Treatment Planning Midterm Flashcards
List the 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 with phases
V: Case development
VI: Informed consent
Data collection, Evaluation, & Development of diagnosis:
I: Patient information
Diagnoses (general health dx, psychosocia dx, intraoral/extraoral dx, perio dx, dental dx, pulpal& periapical dx)
II: Development of problem list
- HTN
- Stable/unstable angina
- Controlled DM
These would fall under development of problem list:
General health diagnosis
- Substance abuse
- Dental anxiety
- Smoker
- Poor dental hygeine
- Limited income
These would fall under development of problem list:
Psychosocial diagnosis
- lesions on soft tissue
- prominent neck lymph nodes
- salivary gland tumor/stone
These would fall under development of problem list:
Intraoral/ Extraoral diagnosis
- Pockets > 3mm
- Mobile teeth
- Gingival recession
These would fall under development of problem list:
Perio diagnosis
- New caries
- Recurrent caries
- Failing restorations
- Excessive wear
- Cracked tooth
- Discolored teeth
- Missing tooth
- Malocclusion
These would fall under development of problem list:
Dental diagnosis
- Internal resorption
- Acute apical abscess
- Reversible pulpitis
These would fall under development of problem list:
Pulpal and Periapical diagnosis
What needs to be completed PRIOR to scheduling an appointment with a treatment planner? (7)
- completed diagnosis
- completed consults
- discussion with patient about needs and desires
- discussion with patient about ability to finance
- discussion with faculty at diagnosis about what can and can’t be done
- diagnostic casts
- completed worksheet
What is the core step III of treatment planning?
Phasing of treatment in treatment plan
What steps are the preliminary phases of treatment planning?
Phase 1: Systemic
Phase 2: Acute
Phase 3A: Disease control
Phase 3B: Re-evaluation
What are the names of the phases involved in PRELIMINARY treatment planning?
Systemic, Acute, Disease control, Re-evaluation
What phase of treatment planning is being described?
- systemic disease referral
- med consult
- pre medication consult
- altering/prescribing meds
Phase 1: Systemic
What phase of treatment planning is being described?
- pain
- swelling
- traumatic injury
Phase 2: Acute
Components of the acute phase (2) include: (9)
- Chief complaint
- Health status
- Oral cancer screening
- Vital signs
- Area of chief concern
- Contiguous tissues
- Necessary radiographs
- Informed consent
- Follow-up plans
What phase of treatment planning is being described?
- O/R
- Caries restorations
- Scaling and root planing (initial perio)
- Extraction of hopeless teeth
- Endo
Phase 3A: Disease control
What phase of treatment planning is being described?
- Taking a pause to look over treatment & patient status in accordance to the plan
Phase 3B: Re-evaluation
What phases are involved in the DEFINITIVE phases of the 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
What are the names of the phases 4A- 5B involved in the definitive treatment plan?
- Periodontics
- Operative
- Orthodontics
- Fixed prosthodontics
- Removable prosthodontics
- Exit Exam/ Completed patient
- Maintenance phase
What phase of treatment planning is being described?
- implant planning
- periodontal surgery
Phase 4A: Periodontics
What phase of treatment planning is being described?
- Inlays
- Onlays
- Single crowns
- Composite veneers
Phase 4B Operative
What is a little fucked up with phase 4B operative?
Operative does not include restorations for caries control, as that is in DISEASE CONTROL
What phase of treatment planning is being described?
- Movement of teeth for further procedures
- Lowering/raising gingival margin
orthodontics
What is unique about the single crowns falling under Phase 4B?
These restorations DO NOT require a prosth consult
What phase of treatment planning is being described?
- Implant surgery
- Survey crowns
- bridges
- multi-unit crowns
Fixed prosthodontics
What phase of treatment planning is being described?
- removable partial denture
- removable denture
- night guard
Phase 4E: Removable partial prosthodontics
What phase of treatment planning is being described?
- Evaluation of patients mouth to determine if anything was missed or if anything needs revised:
Phase 5A: Exit exam/post-treatment assessment/completed patient
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 phase 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 homeware and determine a recall interval
Three signs of instability:
- hyper mobility of teeth not related to perio disease
- excessive wear
- change in tooth position
