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Treatment Planning > Diagnosis & Treatment Planning > Flashcards

Diagnosis & Treatment Planning Flashcards

1
Q

What are assumptions of treatment planning?

A

-best dentistry=least dentistry
-always do what is in the best interest of patient
-make sure patient understands treatment
-make sure patient can take care of treatment

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2
Q

What is a treatment plan?

A

The sequential guide for the patient’s care as determined

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3
Q

Things that needs to be done before treatment planning:

A

-chief complaint
-med history
-dental history
-radiographs
-head, neck, and oral cancer exam
-perio exam
-hard tissue exam
-occlusal exam
-diagnostic exam
-consults if needed

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4
Q

What is a chief complaint?

A
  • a subjective statement made by a patient describing the most significant or serious symptoms or signs of illness or dysfunction that caused him or her to seek dental care
    *always written in the patients own words
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5
Q

types of dental chief complaints:

A

-fractured tooth
-pain/swelling
-exudate/bleeding
-cosmetic
-teeth cleaning

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6
Q

medical history:

A

an account of all medical events and problems a person has experienced
*important tool in the management of the patient

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7
Q

what are we looking for in med history?

A

-chronic conditions
-acute conditions

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8
Q

examples of chronic conditions:

A

-diabetes
-high blood pressure
-high cholesterol
-thyroid conditions
-heart conditions
-liver conditions
-kidney conditions
-neurological/mental health conditions
-lung conditions
-auto immune diseases
-cancer
-HIV
-etc…

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9
Q

examples of acute conditions:

A

-Bell’s Palsy
-cold
-flu
-covid
-upper resp. infection
-trauma
-appendicitis
-ear infections
-etc…

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10
Q

Which are you more likely to see in the dental practice: acute or chronic conditions?

A

chronic

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11
Q

dental history:

A

written documentation of a patients oral health covering all particulars of disease and therapy

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12
Q

Should you ask close-ended questions?

A

most of the time no but sometimes it is necessary to direct the patient

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13
Q

examples of dental close-ended questions:

A

-are you in pain?
-did you want your teeth cleaned?
-do you want a partial to replace these teeth?
-are you in good health?
-do you take any medications?

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14
Q

examples of dental open-ended questions:

A

-how did you lose your tooth?
-tell me about your last dental visit.
-what brought you in today?
-why did you decide against a root canal?
-what is hurting you today?

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15
Q

What radiographs would you take for an edentulous patient?

A

panoramic

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16
Q

What radiographs would you take for a partially edentulous patient? (less than 10 teeth)

A

panoramic and PAs of remaining teeth

17
Q

What radiographs would you take for a dentulous patient (no significant history of dental disease)?

A

panoramic and 2-4 BWs, isolated PAs

18
Q

What radiographs would you take for a dentulous patient (history of dental disease)?

A

FMX

19
Q

What radiographs would you take for a dentulous patient (history of dental disease, third molars)?

A

FMX and panoramic

20
Q

oral cancer screening:

A

an examination performed by a dentist or doctor to look for signs of cancer or precancerous conditions in your mouth

21
Q

What is the goal of oral cancer screening?

A

identify mouth cancer early, when there is a greater chance for a cure

22
Q

What are the diagnostic tools for an oral exam?

A

VELScope
brush biopsy

23
Q

periodontal exam:

A

examination of teeth and dental implants to evaluate the topography of the gingiva and related structures

24
Q

What are the goals of a periodontal exam?

A
  • measure probing depths, the width of keratinized tissue, gingival recession, and attachment level
  • to evaluate the health of the subgingival area with measures such as bleeding on probing and suppuration
  • to assess clinical furcation status;
    and to detect endodontic periodontal lesions.
  • Assessment of the presence, degree, and/or distribution of plaque/biofilm, calculus, and gingival inflammation
25
Q

what is evaluated during the hard tissue exam?

A

-previous dental work
-positional conditions
-diagnostic conditions
-endodontic conditions

26
Q

What are examples of positional conditions of hard tissue?

A
  • Rotated Teeth, Tipped Teeth, etc
27
Q

What are examples of diagnostic conditions of hard tissue?

A
  • Caries, Defective restorations, Occlusal Wear, Abfractions/Erosions, etc.
28
Q

What are examples of endodontic conditions?

A
  • Periapical Abscess, Symptomatic tooth, Sinus Tract, etc
29
Q

What are the general parts of an occlusal exam?

A
  • Orthodontic Classification
  • Occlusal Interferences
  • Centric Relation
30
Q

What is an occlusal interference?

A
  • Any tooth contact that inhibits the remaining occluding surfaces from achieving stable and harmonious contacts
31
Q

What are the three signs of instability?

A
  1. Hypermobility of teeth not related to Periodontal disease.
  2. Excessive Wear
  3. Change in tooth position
32
Q

What are the five signs of stability?

A
  1. Tempromandibular joints are healthy and stable
  2. All teeth are firm
  3. No excessive wear
  4. All teeth have stayed in their present position
  5. Supporting Structures are healthy
33
Q

What are the five requirements for stability?

A
  1. Stable TMJ
  2. Anterior guidance in harmony with mandibular function
  3. Non interfering posterior teeth
  4. All teeth in vertical harmony with contraction of elevator muscles.
  5. All teeth in horizontal harmony with the neutral zone.
34
Q

How do you know if there are no interfereing posterior teeth?

A
  1. Equal intensity contacts in Centric Relation Occlusion (CRO) or Centric Occlusion (CO)
  2. Posterior disclusion when condyles leave Centric Relation
35
Q

What is the neutral zone?

A

Neutral zone definition is the area where the forces exerted by the tongue are balanced by the forces exerted by the musculature of the cheek and lips.

36
Q

When should casts be mounted using a facebow?

A

for extensive (3 units or more) crown and bridge work and for removable partial dentures.

37
Q

When is a custom guide table required?

A

anterior crowns, FPDs and/or veneers

38
Q

When should you get a consult from a specialist?

A
  • Periodontal Disease
  • Removable Prosthodontic Treatment
  • Fixed Prosthodontic Treatment (but not single crowns)
  • Oral Lesion
  • Oral Surgery for Multiple Extractions

Treatment Planning (1 decks)

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