Indirect Restorations and Treatment Planning Flashcards
What is fixed prosthodontics?
The branch of prosthodontics concerned with the replacement and/or restoration of teeth by
artificial substitutes that are not readily removed from the mouth. Its focus is to restore function, aesthetics and comfort.
Can range from single tooth restoration or replacement to a highly complex restoration
involving all the teeth in the entire arch
What are the objectives of treatment planning?
Enhancing predictability of the overall treatment
Enhancing efficiency of the treatment (time and cost)
Allowing for logical and systematic treatment sequence
Prioritizing patient’s needs
Treating the total health of the patient
Satisfying the dentist and the patient
Minimizing patient discomfort
What are the phases of the treatment plan?
Emergency phase
Control phase
Holding phase
Reconstructive phase
Maintenance phase
What are the treatment steps?
- History taking and initial examination
- Collecting diagnostic information
- Diagnosis and treatment planning
- Active treatment phases
- Follow-up and maintenance
What should be taken with history?
- Reason for visit PC.
- History of the present complaint
- Personal information
- Medical history
- Attitude and expectations
- Dental history: Periodontal, restorative, endodontic, orthodontic, removable, prosthodontics, oral surgery, and TMJ history
What is examined in extraoral examination?
Head and neck
TMJ and mouth opening
Muscles of mastication
Facial and peri-oral tissues
How common is an average smile line?
75 - 100% display maxillary incisors seen in 70% of the population
Different levels of posterior teeth exposure
How common is a low smile line?
20% of the population
How common is a high smile line?
10% of the population
What is examined in the intraoral examination?
Oral cleanliness
Periodontal condition: Support, gingival health, gingival biotype, attached gingiva, mobility, furcation involvement, recession, plaque and calculus deposition.
Dental condition: Morphology, existing restorations, restorability of the tooth, presence of active disease (Caries + NCTSL)
Occlusal condition
Edentulous areas (Location and extent of edentulous areas and nature of supporting areas.
Prostheses: Cleanliness and maintenance, fit and occlusion, mechanical condition, associated pathological features.
What must be ensured before rehabilitive treatment can be undertaken?
Ideal periodontal condition is mandatory before any rehabilitive treatment
What are the features of occlusal condition that are observed in an intraoral examination?
Skeletal and dental relationship
Continuity and regularity of the arches
Missing teeth
Drifting and tilting of teeth
Overeruption of unopposed teeth
Rotation of teeth
Static relationship: Overbite, overjet, posterior teeth support, centric relation and maximal relation, intercuspation coincidence.
Dynamic relationship: Lateral guidance, protrusive guidance, workign side interferences, non-workign side interferences
Evidence of pathological occlusion: Parafunction, bruxism, fremitus (Mobility of teeth during lateral excursion), presence and extent of wear facets
What happens during control and reconstructive phase?
Mouth preparation:
Bringing the mouth tissues to optimum health (dental procedures that need to be accomplished before fixed prosthodontic can be properly undertaken)
Motivate patients to improve their oral conditions
What should be done during treatment planning?
Identify patient needs (aesthetic and function)
Understand what you are trying to achieve
Know the basic principles
That knowledge can be applied to any novel situation
Any plan should be biologically ideal and compatible to the patient
A little planning can save you a lot of trouble
What is done during the emergency and control phases?
Stabilization: control of disease by prevention and elimination.
Primary care: Emergency care and urgent care
Secondary care: Prevention, management of non-threatening oral diseases, and therapy evaluation
