Individualised Treatment Planning

Question 1

Explain as a clinician, what you should consider and complete prior to seating your patient

Answer 1

Prior to seating the patient, three things should occur:

1. Review patient file or record
2. Get your patient and conduct TOP
3. Create a treatment plan with a focus on short term and long term goals to halt disease progression and maintain health. Set measurable outcomes e.g. lower API and SBI scores

Question 2

Identify the phases of care and briefly describe each one

Answer 2

Systemic:
Medical history. Important as a precaution, informs about allergies and how treatment might need to be modified and increases awareness towards potential emergencies.

Control:
Addressing chief complaint to relieve pain, stabilise infection/ disease or identifying when a referral needs to be made.

Conservation:
Obtain diet, dental and soial Hx. Perform E/O and I/O and give OHI. Conduct API, SPI and PSR exams, take radiographs and give an AAP classification. Come up with a treatment plan.

Post- conservation:

• 6 week review: assess response to care and review OHI/ smoking status
• 3 month review: conduct perio chart to see if second course of care is needed

Correction: refer to restore function, stability and aesthetics

Maintenance:
Review with perio chart and exploration. Re-instrument bleeding sites and polish/ fluoride as required.