oral-health

Oral Health Management Skill

Record dental examinations, manage treatment records, track oral health status, and analyze oral health trends.

Medical Disclaimer

This system is for health tracking and educational purposes only, and does not provide medical diagnosis or treatment advice.

Cannot Do:

• All oral health issues should be evaluated by a professional dentist
• Do not handle emergencies (severe toothache, trauma, etc.)
• Cannot replace professional dental examination and treatment

Can Do:

• Record and track oral health data
• Provide dental examination records and reminders
• Provide oral health assessment
• Provide general oral care recommendations

Core Process

用户输入 → 识别操作类型 → [checkup] 解析检查结果 → 保存记录
                              ↓
                         [treatment] 解析治疗信息 → 保存记录
                              ↓
                         [hygiene] 解析习惯 → 更新记录 → 保存
                              ↓
                         [issue] 解析问题 → 保存记录
                              ↓
                         [status/trend/reminder] 读取数据 → 显示报告

Step 1: Parse User Input

Operation Type Identification

Input Keywords	Operation Type
checkup	checkup - Checkup record
treatment	treatment - Treatment record
hygiene	hygiene - Oral hygiene habits
issue	issue - Oral problem
status	status - View status
trend	trend - Trend analysis
reminder	reminder - Checkup reminder
screening	screening - Disease screening

Step 2: Parameter Parsing Rules

Tooth Numbering (FDI System)

User Input	Tooth
16, tooth 16	16 (upper right first molar)
26, tooth 26	26 (upper left first molar)
36, tooth 36	36 (lower left first molar)
46, tooth 46	46 (lower right first molar)

Treatment Type Identification

Input Keywords	Type
filling	filling
root_canal	root_canal
extraction	extraction
implant	implant
crown	crown
bridge	bridge
denture	denture
orthodontic	orthodontic
scaling	scaling
periodontal	periodontal

Oral Problem Type

Input Keywords	Type
toothache	toothache
bleeding	bleeding
ulcer	ulcer
sensitivity	sensitivity
swelling	swelling
bad_breath	bad_breath
dry_mouth	dry_mouth
clicking	clicking

Severity

Input	Severity
mild	mild
moderate	moderate
severe	severe

Step 3: Generate JSON

Examination Record Data Structure

{
  "id": "checkup_20250610_001",
  "date": "2025-06-10",
  "teeth_status": {
    "16": { "condition": "caries", "note": "Decay" },
    "26": { "condition": "filling", "note": "Filled" }
  },
  "periodontal_status": {
    "bleeding_on_probing": false,
    "probing_depth": "2-3mm",
    "gingival_recession": "none"
  },
  "soft_tissue": "normal",
  "occlusion": "normal",
  "tmj": "normal",
  "examined_by": "",
  "notes": "Regular checkup recommended"
}

Treatment Record Data Structure

{
  "id": "treatment_20250610_001",
  "date": "2025-06-10",
  "tooth_number": "26",
  "treatment_type": "filling",
  "material": "composite_resin",
  "cost": 300,
  "anesthesia": "local",
  "notes": "Composite resin filling"
}

Hygiene Habit Data Structure

{
  "last_updated": "2025-06-10",
  "brushing": {
    "frequency": "twice_daily",
    "method": "bass_method",
    "duration_minutes": 2
  },
  "flossing": {
    "frequency": "daily",
    "time": "evening"
  },
  "mouthwash": {
    "frequency": "sometimes",
    "type": "fluoride"
  }
}

Step 4: Save Data

1. Read data/oral-health-tracker.json
2. Update the corresponding record segment
3. Write back to file

FDI Tooth Numbering System

Permanent Tooth Numbering (1-32)

• Upper right quadrant: 18 17 16 15 14 13 12 11
• Upper left quadrant: 21 22 23 24 25 26 27 28
• Lower left quadrant: 38 37 36 35 34 33 32 31
• Lower right quadrant: 48 47 46 45 44 43 42 41

Primary Tooth Numbering (51-85)

• Upper right quadrant: 55 54 53 52 51
• Upper left quadrant: 61 62 63 64 65
• Lower left quadrant: 75 74 73 72 71
• Lower right quadrant: 85 84 83 82 81

Hygiene Score

Score	Description
9-10	Excellent: Brushing 2+ times daily, flossing daily, regular cleanings
7-8	Good: Brushing 2 times daily, flossing 3+ times weekly
5-6	Fair: Brushing 1-2 times daily, occasionally flossing
3-4	Poor: Brushing once daily, rarely flossing
1-2	Very Poor: Irregular brushing, no flossing

Cavity Risk Level

Risk	Description
Low	Low sugar diet, good hygiene habits, fluoride toothpaste, regular checkups
Medium	Moderate sugar intake, fair hygiene, occasional fluoride products
High	High sugar diet, poor hygiene, irregular checkups, history of cavities

Periodontal Health Classification

Grade	Description
Healthy	No bleeding, probing depth 1-3mm, no attachment loss
Gingivitis	Bleeding on probing, probing depth 3-4mm
Mild Periodontitis	Probing depth 4-5mm, mild attachment loss
Moderate Periodontitis	Probing depth 5-6mm, moderate attachment loss
Severe Periodontitis	Probing depth >6mm, severe attachment loss

Emergency Guide

Requires Emergency Care (within 24 hours)

• Severe toothache unrelieved by medication
• Trauma causing tooth loss or fracture
• Facial swelling, especially with fever
• Excessive gum bleeding that won't stop

Needs Prompt Care (within 1 week)

• Persistent toothache over 3 days
• Mouth ulcer not healing after 2 weeks
• Unknown lump or white patch in mouth

Routine Appointment (within 1 month)

• Regular checkup and cleaning
• Mild tooth sensitivity
• Cosmetic dental consultation

For more examples, see examples.md。