Treatment Planning Flashcards
What are the 3 Stages of the Treatment Plan?
- initial therapy/stabilisation
- corrective therapy
- supportive/maintenance therapy
What part of the appointment do you find out the patients risk factors?
in the history and examination
What’s are the steps you take with a new patient?
history and examination
diagnosis
determine a prognosis
construct a treatment plan
perform treatment
initial therapy
corrective therapy
supportive therapy
recall
what should you avoid using when communicating with patients?
dental/medical jargon
what shouldn’t you be when talking to patients?
vague or patronising
how should you begin your discussion with a patient?
positively and talk with them chair side
what is the purpose of initial therapy?
- eliminate infectious and inflammatory processes
- bring oral cavity to health
what procedures come under initial therapy?
periodontal procedures
endodontics
extractions
in initial therapy, how many you control plaque infections?
OHI
smoking cessation
scaling and RSD
arrange extraction/endo/restore/denture
monitor the response to treatment
how many weeks after do you monitor the response after initial therapy?
at least 6 weeks but usually 8-12
after initial therapy, what do you check for when monitoring/reviewing? (8)
plaque levels
BPE
diet
suppuration
any furcation
recession
mobility
patient compliance
when can you move onto corrective therapy?
only when you’re positive that initial therapy has worked
- when plaque score is high standard
- inflammation has resolved - BOP
- there is response to initial therapy
- disease is stabilised
what is the aim of corrective therapy?
to restore function
provide stable occlusion
restore aesthetics
why can initial therapy fail?
- systemic factors
- host factors - motivation, smoking, compliance
- microbial factors
- inadequate instrumentation
what may you find if initial therapy has failed?
- BOP
- pockets
- calculus
- ineffective oral hygiene regime
- ineffective instrumentation
during corrective therapy, how may you restore function and aesthetics?
- replace missing teeth - crown, bridge, implant, dentures
- periodontal surgery
- endo surgery
- orthodontics
- RCT
- definitive restorative therapy
only when can orthodontic treatment be done?
when periodontal tissues = healthy
- RSD completed
- pocket depth less than 3mm
in corrective therapy, how can ortho treatment aid function?
if molars are tilted
traumatic overbite
drifting anterior teeth
open bites
lip seal
in corrective therapy, how can restorative treatment aid function?
mastication
load distribution
protect tooth structure
maintain tooth alignment
maintain horizontal and vertical jaw relationship
what is the purpose of root filling?
to avoid extraction
eliminate pulpal disease
how can ortho aid aesthetic?
realign teeth
decrease overjet
upright tilt and rotation
how can restorative aid aesthetic?
replace missing teeth
recession - gingival mask
cervical margins - pink porcelain
bone contours - dentures
define supportive therapy
a phase in patient management directed at preventing relapse or recurrence of periodontal disease after initial and corrective therapy
what may be part of the supportive therapy?
motivation
re-instruction
treat re-infected sites
polish
fluorides
