Chapter 3: Treatment Plan Flashcards
Important considerations of the treatment plan?
- the main pathology must always be found and treated
- eliminate the existing disease and prevent new dieases
- take into account the social background of the patient
- consider the results of previous treatment
Sequence of the treatment plan?
- Medical and dental history
- Clinical examination
- Diagnostic tests
- Interpretation of data
- Physical, social, and mental conditions
- Record the treatment plan
A written treatment plan allows:
- to prepare the budget quickly and without the intervention of the dentist
- to prepare the right materials for each intervention, saving time and effort
- to arrange appointments for patients by assigning them the necessary time in the most appropriate moment of the working day
- to improve performance of the dentist and assistants with a logical schedule and no surprises
4 phases of planning are?
- Determine state of oral health, present the treatment plan, informed consent
- Prophylaxis
- Restorative treatment
- Preventive
Law 41/2002:
on the autonomy of the patient and the rights and obligations with regard to clinical information and documentation.
“Free, voluntary, and conscious compliance of a patient, manifested in the complete use of his faculties, after receiving the adequate information so that an action that affects his health can take place.”
Objective: to strengthen the right to health protection.
Limits of informed consent?
- not necessary, only if:
The patient refuses to be informed
Non intervention poses risk to public health
Situations of serious immediate risk to the physical or mental integrity of the patient
2nd phase: prophylaxis:
• Evaluate the brushing technique. Observe the brushing of the child and determine the rate of
brushing.
• Oral hygiene techniques.
• Professional dental cleaning with a rotating brush and prophylaxis paste.
• Fluoride topical application.
• Provide the printed diet form to filled out by the patient.
3rd phase: restorative treatment: treatment sequence:
- The work must be done by sextants or quadrants.
- Always start with the simplest quadrant.
- Don’t begin with extraction (if possible).
- The last visit should be easy.
- Alternate easy and difficult appointments.
In central appointments?
- the hardest
- longer procedures
- troncular anaesthesia
- difficult procedures , pulpotomies, apexification, extractions
Primary atraumatic restorative treatment?
• Indicated in very young children who have extensive and/or large lesions of caries:
Slows caries temporarily.
Avoid losing the child’s confidence..
Not a definitive treatment
Specific restorative treatment?
• The goal in this phase is to restore teeth and occlusion until an appropriate level of health is
reached.
• This phase includes operatory, prosthetic, and orthodontic considerations.
• By quadrants, so anaesthesia and isolation will be maximised.
• Start with the upper jaw since anaesthesia is less bothersome.
• In the following visits—> more complex restorations.
• Last visit—> simple, so that the child has a good experience
Topical application of fluoride every ?
6 months
We start from the most ____ tooth to the most ____
Distal to mesial
1st visit:
• Anamnesis.
• Examination.
• Radiographies—>bitewing and panoramic.
• Motivation.
• Diet sheet.
2nd visit:
• Plaque and gingival index.
• Impressions for study models.
• Brushing techniques, dental floss.
• Presentation of the treatment plan. (Signed by the dentist and parents).
• Informed consent. (Signed by the dentist and parents).
