Final; Treatment Planning Flashcards
What are the three things that a treatment plan depends on (and requires)
data collection
diagnosis
prognosis
What are the short term goals of a treatment plan
bring back to a state of health
eliminate infectious and inflammatory processes
What are the long term goals of a treatment plan
reconstruction of healthy dentition that meets functional and esthetic needs
What are six treatment goals
pain control reduction/resolution of gingival inflammation reduction of probing depths elimination of open furcations satisfactory function and esthetics control of risk factors
What would be indicative of reduction of gingival inflammation
ideally <10% of sites BOP
What are the ideal probing depths
≤4mm
what are three things that can be utilized to control risk factors
proper plaque control
smoking cessation
proper control of diabetes
This phase of therapy eliminates or decreases the influence of systemic conditions and protects from infectious hazards
systemic phase
This phase of therapy is cause-related therapy, involves the removal of hard and soft deposits and retentive factors, it is concluded by re-evaluation and OHI, emergency treatment like extractions and antibiotic therapy
initial (hygiene) phase
This phase of therapy involves perio surgery, implant surgery, endo, restorative, and prosthetic therapy plus is influenced by patient cooperation
corrective phase
This phase of therapy involves the prevention of re-infection and recurrence, assessment of sites, and caries control
maintenance phase
What occurs in the systemic phase of therapy
- review of med history, family history, meds, etc.
- lab screening tests
- medical consultation if needed
- identification/modulation of risk factors
- assess the need for stress-reduction
What occurs in the initial phase of therapy
- emergency treatment if necessary
- patient education and OHI
- occlusal analysis and treatment of trauma
- bacterial sampling
- dental consultations
- extractions of hopeless teeth
- SRP
- antibiotic therapy
What four things are important to the re-evaluation phase of initial therapy
- re-assess prognosis
- re-asses need for consultation and tests
- assessment of risk factor modulation
- patient motivation
What occurs during the corrective phase of therapy
periodontal surgery
other aspects like implants, endo, restorative, etc.