Treatment Planning Flashcards
What is diagnosis?
Precise scientific terms used to describe variation from normal
Why do you need to create a list of diagnosis or problems?
- Better Organization
- Professional Competence
- Patient Education
- Insurance Reimbursement
What are examples of general health diagnosis?
- Hypertension
- Stable or Unstable Angina
- Controlled Diabetes
What are examples of psychosocial diagnosis?
- Dental Anxiety
- Substance Abuse
- Smoker
- Poor Dental Hygiene
- Limited Income
What are examples of intraoral/extraoral diagnosis?
- Lesions on Soft Tissue
- Prominent Lymph Nodes in Neck
- Salivary Gland Tumor/Stone
What are examples of perio diagnosis?
- Pockets >3 mm
- Mobile Teeth
- Gingival Recession
What are examples of dental diagnosis?
- New Caries
- Recurrent Caries
- Failing Restorations
- Excessive Wear
- Cracked Tooth or Teeth
- Discolored Tooth or Teeth
- Missing Tooth or Teeth
- Malocclusion
What are examples of pulpal and periapical diagnosis?
- Internal Resorption
- Acute Apical Abscess
- Reversible Pulpitis
What does the pre-treatment planning at UMKC consist of?
- Completed Diagnosis
- Completed Consults
- Discussion with patient about their needs and desires.
- Discussion with patient about ability to finance treatment.
- Discussion with faculty at diagnosis what can and cannot be accomplished in the Pre-doctoral Clinic.
- Diagnostic Casts
- Completed Work Sheet
Why should you break treatment into phases?
Treatment is broken into phases as a way to structure the thinking process and to have definitive times when treatment is re-evaluated before going on to the next phase of treatment.
What are the treatment phases at UMKC?
What is phase 1 of treatment?
Systemic Phase
What does phase 1 (systemic phase) involve?
- Systemic disease referral
- Medical Consult
- Premedication Consult
- Altering /Prescribing Medication
What is phase 2 of treatment?
acute phase
What does phase 2 (acute phase) involve?
- Pain
- Swelling
- Traumatic Injury
What are the components of an acute examination?
- Chief Complaint
- Health Status
- Oral Cancer Screening
- Vital Signs
- Area of Chief Concern
- Contiguous Tissues
- Necessary Radiographs
- Informed Consent for any treatment
- Plan for Follow Up
What are the different types of acute phase treatments?
- avulsed tooth
- fractured tooth
- facial swelling
- pericoronitis
- endo for acute pain
What must patients be aware of before doing acute phase treatment?
Same requirements as if you were doing comprehensive treatment
The patient must be fully aware:
1. The diagnosis
2. All reasonable treatment options, including no treatment
3. Risk and benefits of each option
4. The costs of that treatment now and in the future
5. Informed consent sheets
What is phase 3A of treatment?
Disease Control
What does phase 3A (disease control phase) involve?
- Extraction of Hopeless Teeth
- Scaling and Root Planing
- Caries Control
- Removal of Caries and placement of Direct Restorations
- Endodontics
What is phase 3B of treatment?
Re-evaluation for Definitive Treatment Plan
What does phase 3B (re-evaluation phase) involve?
- Adherence to home care
- New lesions present
- Keeps appointments
- Financial ability to continue
What is phase 4 of treatment?
Definitive Treatment
* Phase 4A – Periodontics
* Phase 4B – Operative Dentistry
* Phase 4C – Orthodontics
* Phase 4D – Fixed Prosthodontics
* Phase 4E – Removable Prosthodontics
What is phase 4A of treatment?
Periodontics
1. Implants
2. Surgery
