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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
describe the treatment plan workflow
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
elements of history taking
- main complaint - history of the present complaint - dental history - medical history - social history - family history
27
elements to examination
- extra oral exam - intra oral exam - basic periodontal examination - dental charting
28
elements to special investigation
study model radiograph photograph pulp testing diet diary
29
diagnosis examples
caries gingivitis periodontal disease apical periodontitis toothwear
30
problem examples
poor aesthetics missing teeth loose dentures fractured restorations
31
sequence of treatment: immediate
what cannot wait until tomorrow pain relief mainly
32
sequence of treatment: initial
what diseases do we need to treat sometimes called the disease control phase
33
sequence of treatment: re evaluation
checking if treatment is successful is more treatment of initial disease required can we progress to more difficult treatment
34
sequence of treatment: reconstructive
more complex restorative work good foundations needed to provide complex treatment initial treatment complete
35
sequence of treatment: maintenance
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
treatment options for missing teeth
denture - cobalt chrome - acrylic - upper or lower only bridgework - conventional - resin bonded dental implants - implant supported crowns - implant supported bridge
37
treatments for a lost crown
crown - post crown with root canal treatment - metal - metal ceramic - lithium disilicate - alumina extraction - overdenture - precision attachment for denture - dental implant
38
what is gout
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
ideal diet diary
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
caries prevention diet advice
- reduce snacks containing sugar - replace it with healthy snacks - avoid adding sugars - look for hidden sugars
41
erosion prevention
best time to do have fruit drinks when saliva flow is highest at meal times drinking with a straw
42
what needs to be recorded by the mother in the diet sheet
time the content the amount of food and drink consumed
43
drugs that cause gingival hyperplasia
cyclosporin for preventing organ transplant rejection epilepsy seizure treatment - phenytoin
44
PPE rules
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
when should gloves not be worn
- when opening cupboards or drawers - when touching hair, adjusting chair or using pen - when dispensing oral hygiene aids
46
patient PPE
disposable bib safety glasses bowl
47
sharps bin
small yellow tub with orange lid
48
sharps containing medicinal waste bin
local anaesthetic cartridges vials medicine/cement bottles all go into small columnar bin with yellow body and blue lid
49
amalgam bin
small white with red lid
50
healthcare waste bin
patient bibs mouthwash cup denture bowls gauze drapes globes plastic apron
51
domestic waste
cardboard, packaging and empty containers black bin bags
52
process for wiping down a bay after a patient
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
how to clean goggle
detergent wipes
54
how to clean visor
decontaminate with detergent wipes or discard
55
non verbal signals to convey interest and attention
- 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
question types to ask patients when interviewing them
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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