treatment planning Flashcards
initial contact
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
initial visit
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)
medical history
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
med consult
1) sign
2) write
3) describe
social history
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
dental history
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
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,
1) prob negative experiences w dentist in past
diet history
1) both foods and drinks and diet behaviors
prevention
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
fluoride history
1) appropriate fluoride exposure can be a protective factor
2) professional fluoride applications
3) systemic fluoride, water source
4) toothpaste
oral hygiene history
1) 6-7 yrs can brush and parents help floss
2) 7+ can brush on their own, supervised
3) older, can brush and floss
plaque score
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
trauma history
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
H&N
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
oral exam
1) tongue tie
2) mucosa, saliva, gingiva, tonsils brodsky 1; inflamed
is brodsky 1 tonsils normal?
1) yes
2) brodsky 3-4 would be an issue unless it is 10-12 years old
- but inflammation is never normal
palate
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
calculus
1) slight - mand anteriors
2) sickle scaler adequate
dental maturity
1) age appropriate?
2) exfoliated teeth, root development, erupted teeth
habits
1) digit sucking
- overjet, narrow palate
2) tongue thrusting
- can lead to open bit3
3) mouth breathing
4) nail biting
5) bruxing
appliances
1) name appliance and determine effectiveness
examination
1) maxillary labial frenum
- uninvolved
2) mandibular labial frenum
- uninvolved
if involved, it would pull on the lip and gingiva
occlusion
1)primary molar relationship => permanent molar angle classification
2) have patient in full retruded contact position
3) canine angle system
crossbite
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
