29. Diagnosis and prognosis Flashcards
1
Q
Types of prognosis
A
- Good/secure
- Doubtful
- Irrational to treat
-Simple therapy and secure abutments for function
-Comprehensive therapy
-Extracted
2
Q
Factors used in different types of prognosis
A
- Periodontal
- Endodontic
- Dental
- Functional
3
Q
Periodontal doubtful prognosis
A
- Furcation involvement=1 or 2
- Angular bony defects
- Horizontal bone defect reaching 2/3 of root
4
Q
Periodontal irrational prognosis
A
- Recurrent abcess
- Combined endo and periodonal lesion
- Attachment loss to apex
- Furcation involvement= 3
5
Q
Endodontic doubtful prognosis
A
- Large post or screw obturations
- Incomplete root canal
- Peri-apical pathology
6
Q
Endodontic irrational to treat prognosis
A
Perforations in apical half of root
7
Q
Dental doubtful prognosis
A
- Extensive root caries
- Doesn’t extend to root canal
8
Q
Dental irrational to treat prognosis
A
- Extensive root caries=>extends to root canal
- Verical root fractures 2/3 of root
- Oblique fractures into middle third of tooth
9
Q
Functional irrational to treat prognosis
A
- Third molars only without antagonist
- Grade 3 mobility
- Periodontitis and caries
10
Q
When re-evaluation done
A
6 week to 6 months
11
Q
What is done during re-evaluation
A
- Periodontal risk assessment
- Full periodontal status
12
Q
Information contained in periodontal risk assessment
A
- Age
- Number of implants
- Number of sites per tooth/implant
- No. of bop positive sites
- No. of sites w/ pocket depths >5mm
- No. of missing teeth
- % alveolar bone loss
- Systemic genetic diseases
- Smoking(environmental factors)
13
Q
Environmental factors include
A
- Non smoker
- Former smoker
- Occasional smoker
- Smoker
- Heavy smoker
