Dental examination, a photograph of the patient’s condition

At the Tramonte Implant Center, Dr. Silvano U. Tramonte, a world-renowned implantologist, and his staff give great importance to the first visit, which they consider the cornerstone to establish the entire treatment or prevention process. A healthy and beautiful smile, able to communicate, excite and capture attention, must in fact be taken care of from the first years of life.

Why is the dental examination so important for the doctor and patient?

“Certainly a careful dental examination has a relevant medical connotation – explains Dr. Tramonte – because it allows the doctor to evaluate the health of the mouth regardless of the problem that prompted the patient to go to the dentist. In addition to this, then, the first visit also has a psychological matrix on which our Center relies: understanding who you are in front of is a precious work tool to be able to establish a relationship of trust. For this a general medical history is collected which becomes the basis for the beginning of the interview with the patient. In addition to the health of the mouth, we collect data on the health of the person in general, in case even with a medical examination that includes pressure reliefs, cardiac auscultation, study of previous examinations or medical records in case of systemic pathologies treated surgically or pharmacologically. This is essential to guide therapeutic choices or, at times, to discover pathologies unknown to the patient and thus allow him to face them early “.

How does a dental visit develop?

“The dental examination generally consists of seven main checks – continues Tramonte -. First of all, an anamnestic file is compiled that contains all the patient’s data and is useful for knowing any previous pathologies. Subsequently, the presence of caries is checked and an assessment of the condition of the gums is carried out. As a fourth step, an examination of the closure of the mouth is carried out, that is, the articulation of the dental arches and the relationship between them. The fifth step is determined by checking any prostheses: in the case of mobile prostheses, the check is carried out on wear and adherence to the mouth in relation to optimal chewing. If there are fixed prostheses, however, a check is made of the points where there may be infiltrations.

Here’s how we’ll get back to the dentist

Toothache, infections, abscesses, mouth and oral health problems do not go on vacation, despite the Covid-19 pandemic. But in the coronavirus emergency, going to the dentist is often not recommended. The risk of contagion, in fact, sometimes exceeds the benefit deriving from the treatments, both for the patient and for the operator. For this reason, dentists are currently only treating urgent cases. which can no longer be extended. For this reason, dentists are working, also remotely, to find new rules and guidelines for treatments in complete safety, both for the professional and for the patient.

Among the categories of workers most at risk and in the first places are dentists and dental hygienists. It is no coincidence, given that in addition to the physical proximity between patient and specialist, the dentist uses rotating instruments, such as the drill, which produce aerosols containing tiny droplets of saliva. And it is precisely this aerosol produced during some medical procedures that could carry the new coronavirus, as shown for example by a study in Nature . The information we have is still scarce.

“We don’t know – explained Roberto Waiter, surgeon dentist, responsible for the Agestimationproject of the For: Med: Lab, spin-off of the University of Macerata – how much this diffusion of droplets in the air can realistically affect the infection and for this reason it is good to take maximum precautions “. Currently, therefore, continues the expert, dental offices must only deal with urgent cases that cannot be deferred after telephone contact. “And to manage other cases remotely”, adds Waiter, “for example by prescribing drug therapy, at least in the first place”.