Referral and Tx Planning

Question 1

Approach tx planning?

Answer 1

1. Hx and examination
2. Preliminary investigation
3. Differential diagnosis
4. Specific investigation
5. Definitive diagnosis
6. Tx

Question 2

What preliminary data do we Leeds?

Answer 2

Pt demographics

Name, address, DOB, telephone number

Question 3

What should be included in tx planning?

Answer 3

PC
MH
DH - attitudes/ attendance/ previous tx
SH - smoking/ alcohol/ occupation/ stress/ family

Question 4

What included EO screen?

Answer 4

Symmetry
Muscles
Glands
TMJ

Question 5

What included IO screen?

Answer 5

Soft tissue, teeth, periodontium

Question 6

What can be included in special investigations?

Answer 6

Radiograph

Vitality

Question 7

Difference between active and inactive problems?

Answer 7

Active - one will be addressed within present tx plan

Inactive - variance from norm which needs to be monitored

Question 8

What factors should be considered when explaining tx options?

Answer 8

Longevity, cost, invasiveness, success rate, possible complications, tx time, no. visits, influence QoL

Question 9

Ideal sequence tx plan?

Answer 9

1. Relief of pain/ emergency
2. Cause-related therapy - OHI
3. Reassessment
4. Basic corrective care
5. Reassessment
6. Reconstructive therapy
7. Recall and maintenance

Question 10

What to include in referral?

Answer 10

Ensure addressee info
Who letter from 
Date of later
Pt detail: name, DOB, contact info, hospital no
Brief and clear summary problem 
MH/SH - relevant 
GP contacts/ telephone