Treatment planning Flashcards
What is treatment planning ?
- comprehensive sequenced plan for managing periodontal disease.
- reflects diagnosis of the oral health status (comes from clinical assessment)
- reflects prognosis of the treatment
What are the key concepts with treatment planning?
- Utilizes dental and dental hygiene process of care
- happens after clinical assessment and prior to treatment
- Dental hygiene process of care: ADPIED
What are some treatment planning influences?
- General Health
- Number of Teeth
- Disease extent- localized or generalized
- Disease severity- attachment loss (CAL), S, M S
- Amount of Calculus
- Patient Education
- Adjunctive Therapy
- Pain Management Needs
What is the definition for prognosis?
prediction of the probable course and/or outcomes of a disease
What are the roles of treatment planning ?
- Patient and provider agree on a plan satisfying patients goals.
- Sets realistic goals
- Determined by: patients history, clinical assessment, patient healing capacity.
What are some common clinical factors used in determining a prognosis?
- Factors affecting prognosis of individual teeth.
- Factors affecting overall prognosis
What are some factors affecting prognosis of individual teeth?
- amount of bone remaining
- depth of pocket
- pattern of bone los; infrabony defects
- mobility
- furcation
- crown to root ratio morphology
- tooth condition- caries or pulpal involvement, restorative dentistry
- missing teeth
What are factors affecting overall prognosis?
- age
- significant medical history
- smoking
- family history type of periodontal disease
- oral hygiene
- compliance with treatment
What are the goals of treatment planning?
- Primary goals: Eliminate and control gingival inflammation. and Eliminate, reduce or change the make up of the microbes resposnible for causing and perpetuating the disease.
- Maintain Health
- Prevent recurrence of disease
What are some Planning interventions ?
Scheduling requirements: certain times during the day.
Number of visits: patients tolerance
Time needed for each visit: pain management, assessment findings, OHI.
Interventions performed at each visit: restorative, scaling and root planing, surgical.
What are the different phases of therapy and which one are used for dental hygienist?
Assessment and preliminary phase
Phase I therapy (Cause/ etilogic phase)
Phase II therapy (Surgical phase)
Phase III therapy (Restorative phase)
Phase IV therapy (Maintenance phase)
Dental Hygientist uses: Assessment and Preliminary phase, Phase I therapy and Phase IV therapy.
Assessment and preliminary phase (emergency care)
- Assessment data collection
- Radiographs as indicated
- Diagnosis of oral conditions
- Treatment of Emergencies: Dental or periapical, periodontal
- Relief of pain
- Labs for pathology
- Planning for subsequent treatment
- Extraction of hopeless teeth
- Referrals
What does a dental hygienist do during phase I therapy?
Plaque control
Diet control
Scaling and root planing
Antimicrobial therapy ( arestin and chlorhexidine)
Fluoride application
Smoking cessation
Evaluation of response to Phase I
What does the dentist do during phase I therapy?
Correcion of contributing restorative and prosthetic factors
Caries control and temp restorations
occlusal therapy
minor ortho movement
provisional splinting
What is phase II therapy (Surgical) ?
Periodontal surgery
Impant placement
Endodontic therapy
