Treatment planning

Question 1

What are the steps taken prior to treatment planning

Answer 1

1. History
2. Examination
3. Special tests
4. Diagnosis
5. Discussion with pt
6. Create treatment plan

Question 2

If a patient has reversible pulpits what might the history of complain sound like

Answer 2

Localised sharp pain set off by a stimulus

Question 3

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

Answer 3

Not localised spontaneous throbbing pain that lasts for an extended period of time
the pain may radiate to other teeth
heat makes pain worse

Question 4

What personal habits can affect a patients teeth

Answer 4

1. Nail biting
2. Chewing pens
3. Occupation
4. If they play sports

Question 5

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

Answer 5

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

Question 6

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

Answer 6

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

Question 7

In how many years does a crown lose its vitality?

Answer 7

8-10 Years

Question 8

List the main stages that thetreatment plan is split into

Answer 8

1. Emergency
2. Stabilisation
3. Corrective therapy
4. Reconstruction

Question 9

What is the aim of emergency treatment

Answer 9

1. Pain relief
2. Restore form and function
3. Referring any suspicious ulcers

Question 10

List treatment we may carry out in the stabilisation phase

Answer 10

1. Prevention
2. OHI
3. Smoking cessation
4. Fluoride
5. Scaling, PMPR
6. Caries stabilisation
7. Removal of teeth with poor prognosis
8. Immediate dentures
9. Endo

Question 11

If a patient comes in with several issues which we one do we tackle first?

Answer 11

Look at the problem that is more extensive

Question 12

Following stabilisation what do you do?

Answer 12

You review the patient checking if they are caries free, are they motivated and if they have a high plaque free score

Question 13

State the longest and shortest recall times

Answer 13

shortest: 3 months
longest: 24 months

Question 14

According to NICE guidelines what is the recommended recall period for a healthy patient?

Answer 14

6 month regular dental check ups

Question 15

Which treatments fall into corrective therapy?

Answer 15

1. Placement of permanent/ definitive restorations
2. Completion of RCT or re RECT
3. Partial and complete dentures
4. Teeth replacement options

Question 16

What habit can stop a patient having dental implants?

Answer 16

Smoking as it reduces the success rate by half so it is not worth putting an implant in a smoker
(you need to be smoking free for 12 months)