L3- Concept of Phased and Sequenced Therapy Flashcards
organizational philosophy of therapy
steps
- assessment
- stabalize
- definitive / final tx
- evaluation of rendered care / maintenance
describe assessment? are you performing tx
only if emergency
- emergency
- diagnostic - problem list
stabalize?
disease contorl / stabilization / CRA
re-evaluation
when re-eveluate
AT EVERY STEP – to be sure achieving goals
disease is under control when
during definitve and final treatment
outcomes asseement?
evaluation of rendered care / maintenance
what encompasses emergency?
acute treatment – symptomatic problems resolved
what encomposes diagnostic?
- data collectin
- diagnostic procedures- determines all issues / problems
- consults
- problem list
- determine risk for disease – risk assessment
in general terms stabilization is what
disease control
major / most procedures under stabalization are?
OHI
occlusion and support for it - transitional appliances
initial periodontal therapy - SRP- prophy
- adjunctive perio therapy like grafting, implant therapy, etc
caries control
endodontic therapy
orthodontic care
oral surgery and extraction
prognosis may still be altered for?
- the plan
- a tooth
- a treatment
do not confuse caries control with?
definitive treatment
describe definitive / final treatment
- rehabilitation of the oral codition
- restoration of the stomataganathix complex
- restoration of dentition and edentulous spaces to form and function
- crowns
- fixed partial dentures
- removable full and partial dentures
- implant supported/ retained restorations
part of implant and implant restoration that is definitive
the implant supported / retained restoration — not the implant itself
at what stage is the treatment part over
when in evaluation and maintenance phase / step
What makes a radiograph diagnostic
seeing the DISTAL of the canine and BONE LEVEL in the BW
roots captured in the PA
observations that must be made
lip line
hard and soft tissue anatomy
tissue biotypes / gingival harmony
symmetry / assymetry
spacing and tooth position
lip support
tongue position
aesthetics
thin tissue biotypes has increased risk for
recession
see through with restorations
implant placement has to be more palatal
screw retained vs cement retained
thick tissue biotype increased risk for
scarring
define dental harmony
balance of FUNCTIONAL , AESTHETIC, AND BIOLOGIC HARMONY of the dental system
gingival harmony?
influenced by soft and hard tissue changes – so take this into consideration when planning
open bite can be caused by? in terms of occlusion
patients with degenerative TMJ condylar disc disease
width to length portion of crown considered aesthetic
62% to 78%
like next tooth compared to the max central
lower lip follows?
incisal edges of the anterior teeth on the bottom and is a guide for the maxillary anteiror regions
quote that follows with assessment
“i can not fix what I can not see or know about!”
