oral diagnostic process(part-5)

THE DIAGNOSTIC PROCESSTHE DIAGNOSTIC PROCESS

The Diagnostic Process : a systematic collection of dataleading to identification of diseaseThe Diagnostic Process : a systematic collection of dataleading to identification of disease

I. Taking & Recording of Patient’s History

I. Taking & Recording of Patient’s History II. ExaminationII. Examination

III. Provisional Diagnosis

III. Provisional Diagnosis

THE DIAGNOSTIC PROCESSTHE DIAGNOSTIC PROCESSProvisional DiagnosisProvisional Diagnosis

Also called as ‘tentative’ or ‘clinical’ or

‘working’ diagnosis


On other occasions, however, this may not be possible due to :~ inability to record case history or carry out examination, completely~ similarity of symptoms & signs in some diseases~ absence of reports of investigations.

On other occasions, however, this may not be possible due to :~ inability to record case history or carry out examination, completely~ similarity of symptoms & signs in some diseases~ absence of reports of investigations.

It is possible to make a firm diagnosis on the basis of the case history and examination in many common dental diseases.

It is possible to make a firm diagnosis on the basis of the case history and examination in many common dental diseases.


In such clinical situations, formulation of a provisional diagnosis enables the clinician :~ to initiate immediate (symptomatic) treatmentand

~ to determine the investigative procedure/s to be ordered.

In such clinical situations, formulation of a provisional diagnosis enables the clinician :~ to initiate immediate (symptomatic) treatmentand

~ to determine the investigative procedure/s to be ordered.

IV. InvestigationsIV. Investigations

A. Radiographic A. Radiographic

I. Taking & Recording of Patient’s HistoryI. Taking & Recording of Patient’s History

II. ExaminationII. Examination III. Provisional DiagnosisIII. Provisional Diagnosis


B. LaboratoryB. Laboratory

C. Histopathology & CytologyC. Histopathology & Cytology

D. Microbiology, Serology & ImmunologyD. Microbiology, Serology & Immunology

# Aid in diagnosis# Aid in treatment planning# Aid in prognosis# Most commonly used

investigation in dentistry# Intra-oral radiography# Extra-oral radiography

# Blood examination e.g. CBC, CT,BT, ESR, Blood sugar, Blood group# Urine examination e.g. sugar, uric acid, proteins

# Microscopic examination of tissue# Smear# Excisional / incisional biopsy# FNAC / FNAB

# Isolation, identification & culture# Antibiotic sensitivity

# Serum chemistry e.g. creatinine,alkaline phosphatase

# Antigen / antibody detection &titre# Serum immunochemistry# Immunofluorescence

symptomssigns

Investigations

Differential

Diagnosis

Knowledge

of oral

pathology



symptoms

signsInvestigations

Differential Diagnosis

Knowledgeof oral

pathology

V. Final DiagnosisV. Final Diagnosis

Treatment Plan

Prognosis


The final diagnosis is a firm statement regarding the etiology and nature of the pathological process affecting the patient.

Objectives of a treatment plan:1. To cure the patient from the disease.2. To provide relief from symptoms.3. To provide nutritive and psychological support.4. To prevent occurrence of disease.

Two phases: Immediate treatment - local &

pharmacological Planned treatment

Prediction of the outcome of the diseasewith and without undergoing treatment.

oral diagnostic process(part-5)

Healthcare