Treatment planning Flashcards
Name the stages of a treatment plan
(Emergency phase)
- Initial cause related therapy
- Corrective therapy
- Supportive therapy
What is the treatment plan dependent on?
The correct diagnosis
Between each phase of the treatment plan what would you do?
Recall the patient and review progress
Update any changes to the prognosis of teeth
How should you explain a treatment plan to the patient
- Be specific, use simple language and avoid jargon
- Do not use a patronising tone
- Avoid vague statements
- Begin your discussion on a positive note
- Present the entire treatment plan as a unit
What Is the aim of initial cause related therapy?
Control/ eliminate plaque infections and stabilise any active disease
Bring back the oral cavity to a state of health
What is the aim of corrective therapy?
Therapeutic measures such as stabilising occlusion, restoring function or improving aesthetics
What is the aim of supportive therapy?
Prevent disease recurrence
Give examples of treatments that are part of initial therapy
- Baseline indices of periodontal status
- OHI
- Smoking and alcohol cessation
- Scaling and RSD and removal of any plaque retentive factors
- Arrange extractions/ endodontics/ restorations/ dentures
- Monitor response to treatment
What do you need to monitor and look for when you’ve completed your initial therapy
Re evaluate periodontal indicies: 1. Plaque levels 2. Probing depths and BOP 3. Suppuration 4. Furcation 5. recession 6 Mobility
How long should you leave between completing your initial therapy and re evaluating the periodontal indices? Why?
Minimum 6 weeks as connective tissue takes at least 6 weeks to heal
At the endow your initial therapy what should you do?
Re evaluate and check the patient Is free of any active disease then determine if corrective therapy is needed
Define corrective therapy
The stage following the initial hygiene therapy for a patient where re assessment and definitive treatment is provided
What do you need to constantly re evaluate when carrying out your corrective phase?
Constantly review and reassess periodontal and plural status
What is the aim of corrective therapy?
To restore function ad provide a stable occlusion for the patient
To restore aesthetics after resolution of inflammation and healing following extraction
Why might initial therapy fail?
- Inadequate instrumentation
- Poor plaque control
- Confounding systemic factors
- Gross deposits
- Smoking habits changed
- Host factors
- Microbial factors
8 Lack of patient compliance
Give some oral indications that initial therapy has not been successful?
- Residual bleeding on probing
- Residual pockets
- Residual calculus
- Ineffective self care oral hygiene regimen
- Ineffective instrumentation
Name some treatments that fall under corrective therapy
- Replacement of missing teeth (crowns, bridges, implants)
- Adjunctive treatments
- Periondtal surgery
- Endodontic surgery
- Orthodontics
- Root canal treatment
- Definitive restorative treatment and occlusal therapy
Before carrying gout orthodontic treatment what should you ensure
- Periodontal tissues are healthy
- RSD completed
- PD <3MM
- All sub gingival plaque removed
How can orthodontics be used to aid function
To help with:
- Drifting anterior teeth
- Open bites
- Lip seal
- Tilted molars
- Traumatic overbites
What are the benefits of corrective therapy for aesthetics?
When successful can:
- Decrease gingival swelling
- Decrease bleeding
- Result in sharper gingival contours
- Motivate patients to continue with good OH
- Often improve access for OH
- Facilitate impression taking
When should supportive therapy start?
After active therapy
