The Tx Plan Flashcards
the tx plan is developed after what?
clinical exam
radiographic exam
diagnosis
prognosis
what’s the goal of immediate (phase I) of tx?
resolution of infection/inflammation (e.g. pt education, OHI, disease prevention, caries control, ext’s, pathology)
what’s the goal of intermediate (phase II and III) of tx?
reconstruction of health, function, aesthetics, longevity (e.g. endo, perio surgery, ortho, prosth)
what’s the goal of long-term (phase IV) of tx?
maintenance of health (e.g. OHI, disease prevention, perio maint)
T/F due to how the tx plan will change, you can make the tx plan as you go through tx
False. do not begin tx until a tx plan is complete
what’s in the preliminary phase?
emergencies
ext of hopeless teeth
when do you ext first?
pain
function is painful
acute abscess risk
when do you ext after initial perio therapy?
tooth maintains post. occlusal stops
ant. esthetic area
perio surgery is planned on adjacent tooth (ext at same time as perio. surgery)
scenario: tx plan includes the following
-mand PRDP
-RCT #30
-surveyed crown #30
-scaling and root planing
what is the proper tx sequence?
1) RCT #30
2) scaling and root planing
3) 1-month perio re0eval
4) surveyed crown #30
5) mand PRDP
what are the risks of retaining hopeless teeth?
-perio disease is a risk factor for life-threatening diseases (stroke, CVD, diabetes)
-it is not feasible to place restorations on teeth with untreated perio disease
-may compromise adjacent teeth
with regeneration what structures will hopefully be renewed?
PDL fibers
alveolar bone
CT fibers
cementum
the ______ is the source of regeneration
PDL
what cells are present in the PDL to help with regeneration?
pluripotent stem cells
why do we wait 1 month to check perio?
complete healing takes at least 4 weeks
formation of long junctional epithelium starts _________ after therapy
1 week
epithelium grows at a rate of ________ mm per day
0.5 mm
with repair the body will be healing by ______
scar
T/F with repair there is no gain in attachment or bone
true
what is reattachment
healing of healthy gingiva to the root (not affected by disease) (e.g. surgical ext, using cord)
what’s the most common local factor deterrent to healing?
plaque
what are systemic factors that affect healing of periodontium
age
generalized infections
diabetes
nutritional deficiencies
glucocorticoids
do the case example from the ppt
good job
