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Treatment Planning > Preliminary Treatment > Flashcards

Preliminary Treatment Flashcards

1
Q

The primary 6 steps of treatment planning:

A
  1. Patient Information: data collection evaluation, and development of diagnosis
  2. Development of problem list
  3. Phasing of treatment in the treatment plan
  4. Sequencing the procedures with the phases
  5. Case development: Reviewing multiple cases and developing treatment plans
  6. Informed consent
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2
Q

The phasing of treatment in the treatment plan includes: (5)

A
  1. Systemic phase- managing patients physical health
  2. Acute phase- urgent treatment needs
  3. Disease control- dental caries, initial therapy for periodontal disease, oral infections & pathology
  4. Definitive phases- core of treatment plan
  5. Maintenance: preserve oral health and develop long-term relationship with patient
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3
Q

Managing the patients physical health is involved in what phase of treatment planning?

A

Systemic phase

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4
Q

The patients urgent treatment needs is involved in what phase of treatment planning?

A

acute phase

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5
Q

Dental caries, initial therapy for periodontal disease, oral infections and pathology are involved in what phase of treatment planning?

A

Disease control

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6
Q

The core of treatment plan is involved in what phase of treatment planning?

A

definitive phase

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7
Q

Preserving oral health and developing long-term relationships with patients is involved in what phase of treatment planning?

A

Maintenance

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8
Q

Precise scientific terms used to described variation from normal:

A

diagnosis

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9
Q

Why should you create a list of diagnosis or problems?

A
  1. better organization
  2. professional competency
  3. patient education
  4. insurance reimbursement
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10
Q

When should you get all consults?

A

Get all consults BEFORE treatment planning

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11
Q

How should you treatment plan in advanced/difficult cases where some procedures must be done to determine what is even possible?

A

preliminary treatment plan

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12
Q

What should you bring to the treatment planning appointment?

A
  1. study models
  2. worksheets
  3. patient record
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13
Q

Required to plan any fixed prosthodontics treatment, extensive operative and any removable partial dentures?

A

study models

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14
Q

Pre-treatment planning at UMKC includes: (7)

A
  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-doc clinic
  6. diagnostic casts
  7. completed work sheet
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15
Q

Why break treatment planning into phases?

A

As a way to structure rethinking process and to have definitive times when treatment is re-evaluated before going onto the next phase of treatment

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16
Q

What are the preliminary treatment phases at UMKC? (1-3B)

A

phase 1: systemic phase
phase 2: acute phase
phase 3A: disease control
phase 3B: re-evaluation

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17
Q

Preliminary treatment at UMKC includes what phases (just the numbers)

A

Phase 1, Phase 2, Phase 3A, Phase 3B

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18
Q

What are the (2nd category)treatment phases at UMKC?

A

Phase 4A: Periodontics
Phase 4B: Operative
Phase 4C: Ortho
Phase 4D: Fixed prosthodontics

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19
Q

What are the definitive treatment phases at UMKC?

A

Phase 4E: Removable prosthodontics
Phase 5A: Exit exam/complete patient
Phase 5B: Maintenance phase

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20
Q

-re-evaluation
- ortho
- maintenance phase
- periodontics
- acute phase
- systemic phase
- fixed prosthodontics
- operative
- removable prosthodontics
- disease control
- exit exam/complete patient

Put these phases in order:

A

Phase 1: Systemic phase
Phase 2: Acute phase
Phase 3A: Disease control
Phase 3B: Re-evaluation

Phase 4A: Periodontics
Phase 4B: Operative
Phase 4C: Orthodontics
Phase 4D: Fixed prosthodontics

Phase 4E: Removable prosthodontics
Phase 5A: Exit Exam/completed patient
Phase 5B: Maintenance phase

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21
Q

What is phase 1 of treatment planning at UMKC?

A

Systemic phase

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22
Q

What is involved in the phase 1: systemic phase?

A
  • systemic disease referral
  • med consult
  • premedication consult
  • altering/prescribing meds
23
Q

What is phase 2 of treatment planning at UMKC?

A

Acute phase

24
Q

What is involved in phase 2: acute phase?

A
  • pain
  • swelling
  • traumatic injury
25
Q

What are components of an acute examination?

A
  1. cc
  2. health status
  3. oral cancer screening
  4. vital signs
  5. area of chief concern
  6. contiguous tissues
  7. necessary radiographs
26
Q

An avulsed tooth would be addressed in what phase of treatment planning?

A

acute phase treatment

27
Q

A fractured tooth would be addressed in what phase of treatment planning?

A

acute phase treatment

28
Q

facial swelling would be addressed in what phase of treatment planning?

A

acute phase treatment

29
Q

Traumatic injury and/or pain associated with individual teeth area treated in what phase?

A

acute phase treatment

30
Q

Periodontal and other soft-tissue pain is addressed in what phase?

A

acute phase treatment

31
Q

Acute phase informed consent means the patient must be fully aware of:

A
  1. the diagnosis
  2. all reasonable treatment option, including no treatment
  3. risk and benefits of each option
  4. the costs of that treatment now and in the future
32
Q

Phase 3A:

A

disease control

33
Q

Why do we do a preliminary treatment plan

A
  1. to control disease in patient
  2. to help plan for the definitive treatment
  3. to stabilize the patients oral health
34
Q

Phase 3A (disease control) usually occurs in what sequence?

A
  1. extraction of hopeless and O&R (open and report)
  2. scaling and root planing
  3. caries control
35
Q

Extraction of non-restorable teeth occurs in what phase of treatment?

A

Phase 3A (disease control)

36
Q

Periodontics #1 occurs in what phase of treatment planning?

A

Phase 3A (disease control)

37
Q

Scaling and root planing occur in what phase of treatment planning?

A

Phase 3A (disease control)

38
Q

O and R (open and report) is used to determine _____ and is evaluated in what phase?

A

restorability of a tooth; phase 3A

39
Q

Caries control/ O&R is evaluated in:

A

Phase 3A

40
Q

Endodontics is evaluated during what phase of treatment planning?

A

phase 3A (disease control)

41
Q

What is phase 3B of treatment planning?

A

Re-evaluation for definitive treatment plan

42
Q

Re-evaluation for definitive treatment plan =

A

phase 3B

43
Q

Factors to consider during the re-evaluation phase (3B) include:

A
  • adherence to home care
  • new lesions present
  • keeps appointments
  • financial ability to continue
44
Q

What are the phases in the PRELIMINARY treatment plan?

A

Phase 1: systemic treatment/consults
Phase 2: acute treatment
Phase 3A: disease control
Phase 3B: re-evaluation

45
Q
  • 70 year old female
  • history of hypertension control 140/72
  • medications: pravastatin & eliquis
  • CC: wants regular dental checkups
A

Preliminary treatment plan

46
Q

Phase 4 of treatment planning:

A

Definitive treatment plan

47
Q

Phase 4- definitive treatment plan include:

A

restorative treatment

48
Q

What sub-phases are included in phase 4 (definitive treatment plan)

A

4A: periodontics (1. implants & 2. surgery)
4B: operative dentistry
4C: orthodontics
4D: fixed prosthodontics
4E: removable prosthodontics

49
Q

Phase 5- definitive treatment plan includes:

A

restorative treatment

50
Q

Phase 5- definitive treatment plan sub-phases are:

A

Phase 5A: exit exam/post treatment assessment/ completed patient

Phase 5B: maintenance phase/recall and continuing issues to follow

51
Q

PRELIMINARY TREATMENT is mainly concerned with:

A

disease control

52
Q

DEFINITIVE TREATMENT is mainly concerned with:

A

restorative/prosthodontic dentistry (restoring function & esthetics)

53
Q
A

Treatment Planning (7 decks)

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