teeth cavity picture
Transcription
teeth cavity picture
Berlin, Chicago, Tokio, Barcelona, Bukarest, Istanbul, London, Mailand, Moskau, Neu-Delhi, Paris, Peking, Prag, Riad, São Paulo, Seoul, Singapur, Warschau und Zagreb Titelbild: © fotomek | Fotolia.com, © guukaa | Fotolia.com, © Daniel Ernst | Fotolia.com %LEOLRJUDȴVFKHΖQIRUPDWLRQHQGHU'HXWVFKHQ1DWLRQDOELEOLRWKHN Die Deutsche Nationalbibliothek verzeichnet diese Publikation in der Deutschen Nationalbibliograȴe detaillierte bibliograȴsche Daten sind im Internet ¾ber http:dnb.ddb.de! abrufbar. ISBN: 978-3-86867-234-3 Quintessenz Verlags-GmbH Ifenpfad 2–4 12107 Berlin www.quintessenz.de ©b2016 Quintessenz Verlags-GmbH, Berlin Dieses Werk ist urheberrechtlich gesch¾tzt. -ede Verwertung au¡erhalb der engen Grenzen des 8rheberrechts ist ohne Zustimmung des Verlages unzul¦ssig und strafbar. Dies gilt insbesondere f¾r Vervielf¦ltigungen, Übersetzungen, Mikroverȴlmungen und die Einspeicherung und Verarbeitung in elektronischen Systemen. Lektorat: Quintessenz Verlags-GmbH, Berlin Editing: Quintessence Publishing, London Covergestaltung: Nina .¾chler, Quintessenz Verlags-GmbH, Berlin Layout und Herstellung: -anina .uhn, Quintessenz Verlags-GmbH, Berlin Printed in Poland Vorwort Die Globalisierung der Wirtschaft und die zunehmende Mobilität unseres Lebens hat einige bemerkenswerte Nebenwirkungen. Immer mehr Menschen arbeiten f¾r ihre Firmen einige -ahre im Ausland: Der Brasilianer in Holland, der Deutsche in China, der Australier in England, der Amerikaner in Deutschland. Mit im Gepäck ist die ganze Familie. Der Umzug in ein fremdes Land gestaltet sich oft schwierig und am Anfang haben „e[patriates“ viele Probleme. Sie m¾ssen sich an ein neues Umfeld gewöhnen, mit den Schulen und den Behörden klarkommen, sich an ein anderes Klima und andere Temperaturen gewöhnen, die Verkehrsregeln, die neue Kultur, andere Gewohnheiten und Sitten kennen lernen und sich eine neue Infrastruktur aufbauen, die hilft, das tägliche Leben zu regeln. -e nach Kulturkreis beherrschen sie oft kein Wort oder nur sehr wenig der Landessprache mit dem Ergebnis, dass sie sich nur schwer verständigen können und wenig vom Gesagten verstehen. Als „Einheimischer“ ist das Leben bedeutend leichter. F¾r den „e[patriate“ hingegen sind die Situationen, die mit Schwierigkeiten verbunden sind, zahlreich. Besonders in den deutschen Gro¡städten und den ȴrmenintensiven Randgebieten haben Zahnärzte und Zahnarzthelferinnen zunehmend mehr Patienten, deren Muttersprache Englisch ist, oder mit denen man sich auf Englisch verständigen muss. F¾r die meisten stellt eine Basiskommunikation mit diesen Patienten kein Problem dar – dank des Englischunterrichts an der Schule. Um aber beispielsweise eine gute Anamnese durchzuf¾hren, Schmerzen zu verstehen oder eine Therapie zu erklären, braucht man mehr als nur das richtige Vokabular. Damit ein Fall oft wirklich erschlossen werden kann, m¾ssen Patient und Zahnarztpra[is ein Vertrauensverhältnis aufbauen. Dies geschieht am besten indem man Verständigungsschwierigkeiten gar nicht erst aufkommen lässt. Die Wahrscheinlichkeit, dass der Patient etwas Englisch versteht, ist schlie¡lich grö¡er als bei allen anderen Sprachen. Das hat seinen Grund: Englisch ist die Fremdsprache, die man weltweit am häuȴgsten in der Schule lernt, und die Sprache, die im Geschäftsleben bevorzugt wird. Auch wenn Englisch enorm populär und weit verbreitet ist, kommen in Ihre Pra[is zwei Arten von internationale Patienten: die Patienten, f¾r die Englisch die Muttersprache ist, und Patienten, f¾r die Englisch auch eine Zweit- oder gar Drittsprache ist. Die Kommunikation mit Patienten, f¾r die Englisch eine Fremdsprache ist, sollte nicht starren grammatikalischen Regeln folgen. Hier sollte viel mehr die Verbindung und die Improvisation im Mittelpunkt stehen. Dieses Workbook orientiert sich an einem Sprachgebrauch, den Patienten gut verstehen können. Mithilfe von vielen praktischen Übungen, Dialogen und V Vorwort Vokabellisten ist es ein guter Trainer f¾r die eigene englische Sprachkompetenz. r chko pete ra petenz. nzz. Erfahrung und Wissen aus ¾ber 10 -ahren Dental English f¾r das Quintessenz as Q uintessen nzz Team--ournal und 10 durchgef¾hrten Dental English-Workshops ȴ nden ȴnden en ssich icch in diesem Band wieder. Mein Dank geht an alle Teilnehmerinnen und Teilnehmer, die die Workshops so bereichert haben und den gemeinsamen Spa¡, den wir gehabt haben. Danke auch an das Team des Quintessenz Team--ournals. Viel Vergn¾gen w¾nsche ich Ihnen mit diesem Sprachtrainer und hoe, dass es Ihnen ein n¾tzliches Werkzeug und guter Begleiter sein wird. Langenselbold, im August 2015 Sabine Nemec VΖ Contents Chapter 1 1.1 1.2 1.3 1.4 1.5 1.6 1.7 Medical and Dental Basics 1 The Head and the Face The Muscles of the Head The Body The Skeleton The Oral Cavity The Structure of a Tooth Vocabulary on the Oral Cavity and Teeth 2 3 5 6 7 8 10 Chapter 2 2.1 2.2 2.3 2.4 14 16 2.2.1 All about Toothache 16 2.2.2 Types of Toothache 18 2.2.3 Understanding Pain 19 2.2.4 Treatment for Toothache 20 2.2.5 Vocabulary Training 22 Dental Caries 23 2.3.1 What are Dental Caries? 23 2.3.2 The Nature of Tooth Decay Gum Disease All about Gum Disease Malocclusion Vocabulary Helpful Sentences Chapter 3 3.1 3.2 3.3 3.4 3.5 3.6 13 Types of Diseases and Disorders of the Oral Cavity Toothache 2.4.1 2.5 2.6 2.7 Diseases and Disorders of the Oral Cavity The Dental Office 24 25 25 26 28 30 31 The Team Dental Experts and their Tasks Rooms in a Dental Office Instruments and Materials Equipment in the Treatment Room Emergencies in the Dental Office 32 34 35 36 39 40 3.6.1 Management of Emergencies 40 3.6.2 The Emergency Kit 42 3.6.3 Handling Emergencies in your Dental Office 44 3.6.4 Helpful Sentences 46 VΖΖ Contents 3.7 3.8 3.9 The Appointment Schedule – Dates, Times, and Opening g Ho Hours o ur 48 4 8 3.7.1 The Appointment 48 8 3.7.2 Opening Hours 53 3 3.7.3 Helpful Sentences 54 Invoicing and Healthcare Insurance 55 3.8.1 Invoicing 55 3.8.2 Dental Payment Options and Insurance 56 3.8.3 Talking to the Patient 58 3.8.4 Dental Practice Payment Policy 60 3.8.5 Helpful Sentences Vocabulary Chapter 4 4.1 4.2 4.3 4.4 4.5 4.6 4.7 The Team Dental Lab Work Dental Lab Products and Services Fabrication of a Denture Shade Taking Helpful Sentences Vocabulary Chapter 5 5.1 5.2 5.3 VΖΖΖ The Dental Laboratory 62 64 67 68 70 72 73 76 77 78 At the Reception 81 Understanding the International Patient 82 5.1.1 Please, Thank You, Excuse Me, and I’m Sorry 83 5.1.2 Giving Instructions Politely 85 5.1.3 Small Talk – Keeping a Conversation Going 87 5.1.4 Small Talk – Avoiding Awkward Silences 88 5.1.5 Small Talk – What to Talk About 89 5.1.6 False Friends 91 On the Telephone 93 5.2.1 Telephone Call Guidelines 93 5.2.2 Telephone Skills 94 5.2.3 What to Say on the Telephone – Part 1 96 5.2.4 What to Say on the Telephone – Part 2 97 Welcoming the Patient 98 5.3.1 Instructions at the Reception 5.3.2 Dialog – Appointment for a Check-up 98 5.3.3 Dialog – Guidelines and Checklist for Making Appointments 102 5.3.4 Verbal First Aid 105 5.3.5 The Registration Form 108 100 Contentss 5.4 5.5 5.6 Recall – Making sure the Patient Returns for Professional Care 11 112 2 5.4.1 Preventive Care Appointments: Recall or Recare? Part 1 1 112 12 5.4.2 Preventive Care Appointments: Recall or Recare? Part 2 114 14 4 5.4.3 Preventive Care Appointments: Recall or Recare? Part 3 116 5.4.4 Preventive Care Appointments: Recall or Recare? Part 4 120 5.5.1 Medicine, Drugs, and Pharmacology – Basics 120 5.5.2 Prescriptions and the Pharmacy 122 5.5.3 The Prescription 123 5.5.4 How to Take Medicine Helpful Sentences Chapter 6 6.1 118 Writing a Prescription Dentistry 124 125 127 Consulting the Patient 128 6.1.1 Dental Specializations 128 6.1.2 Overview of Fields of Dentistry, Dental Technology, and Related Subjects 129 6.1.3 Advantages of Digital Radiographs 130 6.1.4 Taking Radiographs 132 6.1.5 Consulting the Patient – Part 1 134 6.1.6 Consulting the Patient – Part 2 136 6.1.7 A Check-up 138 6.1.8 Never at a Loss for Words: Before, During, and After the Examination 6.1.9 Vocabulary 140 142 6.2. Anesthesia 143 6.2.1. General Anesthesia 143 6.2.2 General Anesthesia in Children 146 6.2.3 Vocabulary 147 6.3 6.4 Prophylaxis 148 6.3.1 Explaining Tooth Decay 148 6.3.2 Finding Words for a Professional Tooth Cleaning 150 6.3.3 Patient Dialog on Professional Tooth Cleaning 152 6.3.4. Instructions for Brushing your Teeth Properly 154 6.3.5 Instructions for Correct Flossing 155 6.3.6 Fissure Sealing 156 6.3.7 Nutrition for Healthy Teeth 157 6.3.8 Vocabulary 159 Restorative Dentistry 160 6.4.1 Basics: Restorative Dentistry – Part 1 160 6.4.2 Basics: Restorative Dentistry – Part 2 161 Ζ; Contents 6.5 6.6 6.7 6.8 6.9 6.4.3 Explaining Tooth Fillings 6.4.4 Vocabulary 164 4 Periodontics 16 165 65 6.5.1 The Basics 165 6.5.2 Explaining a Gum Treatment 168 6.5.3 Vocabulary 169 Endodontics 171 6.6.1 Finding Words for Root Canal Treatment 171 6.6.2 Explaining Root Canal Treatment – Part 1 172 6.6.3 Explaining Root Canal Treatment – Part 2 173 6.6.4 Instruments for a Root Canal Treatment 176 6.6.5 Vocabulary 177 Dental Implantology 178 6.7.1 Advantages of Dental Implants 178 6.7.2 The Implantation 180 6.7.3 A Tooth Extraction 181 6.7.4 Pre-operative Instructions 182 6.7.5 Aftercare Instructions 183 6.7.6 Vocabulary 185 Esthetic Dentistry and Prosthetics 186 6.8.1 Materials and Methods 186 6.8.2 Esthetic Dentistry – Basic Understanding 188 6.8.3 In-office Vital Tooth Bleaching 190 6.8.4 Patient Dialog on Bleaching 191 6.8.5 Treatment Options and Their Benefits 193 6.8.6 Restoration and Replacement of Teeth – Some Notes 195 6.8.7 Vocabulary 196 Pediatric Dentistry 197 6.9.1 An Emergency – Knocked-out Tooth 197 6.9.2 Tips on Proper Tooth Brushing 199 6.9.3 Floss is Boss 201 6.9.4 Dental Instruments 202 6.9.5 Vocabulary 203 6.10 Orthodontics 204 6.10.1 Malocclusions – Part 1 204 6.10.2 Malocclusions – Part 2 206 6.10.3 Training Vocabulary 208 6.10.4 Applying Brackets 210 6.10.5 Vocabulary 211 6.11 Dental Phobia 6.11.1 Helping Patients with Dental Phobia ; 162 16 62 212 212 6.11.2 Use of Phobia-Reducing Language 213 6.11.3 Vocabulary 214 Chapter Medical and Dental Basics 1 1 Vocabulary 1.1 The Head and the Face Match each word with the corresponding part of the head and d face ace in th the he illustration. cheek earlobe forehead lip nose chin eye hair mouth teeth ear eyebrow jaw neck temple 1 ɅɅɅɅɅɅɅɅ ɅɅɅɅɅɅɅɅ 9 2 ɅɅɅɅɅɅɅɅ ɅɅɅɅɅɅɅɅ 10 3 ɅɅɅɅɅɅɅɅ ɅɅɅɅɅɅɅɅ 11 4 ɅɅɅɅɅɅɅɅ ɅɅɅɅɅɅɅɅ 12 5 ɅɅɅɅɅɅɅɅ ɅɅɅɅɅɅɅɅ 13 6 ɅɅɅɅɅɅɅɅ ɅɅɅɅɅɅɅɅ 14 7 ɅɅɅɅɅɅɅɅ ɅɅɅɅɅɅɅɅ 15 8 ɅɅɅɅɅɅɅɅ 1ɄforeheadɅ2ɄtempleɅ3ɄearɅ4ɄeyeɅ5ɄearlobeɅ6ɄcheekɅ7ɄteethɅ8ɄneckɅ9ɄhairɅ 10ɄeyebrowɅ11ɄnoseɅ12ɄmouthɅ13ɄjawɅ14ɄlipɅ15Ʉchin ANSWERS 2 Comprehension n 1 1.2 The Muscles of the Head Choose words from the box and write them in the blank spaces to complete te the following text. Blood intrinsic salty ears mandible taste e[terior nonverbal to e[trinsic onto tongue eyelids papillae two facial e[pression ramus zygomatic arch The muscles of the face are composed ofɄ 1 ɅɅɅɅɅɅɅɅɄmajor groups: those ofɄ 2 ɅɅɅɅɅɅɅɅɄand those of mastication. The muscles of facial e[pression are surface muscles that have a tendency to merge with other nearby muscles and are grouped by the areas they aect. These basic groups aect the scalp,Ʉ 3 ɅɅɅɅɅɅɅɅ, nose,Ʉ 4 ɅɅɅɅɅɅɅɅ, and mouth. They enable e[pression of personality and inȵuenceɄ 5 ɅɅɅɅɅɅɅɅɄcommunication.Ʉ 6 ɅɅɅɅɅɅɅɅɄis supplied by a number of arteries that derive from the e[ternal carotid artery. The muscles of mastication function in the movement of theɄ 7 ɅɅɅɅɅɅɅɅ. Each side of the face has four major muscles: the temporal muscle, the internal pterygoid muscle, the e[ternal pterygoid, and the masseter. The temporal muscle functions to close and retract the jaw. It originates in the temporal fossa and insertsɄ 8 ɅɅɅɅɅɅɅɅɄthe coronoid process and the anterior border of the ramus. The internal pterygoid muscle closes the jaw. It originates on the medial surface of the pterygoid plate and inserts onto the lower and posterior borders of the inner surface of theɄ 9 ɅɅɅɅɅɅɅɅ. The e[ternal pterygoid muscle has two functions:Ʉ 10 ɅɅɅɅɅɅɅɅɄopen the jaw and to move it both forward and laterally. The masseter muscle closes the jaw. Its origin is in theɄ 11 ɅɅɅɅɅɅɅɅɄof the ma[illa andɄ 12 ɅɅɅɅɅɅɅɅ. 3 1 Comprehension TheɄ 13 ɅɅɅɅɅɅɅɅɄfunctions in speech eech c a as well a ass in mastication and deglutition swallowing in ng g o off food. It It is also the major organ ofɄ 14 ɅɅɅɅɅɅɅɅ. Ʌ ɅɅ . Th The he tongue is divided into two identical halves, connected at a medial septum. It contains two sets of muscles:Ʉ 15 ɅɅɅɅɅɅɅɅɄandɄ 16 ɅɅɅɅɅɅɅɅ. The surface of the tongue contains several types ofɄ 17 ɅɅɅɅɅɅɅɅ, which contribute to its te[ture. Taste buds are located along the surface of the tongue and are found in large numbers in the papillae. Four basic taste senses are e[perienced:Ʉ 18 ɅɅɅɅɅɅɅɅ, sour, sweet, and bitter. 1ɄtwoɅ2Ʉfacial e[pressionɅ3ɄearsɅ4ɄeyelidsɅ5ɄnonverbalɅ6ɄBloodɅ7ɄmandibleɅ 8ɄontoɅ9ɄramusɅ10ɄtoɅ11Ʉe[teriorɅ12Ʉzygomatic archɅ13ɄtongueɅ14ɄtasteɅ 15ɄintrinsicɅ16Ʉe[trinsicɅ17ɄpapillaeɅ18Ʉsalty ANSWERS 4 Vocabulary ryy 1 1.3 The Body Match the words in the box with the corresponding parts of the body in the he following drawings. chest hip mouth neck thumb foot knee nape shoulder waist 1 ɅɅɅɅɅɅɅ ɅɅɅɅɅɅɅ 2 3 ɅɅɅɅɅɅɅ ɅɅɅɅɅɅɅ 4 5 ɅɅɅɅɅɅɅ ɅɅɅɅɅɅɅ 6 7 ɅɅɅɅɅɅɅ ɅɅɅɅɅɅɅ 8 9 ɅɅɅɅɅɅɅ ɅɅɅɅɅɅɅ 10 1ɄnapeɅ2ɄmouthɅ3ɄshoulderɅ4ɄneckɅ5Ʉwaist Ʌ6ɄchestɅ7ɄhipɅ8ɄkneeɅ9Ʉthumb 10Ʉfoot 5 ANSWERS 1 Vocabulary 1.4 The Skeleton Match the words in the box with the corresponding parts of the e body od dy in th the he following drawing. hip bone skull ulna leg bone spine upper jaw bone lower jaw bone tail bone vertebra 1 ɅɅɅɅɅɅɅ 2 ɅɅɅɅɅɅɅ ɅɅɅɅɅɅɅ 6 3 ɅɅɅɅɅɅɅ ɅɅɅɅɅɅɅ 7 4 ɅɅɅɅɅɅɅ 5 ɅɅɅɅɅɅɅ ɅɅɅɅɅɅɅ 8 ɅɅɅɅɅɅɅ 9 1ɄskullɅ2Ʉlower jaw boneɅ3ɄspineɅ4ɄulnaɅ5Ʉtail boneɅ6Ʉupper jaw boneɅ 7ɄvertebraɅ8Ʉhip boneɅ9Ʉleg bone ANSWERS 6 Spelling g 1 1.5 The Oral Cavity Unscramble the terms and write them correctly in the blank spaces undererrneath each label in the following picture. balila nelurmuf 14 ɅɅɅɅɅɅɅɅ puper ipl 1 ɅɅɅɅɅɅɅɅ dahr lepata 2 ɅɅɅɅɅɅɅɅ fost laptae rupep waj 3 13 ɅɅɅɅɅɅɅɅ ɅɅɅɅɅɅɅɅ uvlau 4 ɅɅɅɅɅɅɅɅ isurfes 12 ɅɅɅɅɅɅɅɅ nogute 5 ɅɅɅɅɅɅɅɅ orrcen fo teh humot 11 ɅɅɅɅɅɅɅɅ welor pil 6 ɅɅɅɅɅɅɅɅ rolwe ajw 10 ɅɅɅɅɅɅɅɅ sucps ɅɅɅɅɅɅɅɅ 8 7 ɅɅɅɅɅɅɅɅ ɅɅɅɅɅɅɅɅ 1Ʉupper lip | 2berlippeɅ2Ʉhard palate | harter GaumenɅ3Ʉsoft palate | weicher Gaumen 4Ʉuvula | GaumenzäpfchenɅ5Ʉtongue | ZungeɅ6Ʉlower lip | UnterlippeɅ7Ʉgum | ZahnȵeischɅ8Ʉlingual frenulum | unteres LippenbändchenɅ9Ʉcusps | HöckerɅ 10Ʉlower jaw | UnterkieferɅ11Ʉcorner of the mouth | MundwinkelɅ12Ʉȴssure | FissurɅ13Ʉupper jaw | 2berkieferɅ14Ʉlabial frenulum | oberes Lippenbändchen ANSWERS 9 ugm algnilu lunerfum 7 1 Comprehension 1.6 The Structure of a Tooth ȴssure enamel crown neck dentin pulp gum root cement root canal root ape[ 8 Comprehension n 1 Fill in the matching term from the list to complete the following sentences. nces es Use each term once only. acids Enamel posterior tooth area blood gap root center line incisors wisdom teeth dental neck molar dentin nerve endings ɅɅɅɅɅɅɅɅɄis the hardest substance in the body but can be destroyed by acids. 1 The tooth consists mainly ofɄ stance. 2 ɅɅɅɅɅɅɅɅ, which is a bonelike sub- The premolars and molars are in theɄ AɄ 4 3 ɅɅɅɅɅɅɅɅ. ɅɅɅɅɅɅɅɅɄforms when a tooth is missing. The third molars are also calledɄ 5 ɅɅɅɅɅɅɅɅ. The part of the tooth between the crown and the root is called the 6 ɅɅɅɅɅɅɅɅ. Bacteria that live in your mouth produceɄ Pulp containsɄ 8 7 ɅɅɅɅɅɅɅɅɄfrom sugar. ɅɅɅɅɅɅɅɅ, lymph vessels, andɄ 9 ɅɅɅɅɅɅɅɅ. AɄ 10 ɅɅɅɅɅɅɅɅɄhas two to four roots. The teeth in the front area of the mouth are calledɄ 11 ɅɅɅɅɅɅɅɅ. TheɄ 12 ɅɅɅɅɅɅɅɅɄdivides the quadrants in the mouth. TheɄ 13 ɅɅɅɅɅɅɅɅɄis covered by cement. 1ɄEnamelɅ2ɄdentinɅ3Ʉposterior tooth areaɅ4ɄgapɅ5Ʉwisdom teethɅ6Ʉdental neck 7ɄacidsɅ8ɄbloodɅ9Ʉnerve endingsɅ10ɄmolarɅ11ɄincisorsɅ12Ʉcenter lineɅ13Ʉroot 9 ANSWERS 1 Vocabulary 1.7 Vocabulary on the Oral Cavity and Teethh Adam’s apple adenoids adjacent teeth, adjoining teeth alveolar angle alveolar arch alveolar bone alveolar margin alveolar ridge, jaw ridge, maxillary crest, alveolar ridge line angle of the jaw anterior guidance, incisal guidance anterior teeth artiȴcial teeth, false teeth back tooth bicuspate tooth canine guidance, cuspid guidance canine tooth, eye tooth, cuspid carious lesion center line central tooth area cleft jaw cleft lip, harelip cleft palate cleft tongue corner of the mouth coronal pulp crown cusp tip cuspid tooth cuspless tooth dead pulp, non-vital pulp (dental) alveolus, tooth socket dental arch dental articulation, dynamic occlusion (dental) cusp/cusps (pl.) dental neck (gum) pocket depth dental pulp dentin 10 Adamsapfel Polypen benachbarte Zähne Alveolarwinkel Alveolarbogen Alveolarknochen Alveolarrand Kieferkamm, -linie Kieferwinkel Frontzahnf¾hrung Frontzähne 1er, 2er, 3er k¾nstliche Zähne hinterer Zahn zweihöckeriger Zahn Eckzahnf¾hrung Eckzahn 3er kariöse Läsion Mittellinie mittlerer Zahnbereich Kieferspalte Lippenspalte, Hasenscharte Gaumenspalte Spaltzunge Mundwinkel Kronenpulpa Zahnkrone Höckerspitze einhöckriger Zahn höckerloser Zahn nonvitale Pulpa Zahnfach Zahnbogen dynamische 2kklusion Höcker Zahnhals Zahnȵeisch- Taschentiefe Zahnnerv, Pulpa Dentin dentinogenic, dentin-forming dentition, bite dentures, false teeth, dental prosthesis devitalized tooth, non-vital tooth dry socket enamel crest enamel formation enamel stains enamel wall enamel, dental/tooth enamel erupting tooth etched enamel exposed dental neck extraction socket ȴrst bicuspid, ȴrst premolar ȴrst molar, six-year molar ȴssure, pits and grooves, sulcus ȵap of gum, gingival ȵap front tooth area gingival blood ȵow gingival cleft group function gum irritation gum margin, gingival gumline gum pocket gum tissue gum, gums (pl.), gingiva gummy smile hard/soft palate healthy teeth, disease-free teeth hypersensitive dental neck impacted third molar incisor, incisal tooth, cutting tooth intraoral environment dentinbildend Gebiss dritte Zähne devitaler Zahn trockene Alveole Schmelzgrat Schmelzbildung Schmelzȵecken Schmelzwand Zahnschmelz durchbrechender Zahn geätzter Zahnschmelz freiliegender Zahnhals E[traktionsalveole erster Prämolar 4er erster Molar 6er Fissur, Furchen und Rillen Zahnȵeischlappen Frontzahnbereich Zahnȵeischdurchblutung Zahnȵeischspalte Gruppenf¾hrung Gingivareizung Zahnȵeischrand Zahnȵeischtasche Zahnȵeischgewebe Zahnȵeisch Zahnȵeischlächeln harterweicher Gaumen gesunde Zähne ¾berempȴndlicher Zahnhals retinierter Weisheitszahn Schneidezahn 1er, 2er Mundmilieu Vocabulary ryy jaw joint movements jaw line jaw relation jaw, jaws (pl.) jawbone lateral tooth area lip balm lip band, frenulum of the lip lip biting lip mucosa lip, lips loss of enamel lower lower jaw, mandible lower lip, bottom lip mandibular movements molar, grinding tooth, cheek tooth mottled enamel mouth mucosa, mucous membrane multirooted teeth occlusal contact occlusal plane occlusal surface occlusal/masticatory force, chewing force occlusion, contact between the teeth of the upper and lower jaw opposing teeth oral cavity palatal height, width, length palate, roof of the mouth permanent teeth, adult teeth posterior teeth primary teeth, baby teeth, milk teeth pulp chamber, pulp cavity Kiefergelenksbewegungen Unterkieferrand Kieferrelation Kiefer Kieferknochen seitlicher Zahnbereich Lippenbalsam, Lippenpȵegestift Lippenbändchen Lippenbeissen Lippenschleimhaut Lippe, Lippen Zahnschmelzverlust untere Ȑ Unterkiefer Unterlippe Unterkieferbewegungen Molar, Mahlzahn geȵeckter Zahnschmelz Mund Schleimhaut mehrwurzelige Zähne 2kklusalkontakt Bissebene Kauȵäche Kaukraft 2kklusion Gegenzähne Mundhöhle Gaumenhöhe, -breite, -länge Gaumen receding gums right, left root (root) apex, root tip root canal root-treated saliva, spit second bicuspid, second premolar second molar, twelve-year molar static occlusion teething, to be teething tender tooth third molar, wisdom tooth throat tongue tongue/lingual frenulum tonsil (tooth) cement, cementum tooth contact tooth mobility tooth substance tooth surface tooth-to-tooth distance tooth, teeth two-canal tooth upper upper jaw, maxilla upper left second molar upper lip uvula, little peg 1 zur¾ckgehendes Zahnȵeisch rechts, links Zahnwurzel Wurzelspitze Wurzelkanal wurzelbehandelt Speichel zweiter Prämolar er zweiter Molar 7er statische 2kklusion Zähne bekommen Zahnen empȴndlicher Zahn Weisheitszahn 8er Rachen, Kehle Zunge Zungenbändchen Mandel Wurzelzement Zahnkontakt Zahnbeweglichkeit Zahnsubstanz Zahnoberȵäche Zahnabstand Zahn, Zähne zweikanaliger Zahn obere Ȑ 2berkiefer zweiter Molar im 2berkiefer 27 2berlippe Zäpfchen bleibende Zähne Seitenzähne, Backenzähne Milchzähne Zahnhöhle 11 Chapter Diseases and Disorders of the Oral Cavity 2 2 Spelling 2.1 Types of Diseases and Disorders of the Oral Oraal Cavity Ora avity y The mouth is a gateway to the body and is constantly challenged d by yb bacteria, acte er a viruses, parasites, and fungi that can result in infectious diseases such as dental caries and periodontal disease. Injuries and systemic diseases also inȵuence oral health. Various dental and oral diseases and disorders are shown in the following illustrations. Unscramble the words so that they are spelt correctly. 14 1 2 hapta or thoum cleur traufrecd hotot 3 4 woddecr tehte mamatiȵinon of het mugs or vigiginist 5 6 mug desisae or denlatipoor sisdeae hoott cayed or sireca 15 ANSWERS 1Ʉaphta or mouth ulcerɅ2Ʉfractured toothɅ3Ʉcrowded teethɅ4Ʉinȵammation of the gums or gingivitisɅ5Ʉgum disease or periodontal diseaseɅ6Ʉtooth decay or caries 7Ʉnon-vital toothɅ8Ʉovergrowth of the gums – gingival hyperplasiaɅ9Ʉsubgingival plaqueɅ10Ʉtemporomandibular joint disorderɅ11ɄabscessɅ12Ʉcyst 9 10 siggibunlav qualpe poretommandiblaur toinj ordisred 11 12 secabss sytc asiaplyherp 7 8 onn-altiv ottoh groovterwh of eth ugms – valiggin Spelling g 2 2 Comprehension 2.2 Toothache 2.2.1 All about Toothache In the following multiple-choice exercise, mark the correct answer(s). More than one answer may apply. 1 What are the English terms for “Zahnschmerzen”? A ɄDentalgia, toothache, sinusitis B ɄToothache, dental pain, odontalgia C ɄDiscomfort, toothache, aches and pains 2 Deȴne the term “toothache”. A ɄEating or drinking hot or cold foods or drinks can make the pain worse. B ɄToothache is caused by tooth decay, inȵamed tooth root nerves or gum problems. C ɄToothache is pain in or around the teeth or in the jaws. 3 Which symptoms can arise from a toothache? A ɄSensitivity to hot or cold foods and drinks. B ɄBleeding around the tooth or in the gums. C ɄSwollen tissue around the tooth. D ɄSwelling of the jaw. E ɄPain when eating. 4 What kinds of toothache can one e[perience? A ɄPiercing pain B ɄTwinge C ɄPulsating pain D ɄRadiating pain E ɄHeadache F ɄChronic toothache G ɄDull pain H ɄPressure sore I ɄThrobbing pain J ɄRacking toothache K ɄE[cruciating toothache 16 Comprehension n 5 2 What does the term “stechende Zahnschmerzen” mean in English? A ɄStitch B ɄPiercing pain C ɄHunger pangs D ɄSharp pain E ɄStabbing pain F ɄStinging G ɄFleeting pain H ɄPainless 6 What are the causes of toothache? A ɄFever, swelling around the tooth, poor oral hygiene. B ɄLack of ȵossing, chewing gum. C ɄTooth decay, gum problems, inȵamed root canal. D ɄTooth fracture, broken ȴlling. E ɄFood debris trapped between two teeth. 7 Why may a toothache worsen when the patient bends down or lies down? A ɄThe patient has chewed too much on one side. B ɄFluid pressure builds up around the root. C ɄA damaged ȴlling has fallen out and is poking the gums. D ɄThe nerve in the middle of the tooth has died and become infected. Which terms help describe toothache? A ɄNature of pain B ɄDuration of pain C ɄSite of pain D ɄPain relief E ɄIntensity of pain F Ʉ-oint pain 1ɄBɅ2ɄCɅ3ɄALLɅ4ɄA, B, C, D, F, G, I, -, KɅ5ɄB, D, E, GɅ6ɄC, DɅ7ɄB, DɅ8ɄA, B, C, E ANSWERS 8 17 2 Comprehension 2.2.2 Types of Toothache People all e[perience toothache dierently. 2ften a toothache can n be e a sign of a much deeper condition. The severity of the toothache may also dier in terms of the sensitivity of the tooth and the pain intensity. No matter what type of toothache a patient is e[periencing, it should be checked by the dentist. Match the boxes on the left to those on the right so that each type of toothache has a correct explanation. 1 Sharp tooth pain A A constant aching tooth can be the result of nerve damage. or sensitivity The nerves of the tooth may be damaged by severe dental decay or due to e[cessive grinding of the teeth, an injury, or trauma to the tooth. 2 B Pain when eating could be due to either a crack in the tooth or dental decay. Chronic toothache C A toothache can often be a symptom of some serious underlying health problem. Studies show, for e[ample, that a pain on the left side of the jaw can be the ȴrst sign of a 3 heart attack. A toothache can also be a sign of a sinus inExcruciating fection. Inȵammation of the jaw and pain when eating can pain be one of the earliest symptoms of a temporomandibular joint disorder TMD. D When the teeth become sensitive to cold, which causes 4 a sharp pain when eating or drinking cold food or drinks, Pain in the back of it could be due to the loss of tooth enamel. This loss of the jaw tooth enamel occurs due to e[cessive brushing, as a natural part of the aging process, the recession of the gums or the decay of a tooth cavity. If the teeth are very sensitive to heat, this could be due to dental cavities, abscesses or severe decay. 5 Pain when eating E Pain e[perienced mainly in the back of the jaw could be due to impacted back molars. People who grind their teeth or have TMD can also e[perience jaw pain. 6 F Intense, agonizing pain, including a throbbing sensation, is Serious health often due to an abscess or dental infection. When the pain issues is this intense there is often a noticeable swelling in the face. 1ɄDɅ2ɄAɅ3ɄFɅ4ɄEɅ5ɄBɅ6ɄC ANSWERS 18 Dialog g 2 2.2.3 Understanding Pain This quiz should help you to practice your vocabulary and comprehension. Match the German question on the left with the correct English question on the right. 1 2 Welcher Zahn schmerzt? Wann traten die Schmerzen erstmals A Is it worse at night or during the day? B What brings on the pain? auf? 3 4 5 C Which tooth is aching? Wie lange haben Sie die Schmerzen? D Does the pain disturb your sleep? Wie lange dauern die Schmerzen an? How long have you had the pain? F When did you ȴrst notice this pain? Ist es in der Nacht oder am Tag schlimmer? 6 E Wodurch werden die Schmerzen ausgelöst? G Do you have pain in the temple or the ear? 7 Stört der Schmerz Ihren Schlaf? H Do you e[perience pain when you drink 8 hot or cold liquids? Fühlen Sie den Schmerz, wenn Sie Ihren Zahn mit der Zunge berühren? 9 I How long does the pain last? Haben Sie Schmerzen in der Schläfe oder im Ohr? J 10 Do your gums bleed when you brush your teeth? Bekommen Sie Schmerzen bei heißen oder kalten Flüssigkeiten? Blutet Ihr Zahnȵeisch, wenn Sie Ihre K Is the pain more severe when you press here, or here? Zähne putzen? Ist der Schmerz stärker, wenn Sie hier oder hier drücken? L Do you feel pain when you touch your tooth with your tongue? 1ɄCɅ2ɄFɅ3ɄEɅ4ɄIɅ5ɄAɅ6ɄBɅ7ɄDɅ8ɄLɅ9ɄGɅ10ɄHɅ11Ʉ-Ʌ12ɄK 12 ANSWERS 11 19 2 Comprehension 2.2.4 Treatment for Toothache Dentists use dierent methods to treat toothache, depending on n the he e cause cause. Various causes of toothache are listed in the bo[. Read the explanation of the treatment methods below and ȴll in the correct cause for each in the blank spaces. abrasion infection pulpitis tooth fracture e[traction loose ȴlling teeth grinding tooth sensitivity gum recession loss of enamel tooth decay wisdom teeth ɅɅɅɅɅɅɅɅɅɅɅɅɅɅɅ Dental decay often results from poor dental hygiene habits and an incorrect diet, causing toothache. Treatment: remove the decayed part of the tooth and replace it with a ȴlling. Dental crowns are an ideal solution when more than one tooth surface is decayed. 1 2 ɅɅɅɅɅɅɅɅɅɅɅɅɅɅɅ If an e[isting ȴlling breaks or becomes loose, the dentist will remove it, clean out any further decay, and place a new ȴlling. ɅɅɅɅɅɅɅɅɅɅɅɅɅɅɅ The dentist or endodontist may recommend root canal treatment if the tooth pulp is infected. The decayed pulp will be removed and the empty space ȴlled with a paste. Thereafter, the tooth will be covered with a dental crown. 3 4 ɅɅɅɅɅɅɅɅɅɅɅɅɅɅɅ When the gums recede away from the teeth, the dentist will perform a gum graft procedure. The dentist can transplant tissue that has been removed from the palate, use synthetic gum tissue or a sliding graft. For a sliding graft, gum tissue from neighboring areas is used to cover the root. ɅɅɅɅɅɅɅɅɅɅɅɅɅɅɅ An improper diet or aggressive tooth brushing can lead to a loss of tooth enamel. The sensitivity and sharp pain that results can be treated with the help of desensitizers. 5 20 Comprehension n 2 ɅɅɅɅɅɅɅɅɅɅɅɅɅɅɅ The dentist will apply desensitizers, which need to be reapplied frequently to treat sensitivity. Desensitizers can also be prescribed for home use. 6 7 ɅɅɅɅɅɅɅɅɅɅɅɅɅɅɅ The teeth can be e[posed to all kinds of wear and tear. If there are uneven surfaces, the dentist may ȴll these with composite ȴllings. Dental crowns or veneers may be recommended when there is e[treme wear and tear. ɅɅɅɅɅɅɅɅɅɅɅɅɅɅɅ Infections can result in abscesses, which are caused by dental decay or injury. Firstly, antibiotics and painkillers will be prescribed. After the pain has subsided, root canal treatment will be performed. The weakened tooth can be restored with a dental crown. 8 ɅɅɅɅɅɅɅɅɅɅɅɅɅɅɅ People who grind their teeth can e[perience tooth pain as a result of small fractures or even a shift in the position of the teeth. The dentist may prescribe a nightguard to be used while sleeping to protect the teeth. 9 10 ɅɅɅɅɅɅɅɅɅɅɅɅɅɅɅ Fractures in the teeth can result from abrasion, trauma or as a result of grinding. A dentist will treat a broken tooth using a protective covering such as a dental veneer or crown. 11 ɅɅɅɅɅɅɅɅɅɅɅɅɅɅɅ Impacted molar teeth can result in crowding of the teeth and can move the other teeth. The dentist may have to perform oral surgery to remove the impacted wisdom teeth. 12 ɅɅɅɅɅɅɅɅɅɅɅɅɅɅɅ If none of these treatments help to ease the pain, the tooth may have to be removed. In cases where the tooth has become wedged between the jaw and another tooth, tooth e[traction is required. 1Ʉtooth decayɅ2Ʉloose ȴllingɅ3ɄpulpitisɅ4Ʉgum recessionɅ5Ʉloss of enamelɅ6Ʉtooth sensitivityɅ7ɄabrasionɅ8ɄinfectionɅ9Ʉteeth grindingɅ10Ʉtooth fractureɅ11Ʉwisdom teethɅ12Ʉe[traction 21 ANSWERS 2 Vocabulary 2.2.5 Vocabulary Training Match the German words/phrases with the correct English translations. slatio slat io ons. 1 retinierte Zähne A wear and tear 2 Fraktur, Bruch B enamel 3 Abnutzung, Verschleiß C discomfort 4 eingekeilt/eingeklemmt zwischen D impacted teeth 5 Zahnschmelz E e[cruciating 6 Empȴndlichkeit F toothacheb 7 Schmerzen beim Essen G fracture 8 Zahnschmerzen H sharp tooth pain 9 Unbehagen, Beschwerden I pain when eating 10 qualvoll, schmerzhaft J sensitivity 11 Gefühl, Empȴndung K severity 12 Schwere L 13 heftige/stechende Zahnschmerzen M sensation wedged between 1ɄDɅ2ɄGɅ3ɄAɅ4ɄLɅ5ɄBɅ6Ʉ-Ʌ7ɄIɅ8ɄFɅ9ɄCɅ10ɄEɅ11ɄMɅ12ɄKɅ13ɄH ANSWERS 22 2 Comprehension n 2.3 Dental Caries 2.3.1 What are Dental Caries? Match the number in the picture with the correct text that describes the state of the tooth. A B C D E F 1 ɅɅ A small “white spot” has formed, which is a sign of demineralization. The surface of this tooth is still intact – no cavity has formed as yet. If proper measures are taken immediately, the caries process can be stopped. 2 ɅɅ This tooth has no dental caries. 3 ɅɅ This tooth has fractured. 4 ɅɅ This tooth has a ȴlling, which has not stopped the demineralization. A lesion surrounds the ȴlling. 5 ɅɅ This tooth has a lesion with a soft ȵoor due to the deterioration of the enamel surface. 6 ɅɅ The demineralization of this tooth continues, and undermines the tooth. 1ɄBɅ2ɄAɅ3ɄFɅ4ɄDɅ5ɄCɅ6ɄE 23 ANSWERS 2 Comprehension 2.3.2 The Nature of Tooth Decay Tooth decay, also called caries or cavities, is the progressive loss of tooth oo oth m minin eral, followed by bacterial invasion into the demineralized tooth. Five factors contribute to the formation of caries/development of tooth decay. Mark the correct ȴve factors from those listed in the bubbles below. pits and ȴssures bacteria dietary sucrose saliva ȵow rate e[traction acidogenic intake of ȵuoride gland pathology reproduction tooth frequency surface of eating bacteria – saliva ȵow rate – dietary sucrose – frequency of eating – intake of ȵuoride ANSWERS 24 Comprehension n 2 2.4 Gum Disease 2.4.1 All about Gum Disease In the following multiple-choice exercise, mark the correct answer(s). More than one answer may apply. 1 3 What causes gum disease? 2 Gingivitis is Ȑ A Ʉbrushing and ȵossing A Ʉa mild form of gum disease B Ʉsticky, colorless plaque B Ʉloss of bone and tissue C Ʉirregular visits to the dentist C Ʉinȵammation of the gums D Ʉremoval of tartar D Ʉteeth that have shifted What has happened to cause periodontitis to form? A Ʉuntreated inȵammation of the gums B Ʉnerve damage C Ʉgums have receded away from the tooth D Ʉpockets are infected E Ʉbacterial to[ins have broken down bone and connective tissue 4 Name the risk factors for gum disease. A Ʉhormonal changes in girls and women B Ʉherpes virus C Ʉdiabetes D Ʉillnesses such as cancer or AIDS E Ʉdrug addiction F Ʉsmoking G Ʉgenetic susceptibility H Ʉbad breath I Ʉspeciȴc medications What are the ȴrst symptoms of gum disease? A Ʉred or swollen gums, receding gums B Ʉtartar build-up, abscesses C Ʉbad breath, painful chewing D Ʉclicking of the jaw E Ʉloose/sensitive teeth F Ʉbad breath G Ʉdiscolored teeth, mouth breathing H Ʉtender/bleeding gums 1ɄBɅ2ɄA, CɅ3ɄA, C, D, EɅ4ɄA, C, D, F, G, IɅ5ɄA, C, E, F, H ANSWERS 5 25 2 Vocabulary 2.5 Malocclusion Malocclusion, or “bad bite”, is the technical term for dental and facial cial ir irregularrre egula ar ities and refers to any disturbance in the normal alignment of teeth. Malpositioned teeth can be inherited or acquired. Crowding of teeth, e[tra or missing teeth, and too much space between teeth are e[amples of inherited problems. Acquired malocclusions are caused by accidents thumb, ȴnger or paciȴer sucking airway obstruction by tonsils and adenoids dental disease or premature loss of primary or permanent teeth. Whether inherited or acquired, many of these problems aect the proper alignment of the teeth, as well as facial development and appearance. Match each technical term in the box with the corresponding illustration. 26 crossbite deep bite missing teeth overbite crowding deep overbite open bite spacing 1 2 3 4 underbite 27 ANSWERS 1ɄcrowdingɅ 2ɄspacingɅ 3ɄcrossbiteɅ 4Ʉopen biteɅ 5Ʉmissing teethɅ 6Ʉoverbite protruding ma[illary teethɅ 7Ʉdeep biteɅ 8Ʉdeep overbiteɅ 9Ʉunderbite mandibular protrusion 9 5 6 7 8 Vocabulary ryy 2 2 Vocabulary 2.6 Vocabulary abnormality, malformation abscess allergy alveolar cyst alveolar resorption apical granuloma apical leakage apical perforation apical periodontitis bad breath, mouth odor, strong breath bone loss bone resorption broken/fractured tooth buck tooth, protruding tooth burning sensation canker sore, ulcer caries, tooth decay, area of rot, hole in the tooth carious tooth chipped tooth crackling jaw, jaw clicking, jaw popping cracks crossbite crowding cyst (to) damage dead tooth, non-vital tooth, pulpless tooth deep bite deep gum pockets deȵective occlusal contact devital tooth disease, illness disorder drifting/wandering tooth dull pain 28 Fehlbildung Abzess Allergie Alveolarzyste Alveolarkammabbau apikales Granulom undichter apikaler Verschluss Wurzelperforation Wurzelspitzenentzündung Mundgeruch Knochenabbau Knochenresorption gebrochener/ frakturierter Zahn vorstehender Zahn brennendes Gefühl Geschwür, Ulkus Karies kariöser Zahn gesplitterter Zahn Kiefergelenkknacken Risse Kreuzbiss Engstand Zyste Beschädigung, beschädigen devitaler Zahn Deck-/Tiefbiss tiefe Zahnȵeischtaschen deȵektiver Kontakt pulpaloser Zahn Erkrankung Störung wandernder Zahn dumpfer Schmerz edentulous elongated tooth erupting tooth excruciating pain exposure fever ȴlled tooth ȴstula, gum boil gangrenous/decayed tooth grinding, bruxism gum bleeding gum discoloration zahnlos elongierter Zahn durchbrechender Zahn unerträglicher, qualvoller Schmerz Freilegung Fieber gefüllter Zahn/ Zahn mit Füllung Fistel fauler Zahn Knirschen Zahnȵeischbluten Zahnȵeischverfärbung gum/gingival disease Zahnȵeischerkrankung gum/gingival recession Zahnȵeischschwund hematoma, bruise Hämatom impacted/embedded retinierter Zahn tooth induration Gewebeverhärtung infection Ansteckung, Infektion inȵammation Entzündung inȵammation of gum Zahnȵeischentzüntissue, gingivitis dung inȵammation of the Entzündung der oral mucosa Mundschleimhaut infrabony pocket infraalveoläre Knochentasche injury Verletzung, Schädigung (jaw) clenching Pressen lip biting Lippenbei¡en loose tooth lockerer Zahn loosening Lockerung malocclusion Malokklusion, Fehlbiss missing tooth fehlender Zahn mottled tooth geȵeckter Zahn mouth breathing Mundatmung occlusal abrasion okklusale Abrasion Kauȵächenkaries occlusal caries occlusal disturbanc(es) 2kklusionsstörungen occlusal stress okklusale Belastung occlusal trauma traumatische 2kklusion Vocabulary ryy occlusal wear open bite overbite pain upon pressure parafunction partially erupted tooth periodontal inȵammation periodontal/gum pocket periodontitis piercing/sharp/ ȵeeting/stabbing pain pins and needles plaque prepared tooth pressure sore proliferation, growth, tumor protruding tooth pulpitis, inȵammation of the pulp pulsating pain pus radiating pain receding gums red/reddened gums root exposure root fracture root sepsis Abkauung oener Biss Vor-/Überbiss Druckschmerzen Parafunktion unvollständig durchgebrochener Zahn Wurzelhautentzündung Zahnȵeischtasche Parodontitis stechender Schmerz Kribbeln Zahnbelag präparierter Zahn Druckstelle Wucherung vorstehender Zahn Pulpitis pulsierender Schmerz Eiter ausstrahlende Schmerzen zurückgehendes Zahnȵeisch gerötetes Zahnȵeisch Wurzelfreilegung Wurzelfraktur Wurzelvereiterung rotated tooth sensitivity severe severity sinusitis sound/healthy tooth spacing, gaps submerged tooth supplemental tooth swelling swollen tartar, dental calculus temporomandibular joint disorders (TMJD, TMJ, TMD) temporomandibular joint syndrome tender, sensitive throbbing pain tilted tooth tongue thrusting tooth loss toothache, tooth pain, odontalgia, dentalgia twinge underbite, mandibular protrusion vital tooth weakened tooth wear and tear 2 gedrehter Zahn Empȴndlichkeit massiv, schwer, stark, schlimm Schwere, Heftigkeit Sinusitis intakter/gesunder Zahn Zahnlücken reinkludierter Zahn überzähliger Zahn Schwellung geschwollen Zahnstein Kiefergelenksstörungen Kiefergelenksyndrom empȴndlich klopfende Schmerzen gekippter Zahn Zungenpressen Zahnverlust Zahnschmerzen ziehender Schmerz Unterbiss vitaler Zahn geschwächter Zahn Abnutzung 29 2 Dialog 2.7 Helpful Sentences Please describe the kind of pain you have. ¨ Bitte beschreiben Sie die Art Ihrer Schmerzen. I was in excruciating pain. ¨ Ich hatte entsetzliche Schmerzen. Which tooth is aching? ¨ Welcher Zahn schmerzt? How long have you had the pain? ¨ Wie lange haben Sie die Schmerzen? How long does the pain last? ¨ Wie lange dauern die Schmerzen an? Is it worse at night or during the day? ¨ Ist es in der Nacht oder am Tag schlimmer? Does the pain disturb your sleep? ¨ Stört der Schmerz Ihren Schlaf? Where do you feel the pain most? ¨ Wo fühlen Sie den Schmerz am meisten? Do you have pain in the temple or the ear? ¨ Haben Sie Schmerzen in der Schläfe oder im 2hr? Do you feel the pain when you touch ¨ Fühlen Sie den Schmerz, wenn Sie Ihren your tooth with your tongue? Zahn mit der Zunge berühren? 30 Do you feel pain when drinking cold or hot liquids? ¨ Bekommen Sie Schmerzen bei kalten oder hei¡en Flüssigkeiten? Is the pain more severe when you press here, or here? ¨ Ist der Schmerz stärker, wenn Sie hier oder hier drücken? Do your gums bleed when you brush? ¨ Blutet Ihr Zahnȵeisch, wenn Sie Ihre Zähne putzen?