Treatment Planning Midterm Flashcards
List six core steps of treatment planning:
I: Patient information
II: Development of problem list
III: Phasing of treatment in treatment plan
IV: Sequencing the procedures within phases
V: Case development
VI: Informed consent
Data collection, evaluation & development of diagnosis:
I: Patient information
Diagnosis (general health dx, psychosocial dx, intra/extraoral diagnosis, perio dx, dental dx, pulpal/periapical dx):
II: Development of a problem list
-HTN
-Stable/unstable angina
-controlled DM
These would fall under what category of development of a problem list?
General health diagnosis
-Dental anxiety
-smoking
-substance abuse
-poor dental hygiene
-limited income
These would fall under what category of development of a problem list?
Psychosocial diagnosis
-Lesion on soft tissue
-prominent lymph node in neck
-salivary gland tumor
These would fall under what category of development of a problem list?
Intra/extra oral diagnosis
-Pockets> 3mm
-mobile teeth
-gingival recession
These would fall under what category of development of a treatment plan?
Perio diagnosis
-New caries
-Recurrent caries
-failing restorations
-excessive wear
-discolored tooth
-cracked tooth
-missing tooth
-malocclusion
These would fall under what category of development of a problem list?
Dental diagnosis
-Internal resorption
-acute apical abscess
-reversible pulpitis
These would fall under what category of development of a problem list?
Pulpal & periapical diagnosis
What needs to be accomplished PRIOR to scheduling appt with a treatment planner?
- completed diagnosis
- completed consults
- discussion w/ patient about their needs & desires
- discussion w/patient about ability to finance treatment
- discussion w/faculty at diagnosis about what can/cannot be accomplished in pre-doc clinic
- diagnostic casts
- completed worksheet
What is the third CORE step of treatment planning?
III: Phasing of treatment planning
What steps are considered the PRELIMINARY phases of treatment plan?
Phase 1: Systemic
Phase 2: Acute
Phase 3A: Disease control
Phase 3B: Re-evaluation
What are the names of the phases involved in the PRELIMINARY treatment plan?
Systemic, acute disease control, re-evaluation
What phase of treatment planning is being described below?
-systemic disease referral
-medical consult
-premedication consult
-altering/prescribing medications
Phase 1: Systemic
What phase of treatment planning is being described below?
-pain
-swelling
-traumatic injury
Phase 2: Acute
What are the components of an ACUTE exam? (9)
-Chief complaint
-Health status
-Oral CA screening
-Vital signs
-Area of chief concern
-Contiguous tissues
-Necessary radiographs
-Informed consent
-Plan for follow-up
What phase of treatment planning is being described below?
-O&R
-caries restorations
-scaling & root planing (initial perio)
-extraction of hopeless teeth
-endodontics
Phase 3A: Disease control
What phase of treatment planning is being described below?
-Taking a pause to look over treatment plan & patient status in accordance to plan
Phase 3B: Re-evaluation
What steps are considered the DEFINITIVE phases of treatment plan?
Phase 4A: Periodontics
Phase 4B: Operative
Phase 4C: Orthodontics
Phase 4D: Fixed prosthodontics
Phase 4E: Removable prosthodontics
Phase 5A: Exit exam/Completed patient
Phase 5B: Maintenance phase
Used to determine restorability of teeth:
O&R (open & report)
What are some factors to consider with re-evaluation? (4)
- adherence to home care
- new lesions present
- keeps appointments
- financial ability to continue
Why is periodontics addressed first in definitive treatment?
Because we need to make sure there is adequate bone support for prosthodontic treatment
The “FOUNDATION” for all definitive treatment:
Periodontics
What are the names of the phases 4A-5B involved in the definitive treatment?
POOFREM
Phase 4A: Periodontics
Phase 4B: Operative
Phase 4C: Orthodontics
Phase 4D: Fixed prosthodontics
Phase 4E: Removable prosthodontics
Phase 5A: Exit exam/Completed patient
Phase 5B: Maintenance phase
What phase of treatment planning is being described below?
-Implant evaluation (not surgery)
-Surgery (such as crown lengthening)
Phase 4A: Periodontics
What phase of treatment planning is being described below?
-Inlays
-Onlays
-single crowns
-composite veneers
Phase 4B: Operative
*note: this does not include caries, or caries restorations as this was part of 3A Disease control
What phase of treatment planning is being described below?
-Lowering/raising gingival margin
-Moving of teeth for further procedure
Phase 4C: Orthodontics
What phase of treatment planning is being described below?
-Implant surgery
-Survey crowns
-Bridges
Phase 4D: Fixed prosthodontics
What phase of treatment planning is being described below?
-Partial dentures
-Complete dentures
-Night guard
Phase 4E: Removable prosthodontics
What phase of treatment planning is being described below?
-evaluating patients mouth to determine if anything on treatment plan was missed or needs revised
Phase 5A: Exit exam/completed patient
What phase of treatment planning is being described below?
-Perio maintenance
-Periodic exam
Phase 5B: Maintenance phase
Why do we do a PRELIMINARY treatment plan?
- to control disease in the patient
- to help plan for definitive treatment
- to stabilize the patients oral health
- necessary when there is extensive caries or questionable teeth
According to the ADA, single crowns are listed under ______ not _____
restorative/operative (4B); NOT fixed
Why do we do an exit exam?
- To ensure the patients oral health is stable before placing in the recall program
- To identify any deficiencies in treatment
- To evaluate the patients homecare & determine a recall interval
Three signs of instability:
- Hypermobility of teeth not related to perio disease
- Excessive wear
- Change in tooth position
