Treatment Planning Flashcards
Describe how to take a presenting complaint from a patient
- Asking open questions
- “What is your main concern?”
- “Why are you here today?”
- Allow the patient to use their own words
Give 3 examples of questions which can be used to get the history of a presenting complaint
- “When did it start?”
- “Is it getting worse, better or just the same?”
- “Have you had this problem before?”
Describe good steps to take an appropriate previous medical history
- Be systematic
- Use proforma chart
- Update regularly
- Use the BNF to look up medications and check interactions etc.
Describe good components of taking a previous dental history
- Regular / irregular attender
- Motivation
- Oral hygeine measures
- Can the patient commit to a course of treatment
- Assess anxiety, past experiences, attendance and expectations
Describe components of taking a social history
- Age
- Occupation
- Marital status
- Smoker
- Alcohol
Give an overview of a clinical examination
- Extraoral examination
- Intraoral examination
- Teeth and periodontal assessment
- Occlusion, mobility, loss of attachment and toothwear
Name 4 examples of special investigations
- Vitality tests
- TTP
- Radiographs
- Study models / Diagnostic wax ups
What is diagnosis?
The determination of the nature of a diseased condition by careful investigation of its symptoms and history
What is diagnosis?
The determination of the nature of a diseased condition by careful investigation of its symptoms and history
Describe the components of reaching a diagnosis
- Need a good history and examination
- Need to understand how different diseases present
- Appropriate special investigations and reporting
What are the best treatment plans?
Normally the simplest intervention that adequately meets the needs, wants and abilities of the patient
What is the stabilisation phase of treatment?
- Acute conditions (control pain first priority)
- Prevention of further disease
- Extractions
- Non surgical periodontal treatment
- Restoration of carious teeth / failing restorations
- Preliminary endodontics
- Provisional prostheses
Describe reassessment of a patient
- Usually patient dependent (6/12 months)
- Periodontal review usually sooner
- Return to stabilisation or progress to definitive phase
- Dependant on treatment responses and patient factors
Describe reassessment of a patient
- Usually patient dependent (6/12 months)
- Periodontal review usually sooner
- Return to stabilisation or progress to definitive phase
- Dependant on treatment responses and patient factors
