Treatment Planning cc Definitive Treatment

Question 1

what are the phases of preliminary treatment

Answer 1

• phase 1: systemic phase
• phase 2: acute phase
• phase 3A: disease control
• phase 3B: re-evaluation

Question 2

what are the phases of definitive treatmetn

Answer 2

-phase 4A: periodontics- implants and surgery
- phase 4B: operative- inlays, onlays, crowns, cosmetic restorations
- phase 4C: orthodontics
- phase 4D: fixed pros- implant surgery and crowns
-phase 4E: removable pros
- phase 5A: exit exam/completed patient
- phase 5B: maintenance phase

Question 3

why is perio addressed first in definitive tx

Answer 3

need adequate bone support for prosthodontic treatment
- foundation for tx

Question 4

when is osseous surgery done compared to SRP

Answer 4

after SRP

Question 5

when would perio be done after other treatments

Answer 5

• tissue graft orthodontics
• crown lengthening after starting the prep

Question 6

what are single crowns listed under in the CDT

Answer 6

restorative section

Question 7

single crowns may or may not need a restorative consult depending on:

Answer 7

the number and location of the crowns

Question 8

what type of crowns require a pros consult

Answer 8

• multiple anterior crowns
• multiple single crowns in more than one quadrant
• crowns on patients with occlusal problems

Question 9

what speciality would you use to move gingival margins

Answer 9

ortho

Question 10

why would you need to do restorations before ortho

Answer 10

sometimes need to approximate incisal edges of anterior teeth

Question 11

what fall under the category of removable pros

Answer 11

• RPD
  -removable complete dentures
• post tx night guards
• ortho retainers

Question 12

why do an exit exam

Answer 12

• ensure the patient’s oral health is stable before placing in the recall program
• to identify any deficiencies in tx
• to evaluate the patients home care and determine a recall interval

Question 13

what falls under periodontal maintenance

Answer 13

• perio charting
• prophy

Question 14

what happens in periodic exam

Answer 14

• look for new caries and dental problems
• review medical and medication history
• complete an oral exam and cancer screening

Question 15

what is the treatment planning flow diagram

Answer 15

• initial diagnosis
  -> if no treatment needed ->maintenance phase 5B
• if treatment needed -> preliminary treatment plan 3A-> definitive treatment plan phase or reevaluation phase 3B
  -> phase 5A exit exam

Question 16

what happens after initial diagnosis if patient has pain

Answer 16

limited oral exam emergency visit (acute phase 2)

Question 17

what are exceptions to sequencing

Answer 17

• cluster treatment if possible
• always start with most severe first
• if a simple restoration is next to most severe you should cluster the treatment into quadrant dentistry

Question 18

what is sequencing care

Answer 18

the practioner begins by assigned procedures to each phase and then sequences the procedures within each phase according to the level of problem severity
- list of proceudres addresses the patients most severe probelms first and concludes with those of less consequence