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OSCE > Treatment Planning > Flashcards

Treatment Planning Flashcards

1
Q

what should be included in the treatment plan

A

a patient’s disease
goal of treatment
treatment options for the disease
possible side effects
expected length of treatment and likelihood of success

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2
Q

what are some clinical tests for teeth and tooth health

A

is the tooth sensitive to the air from the 3 in 1
tender to percussion
mobility
presence of sinus
pocket depth

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3
Q

what are radiographs used for

A

aiding with dental or periodontal diagnosis, screening assessment

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4
Q

what is a diet diary used for

A

caries risk assessment

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5
Q

what are photographs used for

A

pre treatment record, evidence of the disease, referrral aid

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6
Q

what is a sensibility testing use dfor

A

determing the vitality of the pulp

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7
Q

what are study models used for

A

reviewing occlusion, monitoring non carious tooth surface loss, and planning treatment and referral aid

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8
Q

what are composite vs amalgam

A

caries risk assessment
size of cavity
moisture control
aesthetics
cost
patient reference

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9
Q

describe SOCRATES

A

site
onset
character
radiates
associated symptoms
time/duration
exacerbating factors
severity

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10
Q

how to carry out sensitivity tests

A

indirectly determine the state of pulpal health by assessing the reaction of the nerves within the dental pulp

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11
Q

what are some sensitivity tests

A

electric pulp testing
ethyl chloride
warm gutta percha

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12
Q

describe the pros and cons of extraction

A

cheaper
done in a single visit
risk of post op complications
left with a gap
drifting/tilting/overeruption of adjacent teeth
restorative options for space

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13
Q

describe the pros and cons of root canal treatment

A

more expensive
multiple visits
success rate
what to restore the tooth with - direct filling or indirect filling

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14
Q

what is a direct filling

A

composite or amalgam

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15
Q

what is an indirect filling

A

crown or an onlay

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16
Q

what are some treatments that cannot wait

A

pain management, management of present complaint

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17
Q

how can a present complaint be managed

A

recement a lost crown, replace a lost restoration in an aesthetic area

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18
Q

how can you identify the source of caries for caries management

A

review diet
review oral hygiene
provide preventative advice
fluride prescription

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19
Q

what is included under disease control

A

direct restorations
extractions
prevention
hygiene based therapy

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20
Q

what is included in the reconstructive phase

A

more complex restorative work such as crowns, bridges, root canal treatment or dentures
good foundations needed to provide complex treatment

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21
Q

what are the pros and cons of acrylic removable partial dentures

A

cheap
instant fit
doesnt involve prepartion of adjacent teeth
easy to add to

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22
Q

describe the pros and cons of cobal chrome

A

more expensive than acrylic
period of healing required
may need to prep teeth for the rest of the seats
cannot always add

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23
Q

what are the pros and cons of bridges

A

utilises adjacent teeth, delayed placement following extractions
will fail if preventative measures are not taken

24
Q

what are the procs and cons of implants

A

cost
patient selection
no preparation of adjacent teeth
invasive procedure
failure rate

25
Q

describe the treatment plan workflow

A

History Taking

Extra-Intra Oral examination

Dental charting & BPE scoring

Provisional diagnosis

Special investigations

Final diagnosis

Treatment planning & Disease management

Clinical intervention

Re-evaluation

Rehabilitation phase

Maintenance

26
Q

elements of history taking

A
  • main complaint
  • history of the present complaint
  • dental history
  • medical history
  • social history
  • family history
27
Q

elements to examination

A
  • extra oral exam
  • intra oral exam
  • basic periodontal examination
  • dental charting
28
Q

elements to special investigation

A

study model
radiograph
photograph
pulp testing
diet diary

29
Q

diagnosis examples

A

caries
gingivitis
periodontal disease
apical periodontitis
toothwear

30
Q

problem examples

A

poor aesthetics
missing teeth
loose dentures
fractured restorations

31
Q

sequence of treatment: immediate

A

what cannot wait until tomorrow

pain relief mainly

32
Q

sequence of treatment: initial

A

what diseases do we need to treat
sometimes called the disease control phase

33
Q

sequence of treatment: re evaluation

A

checking if treatment is successful
is more treatment of initial disease required
can we progress to more difficult treatment

34
Q

sequence of treatment: reconstructive

A

more complex restorative work

good foundations needed to provide complex treatment

initial treatment complete

35
Q

sequence of treatment: maintenance

A

supporting patient to continue care at home

maintaining a health after your treatment plan is complete

monitoring for further disease or failure of restorations

36
Q

treatment options for missing teeth

A

denture
- cobalt chrome
- acrylic
- upper or lower only
bridgework
- conventional
- resin bonded
dental implants
- implant supported crowns
- implant supported bridge

37
Q

treatments for a lost crown

A

crown
- post crown with root canal treatment
- metal
- metal ceramic
- lithium disilicate
- alumina

extraction
- overdenture
- precision attachment for denture
- dental implant

38
Q

what is gout

A

inflammatory arthritis characterised by recurrent attacks of a red, tender, hot and swollen joint

raised uric acid level in the blood and the deposition of urate crystals

39
Q

ideal diet diary

A

should include 3 consecutive days including 2 working days and 1 weekend

comply fully and assess diet honestly

diet should not be changed because it is being recorded

40
Q

caries prevention diet advice

A
  • reduce snacks containing sugar
  • replace it with healthy snacks
  • avoid adding sugars
  • look for hidden sugars
41
Q

erosion prevention

A

best time to do have fruit drinks when saliva flow is highest at meal times

drinking with a straw

42
Q

what needs to be recorded by the mother in the diet sheet

A

time
the content
the amount of food and drink consumed

43
Q

drugs that cause gingival hyperplasia

A

cyclosporin for preventing organ transplant rejection

epilepsy seizure treatment - phenytoin

44
Q

PPE rules

A

gloves used for all procedures

aprons for blood and bodily fluids

visors for all procedures

face mask for aerosols, ultrasonic cleaning and high speed cleaning

45
Q

when should gloves not be worn

A
  • when opening cupboards or drawers
  • when touching hair, adjusting chair or using pen
  • when dispensing oral hygiene aids
46
Q

patient PPE

A

disposable bib
safety glasses
bowl

47
Q

sharps bin

A

small yellow tub with orange lid

48
Q

sharps containing medicinal waste bin

A

local anaesthetic cartridges
vials
medicine/cement bottles

all go into small columnar bin with yellow body and blue lid

49
Q

amalgam bin

A

small white with red lid

50
Q

healthcare waste bin

A

patient bibs
mouthwash cup
denture bowls
gauze
drapes
globes
plastic apron

51
Q

domestic waste

A

cardboard, packaging and empty containers
black bin bags

52
Q

process for wiping down a bay after a patient

A

start at the top, light handles, arm, headrest, back of chair and arm rests

replace wipes

worktop, bracket table, motors, cables

replace wipes

suction tubing, partition between the units

53
Q

how to clean goggle

A

detergent wipes

54
Q

how to clean visor

A

decontaminate with detergent wipes or discard

55
Q

non verbal signals to convey interest and attention

A
  • eye contact
  • body orientation toward the speaker
  • posture; lean forward, arms relaxed
  • silence
  • follow cues
  • distance, 3-4 metres from speaker
  • distractions - avoid distracting behaviour and movements
  • position at same height as patient
  • be in the line of sight of the patient
56
Q

question types to ask patients when interviewing them

A

open questions - allows patient to engage in conversation, bringing in as much or as little information as they want to

focused questions - what do you do when the pain starts - check if patient understands information

closed questions - clarifying important points

leading questions - avoid as patients can agree to things they do not understand

OSCE (25 decks)

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