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2ND YR- CSA- Treatment planning > Treatment Planning 1 > Flashcards

Treatment Planning 1 Flashcards

1
Q

List the features of a good treatment plan

A
  1. Logical series of steps
  2. Takes many factors into account
  3. It is realistic
  4. It is deliverable
  5. It has been agreed with the patient (considering timings and cost)
  6. It is followed carefully
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2
Q

What are the steps taken prior to deciding a treatment plan?

A
  1. Take history
  2. Perform and examination
  3. Do any special tests
  4. Reach a diagnosis
  5. Discuss options with patients
  6. Create a treatment plan
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3
Q

What do you have to note down when taking a history?

A
  1. Patients complaint of
  2. History of the presenting complaint
  3. Past dental history
  4. social history
  5. Medical history
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4
Q

What complaints might a patient come in with?

A
  1. Pain
  2. Aesthetics
  3. Function
  4. Caries
  5. Mix of multiple factors
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5
Q

What questions should you ask when noting down the history of the complaint a patient has come in with?

A
  1. Site of problem
  2. Onset character
  3. Radiation
  4. Associated factors
  5. How long the problem has affected them
  6. Severity
  7. Relieving factors
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6
Q

If a patient has reversible pulpitis what might the history of complaint look like?

A

Localised sharp pain set off my a stimulus

Only lasts for a short period of time and goes away when the stimulus is removed

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7
Q

If a patient has irreversible pulpitis what might the history of complaint look like?

A

Not localised spontaneous throbbing pain that lasts fro a long time
The pain radiates to other teeth and heat makes the pain worse

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8
Q

What would you note down when looking at the patients past dental history?

A
  1. Attendance
  2. Previous dental treatment
  3. Have they ever had LA
    .4 Their oral hygiene regimen
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9
Q

What questions might you ask when talking to the patients about their oral hygiene regime?

A
  1. How often do you brush and for how long
  2. Do you use fluoride toothpaste
  3. Do you use interdental aids
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10
Q

What factors must we consider when carrying out a social history?

A
  1. Smoking, alcohol & diet (SAD)
  2. Personal habits
  3. Clenching, grinding
  4. Stress
  5. Occupation
  6. Availability for appointments
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11
Q

What questions do we ask patients that smoke?

A
  1. How long they’ve been smoking
  2. How much they smoke
  3. Do they want to quit
  4. What they smoke
  5. Previous history of smoking
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12
Q

What questions do we ask to patients who drink?

A
  1. How much they drink
  2. WHat they drink
    3 The frequency (everyday , just the weekend)
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13
Q

When talking about a patients diet what are we looking for?

A
  1. Frequency of sugar consumption

2. Frequency of Acid attacks

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14
Q

What personal habits can affect a patients teeth?

A
  1. Nail biting
  2. Chewing pens
  3. Their occupation may affect their teeth
  4. If they play sports
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15
Q

How can a patients lifestyle affect their teeth?

A
  1. Working hours
  2. Are they retired
    3 Do they have a stressful job
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16
Q

Generally what do we want to know after we have completed a history taking

A
  1. Is the patient fit and well
  2. Is the patients undergoing any treatment
  3. Have they ever been hospitalised
  4. Are they taking any medication
  5. Do they have any alllergies
17
Q

When do we need to update a patients medical history?

A

Every time a patient comes in ask f their medical history has changed

18
Q

Name key medical conditions that may have a direct effect to dentistry

A
  1. Heart problems
  2. Asthma
  3. High blood pressure
  4. Gastric problems
  5. Bulimia
  6. Diabetes
19
Q

Name some medications that can lead to xerostomia

A
  1. Polypharmacy
  2. Radiotherapy
20
Q

Name some conditions that can lead to xerostomia

A
  1. Sjogren syndrome
  2. Diabetes
  3. Cancer (due to radiotherapy)
21
Q

What do we do when carrying out an oral examination?

A
  1. Extra oral exam
  2. Dental charting
  3. Basic periodontal exam (BPE)
  4. Patients occlusion
22
Q

What do we look at when carrying out an extra oral exam

A
  1. Lymph nodes
  2. Symmetry of the face
  3. Any extra oral swellings
  4. Look at the TMJ
23
Q

What do we look at when carrying out an intra oral exam

A
  1. Had and soft tissues
  2. Tongue
  3. Look for ulcers and abscesses
  4. Check behind the lips
  5. Check patients smile line
24
Q

Give examples of different types of special tests used in dentistry

A
  1. Vitality test

2. Xrays

25
Q

What can we use to check the vitality of a tooth?

A
  1. Electronic pulp testing machine

2. Ethyl chroide

26
Q

In how many years does a crown lose its vitality?

A

8-10 years

27
Q

When you’ve reached a diagnosis what do you do?

A
  1. Present the patient with treatment options

2. Make a treatment plan

28
Q

List the main stages that thetreatment plan is split into

A
  1. Emergency
  2. Stabilisation (case related therapy )
  3. Corrective therapy
  4. Reconstruction
29
Q

What isthmus aim of the emergency phase?

A
  1. Pain relief
  2. Restore form/ function
  3. Referring suspicious ulcers
30
Q

What is the aim go case related therapy?

A

To establish a healthy oral environment

31
Q

List treatment we may carry out in the stabilisation phase

A
  1. Preventive advice
  2. OHI
  3. Smoking cessation advice
  4. Plaque free score
    5 Fluoride advice
  5. Scaling
  6. Removal of calculus
  7. RSD
    9 Diet advice
32
Q

What technique do we advice the patients to use the brushing their teeth?

A

The modified brass technique

33
Q

What does the toolkit say about fluoride?

A
  1. Should use a fluoride toothpaste twice daily
  2. It is 14% more effective when used time daily than once
  3. Spit toothpaste done since
34
Q

What do aim for when you are giving diet advice?

A

Minor modifications

Patient slowly tries to reduce the frequency of sugar

35
Q

Which types of patients would we give diet advice to?

A
  1. High caries risk patients

2. Patents with tooth erosion/wear

36
Q

How do we help cater diet advice to the patients individual habits?

A

By using a diet sheet

37
Q

How does diet sheet work?

A

Patient needs t filll in the the, amount and thing of everything thy eat and drink for 3 days
Thy must include one weekend day

38
Q

Why is a diet sheet sometimes ineffective.?

A

As it demands high patient co operation and honesty

2ND YR- CSA- Treatment planning (5 decks)

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