Phases of Tx Planning-Pafford Flashcards
1
Q
What are the different Phases of Tx Planning?
A
- Phase 0=Systemic
- Phase 1=Acute
- Phase 2=Diseases control
- Phase 3=Definitive
- Phase 4=Maintenance
2
Q
Phase 0
A
- Systemic
- patient’s health hx
- any procedure to manage the psych before and during tx
3
Q
Phase 0 Examples
A
- Consult health professionals
- Antibiotic Prophylaxis
- Stress and fear management
- Meds and products (latex) to avoid
- Precautions to deliver tx safely, effectively, and positively
4
Q
Phase 1
A
- Acute phase
- resolve symptomatic, emergent problems
- Usually before comp tx plan is created
- limited field of view
- not considering holistic plan
5
Q
Acute Phase Examples
A
- Extractions
- Endo therapy for symptomatic teeth
- initial perio therapy
- especially to continue and verify exam
- Place provisional or permanent restoration
- repair prosthesis
6
Q
Phase 2
A
- Disease Control
- Goal:
- control active oral disease and infection
- stop occlusal and esthetic deterioration
- manage risk factors that cause oral problems
- Most people
- control dental caries and arrest perio disease BEFORE deciding how to rebuild/replace teeth
- Goal:
7
Q
Disease Control Examples
A
- oral hygiene instruction
- SRP or prophylaxis
- caries risk assessment and prevention
- Endo tx for asymptomatic teeth
- Extraction of hopeless asymptomatic teeth
- Operative tx:
- eradicate caries
- resolve disease process
- Perio surgery (if needed)
8
Q
In what cases are the disease control phase very valuable?
A
- Disease Control Phase
- uncertain disease severity
- multiple tx options
- assess commitment and compliance
9
Q
How is the success or failure of phase 2 evaluated?
A
- post-treatment assessment before definitive treatments
- patient may enter holding period and not start definitive phase if:
- uncontrolled dental disease
- pt wants to limit treatment
10
Q
Phase 3
A
- Definitive Treatment
- rehab oral condition
- procedures that improve:
- appearance
- function
11
Q
Examples of Definitive Phase
A
- Ortho Treatment
- Occlusal therapy
- Oral surgery
- elective extractions
- preprosthetic surgery
- orthographic surgery
- Elective (nonacute) endo
- Single indirect tooth restorations
- fixed prosthodontics
- Replacement of missing teeth
- fixed or removable prosth
- includes implants
- Cosmetic/esthetic procedures
- composite bonding
- veneers
- bleaching
12
Q
Phase 4
A
- Maintenance
- Goal:
- establish custom plan w/a specific time to:
- periodically re-eval
- provide supportive care
- reflect pt’s chief concern and journey to achieve health
- establish custom plan w/a specific time to:
- More than just a “check-up every 6 months”
- it’s a highly personalized plan that strives to maintain the patient in optimum oral health
- Goal:
13
Q
Examples of Maintenance Phase
A
- Periodic Exams
- Perio Maintenance Tx
- Fl application
- Oral hygiene instruction
14
Q
The sequence of a Tx plan
A
- Sequence should not change if effective tx planning techniques were completed
- challenge: pt has many interrelated problems and tx needs
- Patient modifiers
- influence the sequence
- finances, insurance, availability, risk factors, chief complaint
15
Q
Guidelines for Sequencing
A
- Address the chief concern ASAP
- if can’t be physically done, educate the pt why and how it will be completed
- Eliminate infection ASAP
- eliminate potential sources of infection early
- Most severe concerns first→Quadrant Dentistry
- largest lesions before small lesions
- Carious Lesions before defective restorations
- Defective restoration causing period disease before others
- Disease control before Definitive
- Do NOT sequence in tooth # order
