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D2 Fall - Treatment Planning > 3 - Tx Planning > Flashcards

3 - Tx Planning Flashcards

1
Q

What are the steps of treatment planning?

A
  1. Pt info: data collection evaluation of diagnosis
  2. Development of problem list
  3. Phasing of tx in the tx plan
  4. Sequencing the procedures within the phases
  5. Case development: reviewing multiple cases and developing tx plans
  6. Informed consent
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2
Q

What is part of the systemic phase?

A

Managing pt’s physical health

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3
Q

What is part of the acute phase?

A

Urgent tx needs

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4
Q

What is part of the disease control?

A

Dental caries
Initial therapy for perio disease
oral infections
pathology

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5
Q

What is part of the definitive phase?

A

Core of tx plan

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6
Q

What is part of the maintenance phase?

A

Preserve oral health and develop long-term relationship w patient

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7
Q

What are general health diagnosis examples?

A
  1. Hypertension
  2. Stable or unstable angina
  3. controlled diabetes
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8
Q

What are psychosocial diagnosis examples?

A
  1. Dental anxiety
  2. Substance abuse
  3. Smoker
  4. Poor dental hygiene
  5. Limited income
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9
Q

What are intraoral/extraoral diagnosis examples?

A
  1. Lesions on soft tissue
  2. Prominent lymph nodes in neck
  3. Salivary gland tumor/stone
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10
Q

What are examples of perio diagnsis?

A
  1. Pocket >3mm
  2. Mobile teeth
  3. Gingival recession
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11
Q

What are dental diagnosis examples?

A
  1. New caries
  2. recurrent caries
  3. Falling restorations
  4. Excessive wear
  5. cracked tooth or teeth
  6. discolored tooth or teeth
  7. missing tooth or teeth
  8. malocclusion
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12
Q

What are pulpal and periapical diagnosis examples?

A
  1. Inernal reorption
  2. Acute apical abscess
  3. Reversible pulpitis
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13
Q

What is pre-treatment planning at UMKC?

A
  1. Completed Diagnosis
  2. Completed Consults
  3. Discussion with patient about their
    needs and desires.
  4. Discussion with patient about ability to
    finance treatment.
  5. Discussion with faculty at diagnosis
    what can and cannot be accomplished
    in the Pre-doctoral Clinic.
  6. Diagnostic Casts
  7. Completed Work Sheet
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14
Q

Why should you break tx into phases?

A

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

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15
Q
A

Know this

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16
Q

What is phase 1 at UMKC?

A

Systemic phase

17
Q

What is included in the systemic phase?

A
  • Systemic disease referral
  • Medical Consult
  • Premedication Consult
  • Altering /Prescribing Medication
18
Q

What is phase 2 at UMKC?

A

Acute phase

19
Q

What is included in the acute phase?

A
  • Pain
  • Swelling
  • Traumatic Injury
20
Q

What are components of an acute examination?

A
  • 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
21
Q

What are types of acute phase treatment?

A
  1. Avulsed tooth
  2. Fractured tooth
  3. Facial swelling
  4. Pericoronitis
  5. Endo for acute pain - pulp extraction
22
Q

What is the acute phase informed consent?

A

Same requirements as if you were doing comprehensive treatment

23
Q

What are things the pt must be aware about during acute phase informed consent?

A
  1. The diagnosis
  2. All reasonable treatment options, including no treatment
  3. Risk and benefits of each option
  4. The costs of that treatment now and in the future
  5. Informed consent sheets
    * Oral Surgery
    * Endo
    * Perio Surgery
    * Implants
    * Etc…
24
Q

What is phase 3A at UMKC?

A

Disease control

25
Q

What is usually in phase 3A?

A
  • extraction of non restorable teeth
  • scaling and root planing
  • caries control/O&R
  • caries removal and placement of direct restorations
  • endodontics
26
Q

What is O&R used to determine?

A

Restorability of a tooth

27
Q

What is phase 3B at UMKC?

A

Re-evaluation for definitive treatment plan

28
Q

What are phase 3B factors?

A
  • Adherence to home care
  • New lesions present
  • Keeps appointments
  • Financial ability to continue
29
Q

What is phase 4 at UMKC?

A

Restorative tx

30
Q

What is phase 4A,B,C,D,E?

A
  • Phase 4A – Periodontics
    1. Implants
    2. Surgery
  • Phase 4B – Operative Dentistry
  • Phase 4C – Orthodontics
  • Phase 4D – Fixed Prosthodontics
  • Phase 4E – Removable Prosthodontics
31
Q

What is phase 5A at UMKC?

A

Exit exam/post tx assessment/completed pt

32
Q

What is phase 5B at UMKC?

A

Maintenance phase/recall and continuing issues to follow

D2 Fall - Treatment Planning (6 decks)

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