Candidate Guide Key Points

Question 1

What sequence should you write your treatment plan?

Answer 1

Acute phase (including chief complaint!)
Disease phase
Definitive Phase

Question 2

If medications are required, the plan must include ____, ____, __________, and the number of _______.

Answer 2

If medications are required, the plan must include drug, dose, directions for use, and the number of refills.

Question 3

If you’re referring to a specialist, what two things must be indicated in your plan?

Answer 3

A diagnosis

Proposed treatment

Question 4

What must be present in the pt’s chart to include restorative procedures on O, L, B, or F surfaces?

Answer 4

You’ll need: obvious cavitation on the photographs and/or radiolucency on radiographs, or tactile evidence listed in the “clinical findings”

Question 5

What types of things/findings must you address in your plan?

Answer 5

Caries
Fractures
Missing teeth
Defective/failing restorations
Infection
Pathology

Question 6

What kind of procedures do you NOT need to specify in your plan?

Answer 6

Bases/Liners
Build-ups
Pins
Posts
Material that you'd use
Oral Hygiene Instructions

Question 7

What 5 criteria are your treatment plans graded on?

Answer 7

1. Treatment modifications (abx prophy, med consult, etc)
2. Is it inclusive?
3. Does it exhibit overtreatment?
4. Sequenced appropriately?
5. Is it concise, organized, and easy to interpret?

Question 8

If there is a critical error in your tx plan, it is an automatic fail. What would be a critical error?

Answer 8

Anything likely to cause life-threatening harm or severe morbidity that requires hospitalization.

Question 9

T or F?

Topical fluoride is automatically included in the definition of dental prophylaxis.

Answer 9

False. If you want fluoride to be applied it must be specifically stated in the tx plan.

Question 10

What findings would require you to plan S/RP?

Answer 10

Teeth having CAL with pocket depths greater than or equal to 5 mm
or greater than or equal to 4 mm with BOP

Question 11

What two things do you need when specifying S/RP?

Answer 11

1. Name the quadrant (i.e. UL)

2. Include the number of teeth in that quadrant (i.e. 1-3 teeth)

Question 12

Define Class 1 furcation involvement.

Answer 12

extending 1.0 - 2.0 mm into the furcation from the most coronal aspect of the furcation

Question 13

Define Class 2 furcation involvement.

Answer 13

extending deeper than 2.0 mm but does not pass through the furcation

Question 14

Define Class 3 furcation involvement.

Answer 14

extending through the entire furcation and out the other side of the tooth

Question 15

Define Class 1 mobility.

Answer 15

Total facial-lingual movement less than 1.0 mm

Question 16

Define Class 2 mobility.

Answer 16

Total facial-lingual movement is 1.0 - 2.0 mm, and without vertical movement.

Question 17

Define Class 3 mobility.

Answer 17

Total facial-lingual movement more than 2.0 mm, and/or movement in a vertical direction.

Question 18

What is the periodontal prognosis for these findings?

slight CAL, no mobility, no furcation involvement

Answer 18

Good Prognosis

Question 19

What is the periodontal prognosis for these findings?

No mobility, no furcation involvement, moderate CAL

Answer 19

Fair Prognosis (because of moderate CAL)

Question 20

What is the periodontal prognosis for these findings?
moderate CAL, class 1 mobility, no furcation involvement

Answer 20

Fair Prognosis (because of mod CAL & mobility)

Question 21

What is the periodontal prognosis for these findings?
poor root form, class 1 furcations, class 2 mobility

Answer 21

Poor Prognosis (because of root form & mobility)

Question 22

What qualifies for Good Periodontal Prognosis?

Answer 22

One or more of the following:
health or slight CAL
good periodontal support
no mobility
no furcation involvement
control of etiological factors

Question 23

What qualifies for Fair Periodontal Prognosis?

Answer 23

One or more of the following:
slight or moderate CAL
class 1 mobility
class 1 furcation involvement
furcation allows proper maintenance at home

Question 24

What qualifies for Poor Periodontal Prognosis?

Answer 24

One or more of the following:
severe CAL w/ poor crown-to-root ratio
poor root form
class 2 furcations not easily cleansable
class 3 furcations
class 2 or 3 mobility
significant root proximity

Question 25

What qualifies for Hopeless Periodontal Prognosis?

Answer 25

One or more of the following:
inadequate attachment to maintain health, comfort, and function
EXT is suggested
Perio therapy (non-surgical and surgical) unlikely to improve the status of tooth/teeth

Question 26

When planning an RPD, what two things must be included in the plan?

Answer 26

1. teet being replaced

2. rests

Question 27

T or F?

You should specify in your written tx plan which procedure is addressing the pt’s CC.

Answer 27

True, specifying will ensure the grader knows you are addressing the chief complaint

Question 28

A radiolucent lesion seen on a tooth must break the ___ before you can prescribe a restoration.

Answer 28

Must break the DEJ!

Anything less treat with fluoride or other chemicals