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CSA > treatment planning > Flashcards

treatment planning Flashcards

1
Q

what are we aiming for with treatment planning

A

we are aiming to address those problems

and we can make the dentition functional and aesthetically pleasing

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2
Q

what makes a good treamtment plan

A

logical
the more info you have form the exam- accurate diagnosis
can we deliver in the timing
can we deliver in the skills i have
take into account patient preference- timing and costs
followed carefully and only changed after discussion

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3
Q

how to we form a diagnosis

A

by history taking
examinations-EO,IO
special tests-vitality and x rays

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4
Q

what can we form from the diagnosis

A

prognosis and speak to the patient

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5
Q

after speaking to the patient we can form a

A

treatment plan

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6
Q

what does C/O mean

A 
complaining of- eg 
pain
aesthetics
function
 or factors
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7
Q

what does HPC mean

A

history of presenting complaint

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8
Q

what can history of presenting complaint contain

A 
site
radiation 
onset
character 
radiation 
timing
associated factors 
exacerbating/relieving factors 
severity
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9
Q

what is the HPC of reversible pulpitis

A

site:localised
onset:set off by stimulus
character:sharp
radiation:none
timing:short
exacerbating/relieving factors:removal of stimulus
severity:mild to moderate severity

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10
Q

what is the HPC of irreversible pulpitis:

A

site: not well localised
onset: spontaneous

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11
Q

PDH

A

past dental history

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12
Q

what does past dental history include

A

attendance
previous dental treatment
LA
oral hygiene regime

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13
Q

how can we tell if someone is a low risk for dental caries

A

regular visits to the dentist
they brush twice a day with floss
they use fluoride toothpaste
and they use interdental aids

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14
Q

how do we tell if someones medium risk for caries

A

irregular dental visits
might forget to brush x2
irregular use of floss or aids

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15
Q

how do we tell if someones a high risk for caries

A

infrequent visits
hardly brushes
no use of interdental brushes

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16
Q

what does social history contain

A 
smoking- current status and history of smoking or alternatives such as vaping  
alcohol 
diet 
personal habits 
grinding teeth 
stress 
occupation 
availability to attend
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17
Q

how long does it take for the body to get to pre smoking health

A

around 10 years

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18
Q

how much of a higher risk can you have of getting oral cancer when you smoke and drink

A

x40

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19
Q

why might people get erosion

A

due to excess acid found in alcohol

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20
Q

what do we ask about relating to the diet

A

sugar- type and amount
acid
frequency

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21
Q

what questions will be asked in relation to alcohol

A

type
amount
frequency

22
Q

personal habits also need to be included

A

such as nail biting habits and chewing pens

and life style such as working hours and stress

23
Q

what questions do we ask in the medical history

A

are they fit and well
are the on any medications- dosage and usage
hospitalised in the past
any allergies

24
Q

when do we ask about the medical history

A

before every appointment

25
Q

what medications makes it difficult to remove teeth

A

bisphosphonates due to the fact it makes it difficult to heal

26
Q

what diseases can be shown in the dental clinic in patients

A

heart problems-eg angina cannot put patient very supine
asthmatic patients- can cause drying of the mouth, acidic and cause toothwear
high BP- gingival hyperplasia leading to fibrous ginigva
gastric problem- bullimic and tooth wear

27
Q

why might patients experience dry mouth

A

due to sjrogrens syndrome
polypharmacy
radiotherapy
diabetes

28
Q

what is sjrogrens syndrome

A

where the salivary glands do not produce enough saliva and the patient has xerophthalmia

29
Q

if it is a BPE score of 0 what does that mean

A

healthy gums

30
Q

BPE of 1 means

A

bleeding on probing

31
Q

BPE of 2 means

A

calculus or PRF

32
Q

BPE of 3 means

A

OHI, RSD and the band is partially visible and the pocket is 3.5mm-5.5mm

33
Q

BPE of 4 means

A

further testing and definitely needs radiographs

34
Q

what do we look at in EO exam

A 
swelling 
asymmetry 
ulcer 
gait 
obesity 
we also look at the lymph nodes-infection 
TMJ-dislocation or bruxism
35
Q

in the IO exam what do we look for

A 
the hard palette 
the tongue
dorsal surface of the tongue
floor of the mouth
ventral surface of the tongue 
lateral border of the tongue 
gingiva
mucosa 
buccal mucosa 
posterior gingiva
vestibule
36
Q

special tests include:

A

vitality tests such as EPT(electronic pulp testing) and ethyl chloride

37
Q

disadvantages od ethyl chloride

A

icy spray which can go to the tooth next door

38
Q

what are the two types of occlusion

A

static

dynamic

39
Q

why is it hard to do a vitality test on a crown

A

as the crown is in the way

40
Q

what are the stages of the treatment plan

A

emergency
stabilisation
corrective therapy
reconstructive therapy

41
Q

what does the emergency stage include

A

pain relief \

restore function or aesthetic

42
Q

stabilisation phase

A 
ohi-modified bass technique 
preventative advice
smoking cessation 
plaque free score 
fluoride toothpaste brushing twice is 14% more effective
43
Q

how much % is more effective brushing twice a day

A

14%

44
Q

what is high fluoride toothpaste called

A

durophat which has 5000ppm of fluoride

not for life but the first few months

45
Q

who should durophat be used for

A 
exposed root surfaces 
extensive restorations 
reduced salivary flow
orthodontic appliance wear 
elderly patients 
oral cancer 
only over 16+
46
Q

mouthwash rinse

A

POOR DEXTERITY
ORAL APPLIANCES
root caries

47
Q

what is the other type of fluoride

A

durophat varnish

22600ppm fluoride

48
Q

how can we stabilise the dentition

A

diet advice
reduce frequency
do not have before bed

49
Q

what does a diet sheet include

A

type amount and timing of foods
includes three days two weekdays and 1 weekend day
depends high patient cooperation and truth

50
Q

what options can we offer people with a dietsheet

A 
realistic 
offer alternatives
sugar free gum 
drink water
limit frequency of sugar/cariogenic

CSA (51 decks)

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