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D2 Fall - Treatment Planning > 1 - Diagnosis & Tx Planning > Flashcards

1 - Diagnosis & Tx Planning Flashcards

1
Q

What is a treatment plan?

A

The sequential guide for the pt’s care as determined

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2
Q

What is a tx plan determined by?

A

The dentists diagnosis

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3
Q

What is a tx plan used by and for?

A
  • By the dentist for the restoration
  • To and/or maintenance of optimal oral health
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4
Q

What needs to be done BEFORE tx planning?

A
  • 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
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5
Q

What is the definition of a chief complaint?

A

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

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6
Q

A chief complaint is always written in the __________ own ________

A

Patients; words

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7
Q

What are types of dental chief complaints?

A
  1. Fractured tooth
  2. Pain and swelling
  3. Exudate and bleeding
  4. Cosmetic
  5. Teeth cleaning
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8
Q

What is the definition of a medical history?

A

the patient’s past and present which may contain relevant information bearing on their health past, present, and future

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9
Q

What is medical history an account of?

A

all medical events and
problems a person has experienced is an important tool in the management of the patient

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10
Q

What are examples of CHRONIC medical conditions?

A
  • 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
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11
Q

What are examples of ACUTE medical conditions?

A
  • Bell’s Palsy
  • Upper respiratory infection
  • Trauma
  • Flu
  • Ear infections
  • Appendicitis
  • Etc…..
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12
Q

Are you more likely to see acute or chronic conditions in a dental office?

A

Chronic

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13
Q

What is the definition of dental history?

A

written documentation of a patient’s oral health covering all particulars of disease and therapy

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14
Q

What are examples of closed-ended dental questions?

A
  • 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?
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15
Q

What are examples of open-ended dental questions?

A
  • 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?
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16
Q

What kind of screening radiograph do you give an edentulous pt?

A

Panoramic radiograph

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17
Q

What kind of screening radiograph do you give a partially edentulous (less than 10 teeth) pt?

A

Panoramic and PAs of remaining teeth

18
Q

What kind of screening radiograph do you give a dentulous pt w/ no significant history of dental disease?

A

panoramic and 2-4 BWs, isolated Pas

19
Q

What kind of screening radiograph do you give a dentulous pt w/ history of dental disease?

A

FMX

20
Q

What kind of screening radiograph do you give a dentulous pt w/ history of dental disease & third molars?

A

FMX and panoramic

21
Q

What is an oral cancer screening?

A

Examination performed
by a dentist or doctor to
look for signs of cancer or
precancerous conditions
in your mouth

22
Q

What is the goal of oral cancer screening?

A

Identify mouth cancer early, when there is a greater chance for a cure

23
Q

What are diagnostic tools used for a head, neck and oral exam?

A

VELScope, brush biopsy

24
Q

What is a perio exam?

A

Exam of teeth and dental implants

25
Q

What is a perio exam done to evaluate?

A

Topography of the gingiva and related structures

26
Q

What does a perio exam measure?

A

Probing depths
Width of keratinized tissue
Gingival recession
Attachment level

27
Q

What are measurements from a perio exam used to evaluate?

A

The health of subgingival areas

28
Q

What measurements help assess clinical furcation status and detect endodontic-periodontal lesions?

A

Bleeding on probing and suppuration

29
Q

What does a perio exam assess the presence, degree, and/or distribution of?

A

Plaque/biofilm, calculus, and gingival inflammation

30
Q

What needs to be charted from a hard tissue exam?

A
  • Previous Dental Work
  • Positional Conditions
  • Rotated Teeth, Tipped Teeth, etc.
  • Diagnostic Conditions
  • Caries, Defective restorations,
    Occlusal Wear,
    Abfractions/Erosions, etc.
  • Endodontic Conditions
  • Periapical Abscess, Symptomatic
    tooth, Sinus Tract, etc
31
Q

What does an occlusal exam measure?

A

Orthodontic classification
Occlusal interferences
Centric relation

32
Q

What is the definition of occlusal interference?

A

Any tooth contact that inhibits the remaining occluding surfaces from achieving stable and harmonious contacts

33
Q

What are 3 signs of INstability?

A
  1. Hypermobility of teeth
    not related to
    Periodontal disease.
  2. Excessive Wear
  3. Change in tooth
    position
34
Q

What are 5 signs of stability?

A
  1. Tempromandibular Joints are healthy
    and stable
  2. All teeth are firm
  3. No excessive wear
  4. All teeth have stayed in their present
    position
  5. Supporting Structures are healthy
35
Q

What are 5 requirements for stability?

A
  1. Stable TMJ
  2. Anterior guidance in harmony with mandibular
    function
  3. Non interfering posterior teeth
  4. All teeth in vertical harmony with contraction of elevator muscles.
  5. All teeth in horizontal harmony with the neutral
    zone
36
Q

What does it mean to have non interfering posterior teeth?

A
  1. Equal intensity contacts in Centric Relation
    Occlusion (CRO) or Centric Occlusion (CO)
  2. Posterior disclusion when condyles leave
    Centric Relation
37
Q

What does it mean to have all teeth in horizontal harmony with the neutral zone?

A

Neutral zone definition is the area where the forces exerted by the tongue are
balanced by the forces exerted by the musculature of the cheek and lips

38
Q

When should mounted casts be mounted with a facebow transfer?

A

for extensive (3 units or more) crown and bridge work and for removable partial dentures

39
Q

What should be taken to tx planning appts with faculty when formalizing a tx plan?

A

UNmounted casts

40
Q

What is required for anterior crowns, FPDs and/or veneers?

A

Custom guide table

41
Q

What are things that would require a consult by a specialist?

A
  • Periodontal Disease
  • Removable Prosthodontic Treatment
  • Fixed Prosthodontic Treatment (but not single crowns)
  • Oral Lesion
  • Oral Surgery for Multiple Extractions

D2 Fall - Treatment Planning (6 decks)

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