treatment planning

Question 1

initial contact

Answer 1

1) Name, age, language, special needs, reason for visit, previous dental experience, assessment of parent attitude
2) information about office to parent
- policies, directions, contact information, consent requirements

Question 2

initial visit

Answer 2

1) how does child relate to parent, their demeanor, behavior age appropriate?, parent style, motor skills
2) patient privacy, suitable location and voice level
3)

Question 3

medical history

Answer 3

1) last medical visit
2) birth history
3) medication and immunizations
4) allergies
5) disease history
6) past and present med history
7) general health
8) age appropriate milestones

Question 4

med consult

Answer 4

1) sign
2) write
3) describe

Question 5

social history

Answer 5

1) access to care, financial, distance, transportation, language, culture, fears, parenting style, childcare, number of siblings, healthcare IQ
2) education history, development, attention space, school

Question 6

dental history

Answer 6

1) is it their first visit
2) why is the family seeking a new dentist
3) referral
4) emergency
5) expectations of child behavior
6) fluoride exposure
7) prev restorations

Question 7

case: asthma, only dental care when in pain, youngest of 3, father is single parent, eats snacks, soda, drinks bottle water, brushes himself, hit upper front tooth once,

Answer 7

1) prob negative experiences w dentist in past

Question 8

diet history

Answer 8

1) both foods and drinks and diet behaviors

Question 9

prevention

Answer 9

1) identify a problem, provide an intervention
2) preventative treatment plan is assessed at every patient visit
3) based on CRA and do-able for patients and parents

Question 10

fluoride history

Answer 10

1) appropriate fluoride exposure can be a protective factor
2) professional fluoride applications
3) systemic fluoride, water source
4) toothpaste

Question 11

oral hygiene history

Answer 11

1) 6-7 yrs can brush and parents help floss
2) 7+ can brush on their own, supervised
3) older, can brush and floss

Question 12

plaque score

Answer 12

1) patients ability to clean his or her teeth
2) disclosing solution
3) snapshot of that day
4) recorded at each recall visit
5) not an indication of chronic oral status

Question 13

trauma history

Answer 13

1) past trauma can explain atypical findings
2) may need mouth guards for sports
- store bought first
3) history of repeated trauma => rule out child abuse

Question 14

H&N

Answer 14

1) head lice
2) DAU assistants check at every appointment, reschedule if they have it
3) acanthosis negricans
- darkened skin in creases or folds, can be associated with T2D
4) perioral dermatitis
5) periocular skin darkening
6) signs of physical abuse
7) GERD
8) profile convex

Question 15

oral exam

Answer 15

1) tongue tie
2) mucosa, saliva, gingiva, tonsils brodsky 1; inflamed

Question 16

is brodsky 1 tonsils normal?

Answer 16

1) yes
2) brodsky 3-4 would be an issue unless it is 10-12 years old
- but inflammation is never normal

Question 17

palate

Answer 17

1) palate is U shaped with moderate vault no lesions
2) V shaped and high vault may indicate thumb sucking, mouth breathing, narrow maxilla, posterior crossbite

Question 18

calculus

Answer 18

1) slight - mand anteriors
2) sickle scaler adequate

Question 19

dental maturity

Answer 19

1) age appropriate?
2) exfoliated teeth, root development, erupted teeth

Question 20

habits

Answer 20

1) digit sucking
- overjet, narrow palate
2) tongue thrusting
- can lead to open bit3
3) mouth breathing
4) nail biting
5) bruxing

Question 21

appliances

Answer 21

1) name appliance and determine effectiveness

Question 22

examination

Answer 22

1) maxillary labial frenum
- uninvolved
2) mandibular labial frenum
- uninvolved

if involved, it would pull on the lip and gingiva

Question 23

occlusion

Answer 23

1)primary molar relationship => permanent molar angle classification
2) have patient in full retruded contact position
3) canine angle system

Question 24

crossbite

Answer 24

1) buccal cusps of upper teeth occlude in the central groove area of lower teeth
2) anterior crossbite, if incisal edge of maxillary teeth are lingual to incisal edges of mandibular teeth

Question 25

occlusion

Answer 25

1) ortho consult or referral, probable space loss
2) harnessing prepubertal growth spurt is really important, appropriately timed referral

Question 26

risk assessment

Answer 26

1) previous caries rate
2) home care
3) previous treatment symptomatic only?
4) caries progression vs caries neutral

Question 27

caries process

Answer 27

1) caries risk assessment
2) preventative tx plan and restorative tx plan

Question 28

treatment planning

Answer 28

1) personalized and specific but prioritize goals
2) highest priority - pain
3) next teeth that may cause pain
4) patient cooperation
5) referral?
6) follow up care

Question 29

presenting tp

Answer 29

1) oral findings…
2) fees at end

Question 30

scenario

Answer 30

1) breathes mostly through mouth and snores at night, tonsil hypertrophy with brodsky scale of 4 and narrow palate
2) pediatric sleep apnea or obstructive sleep apnea
3) mentalis strain, ankyloglossa, mouth breathing, tonsil hypertrophy, narrow palate