Diagnosis & Treatment Planning

Diagnosis & Treatment Planning

6.8 OASIS
6.8
Name: OASIS Age: Gender: M F

A. MORPHOLOGICAL
NAME: VARIATIONS ____ GENDER: M F
_____________________AGE: E. DENTITION
NAME: _____________________AGE: ____ GENDER: M F E. DENTITION
1. Angle I II-1 II-2 III
A. MORPHOLOGICAL VARIATIONS (circle) Angle I II-1 II-2 III 1. Missing (X) or Open Contact (II)
2. Apertognathic, Retrognathic,
A. MORPHOLOGICAL VARIATIONSPrognathic,
(circle)VME,
Angle I II-1 II-2 III 1. Missing (X) or Open Contact (II) !
Apertognathic, Retrognathic, Prognathic, VME, cephalic index: ___ !
Cephalic index:
Apertognathic, Retrognathic, Prognathic, VME, cephalic index: ___ 2. Restored
2. Restored !
B. ANGLES and PLANES !
B. ANGLES and PLANES 3. Decayed
1. Anteroposterior SNA ___° SNB ___° FMA ___° 3. Decayed !
1. Anteroposterior SNA ___° SNB ___° FMA ___° !
2. Mediolateral ___________ 4. Fractures
2. Mediolateral ___________ 4. Fractures !
3. Inferior-superior ___ VME ___ !
3. Inferior-superior ___ VME ___ 5. Wear Facets
4. AP Occlusal Plane: Level ___ Canted ___ 5. Wear Facets !
!
4. AP Occlusal Plane: Level ___ Canted ___ 6. Attrition
5. ML Occlusal Plane: Level ___ Canted ___ 6. Attrition !
5. ML Occlusal Plane: Level ___ Canted ___ !
6. Eruption: Hyper ___ Hypo ___ Altered ___ 7. Abfraction
6. Eruption: Hyper ___ Hypo ___ Altered ___ 7. Abfraction !
!
C. LIP LENGTH and ANTERIOR GUIDANCE 8. Erosion or Abrasion
C. LIP LENGTH and ANTERIOR GUIDANCE 8. Erosion or Abrasion !
1. Incisal Overlap: Horizontal ___ mm Vertical ___ mm !
1. Incisal Overlap: Horizontal ___ mm Vertical ___ mm 9. Malpositioned
2. Incisal Guidance Angle ___ ° 9. Malpositioned !
2. Incisal Guidance Angle ___ ° !
3. Lip Length: ___ mm Short ___ Long ___ 10.Mobility
3. Lip Length: ___ mm Short ___ Long ___ 10.Mobility !
4. Tooth Display: at Rest ___mm at Smile ___ mm !
4. Tooth Display: at Rest ___mm at Smile ___ mm 11.Widened PDL or Exostoses
5. Facial Asymmetries ___ Facial Midline ___ Dental Midline __ 11.Widened PDL or Exostoses !
5. Facial Asymmetries ___ Facial Midline ___ Dental Midline __ !
12.Periodontal Attachment Loss
D. CONDYLAR GUIDANCE 12.Periodontal Attachment Loss !
D. CONDYLAR GUIDANCE !
1. Horizontal Condylar Guidance: ____ ° R ____ °L 13.Pain, Thermal, Percussion
1. Horizontal Condylar Guidance: ____ ° R ____ °L 13.Pain, Thermal, Percussion !
2. Lateral Condylar Guidance (Bennett): ____ ° R ____ °L !
2. Lateral Condylar Guidance (Bennett): ____ ° R ____ °L 14.Pulpitis, RCT or Root Resorption
3. Progressive or Immediate Side shift: ____ R ____ L 14.Pulpitis, RCT or Root Resorption !
3. Progressive or Immediate Side shift: ____ R ____ L !
4. Intercondylar Distance: ____ mm Comments: ______________________________________________
4. Intercondylar Distance: ____ mm Comments: ______________________________________________
5. Median Central Incisor Point: ____ mm _________________________________________________________
5. Median Central Incisor Point: ____ mm _________________________________________________________

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Fundamentals of Occlusion 345

2 OASIS Form from Fundamentals of Occlusion, pages 344-350

 Diagnosis
Diagnosis&&Treatment
TreatmentPlanning
Planning
6.8
6.8 OASIS
OASIS

F.F. CENTRIC
CENTRICOCCLUSAL
OCCLUSALINTERFACE
INTERFACECONTACTS
CONTACTS H.
H.OCCLUSAL
OCCLUSALVERTICAL
VERTICALDIMENSION:
DIMENSION:

1.1. Centric
CentricRelation
Relation Repeatable:
Repeatable: ___
___Pain
Pain___
___Loadable
Loadable___
___ 1.1. Physiologic
PhysiologicRest:
Rest:___
___ 00mm
mm 11mm
mm 22mm
mm 33mm
mm>>44mm
mm NA
NA

2.2. Centric
CentricOcclusion
Occlusion 2.2. Closest
ClosestSpeaking
SpeakingSpace:
Space:__
__00mm
mm11mm
mm 22mm
mm 33mm
mm>>44mm
mmNA
NA

3.3. OVD:
OVD:Acceptable
Acceptable___
___ Overclosed
Overclosed ___
___ Excessive
Excessive___
___
3.3. Maximal
MaximalIntercuspation
Intercuspation
!!
4.4. Observations:
Observations:_____________________________________
_____________________________________
4.4. Deflective
DeflectiveOcclusal
OcclusalContacts
Contacts
!!
I.I. RANGE
RANGEOF
OFMOTION
MOTION
5.5. Mandibular
MandibularDeflection:
Deflection: Right___
Right___
!!
Left
Left___
___Ant
Ant___
___Post
Post___
___ 1.1. Most
MostOpen:
Open:___
___mm
mm

2.2. Right
RightLaterotrusion:
Laterotrusion:___
___mm
mm
Distance
Distance___
___mm
mm
3.3. Left
LeftLaterotrusion:
Laterotrusion: ___
___mm
mm

4.4. Protrusion:
Protrusion:___
___mm
mm
G.
G.ECCENTRIC
ECCENTRICOCCLUSAL
OCCLUSALINTERFACE
INTERFACECONTACTS
CONTACTS 5.5. Deviation
Deviationon
onProtrusion:
Protrusion:___
___RR//LL
1.1. Anterior
AnteriorGuidance
Guidance––Protrusion
Protrusion 6.6. Discoordination
Discoordinationor
orinability
inability___
___
!!

2.2. Canine
CanineGuidance
Guidance––Laterotrusion
Laterotrusion J.J. PARAFUNCTION
PARAFUNCTION
!!

3.3. Group
GroupFunction–
Function–Laterotrusion
Laterotrusion 1.1. Bruxism:
Bruxism:Clenching
Clenching___
___ PM
PMBruxism
Bruxism___
___
!!

4.4. Balancing
BalancingContacts
Contacts––Mediotrusion
Mediotrusion 2.2. Tongue:
Tongue:Thrust
Thrust___
___Other
Other_________________________
_________________________
!!

5.5. Reverse
ReverseArticulation
Articulation 3.3. Acquired
AcquiredAnterior/Lateral
Anterior/LateralPosturing:
Posturing:___
___
!!
4.4. Other
Other___
___

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Occlusion 346
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3 OASIS Form from Fundamentals of Occlusion, pages 344-350

 Diagnosis &
Diagnosis & Treatment
Treatment Planning
Planning
6.8
6.8 OASIS
OASIS

K.TEMPOROMANDIBULAR
K. TEMPOROMANDIBULARJOINT
JOINT L. MUSCLES
L. MUSCLES

1. Within
1. WithinNormal
NormalLimits
Limits___
___ 1. Within
1. WithinNormal
NormalLimits
Limits___
___

2. Auscultation:
2. Auscultation: RR Crepitus___
Crepitus ___Clicking
Clicking___
___Popping
Popping___
___ 2. Temporalis:
2. Temporalis: RR___
___LL___
___

LL Crepitus___
Crepitus ___Clicking
Clicking___
___Popping
Popping___
___ 3. Masseter:
3. Masseter: RR___
___LL___
___

3. Palpation:
3. Palpation: RR Crepitus___
Crepitus ___Clicking
Clicking___
___Popping
Popping___
___Pain
Pain___
___ 4. Medial
4. MedialPterygoid:
Pterygoid: RR___
___LL___
___

LL Crepitus___
Crepitus ___Clicking
Clicking___
___Popping
Popping___
___Pain
Pain___
___ 5. Lateral
5. LateralPterygoid:
Pterygoid: RR___
___LL___
___

4. Anterior
4. AnteriorDisplaced
DisplacedDisc
Discwith
withreduction:
reduction: RR___
___LL___
___ 6. Digastric:
6. Digastric: RR___
___LL___
___

5. Anterior
5. AnteriorDisplaced
DisplacedDisc
Discwithout
withoutreduction:
reduction: RR___
___LL___
___ 7. Sternocleidomastoid:
7. Sternocleidomastoid: RR___
___LL___
___

6. Extracapsular:
6. Extracapsular:Muscle
Musclesplinting
splinting___
___Obstruction
Obstruction___
___Other
Other___
___ 8. Occipital:
8. Occipital: RR___
___LL___
___

7. Radiographic
7. RadiographicImaging:
Imaging:Pan
Pan___
___CBT
CBT___
___MRI
MRI___
___ 9. Trapezius:
9. Trapezius: RR___
___LL___
___

8. Radiographic
8. RadiographicAppearance:
Appearance: 10.Dyskinesias:
10. Dyskinesias:______________________________________
______________________________________

9. Joint
9. Jointspace
space ______________________________________
______________________________________ 11.Neurologic
11. NeurologicInfluence:
Influence:______________________________
______________________________

10.Condylar
10. Condylarform
form ______________________________________
______________________________________

11.Eminence
11. Eminenceform
form ______________________________________
______________________________________

12.Translation
12. Translation ___________________________________________
___________________________________________

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Occlusion 347
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4 OASIS Form from Fundamentals of Occlusion, pages 344-350

 Diagnosis & Treatment Planning
6.8 OASIS

M.ORAL FACIAL PAIN DIFFERENTIAL DIAGNOSIS FOR OCCLUSAL DISORDERS

When did the pain start? _________________________________ Skeletal or dental malocclusion

Pain Severity: (least) 1 2 3 4 5 6 7 8 9 10 (worst) Occlusal trauma and associated sequelae

Pain Type: Sharp _ Dull _ Throb _ Refer _ Shoot _ Deep _ Burning _ Occlusal plane discrepancy

Frequency: Occasional __ Intermittent __ Daily __ Weekly __ Monthly __ Centric occlusion-Maximal intercuspation discrepancy

Duration: Minutes __ Hour __ Day __ Constant __ Posterior deflective contacts in:

Temporal: Morning __ Daytime __ Night __ Sleep __ Laterotrusion

Associated Pain: Headache __ Face __ Neck __ Other __ Mediotrusion

Pain Location: Local __ General __ Unilateral __ Bilateral __ Protrusion

Anterior posturing/muscle splinting

What increases pain? ________________________________
Limited Range of Motion
What decreases pain? ________________________________
Inadequate maximal intercuspation-lack of posterior support
Analgesics used? ____________________________________
Inadequate anterior guidance
Pain Impact: Work __ Sleep loss __ Social __ Fatigue __ Irritability __
Inadequate Occlusal Vertical Dimension
Frustration __ Anxiety __ Nervousness __ Secondary Gain __
Advanced attrition – occlusal wear
Psychological Concerns: ________________________________
Erosion/Abrasion
Pain of Dental Origin: ___________________________________
Parafunction
Pain of Non-dental Origin: ________________________________
Bruxism
Atypical Face Pain: ___ Trigger Points: ___ Trigeminal Neuralgia:___
Occlusal awareness

Fundamentals of Occlusion 348

5 OASIS Form from Fundamentals of Occlusion, pages 344-350

 Diagnosis
Diagnosis &
& Treatment
Treatment Planning
Planning
6.8
6.8 OASIS
OASIS

DIFFERENTIAL
DIFFERENTIAL DIAGNOSIS
DIAGNOSIS OF
OF TM
TM DISORDERS
DISORDERS Myospasm
Myospasm

Intracapsular
Intracapsular disorders
disorders Myofibrotic
Myofibrotic contracture
contracture

Congenital
Congenital or
or developmental
developmental TMJ
TMJ disorder
disorder Trauma
Trauma

TMJ
TMJ Arthralgia
Arthralgia Congenital
Congenital or
or Developmental
Developmental

TMJ
TMJ disc
disc derangement
derangement disorders
disorders Secondary
Secondary to:
to:

Anterior
Anterior displaced
displaced disc
disc with
with reduction
reduction

Anterior
Anterior displaced
displaced disc
disc without
without reduction
reduction TREATMENT
TREATMENT PLANNING
PLANNING
Anterior
Anterior displaced
displaced disc
disc without
without reduction
reduction ++ restriction
restriction Imaging
Imaging studies
studies
TMJ
TMJ dislocation
dislocation Other
Other tests:
tests: _____________________________________________
_____________________________________________
Inflammatory
Inflammatory TMJ
TMJ disorders
disorders (rheumatoid
(rheumatoid arthritis)
arthritis) Consultations
Consultations
Non-inflammatory
Non-inflammatory TMJ
TMJ disorders
disorders (osteoarthritis)
(osteoarthritis)
Orthodontic
Orthodontic
Trauma
Trauma
Oral
Oral &
& Maxillofacial
Maxillofacial Surgery
Surgery
Extracapsular
Extracapsular disorders
disorders
Periodontal
Periodontal
Masticatory
Masticatory muscle
muscle disorders
disorders
Endodontic
Endodontic
Myofascial
Myofascial pain
pain
Other
Other (neurologist,
(neurologist, psychologist,
psychologist, etc)
etc) ______________________
______________________
Local
Local muscle
muscle pain
pain (myalgia)
(myalgia)
Referral:
Referral: ________________________________________________
________________________________________________
Myositis
Myositis

Centrally
Centrally mediated
mediated myalgia
myalgia

Fundamentals
Fundamentals of
of Occlusion
Occlusion 349
349

6 OASIS Form from Fundamentals of Occlusion, pages 344-350

 Diagnosis
Diagnosis&&Treatment
TreatmentPlanning
Planning
6.8
6.8 OASIS
OASIS

TMD
TMDManagement
Management Prosthodontic
ProsthodonticManagement
Management

PatientEducation
Patient Education Deprogramming
Deprogramming

Instruction
Instruction OcclusalEquilibration
Occlusal Equilibration

Rest
Rest RestoreIncisal-Canine
Restore Incisal-CanineGuidance
Guidance

Moist
Moistheat,
heat,etc.
etc. RestoreOcclusal
Restore OcclusalVertical
VerticalDimension
Dimension

Orthosis
Orthosis RestoreMaximal
Restore MaximalIntercuspation
Intercuspation

Physical
PhysicalTherapy
Therapy ProsthodonticTreatment
Prosthodontic Treatment
Rx
Rx
RemovableProsthodontics
Removable Prosthodontics
Analgesic
Analgesic
FixedProsthodontics
Fixed Prosthodontics
Anti-inflammatory
Anti-inflammatory
ImplantProsthodontics
Implant Prosthodontics
Muscle
MuscleRelaxant
Relaxant
Occlusalscheme
Occlusal scheme
Psychotropic
Psychotropic
Maximalintercuspation
Maximal intercuspationestablished
establishedatatcentric
centricocclusion
occlusion
Arthrocentesis
Arthrocentesisor
orother
other
Maximalintercuspation
Maximal intercuspation(acquired)
(acquired)
Orthognathic-Orthodontic
Orthognathic-Orthodontictreatment
treatment
Mutuallyprotected
Mutually protectedarticulation
articulation

Groupfunction
Group function

Balancedarticulation
Balanced articulation

Fundamentals
FundamentalsofofOcclusion
Occlusion 350
350

7 OASIS Form from Fundamentals of Occlusion, pages 344-350