9 - Treatment Planning Phases Flashcards
what phase:
evaluate patient fitness for tx
systemic phase
what phase:
tx of patient cheif complaint (unless purely anesthetic unless patient of record) (if so they will not return until they have another acute complaint
acute phase
what phase:
Completion of treatment initiated in the Acute Phase and/or treatment of large carious lesions with Silver Diamine Fluoride
(SDF) if long intervals between treatments of caries or Radiation Caries anticipated
disease control
what phase:
Oral Surgery (lose the losers, allows healing prior to interim
prosthesis)
disease control
what phase:
Caries Control Phase 1 (D2 and D3 lesions)
disease control
what phase:
Periodontics (Comprehensive Perio Exam) including Initial Periodontal Therapy and initial occlusion evaluation related to Secondary Occlusal Trauma
disease control
what phase:
Caries Control Phase 2 (D1 lesions if not amenable to remineralization therapy or minimally invasive surgical treatment which would also be included in this phase)
disease control
what phase:
Endodontics: asymptomatic teeth or teeth with pulp exposures
from Caries Control Phase 1
disease control
what phase:
Re-evaluation of plaque control and periodontal status
disease control
what phase:
Interim Prostheses
Orthodontics
Occlusion Analysis/TMD Therapy
disease control
what phase:
Periodontal Surgery: Disease not responsive to IPT/implants
Single crowns
Replace missing teeth: fixed first, restore implants second, removable last
Aesthetics
Miscellaneous
definitive phase
what phase:
Prophylaxis or Perio Maintenance: Re-evaluate interval of recall appointments, radiographic evaluation of endodontic therapy/implants
maintenance phase
what are the phases of a treatment plan (per textbook)
- systemic phase
- acute phase
- disease control phase
- definitive phase
- maintenance phase
what are the treatment plan phases (per axium)
- acute phase
- disease control phase
- definitive phase
what phase:
good oral hygiene instructions
disease control
what is the managing of comprehensive dental treatment in the context of patient’s general health
ssystemic phase
what is the rationale for systemic phase
A. Recognize signs and symptoms of undiagnosed disease and physician referral for diagnosis
B. Limit or modify dental treatment depending on findings
C. Prevent in office emergencies: medical consults for ASA class III or IV (see table
5-1 for ASA classifications_
D. Prevent post-op complications resulting from dental treatment
what is the best way to avoid in office emergency
medical history
you must evaluate the relationship between systemic health and ___
dental treatment
are certain procedures indicated to alleviate able to exacerbate systemic disorders?
YES! sometimes not treatment is the best treatment
what is the focus on whole patient with the goal of delivering dental care safely and comfortably?
systemic procedures
A. Postpone or limit treatment if patient has
serious systemic disease
B. Physician consultation - uncontrolled
diabetes, hypertension, etc.
how do complete stress management
Anxiolytics, inhalation analgesia, short appointments
in NE, you can prescribe anxiolytic drug, but what can you not use at same time?
nitrous oxide
what are the anxiolytic drugs that can be used? what are the instructions/dosage?
- Xanax 1 mg. h.s., then 1 tab 1 hour prior to the appointment
- Valium 5 mg. same instructions, but it has a lot longer half-life
- Both require a driver for the patient
