Treatment planning for simple cases Flashcards
what do you have to do before treatment planning?
history, examination, radiograph report, diagnosis
where is a good place to start when treatment planning?
jot down a list of problems; plaque, smoking etc.
what are the 9 steps in treatment planning?
- pain relief
- clinical checks
- discussion of disease with patient
- risk control
- basic treatment to facilitate risk control
- review risk control
- subgingival PMPR
- re-examination
- treatment outcome and further planning
what does step 1 pain relief involve?
treat cause of any pain e.g, removal
what does step 2 clinical checks involve?
a. Caries location and stage
b. Furcations: location, grade and sensitivity testing (endo referral)
c. Overhangs
d. Occlusion
e. Appliances
what does step 3 discussion of disease with patient involve?
a. Clinical findings
b. Diagnosis and what it means
c. Susceptibility -> plaque linked to disease
d. Risk factors and how they contribute to disease
e. Perio disease cant be cured only stabilised
f. Long term risk control
what does step 4 risk control involve?
a. OHI
b. Diet diary and advice (caries)
c. Fluoride use (caries)
d. Smoking cessation
e. Alcohol reduction
what does step 5 basic treatment to facilitate risk control involve?
PMPR, overhang removal, restoring cavities
May be temporary restoration (GI) if bleeding gums due to moisture control
what does step 6 review risk control involve?
plaque charts and bleeding charts (<20% plaque)
a. Compliance
b. Tissue response to basic treatment
c. Review risk factors -> smoking
cessation
d. Replace any temporary restorations if moisture control
e. Confirmation of initial diagnosis
what does step 8 re-examination involve?
12/52 weeks after subgingival PMPR
a. Repeat charts
b. Interpretation of findings
