Dx and TX planning

Question 1

Comprehensive exam 4

Answer 1

• Radiographs interpretation
• Existing Conditions
• Periodontal findings
• Endo testing prn

Question 2

Tx Plans 5

Answer 2

• Urgent Care
• Disease Control
• Re-evaluation and advanced tx plan
• Definitive tx
• Case completion/ Exit exam/ Maintenance

Question 3

Phase 1

Answer 3

Urgent and emergency care

Oral dx work up and xrays

Question 4

Phase 2

Answer 4

• Disease control
  
  • Endo therapy
  • Operative
  • Oral surgery
  • Perio therapy
    
    • Perio recall following perio disease control eval

Question 5

Phase 3

Answer 5

Re-evaluatin of phase 1 and 2 tx

Retreatment plan

Question 6

Phase 4

Answer 6

Definitive tx

Fixed prosth, removable prosth, impants etc

Question 7

Phase 5

Answer 7

Case complete and exit examination

Question 8

Emergency and urgent care

Answer 8

• Emergency
  
  • Immediate attention for health reasons
  • Severe dental pain
  • Swelling
  • Systemic infection
  • Trauma to face and jaws
• Urgent
  
  • Not for health reasons
  • Mild-moderate pain
  • Asymptomatic broken tooth
  • Lost restoration
  • Esthetic problems

Question 9

Disease Control

Answer 9

• Stabilize oral healthprior to making final decision on tx plan
• Eliminate
  
  • Active disease and infection
  • Occlusal, functional, and esthetic deterioration
  • Risk factors for future disease
• Caries control
• Periodontal disease- defective resto, occlusal trauma
• Pulpal and periapical disease- reversible and irreversible pulpitis
• TMD
• Occlusal disharmony

Question 10

Caries Control

Answer 10

• Plaque elimination
  
  • Prophylaxis
  • OHI
• Fluoride exposure
  
  • gel or varnish
• Limit refined carbs and acid
• Restore carious lesion with direct fill provisional or definitive restorations

Question 11

Re-evaluation and Advanced tx plan

Answer 11

• Re-eval anything questionable
• Deep caries needing endo
• Crowns over unanticipated endo
• Definitive restorations on deep caries not needing endo
• Crown lengthening or eval restorability on questionable crowns/restorations
• Re-evaluate replacing edentulous sites if major changes occure in arch

Question 12

Definitive 6

Answer 12

• Ortho or orthognathic surgery
• Occlusal therapy
• Cosmetic dental procedures
• Elective endo
• Extractions and pre-prosthodontic surgery
• Replacement of missing teeth

Question 13

Case complete/exit exam

Answer 13

• Follow up exam to verify no recurrent pathology or new caries
• Verify that all treatment has been completed and that result is satisfactory