3 - Tx Planning Flashcards
What are the steps of treatment planning?
- Pt info: data collection evaluation of diagnosis
- Development of problem list
- Phasing of tx in the tx plan
- Sequencing the procedures within the phases
- Case development: reviewing multiple cases and developing tx plans
- Informed consent
What is part of the systemic phase?
Managing pt’s physical health
What is part of the acute phase?
Urgent tx needs
What is part of the disease control?
Dental caries
Initial therapy for perio disease
oral infections
pathology
What is part of the definitive phase?
Core of tx plan
What is part of the maintenance phase?
Preserve oral health and develop long-term relationship w patient
What are general health diagnosis examples?
- Hypertension
- Stable or unstable angina
- controlled diabetes
What are psychosocial diagnosis examples?
- Dental anxiety
- Substance abuse
- Smoker
- Poor dental hygiene
- Limited income
What are intraoral/extraoral diagnosis examples?
- Lesions on soft tissue
- Prominent lymph nodes in neck
- Salivary gland tumor/stone
What are examples of perio diagnsis?
- Pocket >3mm
- Mobile teeth
- Gingival recession
What are dental diagnosis examples?
- New caries
- recurrent caries
- Falling restorations
- Excessive wear
- cracked tooth or teeth
- discolored tooth or teeth
- missing tooth or teeth
- malocclusion
What are pulpal and periapical diagnosis examples?
- Inernal reorption
- Acute apical abscess
- Reversible pulpitis
What is pre-treatment planning at UMKC?
- Completed Diagnosis
- Completed Consults
- Discussion with patient about their
needs and desires. - Discussion with patient about ability to
finance treatment. - Discussion with faculty at diagnosis
what can and cannot be accomplished
in the Pre-doctoral Clinic. - Diagnostic Casts
- Completed Work Sheet
Why should you break tx into phases?
as a way to structure the thinking process and to have definitive times when treatment is re-evaluated before going on to the next phase of treatment
Know this
What is phase 1 at UMKC?
Systemic phase
What is included in the systemic phase?
- Systemic disease referral
- Medical Consult
- Premedication Consult
- Altering /Prescribing Medication
What is phase 2 at UMKC?
Acute phase
What is included in the acute phase?
- Pain
- Swelling
- Traumatic Injury
What are components of an acute examination?
- Chief Complaint
- Health Status
- Oral Cancer Screening
- Vital Signs
- Area of Chief Concern
- Contiguous Tissues
- Necessary Radiographs
- Informed Consent for any treatment
- Plan for Follow Up
What are types of acute phase treatment?
- Avulsed tooth
- Fractured tooth
- Facial swelling
- Pericoronitis
- Endo for acute pain - pulp extraction
What is the acute phase informed consent?
Same requirements as if you were doing comprehensive treatment
What are things the pt must be aware about during acute phase informed consent?
- The diagnosis
- All reasonable treatment options, including no treatment
- Risk and benefits of each option
- The costs of that treatment now and in the future
- Informed consent sheets
* Oral Surgery
* Endo
* Perio Surgery
* Implants
* Etc…
What is phase 3A at UMKC?
Disease control
What is usually in phase 3A?
- extraction of non restorable teeth
- scaling and root planing
- caries control/O&R
- caries removal and placement of direct restorations
- endodontics
What is O&R used to determine?
Restorability of a tooth
What is phase 3B at UMKC?
Re-evaluation for definitive treatment plan
What are phase 3B factors?
- Adherence to home care
- New lesions present
- Keeps appointments
- Financial ability to continue
What is phase 4 at UMKC?
Restorative tx
What is phase 4A,B,C,D,E?
- Phase 4A – Periodontics
1. Implants
2. Surgery - Phase 4B – Operative Dentistry
- Phase 4C – Orthodontics
- Phase 4D – Fixed Prosthodontics
- Phase 4E – Removable Prosthodontics
What is phase 5A at UMKC?
Exit exam/post tx assessment/completed pt
What is phase 5B at UMKC?
Maintenance phase/recall and continuing issues to follow
