Examen loco-regional

Pacient:
Data:

SEMNE VITALE: Puls ____ Respiraie ____ T.A. ____ / ____ (N 89-139mmHg) Obs. ___________________
EXTRAORAL:
Aspect general / Mimic / Ochi / Tegumente / Simetrie / Proporionalitate / Profil / Treapt labial / Buze

Reliefuri osoase / Puncte trigeminale / Puncte sinusale / Parotide / Ganglioni limfatici

A.T.M., deschiderea i nchiderea gurii: Contur / Amplitudine activ pasiv / Direcie / Sensibilitate / Zgomote

Muchii mobilizatori ai mandibulei / Muchii oro-faciali / Muchii cervico-dorsali

EXAMEN INTRAORAL:
Mucoasa labio-jugal / Planeu bucal / Limba / Bolta palatin / Vl palatin orofaringe / Glande salivare

Gingia proceselor alveolare / Mucoasa crestelor edentate

Caracteristici generale ale arcadelor: Form / Mrime / Incongruene / Convexiti dentare / Cuspidare /
Distrofii

Igiena oral: Inflamaie / Sngerare la palpare / Index de plac microbian / Tartru

Raporturile de ocluzie

Examen intra-oral n limite normale

Observaii cu semnificaie patologic (localizare) ______________

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Medic

Data