Preliminary Treatment

Question 1

skipped
Creating a list of diagnosis or problems - Why???
(4)

Answer 1

1. Better Organization
2. Professional Competence
3. Patient Education
4. Insurance Reimbursement

Question 2

Pre-Treatment Planning at
UMKC
(7)

Answer 2

1. Completed Diagnosis
2. Completed Consults
3. Discussion with patient about their needs and desires.
4. Discussion with patient about ability to finance treatment.
5. Discussion with faculty at diagnosis what can and cannot be
   accomplished in the Pre-doctoral Clinic.
6. Diagnostic Casts
7. Completed Work Sheet

Question 3

Why break treatment into
phases?

Answer 3

Treatment is broken into phases as a way to structure the thinking
process and to have definitive times when treatment is re-evaluated
before going on to the next phase of treatment

Question 4

*Phase 1 =
*Phase 2 =
*Phase 3A =
*Phase 3B =

Answer 4

Systemic Phase
Acute Phase
Disease Control
Re-evaluation

Question 5

Phase 4A =

Answer 5

Periodontics
* Implants
* Surgery

Question 6

Phase 4B =

Answer 6

Operative
* Inlays/Onlays/Single Crowns

Question 7

*Phase 4C =
*Phase 4D =

Answer 7

Orthodontics
Fixed Prosthodontics

Question 8

*Phase 4E =
*Phase 5A =
*Phase 5B =

Answer 8

Removable Prosthodontics
Exit Exam/Completed Patient
Maintenance Phase

Question 9

DEFINITIVE TREATMENT

Answer 9

4A
4B
4C
4D
4E
5A
5B

Question 10

PRELIMINARY TREATMENT

Answer 10

1
2
3A
3B

Question 11

*Phase 1 (UMKC) = SYSTEMIC PHASE
(4)

Answer 11

• Systemic disease referral
• Medical Consult
• Premedication Consult
• Altering /Prescribing Medication

Question 12

Phase 2 (UMKC) = ACUTE PHASE
(3)

Answer 12

• Pain
• Swelling
• Traumatic Injury

Question 13

skipped
Components of an Acute Examination

Answer 13

• Chief Complaint
• Health Status
• Oral Cancer Screening
• Vital Signs
• Area of Chief Concern
• Contiguous Tissues
• Necessary Radiographs
• Informed Consent for any treatment
• Plan for Follow Up

Question 14

ACUTE PHASE INFORMED
CONSENT
Same requirements as if you were doing
comprehensive treatment
The patient must be fully aware:
(4)

Answer 14

1. The diagnosis
2. All reasonable treatment options, including no treatment
3. Risk and benefits of each option
4. The costs of that treatment now and in the future

Question 15

PRELIMINARY TREATMENT
PLAN
*WHY?
(3)

Answer 15

*To control disease in patient.
*To help plan for the definitive
treatment.
*To stabilize the patient’s oral health

Question 16

Phase 3A (UMKC) = DISEASE CONTROL
Usually in this sequence:

Answer 16

• Extraction of Hopeless Teeth and O&R (Open and Report)
• Scaling and Root Planing
• Caries Control
• Removal of Caries and placement Direct Restorations
• Endodontics

Question 17

PHASE 3B FACTORS
Factors to consider during the re-evaluation phase
(4)

Answer 17

• Adherence to home care
• New lesions present
• Keeps appointments
• Financial ability to continue