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2ND YR- CSA- Treatment planning > Treatment planning 2 > Flashcards

Treatment planning 2 Flashcards

1
Q

What do we do when we are stabilising a patient?

A
  1. Remove unrestorable teeth and teeth with poor prognosis
  2. Caries stabilization
  3. Endodontics
  4. We can place semi permanent restorations
  5. Immediate Dentures
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2
Q

If a patient comes in with several issues which we one do we tackle first?

A

Look at the problem that is more extensive

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3
Q

Where do we get our preventative advice from?

A

The evidence base tool kit

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4
Q

How does the evidence based tool kit rank varying topics?

A

On a scale of 1-6 in relation to how much evidence there is backing up each topic eg theres a lot of info on fluoride

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5
Q

Give an example of advice that we give that has an evidence based ranking of 1?

A
  1. Brush twice daily
  2. Us fluoridated toothpaste
  3. Frequency of sugary drinlks should be reduced
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6
Q

What does the evidence based tool kit say about smoking?

A

Smokers respond less well to treatment for periodontal disease
90% of refractory cases in smokers

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7
Q

Following stabilisation what do you do?

A

You review the patient checking if they are caries free, are they motivated and if they have a high plaque free score

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8
Q

If the patient passes the review following stabilisation what can you do?

A

You can move on to corrective and/or reconstructive treatment

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9
Q

If the patient fails the review following stabilisation what can you do?

A

You will need to continue stabilising them until you see improvement

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10
Q

What is the shortest review/recall interval?

A

3 months

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11
Q

What is the longestreview/recall interval?

A

24 months

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12
Q

What does the recall/review period depend on?

A

Depends on patient risk factor and on the treatment provided

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13
Q

According to NICE guidelines what is the recommended recall period for a healthy patient?

A

6 month regular dental check ups

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14
Q

Which treatments fall into corrective therapy?

A
  1. Placement of permanent/ definitive restorations
  2. Completion of RCT or re-RCT

2. Completion of RCT or re-RCT

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15
Q

What is the long term aim for patients following reconstruction?

A
  1. A long term plan for restoring patients mouth ( at least 10 years)
  2. Addresses any functional or aesthetic concerns following stabilisations
  3. Diagnostic waxup for rehabilitation cases
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16
Q

What do we need to consider when doing and planning reconstructive treatment?

A
  1. Do we need to refer?
  2. What are the long term maintenance concerns
  3. How long will it take to complete the treatment
  4. Availability of the patient
  5. Cost
17
Q

What treatments fall into reconstruction?

A
  1. Surgical periodontics
  2. Crown lengthening surgery
  3. Definitive crowns, onlays
  4. Fixed bridges
  5. Definitive partial dentures
  6. Dental implants
  7. Management of tooth wear
  8. Stabilisation splits
18
Q

Give examples of fixed bridges?

A

Resin retained bridges

Conventional

19
Q

Before suggesting a bridge to a patient what should you take into consideration?

A

The patients oral hygiene as they need to be able to clean the bridge properly
Also need to make sure the neighbouing teeth are not mobile

20
Q

What materials can be used to make a definitive partial denture?

A

Cobalt or chrome

21
Q

What habit can stop a patient having dental implants?

A

Smoking as it reduces the success rate by half so it is not worth putting an implant in a smoker
(you need to be smoking free for 12 months)

22
Q

What can we use to plan reconstructive treatment?

A

We can make articulated models and wax-ups

23
Q

What do you have to do after the reconstruction phase

A

Maintenance

24
Q

What maintenance do you need to do following root canal treamtent

A

Need to take an x ray within a year

25
Q

What do you need to gain from the patient before doing any treatment?

A

CONSENT

26
Q

How do we gain consent from a patient?

A

We may ask patients to sign a form or gai verbal consent

27
Q

Who leads the planning stage for complex cases?

A

A consultant

28
Q

Name the 4 stages of treatment planning

A
  1. Emergency
  2. Stabilisation
  3. Corrective therapy
  4. Reconstruction
29
Q

What is the aim of the emergency phase?

A

Pain relief

30
Q

What is the aim of the stabilisation phase?

A

Preventative advice
Stabilise carious teeth
Initial periodontal care
Endodontic treatment

31
Q

What is the aim of corrective therapy?

A

To deliver advanced periodontal care

Definitive restoration

32
Q

What steps must you complete before making a treatment plan?

A
  1. History
  2. Examination
  3. Special tests
  4. Diagnosis
  5. Discuss options with patient
    THEN TREATMENT PLAN

2ND YR- CSA- Treatment planning (5 decks)

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