Treatment Planning Flashcards
Goals of treatment planning depend on
Data collection
Diagnosis
Prognosis
Short Term Goals
Bring back to a state of health
Eliminate infectious and inflammatory processes
Long Term Goals
Reconstruction of healthy dentition that meets functional and esthetic needs
Reduction of gingival inflammation BOP to
25% or less (ideally 10 but not realistic)
Reduction of probing depths
No PD 5 mm or greater
Ideally PD= 4mm or less
Elimination of furcation
Furcation involvement 3mm or less
4 Phases of Therapy
Systemic Phase
Initial Phase
Corrective Phase
Maintenance Phase
Systemic Phase
Eliminate or decrease the influence of systemic conditions
Initial Phase
Removal of hard and soft deposits
Removal of retentive factors
PATIENT MOTIVATED OHI
Initial (hygiene) phase is completed by
Re-evaluation
Initial (hygiene) phase: Step I
Emergency treatment if needed
Patient education
OHI
Occlusal analysis and treatment of localized occlusal trauma
Initial (hygiene) phase: Step II
Dental Consultations -Caries RCT, Strategic value of teeth, ortho assessment
Extractions of hopeless teeth
SRP
Antibiotic therapy
Initial (hygiene) phase: Step III
Re-evaluation
-Re-assess prognosis —> should improve
Reassess need for consultations
Assesment of risk factor modulation**
Patient motivation (OHI)
Corrective Phase
Additional Therapeutic measures -All surgical procedures fall here
- Perio surgery
- Implant Surgery
- Endodontic
- Restorative, prosth
Maintenance Phase
Prevention of reinfection and reoccurence
- Assesment and instrumentation of depend BOP sites
- Caries control