Lecture 1 Flashcards
general definiition of tx planning
an organized approach to patient therapy
if we are not doing comperehensive tx plannign then what are we doing
reactive tx
general defintion / what encompasses comprehensive tx planning?
resolving all of the dental problems the patient presents with in a logical, sequential fashion, where benefits of the proposed tx outweigh the risks
general for why tx plan
give vision
legal reasons- discuss the options and alterntive options with patient - get the consent
provide dental team with guidance / information
three things that funnel into the tx plan
- prognosis
- patient factors
- provider factors
general list of what encompasses the assessment phase
- interview - medical, dental, and social history
- hard and soft tissue examination
- radiographs
- occlusion
- what are the problems
- what caused them - relationships
- consultations - for the purpose of obtaining information
steps in treatment planning
- interview
- medical and dental history
- examination and data collection
- analysis and diagnosis
- solution and prognosis
- plan development
- patient consent
- execution of the plan
risk factors are associated with what step in tx planning
the analysis and diagnosis
-
problem list associated with what step
analysis and diagnosis
ways we can determine the best solution?
- predictable solutions
- experience
- literature / education
- mentorship
these must occur BEFORE treatment begins
predictable therapy means
doing those things that will maximize your ability to be successful
main definitions of stabalization
treatments to stop the progression of disease
treatments that are foundations for definitive care
Fibonaccuia number?
portion of width to length 62-78% – ‘golden proprtions’
Root canal post and core and crown which are stabilizatin?
CROWN – only part that is defintive
informed consent is not just a legal obligation …
- it is a patients RIGHT
- it is good patient EDUCATION
- builds trust in the doctor / patient RELATIONSHIP
Consent requires we answer what questions?
- what specific problems do I have?
- what treatment options are availabel?
- what results can I expect from each option?
- what happens if no treatment is performed?
- what is my risk for ongoing or new disease?
first two components of sequencing usually
- emergency / urgent care / chief complaint
2. strategic teeth / strategic arch
strategic teeth / strategic arch
canines
first molar
- supportive
lower = strategic
after urgent care / chief complaint then what? *
3-8
- teeth / problems deemed severe
- caries control – stop progression (does not have to be made with defintive tx like crown right away)
- periodontal disease
- remove hopeless teeth
- stabalize occlusion / maintian/ create vertical stops
- defintitive / end therapies
what encompases evaluation of rendered care and maintenance
How well did I do at achieving the goals set?
How will I keep the patient out of future trouble?
