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SP 16 - Treatment Planning > Module 3 > Flashcards

Module 3 Flashcards

1
Q

What are the 5 steps in the Treatment Planning Process

A

1) Collecting the information
2) Forming the Diagnosis
3) Formulating the TP
4) Determining the prognosis
5) Presenting the Case

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2
Q

Describe the Diagnosis

A

A condition that requires treatment
Formed from a problem list
Pt always has the option to refuse treatment
Includes factors such as caries, perio disease, location of teeth, missing teeth

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3
Q

What are the four “Phases” of a treatment

A

Phase I - Urgent/Priority Treatment
Phase II - Disease Control
Phase III - Restoration of Function and Esthetics
Phase IV - Recall

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4
Q

Phase I - Urgent Treatment

A

Procedures that eliminate pain and manage infection

Pt’s chief complain should be addressed in this phase - if it can’t be done, explain that to the pt

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5
Q

What procedures are part of Phase I?

A 
Endo 
Oral surgery
Restorative
Periodontics
Pathology
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6
Q

Phase II - Disease Control

A

Procedures that control all disease process
Final Tx plan may not be completed until the end of Phase II
Before moving to phase III, the student and faculty must fill out “Phase II Completed Tx” Form

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7
Q

What are some examples of procedures done during Phase II?

A 
Perio procedures
Management of CC if it wasn't addressed in Phase I
Most oral surgery extractions (like non-restorable teeth or 3rd molar extractions)
Restorative of carious lesions
Endo
Ortho records
Occlusal Analysis
Complex D&T
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8
Q

Phase III - Restoration of Funciton and Esthetics

A

Restore the mouth to full function and esthetics through restorative and prosthodontics procedures
It is important to maintain vertical stops at all times when crowns are involved throughout the dentition

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9
Q

What is done first, Fixed (Crowns) or Removable (RPDs, Dentures) Restorations?

A

Fixed, then removable

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10
Q

What are some examples of procedures done during Phase III?

A 
Post and core
MCC, CVC, ACC
Veneers
FPD, RPD, Dentures
Implants
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11
Q

Phase IV - Recall

A

Check that all procedures have been completed
Make sure no other treatment is needed
(Re-evaluate pt at completion)
Establish follow-up exams and time interval
Must fill out “Completed Treatment Forms” at the end of treatment

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12
Q

What must be signed off before beginning phase III?

A

Phase II Completed Treatment Form

It must be signed off before beginning Phase III

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13
Q

If doing an RPD, what must be done before beginning Phase III of Treatment?

A

Surveying

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14
Q

Crowns opposing one another in a situation with an acceptable occlusal plane and vertical stop should be…

A

Fabricated at the same time

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15
Q

What are the factors that influence treatment plans?

A 
Patient's Health
Patient's Age
Patient's Expectations
Psychological Factors
Existing Dental Conditions
Dentist's Philosophy and Experience
Emergency Treatment
Financial Considerations
Prognosis
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16
Q

How does Patient’s Health influence treatment plans?

A

Prophylactic antibiotics
Limiting the amount of treatment that can be done for each apt
Special appointment times
Patients recovering from heart attack should not be stressed by dental procedures that aren’t urgent
Pregnant pts should be limited to necessary procedures during the 2nd trimester
Terminal pts should have pain eliminated and maintain quality of life

17
Q

How does the pt’s age influence the treatment plan?

A

Age can indicate the pulp chamber size

18 reflects the age when sufficient pulpal shrinkage has occured

18
Q

How do patient’s expectations effect the treatment plan?

A

Financial concerns
Esthetics
Realistic v unrealistic

19
Q

What can form a patient’s expectations?

A

Attitude
Experience
Current Life Situation
Pts own self image

20
Q

How can psychological factors influence the TP?

A

aka the Personality of the Pt

Addressing the pt’s chief complaint first may help establish a good relationship

21
Q

How can existing dental conditions influence the TP?

A

Helps determine the prognosis

22
Q

How can the Dentist’s Philosophy and experience effect the TP?

A

Dentists will most often chose a TP that they have had successful outcomes
As the dentists experiences change, so may the TP

23
Q

How can Emergency Treatment influence the TP?

A

Pt’s who desire “emergency only? care even after discussion of options should be treated quickly to treat the emergency

24
Q

How can Financial Considerations influence the TP?

A

Should not affect the formulation and presentation of the ‘best’ TP as an option
If the ‘best’ is not feasible, modifications can be made to make it less expensive

25
Q

Prognosis

A

The estimation of the likely course of the disease

The long-term outlook of the probable result of treatment

26
Q

What areas are evaluated in the prognosis determination?

A 
Patient Desires and Capabilities
Systemic Health
Status of Supporting Structures
Condition of Teeth
Matching of the TP with the Pts desires
Other individual considerations
27
Q

How can systemic health effect prognosis?

A

May contraindicate certain procedures

28
Q

What things are considered when looking at the status of supporting structures?

A

Crown:Root ratio
Tooth mobility
Current level of Oral Hygiene

29
Q

What are the 4 levels of prognosis

A

Teeth with Stable Prognosis
Teeth with Guarded Prognosis
Teeth with Diminished Prognosis
Teeth with Hopeless Prognosis

30
Q

Stable Prognosis

A

Teeth have no major problems and can be maintained by pt

31
Q

Guarded Prognosis

A

Teeth have problems that may render them poor candidates for indefinite retention but the teeth can be depended on for an adequate length of time to support the TP

32
Q

Diminished Prognosis

A

Teeth have longevities of 1-5 years or are incapable of contributing dependable support for dental appliances
eg 2nd molars with furcation involvement

33
Q

Hopeless Prognosis

A

Teeth cannot be maintained and are indicated for removal

34
Q

What is the importance of alternative treatment plans?

A

Often more than one way to treat a pt

Alternative TPs give the pt options

35
Q

T/F - Assumptions about the pt help make alternative TPs

A

False - In making alternatives, the dentist should not make assumptions about the pt’s commitment or finances
Dentist has an obligation to present TP in the pt’s best interest

SP 16 - Treatment Planning (5 decks)

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