| { |
| "diseases": { |
| "Calculus": { |
| "base_info": { |
| "severity": "moderate", |
| "urgency": "medium", |
| "requires_dentist": true, |
| "category": "mineral_deposit" |
| }, |
| "treatment_options": { |
| "primary": [ |
| "Professional scaling and polishing", |
| "Deep cleaning procedure" |
| ], |
| "alternative": ["Antibacterial mouthwash", "Professional prophylaxis"], |
| "contraindications": ["Bleeding disorders", "Recent oral surgery"] |
| }, |
| "home_advice": { |
| "essential": [ |
| "Brush twice daily with tartar-control toothpaste", |
| "Floss daily to prevent buildup between teeth", |
| "Use electric toothbrush for better plaque removal" |
| ], |
| "recommended": [ |
| "Use water flosser for hard-to-reach areas", |
| "Salt water rinses twice weekly" |
| ], |
| "avoid": [ |
| "Tobacco products", |
| "Excessive coffee/tea (can stain calculus)" |
| ] |
| }, |
| "build_up_recommendation": { |
| "applicable": false, |
| "reason": "Calculus requires removal, not build-up", |
| "alternative": "Professional cleaning" |
| }, |
| "follow_up": "Professional cleaning every 6 months or sooner if prone to buildup" |
| }, |
|
|
| "Dental Caries": { |
| "base_info": { |
| "severity": "high", |
| "urgency": "high", |
| "requires_dentist": true, |
| "category": "tooth_decay" |
| }, |
| "treatment_options": { |
| "primary": ["Dental filling", "Root canal if advanced"], |
| "alternative": [ |
| "Silver diamine fluoride", |
| "Hall technique (for children)" |
| ], |
| "contraindications": ["Severe pulpitis", "Vertical root fracture"] |
| }, |
| "home_advice": { |
| "essential": [ |
| "Avoid sugary foods and drinks between meals", |
| "Use fluoride toothpaste with 1350-1500ppm fluoride", |
| "Brush for 2 minutes twice daily" |
| ], |
| "recommended": [ |
| "Use fluoride mouthwash before bed", |
| "Chew sugar-free gum after meals" |
| ], |
| "avoid": [ |
| "Sticky candies and dried fruits", |
| "Carbonated drinks", |
| "Frequent snacking" |
| ] |
| }, |
| "build_up_recommendation": { |
| "applicable": true, |
| "conditions": { |
| "early_caries": { |
| "confidence_threshold": 0.3, |
| "materials": ["Composite resin", "Glass ionomer"], |
| "reason": "Early caries can be treated with conservative build-up" |
| }, |
| "immature_tooth": { |
| "confidence_threshold": 0.2, |
| "materials": ["Composite resin", "Component"], |
| "reason": "Immature teeth benefit from build-up to protect pulp" |
| }, |
| "erupting_tooth": { |
| "confidence_threshold": 0.15, |
| "materials": ["Glass ionomer", "Composite"], |
| "reason": "Erupting teeth require build-up to guide proper development" |
| } |
| }, |
| "contraindications": ["Deep caries near pulp", "Active infection"] |
| }, |
| "follow_up": "Return in 6 months or sooner if pain develops" |
| }, |
|
|
| "Hypodontia": { |
| "base_info": { |
| "severity": "structural", |
| "urgency": "medium", |
| "requires_dentist": true, |
| "category": "developmental" |
| }, |
| "treatment_options": { |
| "primary": [ |
| "Orthodontic evaluation", |
| "Space management", |
| "Build-up restoration for developing teeth" |
| ], |
| "alternative": [ |
| "Dental implants (adults)", |
| "Resin-bonded bridge", |
| "Removable partial denture" |
| ], |
| "multidisciplinary": ["Orthodontist", "Pedodontist", "Prosthodontist"] |
| }, |
| "home_advice": { |
| "essential": [ |
| "Maintain excellent oral hygiene around missing areas", |
| "Regular dental checkups every 6 months", |
| "Keep adjacent teeth clean to prevent shifting" |
| ], |
| "recommended": [ |
| "Consider orthodontic consultation", |
| "Use fluoridated toothpaste for remaining teeth" |
| ], |
| "age_specific": { |
| "child_6_12": [ |
| "Space maintainers may be needed", |
| "Monitor eruption of permanent teeth", |
| "Avoid hard foods on adjacent teeth" |
| ], |
| "teen_13_18": [ |
| "Discuss orthodontic options", |
| "Consider temporary build-up", |
| "Plan for future implants" |
| ], |
| "adult_19_plus": [ |
| "Evaluate for implants or bridges", |
| "Consider bone grafting if implant planned", |
| "Regular assessment of adjacent teeth" |
| ] |
| } |
| }, |
| "build_up_recommendation": { |
| "applicable": true, |
| "priority": "high_for_developing", |
| "age_ranges": [ |
| { |
| "min": 6, |
| "max": 12, |
| "priority": "essential", |
| "reason": "Primary/transitional dentition needs build-up for space maintenance", |
| "materials": ["Composite build-up", "Space maintainer"] |
| }, |
| { |
| "min": 13, |
| "max": 18, |
| "priority": "recommended", |
| "reason": "Build-up recommended until growth complete", |
| "materials": ["Composite", "Temporary build-up"] |
| }, |
| { |
| "min": 19, |
| "max": 100, |
| "priority": "consider", |
| "reason": "Build-up temporary solution, fixed restoration preferred", |
| "materials": ["Composite", "Temporary until definitive treatment"] |
| } |
| ], |
| "clinical_notes": "For erupting/developing teeth, build-up is ALWAYS preferred over fixed restoration" |
| }, |
| "follow_up": "Every 6 months with radiographic monitoring of adjacent teeth" |
| }, |
|
|
| "Gingivitis": { |
| "base_info": { |
| "severity": "mild", |
| "urgency": "low", |
| "requires_dentist": false, |
| "category": "inflammatory" |
| }, |
| "treatment_options": { |
| "primary": [ |
| "Improved oral hygiene", |
| "Professional cleaning if persistent" |
| ], |
| "alternative": [ |
| "Antiseptic mouthwash", |
| "Chlorhexidine gel (short term)" |
| ], |
| "contraindications": ["Allergy to mouthwash ingredients"] |
| }, |
| "home_advice": { |
| "essential": [ |
| "Brush twice daily with soft-bristled toothbrush", |
| "Floss daily - this is crucial for gum health", |
| "Use gentle circular motions, not aggressive scrubbing" |
| ], |
| "recommended": [ |
| "Use antiseptic mouthwash (alcohol-free preferred)", |
| "Salt water rinses (1 tsp salt in warm water) twice daily" |
| ], |
| "avoid": [ |
| "Hard toothbrushes", |
| "Aggressive brushing that causes bleeding", |
| "Tobacco products" |
| ] |
| }, |
| "build_up_recommendation": { |
| "applicable": false, |
| "reason": "Gingivitis affects gums, not tooth structure" |
| }, |
| "follow_up": "Improvement expected in 2 weeks; see dentist if persists" |
| }, |
|
|
| "Tooth Discoloration": { |
| "base_info": { |
| "severity": "mild", |
| "urgency": "low", |
| "requires_dentist": false, |
| "category": "aesthetic" |
| }, |
| "treatment_options": { |
| "primary": ["Professional cleaning", "Whitening treatments"], |
| "alternative": [ |
| "Composite veneers", |
| "Porcelain veneers", |
| "Microabrasion" |
| ], |
| "contraindications": ["Pregnancy", "Severe sensitivity", "Caries"] |
| }, |
| "home_advice": { |
| "essential": [ |
| "Reduce consumption of staining foods (coffee, tea, red wine)", |
| "Rinse with water after consuming staining substances", |
| "Use whitening toothpaste with mild abrasives" |
| ], |
| "recommended": [ |
| "Consider professional whitening for better results", |
| "Maintain excellent oral hygiene" |
| ], |
| "avoid": [ |
| "Smoking and tobacco products", |
| "Excessive acidic foods that erode enamel", |
| "Overuse of whitening products" |
| ] |
| }, |
| "build_up_recommendation": { |
| "applicable": true, |
| "conditions": { |
| "severe_discoloration": { |
| "confidence_threshold": 0.6, |
| "materials": ["Composite veneer", "Porcelain veneer"], |
| "reason": "Severe discoloration may require build-up/veneer" |
| }, |
| "structural_damage": { |
| "confidence_threshold": 0.4, |
| "materials": ["Composite build-up"], |
| "reason": "Build-up can restore both structure and color" |
| } |
| } |
| }, |
| "follow_up": "As desired for cosmetic improvement" |
| }, |
|
|
| "Mouth Ulcer": { |
| "base_info": { |
| "severity": "mild", |
| "urgency": "low", |
| "requires_dentist": false, |
| "category": "soft_tissue" |
| }, |
| "treatment_options": { |
| "primary": ["Topical analgesics", "Avoid irritants"], |
| "alternative": [ |
| "Prescription mouthwash", |
| "Corticosteroid gel (severe)" |
| ], |
| "contraindications": ["Immunosuppression", "Infection"] |
| }, |
| "home_advice": { |
| "essential": [ |
| "Salt water rinses (1 tsp salt in warm water) 3-4 times daily", |
| "Avoid spicy, acidic, or rough foods", |
| "Use soft toothbrush carefully around ulcer" |
| ], |
| "recommended": [ |
| "Apply topical gel for pain", |
| "Rinse with alcohol-free mouthwash" |
| ], |
| "avoid": [ |
| "Hot foods and beverages", |
| "Citrus fruits and juices", |
| "Crunchy foods (chips, nuts)" |
| ] |
| }, |
| "build_up_recommendation": { |
| "applicable": false, |
| "reason": "Ulcers are soft tissue condition" |
| }, |
| "follow_up": "Should heal within 7-14 days; see dentist if persists beyond 3 weeks" |
| } |
| }, |
|
|
| "general_rules": { |
| "confidence_weighting": { |
| "high": 0.8, |
| "medium": 0.5, |
| "low": 0.2 |
| }, |
| "treatment_urgency": { |
| "high": "See dentist within 24-48 hours", |
| "medium": "Schedule appointment within 2 weeks", |
| "low": "Monitor and schedule routine checkup" |
| }, |
| "build_up_indications": [ |
| "Developing dentition (age < 18)", |
| "Partially erupted teeth", |
| "Minimal to moderate tooth structure loss", |
| "Temporary restoration needed", |
| "Economic considerations" |
| ], |
| "fixed_indications": [ |
| "Fully developed dentition (age ≥ 18)", |
| "Extensive tooth structure loss", |
| "Complete root formation", |
| "Long-term definitive solution needed", |
| "Aesthetic demands in anterior teeth" |
| ] |
| } |
| } |
|
|
