore muscles can be a cause of headaches and jaw fatigue)
13. Palpation (pressing) of all muscle groups both within and outside the mouth for any signs of discomfort or tension
Occlusal (bite) examination (bite problems can be a cause dental failures)
14. Check if all teeth touch equally (engineering check)
15. Check how teeth meet when jaw moves in all directions
Radiographs
16. Full mouth series, 20 views, to show decay, infection, bone condition
17. Panoramic showing entire upper and lower jaw and TMJs
Diagnostic study casts (models of your mouth)
18. Two sets, one is a baseline, the other for 3D planning / blueprinting?
19. Measurement to customize models for jaw simulator
20. Measurement for how teeth bite together
Photographs to evaluate esthetics and condition of teeth and gums (diagnosis)
21. Full series of 20 views
After your examination, Dr. Gilbert will:
Evaluate and study all the above information
Consult with any specialists, if indicated
Make a specific diagnosis for your current condition
Design a blueprint for your care with the diagnostic casts
Develop an individualized long-term treatment program and sequence
At your consultation appointment, you and Dr. Gilbert will:
Review all findings
Discuss your treatment recommendations and sequence
Give you a customized written report
Discuss all fees
Answer all questions to your satisfaction and understanding
