Reabilitare UMF

7/25/2019 Reabilitare UMF

1/16


2/16

4 fanta la$iala 2 n"!#ala 2 inc"#petenta la$iala

4 aspect&l8 c&l"a!ea8 !"si#ea8 t"n&s&l $&*el"! .....................................................................

4 sant&!ile pe!ina*"(la$iale 2 n"!#ale 2 ste!se 2 accent&ate

4 p"*itia st"#i"n&l&i 2 inalta 2 #edie 2 7"asa

4 c"l"!atia teentel"!......................................................................................................

4 f"!#ati&ni si c"l"!atii de"se$ite 1desc!ie!e si t"p"!afie 0

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.

( n"!#a late!ala 4 p!"fil&l fetei 2 d!ept 2 c"n%e' 2 c"nca%

4 !ap"!t&l $&*el"! .......................................................

$0 Palpa!e ( p&ncte de e#e!enta %asc&l"(ne!%"asa

............................................................................................................

( p&ncte

sin&sale....................................................................................................................................................

( inte!itatea c"nt&!&l&i "s"s (#a'ila!

.................................................................................................................

(#andi$&la! ................... ..................... ........................ ...................... ................... ..

( palpa!ea pa!til"! #"i ale fetei 2 ede# 2 e#fi*e# 2 sensi$ilitate d&!e!"asa

( siste# anli"na! 2 nepalpa$ili

2palpa$ili (l"cali*a!e.........................................................................................

(%"l.............................................................................................

(c"nsistenta .....................................................................................(sensi$ilitate d&!e!"asa ....................................................................

(#"$ilitate 5ade!enta .......................................................................

( palpa!ea landel"! sali%a!e (pa!"tida .......................................................................................................

(s&$#andi$&la!a............................................................................................

( e'a#en&l #&sc&lat&!ii (pe!i"!"faciala........................................................................................................

(#"$ili*at"a!e a #andi$&lei....................................................................................

(#"$ili*at"a!e a cap&l&i..........................................................................................

( e'a#en&l ATM (desc-ide!ea &!ii 2 n"!#ala 1/9(:9 ##0 2 s&$ /9 ## 2 peste :9 ##

(d&!e!i a!tic&la!e.......................................................................................................

(e'c&!sia c"ndilil"! 2 n"!#ala 2 li#itata 2$l"cata | 2si#et!ica2asi#et!ica

(t!aiect&l #andi$&lei

(la desc-ide!e 2 &nif"!#a 2 salt a!tic&la! 2 de%iata sp!e ...................

(la inc-ide!e 2 &nif"!#a 2 salt a!tic&la! 2 de%iata sp!e ...................

( *"#"te a!tic&la!e (c!ac#ente...............................................................................................................

2


3/16

(c!epitatii 1f!e#is#ente0 ...............................1l"cali*a!e8 #"#ent&l apa!itiei0

(alte f"!#ati&ni decelate p!in palpa!e .........................................................................................................

,. E'a#en&l end"$&cal

a0 E'a#en&l #&c"asel"!8 li#$ii si a planse&l&i

( aspect&l #&c"asei "!ale2n"!#ala 2ind&!ata 2at!"fica 2&scata 2fis&!ata 2i!itata 2c&st"#at"patie

( inse!tia f!en&!il"! la$iale s&pe!i"! ................................................ infe!i"!..... ......................................................

( "!ificiile landel"! sali%a!e s&nt 2n"!#ale 2p!"e#inente 2ede#at"ase 2c"nesti%e 2&lce!ate( sec!etia landel"! sali%a!e pa!"tida .............................................. s&$#andi$&la!a..............................................

( e'a#en&l li#$ii ...................................................................................................................................................

( e'a#en&l planse&l&i 1c"nsistenta8si#et!ie0 ..........................................................................................................

( f"!#ati&ni si c"l"!atii de"se$ite (t"p"!afie..........................................................................................................

(desc!ie!e............................................................................................................

$0 E'a#en&l "d"ntal tip&l de dentatie 2 te#p"!a!a 2 #i'ta 2 pe!#anenta

( apel&l dintil"! tip&l de dentitie 2 c"nc"!danta 2 p!ec"ce 2 ta!di%a

Pozitie

Ex. odontal

).; ).< ).: ).3 )./ )., ).+ ).)

3.3 3./ 3., 3.+ 3.)

+.) +.+ +., +./ +.3 +.: +.< +.;

:.) :.+ :., :./ :.3

;.3 ;./ ;., ;.+ ;.)

/.; /.< /.: /.3 /./ /., /.+ /.)


4/16

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( e!"*i&ni....................................................................................................................................................................

( fis&!i5f!act&!i

............................................................................................................................................................

( c"l"!atii

....................................................................................................................................................................

( a$!a*ie 1!ad&l0........................................................................................................................................................

( lac&ne c&neif"!#e ....................................................................................................................................................

( #"difica!i &nidenta!e

(

%e!si&ni5!esi&ni ...........................................................................................................................

(e!esi&ni5e't!&*ii ...........................................................................................................................

( an"#alii de na!8 f"!#a8 p"*itie8 de*%"lta!e......................................................................................................

..............................................................................................................................................................................

( -ipe!sensi$ilitate8 -ipe!este*ie = l"cali*a!e..........................................................................................................

..................................................................................................................................................................................

( anali*a !esta&!a!il"! p!"tetice 1c"nceptie8 e'ec&tie te-nica8 !ad de&*&!a0 .............................................................

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.....................................................................................................................................................................................

.....................................................................................................................................................................................

c0 E'a#en&l pa!"d"ntal

( infla#atie ini%ala (ede#8 -ipe!e#ie....................................................................................................................

(indice PMA..........................................................................................................................

(indice ini%al GI(L"e si Silness.........................................................................................

(sane!a!e la palpa!e c& s"nda 1indice de sane!a!e papila!a0..................................................................................................................................................

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( infla#atie pa!"d"ntala = indice pa!"d"ntal R&sell

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..

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4


5/16


6/16

( dent"pa!"d"nt"!a#a 1inainte si d&pa t!ata#ent0

(p&ni......................................................................................................................................................

(!et!actie

..................................................................................................................................................

(#"$ilitate...............................................................................................................................................

(f&!catii

...................................................................................................................................................

(fest"ane McCall.....................................................................................................................................

(fis&!i Still#an........................................................................................................................................

(a$cese pa!"d"ntale

................................................................................................................................

d0 E'a#en&l a!cadel"!

M A ? I L AR( f"!#a a!cadel"! 2 se#ielipsa 2 U 2 @ 2 "#ea 2 ne!e&lata 2 alta ........................

( si#et!ia a!cadel"! 2 si#et!ica 2 asi#et!ica

( c!este edentate (p!"fil 2 t!i&n-i 2pa!a$"la 2 t!ape*

( inalti#e .................................. lati#e ..............................di!ectie ..........................................

(di#ensi&nea %e!ticala a spati&l&i edentat ...............................................................................

(aspect.....................................................................!e*ilienta....................................................

(f!en la$ial s&pe!i"! .................. ...................... .. inse!tia $!idel"! ................. ...................... .....

( p&na l&i Eisen!in.................................................................................................................................................

( t&$e!"*itati #a!i#e8 !etenti%itate 1saitala8 t!ans%e!sala0.......................................................................................

( $"lta palatina =adanci#e 2 adanca 2 #edie 2plana

( t"!&s = f"!#a ...................... #a!i#e .......................... l"cali*a!e .......................................

( desen&l !&il"! palatine...........................................................................................................M A N D I B U L A

( f"!#a a!cadel"! 2pa!a$"la 2 U 2 @ 2 M 2 t!ape* 2 ne!e&lata 2 alta .......................

( si#et!ia a!cadel"! 2 si#et!ica 2 asi#et!ica

( c!este edentate (p!"fil 2 t!i&n-i 2pa!a$"la 2 t!ape*

( inalti#e .................................. lati#e ..............................di!ectie ..........................................

(di#ensi&nea %e!ticala a spati&l&i edentat ...............................................................................

(aspect.....................................................................!e*ilienta....................................................

(f!en la$ial infe!i"! .................... .................... .. inse!tia $!idel"! .................... ...................... ..

( p&na l&i Fisc-........................................................................................................................................................

( t&$e!c&li (aspect.....................................................................................................................................................

(!e*ilienta..................................................................................................................................................

(#"$ilitate................................................................................................................................................

6


7/16

(sensi$ilitate la palpa!e.............................................................................................................................

(inse!tia lia#ent&l&i pte!i"#andi$&la!..................................................................................................

( planse& inse!tie 2 inalta 2 #edie 2 7"asa 8 daca -e!nia*a peste c!este la #isca!ile f&ncti"nale......................

( li#$a #a!i#e ................................ #"$ilitate......................................... inse!tie................................................

e0 E'a#en&l "cl&*iei

A E'a#en&l anat"#ic al "cl&*iei

( incisi%i linia inte!incisi%a 2c"incide 2de%iata sp!e stana 2de%iata sp!e d!eapta

s&p!aac"pe!i!e in sens %e!tical .......... ##

"!i*"ntal ......... ##

( canini clasa d&pa Anle ................

s&p!aac"pe!i!e in sens %e!tical .......... ##

"!i*"ntal .........##

( #"la!i p!i#i pe!#anneti clasa d&pa Anle ...............

( c&!$a saitala de "cl&*ie dinti a$senti ...............................................................................................

dinti e!esati .............................................................................................

( c&!$a t!ans%e!sala de "cl&*ie lin&"%e!si&ni.....................................................................................

%esti$&l"%e!si&ni....................................................................................

A E'a#en&l static

( plan&l de "cl&*ie 2 si#et!ic 2 asi#et!ic

( c&!$a de c"#pensatie (Spee 2 n"!#ala 2 deni%elata 1dinti a$senti0 2 accent&ata 2 in%e!sata 1 dintie!esati0

(ils"n 2 n"!#ala2 accent&ata 1 lin&"%e!si&ne0 2 in%e!sata 1 %esti$&l"%e!si&ne0

( "cl&*ia in RC 2p"int cent!ic 2 l"n cent!ic 2 ide cent!ic 2 f!eed"# in cent!ic

2 c"ntacte si#et!ice5p!e#at&!e ............................ .....

A E'a#en&l cine#atic

( p!"p&lsie (c"nd&ce p!in c"ntact &nif"!# +5/ incisi%i #a'ila!i ........................................................................1se specifica dintii in c"ntact0

(inte!fe!ente p!"p&lsi%e acti%e...............................................................................................................

(inte!fe!ente p!"p&lsi%e pasi%e ............................................................................................................

(c"ntacte p!e#at&!e p!"p&lsi%e acti%e ...................................................................................................(c"ntacte p!e#at&!e p!"p&lsi%e pasi%e ...................................................................................................

( late!"p&lsie (c"nd&ce!e canina...............................................................................................................................

(c"nd&ce!e de !&p late!al......................................................................................................................

(c"nd&ce!e ante!"(late!ala......................................................................................................................

(inte!fe!ente late!"(p&lsi%e acti%e

..........................................................................................................(inte!fe!ente late!"(p&lsi%e pasi%e

7


8/16

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(c"ntacte p!e#at&!e late!"(p&lsi%e acti%e ...............................................................................................

(c"ntacte p!e#at&!e late!"(p&lsi%e pasi%e ..............................................................................................

(e'a#en&l fatetel"! de &*&!a

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.

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1ad lin&a#8 ad palat "!i*"ntala 5 si#et!ia 5 !ad&l de &*&!a 5 at!itie sa& a$!a*ie0

A E'a#en&l f&nctiil"! ADM

( #asticatia (&nitati

...........................................................................................................................................

(#isca!i.........................................................................................................................................

(eficienta

.......................................................................................................................................

( del&titia 2 n"!#ala 2 infantila

( f"natia 2 afectata 2 neafectata

( fi*i"n"#ia 2 afectata 2 neafectata

( a&t"c&!ati!e 2 afectata 2 neafectata

IV . EXAMENUL CLINIC INDIRECT

1. Anali*a #"delel"! de st&di&

a0 F"!#a a!cadel"! al%e"l"(denta!e 1in #"d n"!#al la dentatia te#p"!a!a se#ice!c8 ia! cea pe!#anenta s&p. se#ielipsa8 inf.pa!a$"la0

( la #a'ila! 2 se#ice!c 2 se#ielipsa 2 U 2 @ 2 M 2 t!ape*2 ne!e&lata 2 alta ......................

( la #andi$&la 2 se#ice!c 2pa!a$"la 2 U 2 @ 2 M 2 t!ape* 2 ne!e&lata 2 alta......................

$0 c&!$&!a a!cadel"!

( c&!$a saitala a l&i Spee 1se anali*ea*a pe #"dele in "cl&*ie8 in n"!#a late!ala0

2 n"!#al 1c&!$a este c"nca%a la #andi$&la0 2 an"!#al(d!eapta 2 an"!#al(c"n%e'a

( c&!$a t!ans%e!sala ils"n 1se ap!ecia*a la p!e#"la!ii ca!e a& " inclina!e %esti$&la!a(s&p. sa& lin&ala(inf.0

2 n"!#al 1c"n%e'itate in 7"s0 2 an"!#al(d!eapta 2 an"!#al(c"nca%a

( c&!$a elic"idala la #"la!i 1se dat"!ea*a #i!a!ii dife!ite8 in plan t!ans%e!sal a cel"! , #"la!i0

1s&p!afata "cl&*ala a M s&p. este inclinata sp!e %esti$.8s&p!afata "cl&*ala a M inf. !a#ane inclinata lin&al0

2 an"!#al(d!eapta 2 an"!#al(in%e!sa

c0 si#et!ia a!cadel"! 1se ap!ecia*a c& a7&t"!&l si#et!"sc"p&l&i ( in ##0

( se sta$ileste (linia #ediana

.................................................................................................................................

(t!ans%e!sal se ap!ecia*a distanta cel"! + a!cade8 fata de linia #ediana

.........................................

(saital se ap!ecia*a deplasa!ile MD ale dintil"!

........................................................................

d0 de*%"lta!ea a!cadel"!( se anali*ea*a in cele , plan&!i de !efe!inta

8


9/16

plan M1 dreapta canin dreapta incisivi canin stana M1 stana

saital (ne&t!al 2

(#e*iali*at 2

1.c&spid0

(distali*at 21.c&spid0

(ne&t!al 2

(#e*iali*at 2

1.c&spid0

(distali*at 2 1.c&spid0

(ne&t!al 1psalid"d"nt0 2

(cap la cap 1la$i"d"nt0 2

(an!ena!e in%e!sa 2 ...........................

("cl&*ie in%e!sa 2(in"cl&*ie 2

O . ##

(ne&t!al 2

(#e*iali*at 2

1.c&spid0


(ne&t!al 2

(#e*iali*at 2

1.c&spid0


t!ans%. (ne&t!al 2

("cl&*ie inc!&cisata 2

("cl&*ie lin&ali*ata 2

(ne&t!al 2

(an!ena!e in%e!sa 2

O

.................##

linia #ediana cent!ata 2

linia #ediana de%iata

2 d!eapta 1##0

2 stana 1##0

(ne&t!al 2

(an!ena!e in%e!sa 2

O

.................##

(ne&t!al 2

("cl&*ie inc!&cisata 2

("cl&*ie lin&ali*ata 2

%e!tical (ne&t!al 2

(in"cl&*ie %e!ticala 2

(!ap"!t p!a$&sit 2

(ne&t!al 2

(s&p!aal%e"l"d"ntie 2 1..##0

(inf!aal%e"l"d"ntie 21..##0

(ac"pe!i!e 2 1....##0

(cap la cap 2

(desc-isa 2 1..##0

OB ............ ##

((ne&t!al 2

(s&p!aal%e"l"d"ntie 21..##0

(inf!aal%e"l"d"ntie 21..##0

(ne&t!al 2

(in"cl&*ie %e!ticala 2

(!ap"!t p!a$&sit 2

!. E'a#ene c"#ple#enta!e

A. E'a#ene c"#ple#enta!e specifice

a0 E'a#en&l f"t"static si f"t"ant!"p"#et!ic 1#as&!at"!i pe f"t"!afie0

( fata.........................................................................................................................................................................

1!ap"!t s&$na*i"n(st"#i"n5s&$na*i"n(nati"n8 p!"fil&l eta7&l&i infe!i"!8 tanenta &!ii8 si#et!ia "!i*"ntala0

( p!"fil

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( se#ip!"fil d!eapta8 stana.......................................................................................................................................

( a!cada s&pe!i"a!a

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( a!cada infe!i"a!a.....................................................................................................................................................

( a!cadele in "cl&*ie fata ........................................................ se#ip!"fil..................................................................

$0 E'a#en&l ant!"p"l"ic

( ant!"p"l"ie st"#at"l"ice

.....................................................................................................................................

( ant!"p"#et!ie ene!ala ............................................................ cefal"#et!ie

..........................................................

c0 E'a#en&l !adi"l"ic

( !adi"!afie !et!"al%e"la!a8 i*"#. si "!t"!adiala.......................................................................................................

( !adi"!afie !et!"al%e"la!a in incidenta Cla!

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10/16

( !adi"!afie a'iala c& fil# "cl&*al............................................................................................................................

( !adi"!afie pan"!a#ica si "!t"pant"#"!a#a8 tele!adi"!afia................................................................................

( !adi"!afia pn&l&i 1c"!elatie int!e %a!sta "s"asa si cea denta!a0

.........................................................................

d0 In%estiatii pa!aclinice ale f&nctiil"! ADM

( elect!"#i"!afia......................................................................................................................................................

( #andi$&l"inesi"!afia 1MG0..............................................................................................................................

( nat"s"n"!afia 1GSG0...........................................................................................................................................

( #et"de de anali*a a c"ntactel"! "cl&*ale

(siste#e c& sen*"!i #ecanici 1t!ad&ct"!i dep!esi&ne0.................................................... ...................................... ...................... .......

....................................................................(siste#e "ptice 1anali*ea*a c& a7&t"!&l c"#p&te!&l&i8 i#ainea diitali*ata a &nei

in!eist!a!i inte!"cl&*ale c& silic"n de

aditie0..............................................................

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.

( scanin lase!..............................................................................................................

( -"l"!afia8 -"l"!afia !e%e!s

..................................................................................

( tensi"#et!ia c"#p&te!i*ata.....................................................................................................................................

( !adi"cine#at"!afia

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( t"#"ec"!afia.........................................................................................................................................................

B. E'a#ene c"#ple#enta!e nespecifice

a0 E'a#en -ist"pat"l"ic......................................................................................................................................................

$0 P!"$e de la$"!at"! (-e#"le&c"!a#a

(teste de c"a&la!e TS .............. TC ............ TH ............ ti#p de p!"t!"#$ina ........................(@S>

..........................................................................................................................................

(T#"l........................................................................................................................................

(lice#ie.....................................................................................................................................

(&!ee ...........................................................................................................................................

(e'a#en de &!ina........................................................................................................................

(e'a#en cit"$acte!i"l"ic

..........................................................................................................(t!ansa#ina*e

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11/16

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(testa!ea p!e*entei -ipe!!eacti%itatii "!anis#&l&i la ale!ii.......................................................

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V. DIA"NO#TIC 1#"!f"f&ncti"nal8 eti"l"ic8 e%"l&ti%0

1. Dian"stic&l de &!enta 1afecti&ni "d"ntale8 pa!"d"ntale8 ale pa!til"! #"i "!"(faciale8 f!act&!i denta!e si de

#a'ila!8 infectii pe!i#a'ila!e8 c"#plicatii ale aneste*iei l"c"(!ei"nale si ale e't!actiei denta!e8 l&c!a!i p!"tetice

dete!i"!ate accidental8 etc.0

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..

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..

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..

!. Dian"stic&l afecti&nil"! "d"ntale

( ca!ii 1 #&ltiple8si#ple5c"#plicate 8 t!atate5net!atate8c"!ect5inc"!ect0 ................................................................................................................................................................................................

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( e!"*i&ni

...............................................................................................................................................................................( a$!a*ii

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( f!act&!i 1si#ple5c"#plicate8 t!atate c"!ect5inc"!ect8 net!atate0...........................................................................................

................................................................................................................................................................................................

$. Dian"stic&l de edentatie

( edentatia 2 edentatie &nidenta!a 2 edentatie pa!tiala 2 edentatie s&$t"tala 2 edentatie t"tala

( clasifica!ea enned .............................................................de eti"l"ie

.........................................................................

(p!"te*ata 2 c"!ect2 inc"!ect 2 nep!"te*ata

%. Dian"stic&l pa!"d"ntal 1in f&nctie de clasifica!ea $"lii pa!"d"ntale si in as"cie!e c& indicii pa!"d"ntali0

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&. Dian"stic&l de "cl&*ie

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12/16

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'. Dian"stic&l "!t"d"ntic

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(. Dian"stic&l afecti&nil"! ATM

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). Dian"stic&l afecti&nil"! #&c"asei $&cale.......................................................................................................................................................................................................

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*. Dian"stic&l afecti&nil"! c-i!&!icale "!"(#a'il"(faciale 1plai ale pa!til"! #"i8 f!act&!i8 infectii pe!i#a'ila!e8

le*i&ni c& p"tential de #alini*a!e8 c-iste8 t"!i8 etc.0

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1+. Dian"stic&l "nc"l"ic

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11. Dian"stic&l afecti&nil"! ene!ale

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VI. ,RO"NO#TIC

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13/16

( p"ate fi 2p"*iti% 2 neati%8 in f&nctie de t!ata!ea5net!ata!ea sta!ii p!e*ente

( %a dete!#ina 2 a#plifica!ea 2 !ed&ce!ea8 2 dispa!itia #"difica!il"! #"!f"l"ice si f&ncti"nale p!e*ente

2p!e*enta8 2 a$senta !epe!c&!si&nil"! as&p!a st!&ct&!il"! !estante 2 in%ecinate

2 la distanta

2 e'tinde!ea8 2 li#ita!ea efectel"! neati%e as&p!a 2 sta!ii ene!ale2 sta!ii psi-ice a pacient&l&i

VII. DI#CUTIA CAZULUI

Se e%identia*a pa!tic&la!itatile (s"ci"(p!"fesi"nale

......................................................................................................

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($i"l"ice.....................................................................................................................

.......................................................................................................................................

(#edicale

............................................................................................................................................................................................................................................................

(psi-"l"ice.................................................................................................................

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(st"#at"l"ice 1 p!edisp"*itii 0.......................................................................................

.......................................................................................................................................VIII. TRATAMENT

1. O$iecti%ele t!ata#ent&l&i %i*ea*a (indepa!ta!ea fact"!il"! eti"l"ici...............................................................................

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(indepa!ta!ea sa& c"!ecta!ea efectel"! l"!

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(!eface!ea #"!f"l"iei a!cadei denta!e8 in c"nte't&l &n&i n"& ec-ili$!& f&ncti"nal

si$i"l"ic

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.!. Etapele p"si$ile in cad!&l &n&i plan de t!ata#ent

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$.S"l&tii te!ape&tice8 in !ap"!t c& pa!tic&la!itatile ca*&l&i clinic 1t!ata#ent p!"filactic8 "d"ntal8 pa!"d"ntal8 p!"tetic8"!t"d"ntic8 al afecti&nil"! din sfe!a "!"(#a'il"(faciala0..............................................................................................................

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MANO,ERE

Data Diagnostic Procedeul clinic efectuat

Data Diagnostic Procedeul clinic efectuat

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Reabilitare UMF

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