Definitive Treatment

Question 1

Phase 4A – Periodontics #1
* Why address this first in our definitive treatment?

• Do we always do Periodontics first?

Answer 1

Need adequate bone support for prosthodontic
treatment
Foundation for treatment

Question 2

Periodontics is sometimes done after other
treatments are started or finished.
(2)

Answer 2

1. Tissue graft after orthodontics
2. Crown lengthening after starting the prep

Question 3

CROWNS?
* Single crowns are listed in the CDT (coding book for dental
procedures from the ADA) under the …
* Single crowns may or may not need a restorative consult depending
on the …
* Multiple anterior crowns, multiple single crowns in more than one
quadrant, or crowns on patients with occlusal problems require a
— consult.

Answer 3

restorative section, not under
the fixed prosthodontics section.
number and location of the crowns.
prosthontic

Question 4

Operative 4B =

Answer 4

Inlays and Onlays,
Veneers, and Cosmetic Dentistry, and
sometimes direct restorations and
crowns

Question 5

Phase 4C – Orthodontics #1
* Need to complete — before starting
orthodontics
* Sometimes need to approximate — of
anterior teeth
* Can use orthodontics to move —
* Used to move teeth into an advantageous positon
for —.

Answer 5

restorations
incisal edges
gingival margins.
prosthodontics

Question 6

Phase 4E – Removable Prosthetics #1
* Usually the last thing made because it needs to fit the rest of the
restored mouth
(4)

Answer 6

• Removable Partial Dentures
• Removable Complete Dentures
• Also includes Post Treatment Night Guards
• Orthodontic Retainers

Question 7

Phase 5A – Exit Exam #4
* Why do an exit exam?
(3)

Answer 7

• To ensure the patient’s oral health is stable before placing in the recall
  program
• To identify any deficiencies in treatment
• To evaluate the patient’s home care and determine a recall interval

Question 8

Periodontal maintenance
(2)

Answer 8

• Periodontal charting
• Prophy

Question 9

Periodic Exam
(3)

Answer 9

• Look for new caries and dental problems
• Review medical and medication history
• Complete an oral exam and cancer screening

Question 10

Sequencing Care –

Answer 10

• The Practitioner begins by assigning procedures to each phase and then
  sequences the procedures within each phase according to the level of
  problem severity. The “List of Procedures” addresses the patient’s most
  severe problems first and concludes with those of less consequence.

Question 11

• But what if a patient has caries on 18, and broken filling on 19. Do you
  wait for 19 in definitive, or do both in one sitting to minimize patient
  time?

Answer 11

• Cluster Treatment if possible. Always start w ith the most severe first.
  But, if a simple restoration is next to the most severe, you should cluster
  the treatment.