Perio test 3 Flashcards
no dental treatment should be initiated until a treatment plan has been established and accepted by the patient
True but except for emergencies
modification to the treatment plan, and unforeseen something happens, and let them know they need a root canal, a crown ect.
They must acknowledge a new treatment plan re-writen and sign it and be ready to go.
what you don’t write down
it didn’t happen
What are the requirements of a treatment plan
teeth to be extracted or retained
pocket therapy technique that will be used surgical an non surgical
need for occlusal therapy before during or pocket therapy
use of dental implants
control phase is to
control active disease/ initial therapy
abscess, occlusal damage, general decay, temporize for crown perio, extraction of hopeless teeth, orthdontal treatment.
definitive treatment usually involves
lab stuff ex crown ext
reevaluation for dentists
complete endodontic treatment occlusion hygiene periotheropy surgical results
in prosthetics you reevaluate
the removal dentures, finalize esthetics,
definitive phase can be described as
corrective, all therapy that restore functions, implants, fixed and removal prosthesis, orthodontics
maintenance phase
reassess all the work that you did
occlusion
completed treatment
patient home care
Periodontal treatment plans by severity
gingivitis
Gingivitis treatment plan involves
just scaling because no bone loss
What is the procedure for gingivitis treatment
med consult if indicated oral hyiene instructions full mouth scale and polish reevaluation 4-6 weeks prophylaxis every 6 months if disease is resolved
what is a med consult example
specific question to another dr. patient will have tooth extracted, advise antibiotic regiment.
chronic period treatment plan
same as before but we are going to scaling and root plaining 1/2 or 1/4 of the mouth
moderate chronic periodontitis
same as before but needs a addition of antimicrobials arrestin after reevaluation
severe chronic periodontitis
same as before for moderate
prognosis aka forecast
forecasting the future of that tooth
diagnostic prognosis
prognosis without treatment
therapeutic prognosis
what perio treatment have on course of disease
prosthetic prognosis
given the anticipated results of periodontal treatment what is the forecast both success oath prosthetic restoration
example of prosthetic prognosis:
Can this tooth last long time and hold on to a partial, it needs to be really good
Provisional prognosis
The prognosis that we have set up but is determined with patients compliance
Overall prognosis have systemic background influences what are some examples
high sugars cancer aids smoker Meth diabetes finances skill levels
prognosis is also effected by
patient attidude availability of maintenance dental history bone loss furcation
overall prognosis for patient history
past perio destruction
rate of perioxontaldisease progression
caries history
Smoking causes a what increase in perio
5-8x
smoking does what
inhibits wound healing, decreases neutrophil increase collegians production constricts blood flow decrease GCF
positive things for stoping smoking
get it from slide
Diabetes will effect the prognosis and the systemic problems
YUP
Untreated moderate to advaned periodonitis
.36 tooth loss per patient
No maintain with perio treatment
.22
Treatment and perio maintance
.11
Overall prognosis for the teeth without very many teeth
can the teeth support no
overal prognosis is not ideal but prob partial or full dental
