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P2 > DIAGNOSIS AND TREATMENT PLANNING > Flashcards

DIAGNOSIS AND TREATMENT PLANNING Flashcards

1
Q

TREATMENT PLANNING
→ this includes four distinct processes:

A

(1) Understand the patient’s desires or chief concerns and
complaints regarding their condition

(2) Ascertain the patient’s dental needs through a diagnostic clinical exam

(3) Develop a treatment plan that reflects the best
management of the desires and needs of the patient

(4) Execution of the treatment with planned follow up

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2
Q

there are two main reasons a patient will book an appointment:

A

o an abnormality that requires correction

o to maintain optimum oral health

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3
Q

PATIENT INTERVIEW

the dentist should follow a sequence that includes:

A

o assessment of the chief complaint and its history

o conducting a general medical history review

o conducting a dental history review

o seeking to understand the patient’s expectations

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4
Q

Concise statement describing the symptom, problem, condition, diagnosis, physician-recommended return, or other reason for a medical encounter

A. THE CHIEF COMPLAINT
B. MEDICAL HISTORY
C. DENTAL HISTORY REVIEW
D. understand the patient’s expectations

A

A

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5
Q

it is preferably presented as a quote in the patient’s own words; for example, “my teeth hurt”

A. THE CHIEF COMPLAINT
B. MEDICAL HISTORY
C. DENTAL HISTORY REVIEW
D. understand the patient’s expectations

A

A

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6
Q

acts as a guideline for where the dentists attention should be focused but also indicates the priorities of the patient

A. THE CHIEF COMPLAINT
B. MEDICAL HISTORY
C. DENTAL HISTORY REVIEW
D. understand the patient’s expectations

A

A

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7
Q

helps to identify conditions relevant to the patient’s dental health which may or may not be directly related to an oral cause
→ these conditions may also have an impact on how treatment is carried out

A. THE CHIEF COMPLAINT
B. MEDICAL HISTORY
C. DENTAL HISTORY REVIEW
D. understand the patient’s expectations

A

B

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8
Q

→ information about certain medical conditions such as diabetes, epilepsy, allergies or heart disease could be vital if a medical emergency occurs in the dental practice

→ the type and number of medications prescribed to the patient may also dictate modifications to procedure or provide etiological insight

A. THE CHIEF COMPLAINT
B. MEDICAL HISTORY
C. DENTAL HISTORY REVIEW
D. understand the patient’s expectations

A

B

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9
Q

allows the dentist to act as an early detector of diseases in patients that may not have a regular physician

A. THE CHIEF COMPLAINT
B. MEDICAL HISTORY
C. DENTAL HISTORY REVIEW
D. understand the patient’s expectations

A

B

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10
Q

recommended to contain open-ended questions that encourage the patient to elaborate on potential issues

A. THE CHIEF COMPLAINT
B. MEDICAL HISTORY
C. DENTAL HISTORY REVIEW
D. understand the patient’s expectations

A

C

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11
Q

T/ F

a thorough dental history can aid significantly in treatment
planning, case selection, and ultimately malpractice defense

A

T

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12
Q

T/ F

the American Dental Association follows the Center for Disease Control and Prevention recommendations regarding infection control procedures

A

T

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13
Q

for an infection based problem to occur, a “_____ ” must be present

A

chain of infection

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14
Q

for an infection based problem to occur, a “chain of infection” must be present; this includes:

A

o a susceptible host

o a pathogen with sufficient infectivity and numbers to cause infection

o a portal through which the pathogen may enter the host

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15
Q

T/F

sharp items should be placed in puncture resistant containers before being disposed in plastic bags

A

T

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16
Q

objectives of any prosthodontic treatment are:

A

o the elimination of the disease state

o the preservation, restoration, and maintenance of the health of the remaining teeth and oral tissues

o the selected replacement of lost teeth for the purpose of
restoration of function

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17
Q

clinical examination usually requires two appointments:

the first includes a preliminary oral examination, prophylaxis, full-mouth radiographs, ____, and ___

the second appointment includes mounting of the ___, a definitive oral evaluation, review of the radiographs to —— and correlate with clinical findings and arrangement of additional consultations

A

diagnostic casts, mounting records

diagnostic casts, augment

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18
Q

oral examination should be accomplished in the ff.: sequence:

A

(1) Visual examination
(2) The relief of pain and application of temporary
restorations
(3) Taking of radiographs
4) Periodontal treatment to remove potentially obstructive calculus and to evaluate the periodontium
(5) Assessment of the number of remaining teeth, their spacing and the distance of spaces from each other
(6) Vitality tests on individual teeth
(7) Impressions of each arch

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19
Q

an essential part of patient diagnosis and treatment planning

A

DIAGNOSTIC CASTS

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20
Q

T/f

the tray should be sufficiently oversized to ensure an
optimum thickness of impression material to prevent
distortion or tearing on removal from the mout

A

T

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21
Q

T/f

the cast is usually made of dental stone due to its strength and it is less easily abraded than is dental plaster
(die stones are not used for diagnostic casts due to their cost)

A

T

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22
Q

the diagnostic cast should include the:

A

o accurate occlusal plane relationship

o the residual ridge contour, size, and mucosal consistency

o the oral anatomy delineating the vestibules, retromolar pads, pterygomaxillary notch, hard and/or soft palatal
junction, floor of the mouth, and frena

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23
Q

T/f

diagnostic casts permit a view of the occlusion from the lingual and buccal aspects

A

T

24
Q

diagnostic casts provide a ____ survey of the dental arch that is to be restored when examined with a dental surveyor

o ____ proximal tooth surfaces to serve as guiding planes

o retentive and non-retentive areas of the abutment tooth

o areas of interference to placement and removal

o esthetic effects of the selected path of insertion

A

topographic, parallel

25
Q

casts can be used to educate the patient

A

o show evidence of tooth migration

o show loss of occlusal support and its consequences

o show hazards of traumatic occlusal contacts

o show cariogenic and periodontal implications of further
neglect

26
Q

T/f

diagnostic casts may be used as a constant reference point

A

T

27
Q

T/f

unaltered diagnostic casts should become a permanent part of
the patient’s record because records of conditions existing before treatment are just as important as preoperative radiographs

A

T

28
Q

T/ f

MOUNTING DIAGNOSTIC CASTS

→ if the patient present with a harmonious occlusion and the edentulous span is a tooth-bound space, simple hand articulation is generally all that is required

A

T

29
Q

T/f

MOUNTING DIAGNOSTIC CASTS

if the occlusion is not harmonious, this means placement of the maxillary cast in a position relative to the opening axis on the articulator, which is similar to the maxilla’s position to the TMJ of the patient

A

T

30
Q

mandibular cast is then placed beneath the maxillary cast in a horizontal position dictated by mandibular rotation without tooth contact, at a minimal vertical opening

A

MOUNTING DIAGNOSTIC CASTS

31
Q

SEQUENCE OF MOUNTING THE CASTS ON THE ARTICULATOR

Identify the anterior and posterior reference points for the face bow

A

1

32
Q

SEQUENCE OF MOUNTING THE CASTS ON THE ARTICULATOR

Prepare the bite fork and occlusion rim

A

2

33
Q

SEQUENCE OF MOUNTING THE CASTS ON THE ARTICULATOR

Place the bite fork centered to the arch, indexing it to the
teeth with wax or elastomer

A

3

34
Q

SEQUENCE OF MOUNTING THE CASTS ON THE ARTICULATOR

Place the facebow over the bite fork rod anteriorly

A

4

35
Q

SEQUENCE OF MOUNTING THE CASTS ON THE ARTICULATOR

Place the bow evenly into the ears posteriorly

A

5

36
Q

SEQUENCE OF MOUNTING THE CASTS ON THE ARTICULATOR

Secure the bow anteriorly

A

6

37
Q

SEQUENCE OF MOUNTING THE CASTS ON THE ARTICULATOR

Position the bow anteriorly to the third point of reference to
establish the horizontal plane

A

7

38
Q

SEQUENCE OF MOUNTING THE CASTS ON THE ARTICULATOR

Secure the bite fork vertical rod, then horizontal rod

A

8

39
Q

SEQUENCE OF MOUNTING THE CASTS ON THE ARTICULATOR

Release bow anteriorly to allow spread and disengage from the ears

A

9

40
Q

SEQUENCE OF MOUNTING THE CASTS ON THE ARTICULATOR

Remove the fork downward and out of the mouth

A

10

41
Q

SEQUENCE OF MOUNTING THE CASTS ON THE ARTICULATOR

Carefully check the security of the attachments

A

11

42
Q

when most natural centric stops are missing

A

Centric Relation

43
Q

T/f

most RPDs should be set in centric relation because tipping and drifting of teeth is to be expected prior to fabrication

A

T

44
Q

if most natural posterior teeth remain and there is no evidence of TMJ disorders, neuromuscular dysfunction, or periodontal disturbances related to occlusal factors

A

Maximum Intercuspation

45
Q

when diagnostic casts are hand related by ______ for purposes of mounting to an articulator, it is essential that three (preferably four) positive contacts of opposing posterior teeth are present, having a wide spread molar contact on each side of the arch

A

maximum intercuspation

46
Q

cheap and simple to use but is also most prone to error

A

Wax

47
Q

can be used with opposing natural teeth

A

Modeling Plastic

48
Q

has the advantage of being very soft when introduced to the mouth

A

Quick-Setting Impression Plaster

49
Q

requires a gauze mesh on a metal frame for strength

A

Metallic Oxide Bite Registration Paste

50
Q

the information gathered in the patient interview and clinical examination provides the basis for establishing whether treatment is indicated and which treatment options should be
discussed with the patient

A

DIAGNOSTIC FINDINGS

51
Q

when it is felt that general medical health of the patient is being neglected, patients should be strongly encouraged to seek a general medical examination; in this way, the dentist can act as an early detection point for potentially serious medical conditions

A

DIAGNOSTIC FINDINGS

52
Q

medications which result in dry mouth should be discussed with the patient’s physician; these can, not only contribute to increase pathogenicity and propensity for periodontal disease, but also reduce the prognosis of the prosthesis

A

DIAGNOSTIC FINDINGS

53
Q

for the patient that has had previous experience with some form of prosthesis, the patient interview provides additional information that can impact treatment decisions

A

DIAGNOSTIC FINDINGS

54
Q

T/F

VAILABLE TOOTH SUPPORT
→ it is important to judge whether the teeth and their respective periodontium can favorably respond to the demands of a prosthesis

A

T

55
Q

T/F

VAILABLE TOOTH SUPPORT
→ it is important to judge whether the teeth and their respective periodontium can favorably respond to the demands of a prosthesis

A

T

56
Q

A law calculates the surface area of the periodontium and relates it to the load that needs to be carried

A

Ante’s law

P2 (6 decks)

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