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BDS3 Prosthodontics - RPD > History, examination, diagnosis and Tx Plan > Flashcards

History, examination, diagnosis and Tx Plan Flashcards

1
Q

Why is it important to take a history for denture pt? (general)

A

a route map to diagnosis

85% of info for the diagnosis obtained from history taking

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2
Q

If a pt required tooth extractions, what drug would promote bleeding?

A

anticoagulant

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3
Q

Why is it important to take a medical history?

A
  • protect pt and team
  • whole patient care
  • identify allergies and take precautions
  • identify medically compromised at risk and take precautions and/or refer to specialist e.g. radiotherapy
  • plan strategies by identifying those requiring investigations and/or medical support –> multi-disciplinary-team management
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4
Q

If a patient is medically compromised, what is a scale to use?

A

1-4

1&2: easily treated at GDP

3&4: referred to specialist care team

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5
Q

Pt undergoing radiotherapy seen by who?

A

multi-disciplinary-team management

GP
oncologist
general dentist
dentist in special care
surgeon

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6
Q

What are things to recommend/Tx plan for a pt undergoing radiotherapy?

A
  • plaque control
    diet advise
    high fluoride toothpaste (duraphat 5000ppm)
    saliva substitute
    regular review

interact with GP, oncologist, surgeon etc

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7
Q

What do you do if a pt undergoing radiotherapy requires dentures or is wearing dentures?

A

postpone giving dentures

ask them to stop wearing their dentures

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8
Q

What can happen to pts gums undergoing radiotherapy

A

mucositis - inflammation of the mucosa, the mucous membranes that line your mouth and your entire gastrointestinal tract.

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9
Q

What are examples of medications which can cause xerostomia?

A

antidepressants, anti-hypertensives

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10
Q

What are examples of drugs which cause gingival overgrowth?

A

certain antihypertensives

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11
Q

What are example of PC with regards to dentures?

A
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12
Q

Questions to ask for history of PC?

A

has the denture always been unsuccessful or has something happened

Has any adjustments been done before? If so, did it make a difference

Questions to ask:

  • when did you start wearing the denture
  • how any sets f dentures have you had? did you fid one better than the others?
  • has the denture been worn successfully ever? - may be related to fundamental flaws in the design and construction or pat related problems
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13
Q

What is the significance of past dental history?

A
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14
Q

Do you need to get a balance between pt expectations and what the actual problem is?

A

yes

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15
Q

What is the significance of the social and family history?

A
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16
Q

Before clinical exam, do you ask the patient what their goals are?

A

yes, this mixed with the history. you can start to map a tx plan

just need to look clinically

17
Q

During the extra-oral exam, what are you looking out for?

A

also look at smile line lip competency

18
Q

During intra-oral exam, what are you looking for?

A
19
Q

With regards to the actual shape of the teeth, what are you noting?

A
20
Q

After observing the physical attributes of the teeth, what do you do in the physical examination? (I/O)

A
21
Q

What are special investigations you could do of the teeth?

A
22
Q

What is the classification of edentulous jaws class I to class VI?

A
23
Q

What do you call the scale for edentulous jaws?

A

Cawood and Howell classification

24
Q

Class I

A

dentate

25
Q

class II

A

immediately post-extraction

26
Q

class III

A

well-rounded ridge form, adequate in height and width

27
Q

class IV

A

knife-edge ridge form, adequate in height and inadequate width

28
Q

class V

A

flat ridge form, inadequate in height and width

29
Q

class VI

A

depressed ridge form, with some basilar loss evident

30
Q

In order to create a treatment plan, what info do you need?

A

all relevant info… not necessarily all at same visit

special investigations - sensibility testing, radiographs, photographs, articulated study casts

31
Q

What is the immediate care?

A
32
Q

What is involved in informed consent?

A

all options

advantages/disadvantages of each

prognosis: if you don’t get treatment what can happen

33
Q
A

A

34
Q

What are the goals for treatment outcome?

A
35
Q

What is something to avoid when it come to treatment planning?

A

avoid heroic maintenance of a tooth / tooth presenting with a set of a pathologic conditions that are beyond the scope of predictable treatment

36
Q

Why is it sometimes best to just extract the tooth?

A

may lead to undesirable consequences such as failure in function, aesthetics, comfort, and/or extension of infection to craniofacial anatomic spaces

might have to start the denture again

37
Q

What is a summary of the factors and variables affecting treatment decisions?

A
38
Q

What should treatment planning always be?

A

evidence based clinical practice

journals and articles for evidence

BDS3 Prosthodontics - RPD (17 decks)

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