Treatment Planning Flashcards

1
Q

When listening to a patients chief complaints, what should you allow?

A
  • allow patient time to explain in his or her own words their:
  • problems
  • expectations about possible treatment options and treatment outcomes

It is important to do so without any interruptions

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2
Q

What are the two most important aspects of the patient assessment process?

A
  • History taking
  • Clinical examination
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3
Q

What are the two functions of special tests/investigations?

A
  • screening tool to pick up unanticipated conditions
  • provide confirmation of a provisional diagnosis
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4
Q

What are the steps required to follow the evidence based dentistry (EBD) process?

A
  • define a clinically relevant and focussed question
  • search for systematic reviews that may answer the question asked, such as the Cochrane Oral Health Group Reviews
  • evaluate the relevance of the evidence to indivdual patient needs
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5
Q

What is the problem with the normative need approach?

Presenatation of a single “ideal” option by the dentist

A
  • fails to take into account the patients dental healthcare wishes, beliefs and attitudes or behaviours
  • fails to recognise that all treatment options possess both advantages and disadvantages
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6
Q

Give examples of some considerations that must be made for young patients when treatment planning

A
  • tooth eruption
  • large pulp chambers which can impact decision on whether or not to use a particular type of restoration
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7
Q

Give examples of some considerations you may make for older patients when treatment planning

A
  • risk of periodontal disease
  • risk of root caries
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8
Q

Give an example of a treatment option that is contraindicated for a patient with a neuromuscular condition and thus has issues with their dexterity. Briefly state your reasoning behind this

A
  • complex bridge work /fixed partial denturs
  • cleaning around these areas that require more attention may be more difficult for a patient with dexterity difficulties
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9
Q

Give specific dental considerations for a dentist before designing a treatment plan

A
  • oral hygiene status/motivation/cooperation of the patient
  • control of dental caries, tooth wear and periodontal disease
  • pulpal and endodontic status of individual teeth
  • functional occlusal relationships and occlusal forces or stresses
  • appearance of the dentition
  • restoration retention- crown height, enamel available for bonding
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10
Q

What is the overarching aim of dental treatment?

A

provide a masticatory system that is:
* functionally adequate
* free from disease and discomfort
* aesthetically pleasing to the patient

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11
Q

What are the advantages of a well thought-out and documented treatment plan?

A
  • smooth and logical progression through the various treatment phases
  • reduced stress for the patient, dentist and staff
  • more effective use of clinical time
  • less incovenience for the patient
  • greater likelihood of achieving the patients expectations
  • provision of essential information for the patient such as time involved, cost, expected treatment outcomes and anticipated prognosis
  • reduced risk of non-payment of fees and dento-legal problems
  • anticipation of any complications and provision of any contingency plans
  • ability of a colleague to continue, without difficulty, the treatment in your stead if required
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12
Q

Outline the phases of a treatment plan for complex restorative work

A
  • emergency and stabilisatoon
  • preventive and disease control
  • initial restorative, and consultations
  • review and occlusal analysis
  • definitive complex restorative
  • maintenance and monitoring
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13
Q

What treatment items are involved in the emergency and stabilisation phase

A
  • control of acute pain, infection, tooth fracture gingival bleeding
  • medical consultations if required
  • extraction of non-strategic hopeless teeth and retained roots
  • caries and erosion control
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14
Q

What treatment items are involved in the preventive and disease control phase of a treatment plan?

A
  • OHI
  • scaling and prophylaxis
  • fluorides
  • chlorhexidine mouthrinses
  • casein derived pastes
  • dietary analysis
  • splint construction
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15
Q

What treatment items are involved in the initial restorative and consultations phase of a treatment plan?

A
  • simple restorative work
  • placement of cores
  • endodontic, periodontic, prosthodontic, orthodontic etc consultations
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16
Q

What treatment items are involved in the review and occlusal analysis phase of a treatment plan?

A
  • assess previous preventive and operative treatments
  • evaluate mounted casts and diagnostic wax ups
17
Q

What treatment items are involved in the definitive complex restorative phase of a treatment plan?

A
  • conformative and re-organised occlusal scheme ?
  • any need to adjust OVD and clinical crown lengths?
18
Q

What treatment items are involved in the maintenance and monitoring phase of a treatment plan?

A
  • recalls: review OHI and home care, periodontal health, caries activity, occlusion, fixed and removable prosthesis, implants
  • further radiographs and tests required