]> Melissa Haendel Dan Caplan Carlo Torniai Pedro Hernandez Cott Titus Schleyer Bill Duncan The Oral Health and Disease Ontology is an ontology built to be compatible with the OBO Foundry ontologies, and is a collaboration between researchers at the University at Buffalo School of Dental Medicine, the University of Pittsburg School of Dental Medicine, and the Oregon Health and Science University. This ontology is licensed under the CC-BY License. Please see http://creativecommons.org/licenses/by/3.0/ Attribution is satisfied by using the URIs defined in this file when using terms from this ontology. Mei Song Status of this document: This is a work in progress and we do not yet make any promises about the stability of URIs. A known issue is that the upper level of this ontology is an exploratory version of BFO developed in the interim between when BFO 1 was current and before BFO 2 development started. The representation of the CDT codes is tentative - we are discussing this with the ADA. The integration between OBI and OGMS is not complete - we add some axioms here in order to use both in a consistent way. The version of the subject of the FMA used here is an automatic translation of a portion of the entities and relations present in the original FMA. Work is ongoing on improving this subset and using an up-to-date version of the FMA as its basis. Amit Acharya Alan Ruttenberg ADA universal tooth number asserted type Titus Schleyer 1/1/2014: Need to understand this property from an ontological construction perspective. This annotation is used to indicate that an individual is asserted to be a member of a class. This is useful when needing to find only the non-inferred type of an individual, and not the all the inferred types. For example, suppose x is a member of the class 'material entity' and 'material entity' is a subclass of 'independent continuant'. This entails that x will be a member of 'independent continuant'. However, by using this annotation to assert that x is a member of 'material entity', you can query for x's 'asserted type' and ignore the other inferred types in the class hierarchy. Person:Bill Duncan Bill Duncan duplicated mark true for representational units that are duplicate/conflict others This property is an application property, used for intermediate calculations when cleaning data. Alan Ruttenberg is dental restoration of PERSON: Bill Duncan This relation holds between some restorative material and some part of a tooth in which the restorative material restores or replaces lost tooth structure, oral tissues, tooth (structural) integrity, or tooth functioning. Bill Duncan 6/27/2012: This relation is intended to capture the relationship between restorative materials, such as amalagam, and the tooth (or teeth) that is being repaired. Some examples in which this relation obtains include fillings, crowns, bridges, and inlays. It is going to be a shortcut relation between the material, the tooth in which the material is located, and the site formed for the restoration (e.g., a hole formed by drilling). The details of this still need to be worked out. Titus Schleyer 1/1/2014: nice definition! Adapted from: Mosby's Dental Dictionary, 2nd Edition. page 580. Wikipedia: http://en.wikipedia.org/wiki/Dental_restoration next visit precedes is too general as it doesn't have any constraint on continuity of participants. However it is the case a visit precedes the next one. Alan Ruttenberg relation added as a convenience for survival analysis queries. relates a health care encounter such as a inpatient, outpatient, or hospital stay to the next such encounter for the same patient. later visit relation added as a convenience for survival analysis queries. relates a health care encounter such as a inpatient, outpatient, or hospital stay to any subsequent such encounter for the same patient. Alan Ruttenberg patient ID Bill Duncan a data property that relates an individual patient to the literal string that represents the patient's id occurrence date Bill Duncan 5/23/2012: There is a problem with occurrence date. The date on which an event occurred and the date on which it the event was recorded do not always match up. This will eventually need to be fixed. a data property that relates either: 1. a finding to the date on which it was recorded 2. a process to the date on which it occrred birth_date a data property that relates an individual to the date on which the individual was born Bill Duncan data source a data property that relates an individual to the data source that was used to extract information about the individual Bill Duncan 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 1 2 3 2 3 4 1 2 3 2 3 4 1 2 3 2 3 4 Subdivision of head Head region Foundational Model of Anatomy (FMA) Mouth Oral region Foundational Model of Anatomy (FMA) Subdivision of face Facial region Foundational Model of Anatomy (FMA) Subdivision of cardinal body part Principal body part subdivision Foundational Model of Anatomy (FMA) organization GROUP: OBI PERSON: Alan Ruttenberg PERSON: Bjoern Peters PERSON: Philippe Rocca-Serra PERSON: Susanna Sansone An organization is a continuant entity which can play roles, has members, and has a set of organization rules. Members of organizations are either organizations themselves or individual people. Members can bear specific organization member roles that are determined in the organization rules. The organization rules also determine how decisions are made on behalf of the organization by the organization members. BP: The definition summarizes long email discussions on the OBI developer, roles, biomaterial and denrie branches. It leaves open if an organization is a material entity or a dependent continuant, as no consensus was reached on that. The current placement as material is therefore temporary, in order to move forward with development. Here is the entire email summary, on which the definition is based: 1) there are organization_member_roles (president, treasurer, branch editor), with individual persons as bearers 2) there are organization_roles (employer, owner, vendor, patent holder) 3) an organization has a charter / rules / bylaws, which specify what roles there are, how they should be realized, and how to modify the charter/rules/bylaws themselves. It is debatable what the organization itself is (some kind of dependent continuant or an aggregate of people). This also determines who/what the bearer of organization_roles' are. My personal favorite is still to define organization as a kind of 'legal entity', but thinking it through leads to all kinds of questions that are clearly outside the scope of OBI. Interestingly enough, it does not seem to matter much where we place organization itself, as long as we can subclass it (University, Corporation, Government Agency, Hospital), instantiate it (Affymetrix, NCBI, NIH, ISO, W3C, University of Oklahoma), and have it play roles. This leads to my proposal: We define organization through the statements 1 - 3 above, but without an 'is a' statement for now. We can leave it in its current place in the is_a hierarchy (material entity) or move it up to 'continuant'. We leave further clarifications to BFO, and close this issue for now. PMID: 16353909.AAPS J. 2005 Sep 22;7(2):E274-80. Review. The joint food and agriculture organization of the United Nations/World Health Organization Expert Committee on Food Additives and its role in the evaluation of the safety of veterinary drug residues in foods. organization dental restoration material Person: Bill Duncan A processed material that bears a dental restoration material role. Person:Alan Ruttenberg restoration material amalgam dental restoration material Titus Schleyer 1/14/2014: updated definition Person:Alan Ruttenberg a metal dental restoration material that consists of silver-colored, metallic alloy which is composed of a mixture of mercury and other metals dental procedure A heath care encounter in which a dental patient undergoes a diagnostic or therapeutic process. PERSON:Pedro Cott Titus Schleyer 1/14/14: adapted definition slightly Bill Duncan 5/12/2015: Changed "A specific healthcare activity" to "A health care encounter in which" endodontic procedure A dental procedure that is performed on the pulp chamber and/or root canal of a tooth, or a part thereof PERSON:Pedro Cott Titus Schleyer 1/14/2014: adapted definition tooth restoration procedure A dental procedure in which either a whole tooth or a part of a tooth is replaced by dental restoration material in order to reestablish the tooth's anatomical and functional form and function. Mosby's Dental Dictionary 2nd ed PERSON:Pedro Cott PERSON:Alan Ruttenberg Titus Schleyer 3/14/2014: slightly edited definition Bill Duncan 12/16/2014: Updated definition. Original defintion: A dental procedure in which a part of a tooth that has been lost due to disease, trauma or other causes is replaced by dental restoration material in order to reestablish the tooth's anatomical form and function. A tooth restoration procedure achieves some tooth restoration objective specification. 1. Added "either a whole tooth or part of a tooth", since implants and pontics are also restoration procedures. 2. Removed "that has been lost due to disease, trauma or other causes". This is information about why a restoration procedure may be performed, not necessarily what such a procedure is. surgical procedure A series of steps followed in a regular, orderly, definite way, performed by a physician, dentist or surgeon by manual operation. Mosby's Dental Dictionary 2nd ed PERSON:Pedro Cott Titus Schleyer 3/4/2014: adapted definition intracoronal restoration procedure Titus Schleyer 1/14/2014: updated definition A tooth restoration procedure in which a dental restoration material is placed into a site that is located in the crown of the tooth. Bill Duncan filling restoration PERSON: Alan Ruttenberg tooth to be restored role A target of material addition role that inheres in a tooth and is realized by a tooth restoration procedure during which the tooth bearing the role is restored to health. PERSON: Bill Duncan tooth to be filled role Bill Duncan A tooth to be restored role that is realized by an intracoronal restoration procedure dental visit PERSON:Alan Ruttenberg Adapted from Mosby's Dental Dictionary Titus Schleyer 1/14/14: adapted definition An outpatient encounter during which a dental health care professional and a patient meet for the purpose of evaluating, treating disorders of, or preventing deterioration of the patient's oral health. dental finding Titus Schleyer1/14/2014: made a minor modification to the definition. This particular definition brings up the issue of language. This one is written in a very "ontology-compliant" way ("... specified output of ..."). The question is to what degree this would be understandable to the layman. Person:Bill Duncan replace tooth in logical def with dentition or mouth when it's been imported. A clinical finding is a specified output of a dental exam and is about the oral cavity, maxillofacial area, and/or the adjacent and associated structures, or their parts, or pathological anatomical entities derived from them. The finding has a part that is about when the exam that led to the finding occured well as other data items specifying the nature of the finding. Adapted from Mosby's definition of dentistry: The evaluation, diagnosis, and/or treatment (nonsurgical, surgical, or related procedures) of diseases, disorders, and/or conditions of the oral cavity, maxillofacial area, and/or the adjacent and associated structures and their impact on the body; provided by dental professionals, within the scope of his/her education, training, and experience, in accordance with the ethics of the profession and applicable law. (Mosby. Mosby's Dental Dictionary, 2nd Edition. Mosby, 102007. p. 173). Alan Ruttenberg 4/12/2012: First version of adapted definition by Bill: A dental observation regarding (or about) the evaluation, diagnosis, and/or treatment (nonsurgical, surgical, or related procedures) of diseases, disorders, and/or conditions of the oral cavity, maxillofacial area, and/or the adjacent and associated structures and their impact on the body; provided by dental professionals, within the scope of his/her education, training , and experience, in accordance with the ethics of the profession and applicable law Alan Ruttenberg 4/12/2012: The part of the finding that is specification of the time when it was created, is currently represented using the data property 'occurence date'. Person:Alan Ruttenberg performing a dental clinical assessment should use obi class with modifications to not include restriction that has specified output is a diagnosis, and/or subclass the obi class human dental patient Bill Duncan A Homo sapiens that bears some dental patient role. dental health care organization PERSON: Bill Duncan An organization that is focused on maintaining and improving the oral health of a population. Titus Schleyer 1/14/14: adapted definition PERSON: Bill Duncan dental hygienist role PERSON: Bill Duncan Bill Duncan 09/30/2015: Professional prophylaxis, radiographs, sealants, and nonsurgical periodontal therapy are among the procedures performed by a hygienist. Most are licensed to administer local anesthesia, depending on applicable regulations in their area. They usually work for a dentist in a dental office or clinic under a form of supervision. In some locations hygienists are allowed to practice without a dentist's supervision. Mosby. Mosby's Dental Dictionary, 2nd Edition. Mosby, 2008. VitalBook file. p. 325. a dental health care provider role that inheres in a person who is a licensed dental professional that specializes in preventative care dentist role Mosby. Mosby's Dental Dictionary, 2nd Edition. Mosby, 2008. VitalBook file. p. 173. a dental health care provider role that inheres in a person who is qualified by training and licensed by a state or region to diagnose and treat abnormalities of the teeth, gums, and underlying bone, including conditions caused by disease, trauma, and heredity PERSON: Bill Duncan dentist a dental health care provider that bears a dentist role Bill Duncan dental exam Titus Schleyer 1/1/2014: original definition was too narrow, now expanded A conversational, visual and tactile examination in which the clinician evaluates the status of the patient's medical, dental and oral health. Melissa Haendel 4/12/2012: There can be more than one dental exam that occurs during a dental visit. Mellisa Haendel Person:Alan Ruttenberg dental hygienist a dental health care provider that bears a dental hygienist role Bill Duncan carious lesion of tooth is caries a material entity or a quality? Titus Schleyer Titus Schleyer 1/14/2014: updated definition A disorder that affects a tooth that includes both the infectious organisms, the material they generate from the tooth, any immune effectors that are a response to the presence of the disorder and the physical changes to the tooth (i.e., demineralization or a cavity) resulting from the disorder. It is the physical basis for the disease "dental caries." metallic inlay restoration procedure An inlay restoration procedure that uses metal to restore the tooth. metallic inlay restoration Bill Duncan caries finding A dental finding that indicates a carious lesion of a tooth Titus Schleyer 1/14/2014: How about this as an alternative definition: "A dental finding that indicates a carious lesion of a tooth"? PERSON: Bill Duncan hard tissue exam A dental exam which includes a complete examination of hard tissues, specifically the teeth. It is performed tooth by tooth and documents aspects such as whether the tooth is missing or not, and its condition. A tooth is typically considered healthy if it is in a virgin state, or has one or more restorations that restore it to full morphology and function. Pathological conditions may include carious lesions, fractures, defective restorations, excessive wear and malpositions. Person:Alan Ruttenberg Titus Schleyer 1/14/14: essentially rewrote definition and removed outdated citation to source missing tooth finding 1 Bill Duncan 5/14/2012: Our criteria for determing that a tooth is missing is stronger than the clinical criterion. Clinically, a tooth is missing if it is not visible in the oral cavity, in which case an unerrupted tooth is considered missing. However, we include the added criterion that the tooth must also not be present in a radiograph. Thus, if such an exam reveals the presence of such a tooth, the tooth is not considered to be missing. Bill Duncan 5/14/2012: We have added the necessary condtion that a missing tooth finding is about 'exactly 1 Secondary Dentition'. A dental finding that notes the absence of a tooth that is canonically found, as identified by the universal tooth number. The criteria for determing that a tooth is missing includes its absence in a visual exam, a radiographic exam or both. Thus, an unerrupted tooth seen in a radiograph is not considered missing. Titus Schleyer 1/14/2014: This might be a minor point, but clinically the two cases of "tooth missing on visual clinical inspection" and "tooth missing on visual clinical inspection AND on radiograph" might often be conflated in clinical documentation. For instance, if a practitioner does not obtain radiographs, she cannot really find the "ground truth." Bill Duncan 4/12/2012: To think about: There are two cases at least - one where the tooth was never formed in the mouth and the other where the tooth was lost through some process. Presently we do not distinquish between these cases. to think about the proper logical definition: probably there is lacks_part to be fixed veneer restoration procedure Adapted from Wikipedia: http://en.wikipedia.org/wiki/Veneer_%28dentistry%29 PERSON: Bill Duncan A tooth restoration procedure in which a thin layer of material (i.e., a veneer) is placed over one or more surfaces of the tooth either to improve the aesthetics of the tooth or to protect the tooth's surface from damage missing tooth 14 finding Bill Duncan a missing tooth finding in which tooth 14 is found to be missing fractured tooth fractured tooth finding dental caries Titus Schleyer 3/4/2014: definition updated Alan Ruttenberg 4/12/2012: We need to hook up the disease with the material basis, and possible a representation of the disease course. However we don't have the 'has material basis' relation yet, and its not clear that it is useful to represent the disease course. Bill Duncan 6/26/2015: The old uri was DOID_216. I assume this class is intended to be an import from the disease ontology. The uri was changed for backward compatabilty in the r21 study. A disease realized as a disease course in which a carious lesion develops in a tooth, resulting in demineralization, loss of tooth structure/appearance of a cavity or other structural damage to the tooth. Person:Alan Ruttenberg Person:Bill Duncan soft tissue exam Alan Ruttenberg a dental exam which focuses on soft tissue in and near the mouth. crown restoration procedure Titus Schleyer 1/14/2014: adapted definition A tooth restoration procedure whereby an artificial crown replaces all or part of the natural dental crown. gold foil dental restoration material A metal dental restoration material which the principal ingredient is gold. PERSON: Pedro L. Hernández-Cott Titus Schleyer 3/13/2014: slightly updated definition Bill Duncan 12/11/2014: updated defintion porcelain dental restoration material PERSON: Pedro L. Hernández-Cott A ceramic material used for tooth-colored restorations. Titus Schleyer1/14/2014: checked definition, sounds okay resin dental restoration material A tooth-colored dental restoration material made from a mixture of resin, silica and other materials used in direct restorations. Titus Schleyer 3/13/2014: updated definition PERSON: Pedro L. Hernández-Cott direct dental material insertion process A material combination in which a moldable restorative material is placed directly into or on the tooth. The material then hardens and becomes (essentially) part of the tooth. Bill Duncan Bill Duncan 12/11/2014: Moved from this class from being a subtype of tooth restoration procedure to being a subclass of material combination. Titus Schleyer 1/1/2014: made definition clearer dental material tooth attachment process Bill Duncan 12/11/2014: Moved from this class from being a subtype of tooth restoration procedure to being a subclass of material combination. Bill Duncan 12/16/2014: Updated definition. Original definition: A material combination in which a rigid restoration, such as a gold inlay, is attached to a tooth. The restoration is attached to the tooth by some form of cement or glue. 1. Removed "such as a gold inlay". 2. Added that the material may be held in place by mechanical forces A material combination in which a rigid piece of restoration material is attached to a tooth. The restoration is attached to the tooth by mechanical forces or some form of cement or glue. Titus Schleyer 1/14/2014: made the definition consistent with that of direct restoration Bill Duncan gold filling restoration procedure An intracoronal restoration procedure that uses gold foil to restore the tooth. Bill Duncan gold filling restoration gold foil intracoronal restoration procedure 3/4 noble metal crown restoration procedure A 3/4 crown restoration procedure that uses noble metal to restore the tooth. Bill Duncan amalgam filling restoration procedure amalgam filling restoration An intracoronal restoration procedure that uses amalgam to restore the tooth. amalgam intracoronal restoration procedure Bill Duncan resin filling restoration procedure An intracoronal restoration procedure that uses resin to restore the tooth. resin filling restoration resin intracoronal restoration procedure Bill Duncan fractured needs to be added to pato where it is an exact synonym of broken (i think) surgical dental procedure Mosby's Dental Dictionary 2nd ed A dental procedure that consists of series of steps followed in a regular, orderly, definite way, performed by a dentist or dental surgeon by manual operation on some part of the mouth. Titus Schleyer 1/14/14:checked definition, adapted it slightly resin laminate veneer restoration procedure A veneer restoration procedure that uses resin laminate to restore the tooth. resin laminate veneer restoration Bill Duncan porcelain laminate veneer restoration procedure Bill Duncan porcelain laminate veneer restoration A veneer restoration procedure that uses porcelain laminate to restore the tooth. tooth to undergo veneer procedure role A tooth to be restored role that is realized by a veneer restoration procedure Bill Duncan metal dental restoration material A dental restoration material that consists mostly of metal atoms PERSON: Alan Ruttenberg Use CHEBI:33521 'metal ion' in a complete definition. Fixure out how to say "mostly" first, however female dental patient A human dental patient that bears a female gender role. Bill Duncan dental health care provider a health care provider that bears a dental health care provider role Bill Duncan dental health care provider role PERSON: Bill Duncan a health care provider role that inheres in a person who is licensed to provide dental health care male dental patient A human dental patient that bears a male gender role. Bill Duncan tooth to be crowned role A tooth to be restored role that is realized by a crown restoration procedure Bill Duncan tooth to be extracted role PERSON: Bill Duncan A role that inheres in a tooth and is realized by a tooth extraction procedure during which the tooth bearing the role is extracted. tooth extraction procedure Titus Schleyer 1/14/2014: I think the instrumentation (" ... by means of elevators and/or forceps") is not relevant to this definition. I have extracted certain teeth with two fingers. PERSON: Bill Duncan Mosby. Mosby's Dental Dictionary, 2nd Edition. Mosby, 102007. p. 238 A surgical dental procedure that removes a tooth from the oral cavity. tooth to undergo endodontic procedure role PERSON: Bill Duncan A role that inheres in a tooth and is realized by an endodontic procedure performed on the tooth bearing the role. missing tooth 1 finding Bill Duncan a missing tooth finding in which tooth 1 is found to be missing missing tooth 2 finding Bill Duncan a missing tooth finding in which tooth 2 is found to be missing missing tooth 3 finding a missing tooth finding in which tooth 3 is found to be missing Bill Duncan missing tooth 4 finding Bill Duncan a missing tooth finding in which tooth 4 is found to be missing missing tooth 5 finding Bill Duncan a missing tooth finding in which tooth 5 is found to be missing missing tooth 6 finding a missing tooth finding in which tooth 6 is found to be missing Bill Duncan missing tooth 7 finding Bill Duncan a missing tooth finding in which tooth 7 is found to be missing missing tooth 8 finding Bill Duncan a missing tooth finding in which tooth 8 is found to be missing missing tooth 9 finding a missing tooth finding in which tooth 9 is found to be missing Bill Duncan missing tooth 10 finding Bill Duncan a missing tooth finding in which tooth 10 is found to be missing missing tooth 11 finding a missing tooth finding in which tooth 11 is found to be missing Bill Duncan missing tooth 12 finding Bill Duncan a missing tooth finding in which tooth 12 is found to be missing missing tooth 13 finding a missing tooth finding in which tooth 13 is found to be missing Bill Duncan missing tooth 15 finding Bill Duncan a missing tooth finding in which tooth 15 is found to be missing missing tooth 16 finding a missing tooth finding in which tooth 16 is found to be missing Bill Duncan missing tooth 17 finding Bill Duncan a missing tooth finding in which tooth 17 is found to be missing missing tooth 18 finding a missing tooth finding in which tooth 18 is found to be missing Bill Duncan missing tooth 19 finding Bill Duncan a missing tooth finding in which tooth 19 is found to be missing missing tooth 20 finding Bill Duncan a missing tooth finding in which tooth 20 is found to be missing missing tooth 21 finding Bill Duncan a missing tooth finding in which tooth 21 is found to be missing missing tooth 22 finding a missing tooth finding in which tooth 22 is found to be missing Bill Duncan missing tooth 23 finding a missing tooth finding in which tooth 23 is found to be missing Bill Duncan missing tooth 24 finding Bill Duncan a missing tooth finding in which tooth 24 is found to be missing missing tooth 25 finding a missing tooth finding in which tooth 25 is found to be missing Bill Duncan missing tooth 26 finding a missing tooth finding in which tooth 26 is found to be missing Bill Duncan missing tooth 27 finding a missing tooth finding in which tooth 27 is found to be missing Bill Duncan missing tooth 28 finding Bill Duncan a missing tooth finding in which tooth 28 is found to be missing missing tooth 29 finding Bill Duncan a missing tooth finding in which tooth 29 is found to be missing missing tooth 30 finding Bill Duncan a missing tooth finding in which tooth 30 is found to be missing missing tooth 31 finding Bill Duncan a missing tooth finding in which tooth 31 is found to be missing missing tooth 32 finding a missing tooth finding in which tooth 32 is found to be missing Bill Duncan tooth clinically present finding ceramic inlay restoration procedure An inlay restoration procedure that uses ceramic to restore the tooth. ceramic inlay restoration Bill Duncan ceramic onlay restoration procedure Bill Duncan ceramic onlay restoration An onlay restoration procedure that uses ceramic to restore the tooth. resin inlay restoration procedure resin inlay restoration An inlay restoration procedure that uses resin to restore the tooth. Bill Duncan tooth to undergo inlay procedure role A tooth to be restored role that is realized by an inlay restoration procedure Bill Duncan tooth to undergo onlay procedure role A tooth to be restored role that is realized by an onlay restoration procedure Bill Duncan Universal tooth number A label naming a type of secondary tooth canonically found in humans, adopted by the American Dental Association, and commonly used as labels on odontograms (toothcharts) and clinical notes. The Universal Numbering System uses No. 1 through 32 for the 32 teeth in the permanent dentition, starting with 1 for the maxillary right third molar, going around the arch to the maxillary left third molar as 16; dropping down on the same side, the left mandibular third molar becomes 17, and then the numbers increase around the lower arch to 32, which is the lower right third molar. Bill Duncan 4/12/2012: From the book: "The Universal Numbering System was first suggested by Parreidt in 1882, and officially adopted by the American Dental Association in 1975. It is accepted by third-party providers and is endorsed by the American Society of Forensic Odontology." Book:Scheid, Rickne. Woelfel's Dental Anatomy, 8th Edition. Lippincott Williams & Wilkins, 01/2011. pp. i - ii). Titus Schleyer 1/1/2014: slightly updated definition inlay restoration procedure PERSON: Bill Duncan An intracoronal restoration procedure in which dental restoration material is placed within the grooves and pits of the occlusal surface of a tooth. onlay restoration procedure A crown restoration procedure in which the dental restoration material either replaces the cusp or overlays the cusp. Bill Duncan PERSON: Bill Duncan ceramic dental restoration material A dental restoration material that consists of non-metal, non-resin inorganic refractory compounds processed at high temperatures (600 degress Celsius / 1112 degrees Farenheit) and pressed, pollished or milled -- including porcelains, glasses, and glass-ceramics. PERSON: Bill Duncan ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 titanium dental restoration material PERSON: Bill Duncan ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 A metal dental restoration material which contains 85% or more titanium. stainless steel dental restoration material A metal dental restoration material which the principal ingredient is stainless steel. PERSON: Bill Duncan metallic onlay restoration procedure An onlay restoration procedure that uses metal to restore the tooth. Bill Duncan metallic onlay restoration resin with predominantly base metal crown restoration procedure Bill Duncan A crown restoration procedure in which the artifical crown used to restore the tooth is formed by covering all or some of a predominantly base metal substrate with resin. https://www.patientconnect365.com/DentalHealthTopics/Article/Crown__Resin_With_Predominately_Base_Metal__Dental_Procedure_Code_Description titanium crown restoration procedure Bill Duncan resin with predominantly base metal dental restoration Bill Duncan Bill Duncan 6/26/2015: There is not a dental restoration material of this kind. The class needs to be made obsolete. noble metal crown restoration procedure Bill Duncan A crown restoration procedure that uses noble metal to restore the tooth. porcelain fused to noble metal dental restoration material Bill Duncan Bill Duncan 6/26/2015: There is not a dental restoration material of this kind. The class needs to be made obsolete. porcelain fused to high noble metal dental restoration material Bill Duncan Bill Duncan 6/26/2015: There is not a dental restoration material of this kind. The class needs to be made obsolete. porcelain fused to predominantly base metal dental restoration material Bill Duncan 6/26/2015: There is not a dental restoration material of this kind. The class needs to be made obsolete. Bill Duncan noble metal dental restoration material PERSON: Bill Duncan A metal dental restoration material that is composed of a matalic alloy that contains 25% or more of gold, palladium, and/or or platinum. ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 high noble metal dental restoration material PERSON: Bill Duncan ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 A metal dental restoration material that is composed of a matalic alloy that contains 60% or more of gold, palladium, and/or or platinum (with at least 40% gold). resin with high noble metal crown restoration procedure Bill Duncan https://www.patientconnect365.com/DentalHealthTopics/Article/Crown__Resin_With_High_Noble_Metal__Dental_Procedure_Code_Description A resin with noble metal crown restoraton procedure that uses high noble metal as a substrate. 3/4 resin crown restoration procedure Bill Duncan A 3/4 crown restoration procedure that uses resin to restore the tooth. 3/4 high noble metal crown restoration procedure A 3/4 noble metal crown restoration procedure that uses high noble metal to restore the tooth. Bill Duncan 3/4 predominantly base metal crown restoration procedure Bill Duncan A 3/4 crown restoration procedure that uses predominantly base metal to restore the tooth. 3/4 ceramic crown restoration procedure Bill Duncan A 3/4 crown restoration procedure that uses ceramic to restore the tooth. noble metal onlay restoration procedure A metallic onlay restoration procedure that uses noble metal to restore the tooth. Bill Duncan resin crown restoration procedure Bill Duncan A crown restoration procedure that uses resin to restore the tooth. ceramic crown restoration procedure Bill Duncan A crown restoration procedure that uses ceramic to restor the tooth. predominantly base metal dental restoration material A metal dental restoration material that is composed of a matalic alloy that contains less than 25% of gold, palladium, and/or or platinum. ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 Bill Duncan high noble metal crown restoration procedure A noble metal crown restoration procedure that uses high noble metal to restore the tooth. Bill Duncan porcelain fused to high noble metal crown restoration procedure https://www.patientconnect365.com/DentalHealthTopics/Article/Crown__Porcelain_Fused_To_High_Noble_Metal__Dental_Procedure_Code_Description A procelain fused to nobal metal crown restoration procedure that uses high noble metal as a substrate. Bill Duncan high noble metal onlay restoration procedure Bill Duncan A noble metal onlay restoration procedure that uses high noble metal to restore the tooth. porcelain fused to noble metal crown restoration procedure A crown restoration procedure in which the artifical crown used to restore the tooth is formed by fusing porcelain to a substrate composed of noble metal. Bill Duncan https://www.patientconnect365.com/DentalHealthTopics/Article/Crown__Porcelain_Fused_To_Noble_Metal__Dental_Procedure_Code_Description porcelain fused to predominantly base metal crown restoration procedure Bill Duncan A crown restoration procedure in which the artifical crown used to restore the tooth is formed by fusing porcelain to a substrate composed of predominatly base metal. https://www.patientconnect365.com/DentalHealthTopics/Article/Crown__Porcelain_Fused_To_Predominately_Base_Metal__Dental_Procedure_Code_Description predominantly base metal crown restoration procedure Bill Duncan stainless steel crown restoration procedure A crown restoration procedure that uses stainless steel to restore the tooth. Bill Duncan stainless steel with resin window crown restoration procedure http://www.dentalcare.com/en-US/dental-education/continuing-education/ce379/ce379.aspx?ModuleName=coursecontent&PartID=3&SectionID=-1 https://www.patientconnect365.com/DentalHealthTopics/Article/Crown__Prefabricated_Stainless_Steel_with_Resin__Dental_Procedure_Code_Description A crown restoration procedure in which the artifical crown used to restore the tooth is formed by cutting a window into a stainless steel prosthetic crown and filling the window with resin. Bill Duncan dental assistant role Mosby. Mosby's Dental Dictionary, 2nd Edition. Mosby, 2008. VitalBook file. p. 55. a dental health care provider role that inheres in a person who is a an auxiliary to the dental operator PERSON: Bill Duncan resin with noble metal crown restoration procedure https://www.patientconnect365.com/DentalHealthTopics/Article/Crown__Resin_With_Noble_Metal__Dental_Procedure_Code_Description Bill Duncan A crown restoration procedure in which the artifical crown used to restore the tooth is formed by covering all or some of a noble metal substrate with resin. noble metal inlay restoration procedure Bill Duncan A metallic inlay restoration procedure that uses noble metal to restore the tooth. unerupted tooth finding resin onlay restoration An onlay restoration procedure that uses resin to restore the tooth. Bill Duncan resin onlay restoration procedure dental therapist role Bill Duncan a dentist role that inheres in a person a dentist who practices as part of the dental team to provide educational, clinical and therapeutic patient services; and can provide basic preventive and restorative treatment to children and adults, and extractions of primary (baby) teeth under the supervision of a dentist http://dentistry.umn.edu/programs-admissions/dental-therapy/index.htm endodontist role a dentist role that inheres in a person who specializes in performing endodontic procedures Bill Duncan oral surgeon role Bill Duncan a dentist role that inheres in a person who specializes in performing oral surgery orofacial pain dentist role a dentist role that inheres in a person who has received specialized training in treating disorders that cause orofacial pain, such as TMJ disorder (TMD) Bill Duncan orthodontist role a dentist role that inheres in a person who specializes in the prevention and correction of irregular teeth, as by means of braces http://dictionary.reference.com/browse/orthodontist Bill Duncan pediatric dentist role http://www.aapd.org a dentist role that inheres in a person who specializes in children's oral health Bill Duncan periodontist role Bill Duncan a dentist role that inheres in a person who specializes in the prevention, diagnosis, and treatment of periodontal disease, oral inflammation, and in the placement of dental implants https://www.perio.org/consumer/periodontist2.htm prosthodontist role https://en.wikipedia.org/wiki/Prosthodontics Bill Duncan a dentist role that inheres in a person who specializes in the aesthetic (cosmetic) restoration and replacement of teeth registered nurse role http://www.nursingworld.org/EspeciallyForYou/What-is-Nursing a health care provider role that inheres in a person who specializes in the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations Bill Duncan health care provider Bill Duncan a Homo sapiens that bears a health care provider role registered nurse Bill Duncan a health care provider that bears a registered nurse role dental therapist Bill Duncan a dental health care provider that bears a dental therapist role endodontist a dentists that bears a endodontist role Bill Duncan oral surgeon Bill Duncan a dentist that bears an oral surgeon role orofacial pain dentist a dentist that bears an orofacial pain dentist role Bill Duncan orthodontist Bill Duncan a dentist that bears an orthodontist role pediatric dentist a dentist that bears a pediatric dentist role Bill Duncan periodontist Bill Duncan a dentist that bears a periodontist role stainless steel with resin window dental restoration material Bill Duncan Bill Duncan 6/26/2015: There is not a dental restoration material of this kind. The class needs to be made obsolete. restored tooth Titus Schleyer 1/1/2014: updated definition An entity that is the combination of a tooth and a dental restoration material. Typically results when a tooth with some type of pathological defect is restored. Always the output of a dental restoration Alan Ruttenberg dental patient role Alan Ruttenberg A patient role that is realized by the process of being under the care of a dental health care provider. Bill Duncan dental restoration material role Bill Duncan 12/11/2014: Changed definition to read that a "portion of dental restoration material" is realized by a "tooth restoration procedure". Person:Alan Ruttenberg Person:Alan Ruttenberg Titus Schleyer 1/1/2014: updated definition A functional prothetic role that is borne by a portion of dental restoration material and is realized in a tooth restoration procedure in which the restoration material becomes part of a restored tooth. high noble metal inlay restoration procedure Bill Duncan An inlay restoration procedure that uses high noble metal to restore the tooth. predominantly base metal onlay restoration procedure Bill Duncan An onlay restoration procedure that uses predominantly base metal to restore the tooth. predominantly base metal inlay restoration procedure Bill Duncan An inlay restoration procedure that uses predominantly base metal to restore the tooth. titanium onlay restoration procedure A metallic onlay restoration procedure that uses titanium to restore the tooth. Bill Duncan titanium inlay restoration procedure Bill Duncan A metallic inlay restoration procedure that uses titanium to restore the tooth. oral evaluation A visual and tactile examination in which the clinician evaluates the status of the patient's oral cavity and related areas. An oral evaluation is performed as part of a dental exam. The examination may also include the results of tests, such as radiographs, pulp vitality, etc. This class was created in order to associate oral evaluations with dental findings that came about as the result of a dental exam. The data source I am working with has records that show multiple oral evalutions were performed on the same day. For example, the data source may have records that show a periodic oral evaluation, comprehensive oral evaluation, and comprehensive periodontal evaluation are performed on the same day. However, the finding(s) for these evaluations is/are stored in a separate table with only the patient id and date to associate the finding with the exam. There is no information to link the finding to a particular evaluation. As a work around (i.e., hack!), I've made oral evaluations be part of the dental examination. There is a case to be made that oral evaluations should be a subclass of dental exam, but, such a representation, would make representing the finding information (associated with a particular oral evaluation) difficult. Person: Bill Duncan Titus Schleyer 1/14/2014: updated definition Also, regarding Bill's comment on the fact that multiple examinations can occur on the same day (e.g. periodic oral evaluation, comprehensive oral evaluation and comprehensive periodontal evaluation): From a billing and clinical perspective, these are separate. For instance, a comprehensive oral evaluation has a larger scope than a periodic oral evaluation, while a comprehensive periodontal evaluation is focused primarily on gums and supporting tissues. periodic oral evaluation Titus Schleyer 1/1/2014: updated definition Person: Bill Duncan An oral evaluation performed on a patient of record (at an interval specified by the dentist) to determine any changes in the patient’s dental and medical health status since a previous evaluation. It includes an oral cancer evaluation and periodontal screening where indicated, and may require interpretation of information acquired through additional diagnostic procedures. ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 prefabricated resin crown restoration procedure Bill Duncan a resin crown restoration procedure in which the artificial crown has been produced beforehand no oral health issues reported Titus Schleyer 1/14/2014: added "issue" to definition a role that inheres in a person who licensed to provide health care The intent of the class is to represent those case in which a dental exam is performed on patient, no finding is reported for the exam. This could mean that the patients mouth is healthy; the patient had an issue but the examiner failed to report it; or (perhaps) that the patient has some oral health issue, but there are no new issues to report. The label of the class may need to be changed. Bill Duncan A dental finding in which there were no oral health issues were reported. PERSON: Bill Duncan limited oral evaluation Person: Bill Duncan An oral evaluation limited to a specific oral health problem or complaint. This may require interpretation of information acquired through additional diagnostic procedures. Typically, patients receiving this type of evaluation present with a specific problem and/or dental emergencies, trauma, acute infections, etc. ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 comprehensive oral evaluation An oral evaluation that is performed on new patients; established patients who have had a significant change in health conditions or other unusual circumstances; or established patients who have been absent from active treatment for three or more years. It is a thorough evaluation and recording of the extraoral and intraoral hard and soft tissues. It may require interpretation of information acquired through additional diagnostic procedures. This includes an evaluation for oral cancer where indicated, the evaluation and recording of the patients dental and medical history and a general health assessment. It may include the evaluation and recording of dental caries, missing or unerupted teeth, restorations, existing prostheses, occlusal relationships, periodontal conditions (including periodontal screening and/or charting), hard and soft tissue anomalies, etc. ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 Person: Bill Duncan Titus Schleyer 1/1/2014: checked definition, looks okay comprehensive periodontal evaluation Titus Schleyer 1/1/2014: slightly updated definition An oral evaluation performed on patients showing signs or symptoms of periodontal disease and for patients with risk factors for such disease, such as smoking or diabetes. It includes evaluation of periodontal conditions, probing and charting, evaluation and recording of the patients dental and medical history and general health assessment. It may include the evaluation and recording of dental caries, missing or unerupted teeth, restorations and occlusal relationships. Person: Bill Duncan ISBN:1935201387#CDT 2011-2012 Current Dental Terminology, Chapter 1 intraoral soft tissue exam Alan Ruttenberg technically I don't need to include giniva since it is mucosa, but felt like it in the interest of avoiding questions http://www.dentistry.utoronto.ca/dpes/diagnostic/patients/extraoral-and-intraoral-soft-tissue-examination-patient a physical examination of the soft tissue of the mouth, including the lips, mucosa, hard and soft palate, tongue, and floor of mouth extraoral soft tissue exam Alan Ruttenberg http://www.dentistry.utoronto.ca/dpes/diagnostic/patients/extraoral-and-intraoral-soft-tissue-examination-patient a physical examination of the soft tissue of the head and neck with attention to the temporomandibular joint area functional tooth A natural, modified or prosthetic tooth Alan Ruttenberg tooth surface to be restored role A target of material addition role that inheres in some part of a tooth and is realized in a process where dental material forms a new surface Can't say the role inheres in a surface as the problem may be that the particular surface isn't present before the restoration. Alan Ruttenberg restored tooth surface Alan Ruttenberg dental material that is bonded to and fills the site where some tooth surface or part thereof used to be. Always part of a restored tooth. dental assistant Bill Duncan a dental health care provider that bears a dental assistant role health care provider role a role that inheres in a person who is licensed to provide health care prosthodontist a dentist that bears a prosthodontist role Bill Duncan prosthesis a processed material that bears a prothetic role Bill Duncan prosthetic tooth a prosthesis that has been fabricated for use as a substitute for a natural tooth Mosby. Mosby's Dental Dictionary, 2nd Edition. Mosby, 2008. VitalBook file. p. 689 Bill Duncan usually made of porcelain or plastic direct restoration procedure Bill Duncan A tooth restoration procedure in which the dental restoration material is placed in the tooth via some direct dental restoration material combination process. indirect restoration procedure Bill Duncan A tooth restoration procedure in which the dental restoration material is placed in the tooth via some indirect dental restoration material combination process. 3/4 crown restoration procedure Bill Duncan A crown restoration procedure in which 3 of the 4 surfaces on an anterior tooth is restored. The dental restoration material extends to (or almost to) the gum line. dental material fusion process Bill Duncan A dental material combination process in which one or more materials forms a substructure and then one or more materials are fused (or baked) onto this substructure. Anterior Tooth A tooth that is either an incisor or a canine. Bill Duncan Posterior Tooth Bill Duncan A tooth that is either a molar or premolar. partial denture partial denture a prosthesis that replaces one or more, but less than all, of the natural teeth and associated structures Bill Duncan partial dental prothesis Mosby. Mosby's Dental Dictionary, 2nd Edition. Mosby, 2008. VitalBook file. p. 175 tooth-supported partial denture Bill Duncan 12/13/2014: Definition updated to reflect Dan's comments. Dan Caplan 12/13/2014: Mosby's definition is not quite corrrect. The support could also include other teeth that are not adjacent to the endentulous area. The important point is that the prosthesis is supported by existing teeth (wherever they are in the arch), and not by the gingiva. Mosby. Mosby's Dental Dictionary, 2nd Edition. Mosby, 2008. VitalBook file. p. 175-176 Alan Ruttenberg 12/16/2014: Need more clarity on what is meant by "supported by the teeth". a partial denture that is supported entirely by existing teeth Bill Duncan fixed partial denture a tooth-supported partial denture that is intended to be permanently attached to the teeth that furnish support to the restoration bridge Mosby. Mosby's Dental Dictionary, 2nd Edition. Mosby, 2008. VitalBook file. p. 175 fixed partial denture restoration procedure A tooth restoration procedure in which a fixed partial denture (i.e., bridge) is attached to the supporting teeth. bridge restoration procedure Bill Duncan prosthetic role Bill Duncan / Alan Ruttenber 12/16/2014: Prosthics may be either functional for non-functional. For example, a glass eye bears a prosthetic role, but it does not see. Bill Dunan A material to be added role that inheres in a material entity that replaces some missing body part. A glass eye (see http://en.wikipedia.org/wiki/Ocular_prosthesis) A prothetic hand (see http://bebionic.com) Alan Ruttenberg functional prosthetic role Alan Ruttenberg Bill Duncan A prosthetic role that is realized by activities in which the material entity (bearing the role) is used a manner that is similar to how the body part that the prosthesis replaces would be used. A prosthic hand pontic A prothetic tooth that is part of a fixed partial denture. Bill Duncan prosthetic right upper third secondary molar tooth A prosthetic tooth that is used a substitute for a right upper third secondary molar tooth (tooth 1). Bill Duncan prosthetic tooth 1 prosthetic right upper second secondary molar tooth prosthetic tooth 2 A prosthetic tooth that is used a substitute for a right upper second secondary molar tooth (tooth 2). Bill Duncan prosthetic right upper first secondary molar tooth prosthetic tooth 3 Bill Duncan A prosthetic tooth that is used a substitute for a right upper first secondary molar tooth (tooth 3). prosthetic right upper second secondary premolar tooth A prosthetic tooth that is used a substitute for a right upper second secondary premolar tooth (tooth 4). prosthetic tooth 4 Bill Duncan prosthetic right upper first secondary premolar tooth prosthetic tooth 5 Bill Duncan A prosthetic tooth that is used a substitute for a right upper first secondary premolar tooth (tooth 5). prosthetic right upper secondary canine tooth Bill Duncan prosthetic tooth 6 A prosthetic tooth that is used a substitute for a right upper secondary canine tooth (tooth 6). prosthetic right upper lateral secondary incisor tooth prosthetic tooth 7 Bill Duncan A prosthetic tooth that is used a substitute for a right upper lateral secondary incisor tooth (tooth 7). prosthetic right upper central secondary incisor tooth prosthetic tooth 8 Bill Duncan A prosthetic tooth that is used a substitute for a right upper central secondary incisor tooth (tooth 8). prosthetic left upper central secondary incisor tooth Bill Duncan prosthetic tooth 9 A prosthetic tooth that is used a substitute for a left upper central secondary incisor tooth (tooth 9). prosthetic left upper lateral secondary incisor tooth prosthetic tooth 10 Bill Duncan A prosthetic tooth that is used a substitute for a left upper lateral secondary incisor tooth (tooth 10). prosthetic left upper secondary canine tooth Bill Duncan prosthetic tooth 11 A prosthetic tooth that is used a substitute for a left upper secondary canine tooth (tooth 11). prosthetic left upper first secondary premolar tooth prosthetic tooth 12 Bill Duncan A prosthetic tooth that is used a substitute for a left upper first secondary premolar tooth (tooth 12). prosthetic left upper second secondary premolar tooth prosthetic tooth 13 A prosthetic tooth that is used a substitute for a left upper second secondary premolar tooth (tooth 13). Bill Duncan prosthetic left upper first secondary molar tooth A prosthetic tooth that is used a substitute for a left upper first secondary molar tooth (tooth 14). Bill Duncan prosthetic tooth 14 prosthetic left upper second secondary molar tooth A prosthetic tooth that is used a substitute for a left upper second secondary molar tooth (tooth 15). prosthetic tooth 15 Bill Duncan prosthetic left upper third secondary molar tooth Bill Duncan prothetic tooth 16 A prosthetic tooth that is used a substitute for a left upper third secondary molar tooth (tooth 16). prosthetic left lower third secondary molar tooth prosthetic tooth 17 A prosthetic tooth that is used a substitute for a left lower third secondary molar tooth (tooth 17). Bill Duncan prosthetic left lower second secondary molar tooth A prosthetic tooth that is used a substitute for a left lower second secondary molar tooth (tooth 18). prosthetic tooth 18 Bill Duncan prosthetic left lower first secondary molar tooth A prosthetic tooth that is used a substitute for a left lower first secondary molar tooth (tooth 19). Bill Duncan prosthetic tooth 19 prosthetic left lower second secondary premolar tooth Bill Duncan A prosthetic tooth that is used a substitute for a left lower second secondary premolar tooth (tooth 20). prosthetic tooth 20 prosthetic left lower first secondary premolar tooth A prosthetic tooth that is used a substitute for a left lower first secondary premolar tooth (tooth 21). prosthetic tooth 21 Bill Duncan prosthetic left lower secondary canine tooth Bill Duncan A prosthetic tooth that is used a substitute for a left lower secondary canine tooth (tooth 22). prosthetic tooth 22 prosthetic left lower lateral secondary incisor tooth prosthetic tooth 23 A prosthetic tooth that is used a substitute for a left lower lateral secondary incisor tooth (tooth 23). Bill Duncan prosthetic left lower central secondary incisor tooth Bill Duncan A prosthetic tooth that is used a substitute for a left lower central secondary incisor tooth (tooth 24). prosthetic tooth 24 prosthetic right lower central secondary incisor tooth A prosthetic tooth that is used a substitute for a right lower central secondary incisor tooth (tooth 25). Bill Duncan prosthetic tooth 25 prosthetic right lower lateral secondary incisor tooth A prosthetic tooth that is used a substitute for a right lower lateral secondary incisor tooth (tooth 26). prosthetic tooth 26 Bill Duncan prosthetic right lower secondary canine tooth Bill Duncan prosthetic tooth 27 A prosthetic tooth that is used a substitute for a right lower secondary canine tooth (tooth 27). prosthetic right lower first secondary premolar tooth A prosthetic tooth that is used a substitute for a right lower first secondary premolar tooth (tooth 28). prosthetic tooth 28 Bill Duncan prosthetic right lower second secondary premolar tooth A prosthetic tooth that is used a substitute for a right lower second secondary premolar tooth (tooth 29). prosthetic tooth 29 Bill Duncan prosthetic right lower first secondary molar tooth A prosthetic tooth that is used a substitute for a right lower first secondary molar tooth (tooth 30). Bill Duncan prosthetic tooth 30 prosthetic right lower second secondary molar tooth Bill Duncan A prosthetic tooth that is used a substitute for a right lower second secondary molar tooth (tooth 31). prosthetic tooth 31 prosthetic right lower third secondary molar tooth prosthetic tooth 32 Bill Duncan A prosthetic tooth that is used a substitute for a right lower third secondary molar tooth (tooth 32). dental material combination process Bill Duncan A material combination in which two or more dental restoration materials are combined. temporary prosthetic role provisional crown Bill Duncan A prosthetic role that is borne by a material entity which is serves as a temporary replacement for some body part in order to allow adequate time for healing or completion of other procedures. obsolete class 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Tooth 32 Tooth 31 Tooth 4 Tooth 22 Tooth 16 Tooth 5 Tooth 15 Tooth 18 Tooth 17 Tooth 30 Tooth 19 Tooth 13 Tooth 12 Tooth 21 Tooth 20 Tooth 29 Tooth 28 Tooth 2 Tooth 1 Tooth 14 Tooth 6 Tooth 3 Tooth 11 Tooth 7 Tooth 25 Tooth 9 Tooth 24 Tooth 8 Tooth 10 Tooth 27 Tooth 26 Tooth 23