Treatment planning Flashcards
Indications for partial dentures
Aesthetics function Maintain vertical dimension Maintain space Soft-tissue anatomy Speech Patient choice Stabilisation
How are aesthetics likely to indicate partial dentures?
Replacement of anterior teeth
Alveolar resorption
Lip support
Social impact
Benefits of partial dentures
Minimally invasive
Improves function
Stabilises occlusion
Trainer prosthesis
Risks of partial dentures
Increased risk of perio and caries
Trauma from denture components
Reduced patient tolerance
Essential information for partial denture treatment planning
Identify patient concerns History Assessment of oral health Assessment of current dentures Risk factors for oral disease Ongoing care and maintenance
What should you investigate in the history?
Patient complaints
Previous denture wear
Patient factors effecting partial denture treatment planning?
Expectations Age Cognitive capacity Health Nutrition Personality
What should be investigates on examination?
OHA Charting BPE RAG scores Ridges Occlusion Arc of closure
Interdental vs interocclusal
Between teeth
Between occlusal planes
When treatment planning how should you describe edentulous spans?
No. of missing teeth
Location of missing teeth
Condition of alveolus
Condition of the remainign dentition
Challenges of partial denture treatment planning?
Achieving stabilisation with poorly fitting existing partial denture
Patient expectations
Lack fo space for denture
What do you need to consider when designing PD?
What can patient manage
What can dentition resist
What can clinician provide
