Candidate Guide Key Points Flashcards
Understand and memorize key terms and rule that are listed in the candidate guide.
What sequence should you write your treatment plan?
Acute phase (including chief complaint!)
Disease phase
Definitive Phase
If medications are required, the plan must include ____, ____, __________, and the number of _______.
If medications are required, the plan must include drug, dose, directions for use, and the number of refills.
If you’re referring to a specialist, what two things must be indicated in your plan?
A diagnosis
Proposed treatment
What must be present in the pt’s chart to include restorative procedures on O, L, B, or F surfaces?
You’ll need: obvious cavitation on the photographs and/or radiolucency on radiographs, or tactile evidence listed in the “clinical findings”
What types of things/findings must you address in your plan?
Caries Fractures Missing teeth Defective/failing restorations Infection Pathology
What kind of procedures do you NOT need to specify in your plan?
Bases/Liners Build-ups Pins Posts Material that you'd use Oral Hygiene Instructions
What 5 criteria are your treatment plans graded on?
- Treatment modifications (abx prophy, med consult, etc)
- Is it inclusive?
- Does it exhibit overtreatment?
- Sequenced appropriately?
- Is it concise, organized, and easy to interpret?
If there is a critical error in your tx plan, it is an automatic fail. What would be a critical error?
Anything likely to cause life-threatening harm or severe morbidity that requires hospitalization.
T or F?
Topical fluoride is automatically included in the definition of dental prophylaxis.
False. If you want fluoride to be applied it must be specifically stated in the tx plan.
What findings would require you to plan S/RP?
Teeth having CAL with pocket depths greater than or equal to 5 mm
or greater than or equal to 4 mm with BOP
What two things do you need when specifying S/RP?
- Name the quadrant (i.e. UL)
2. Include the number of teeth in that quadrant (i.e. 1-3 teeth)
Define Class 1 furcation involvement.
extending 1.0 - 2.0 mm into the furcation from the most coronal aspect of the furcation
Define Class 2 furcation involvement.
extending deeper than 2.0 mm but does not pass through the furcation
Define Class 3 furcation involvement.
extending through the entire furcation and out the other side of the tooth
Define Class 1 mobility.
Total facial-lingual movement less than 1.0 mm
Define Class 2 mobility.
Total facial-lingual movement is 1.0 - 2.0 mm, and without vertical movement.
Define Class 3 mobility.
Total facial-lingual movement more than 2.0 mm, and/or movement in a vertical direction.
What is the periodontal prognosis for these findings?
slight CAL, no mobility, no furcation involvement
Good Prognosis
What is the periodontal prognosis for these findings?
No mobility, no furcation involvement, moderate CAL
Fair Prognosis (because of moderate CAL)
What is the periodontal prognosis for these findings? moderate CAL, class 1 mobility, no furcation involvement
Fair Prognosis (because of mod CAL & mobility)
What is the periodontal prognosis for these findings? poor root form, class 1 furcations, class 2 mobility
Poor Prognosis (because of root form & mobility)
What qualifies for Good Periodontal Prognosis?
One or more of the following: health or slight CAL good periodontal support no mobility no furcation involvement control of etiological factors
What qualifies for Fair Periodontal Prognosis?
One or more of the following: slight or moderate CAL class 1 mobility class 1 furcation involvement furcation allows proper maintenance at home
What qualifies for Poor Periodontal Prognosis?
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
What qualifies for Hopeless Periodontal Prognosis?
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
When planning an RPD, what two things must be included in the plan?
- teet being replaced
2. rests
T or F?
You should specify in your written tx plan which procedure is addressing the pt’s CC.
True, specifying will ensure the grader knows you are addressing the chief complaint
A radiolucent lesion seen on a tooth must break the ___ before you can prescribe a restoration.
Must break the DEJ!
Anything less treat with fluoride or other chemicals