1 - Diagnosis & Tx Planning Flashcards
What is a treatment plan?
The sequential guide for the pt’s care as determined by the dentists diagnosis for the restoration to and/or maintenance of optimal oral health
What needs to be done BEFORE tx planning?
- Chief Complaint
- Medical History
- Dental History
- Radiographs
- Head, Neck and Oral Cancer Exam
- Periodontal Exam
- Hard Tissue Exam
- Occlusion Exam
- Articulated Diagnostic Casts
- Consults by Specialists if needed
What is the definition of a chief complaint?
Subjective statement made by a patient describing the
* most significant or serious symptoms or
signs of illness
* or dysfunction that caused him or her to seek dental care
A chief complaint is always written in the __________ own ________
Patients; words
What are types of dental chief complaints?
- Fractured tooth
- Pain and swelling
- Exudate and bleeding
- Cosmetic
- Teeth cleaning
What is the definition of a medical history?
the patient’s past and present which may contain relevant information bearing on their health past, present, and future
What is medical history an account of?
all medical events and problems a person has experienced is an important tool in the management of the patient
What are examples of CHRONIC medical conditions?
- Diabetes
- High Blood Pressure
- High Cholesterol
- Thyroid Conditions
- Heart Conditions
- Liver Conditions
- Kidney Conditions
- Neurological/Mental
Health Conditions - Lung Conditions
- Auto Immune Diseases
- Cancer
- HIV
What are examples of ACUTE medical conditions?
- Bell’s Palsy
- Upper respiratory infection
- Trauma
- Flu
- Ear infections
- Appendicitis
- Etc…..
Are you more likely to see acute or chronic conditions in a dental office?
Chronic
What is the definition of dental history?
written documentation of a patient’s oral health covering all particulars of disease and therapy
What are examples of closed-ended dental questions?
- Are you in pain?
- Did you want your teeth cleaned?
- Do you want a partial to replace these teeth?
- Are you in good health?
- Do you take any medications?
What are examples of open-ended dental questions?
- How did you lose your tooth?
- Tell me about your last dental appointment.
- What brought you in today?
- Why did you decide against a root canal?
- What is hurting you today?
What kind of screening radiograph do you give an edentulous pt?
Panoramic radiograph
What kind of screening radiograph do you give a partially edentulous (less than 10 teeth) pt?
Panoramic and PAs of remaining teeth