treatment planning part 2 Flashcards
what is the plan of treatment
emergency stage
stabilisation
corrective therapy
reconstruction
when do we review the treatment
after stabilisation and after corrective therapy
what does the stabilisation process include
to remove unrestorable teeth with poor prognosis
also includes caries stabilisation
endodontics and semi permanent restorations
also includes provisional and immediate dentures
what do we need to fix first
the reason the patient came in eg pain
and fix the caries first
how can we also stabilise a patient
by giving preventative advice using the delivering better oral health toolkit
smoking cessation advice
what professional advice do we as dentists give
brush twice a day for two minutes floss using at least 1350 ppm of fluoride in toothpaste spit do not rinse toothpaste frequency of sugary foods are reduced
what info do we give for self care plaque removal
remove plaque by brushing with modified bass technique
involving brushing gum line and tooth twice a day
what kind of toothbrush should you use if it is a manual toothbrush
soft head
medium levelled toothbrush
who responds less well to treatment of perio disease
smokers
by what % of cases are refractory in smokers
90%
what do we have to consider when reviewing the patient after the stabilisation stage
are they motivated
caries free
plaque free score
what is the shortest review time
3 months
what is the longest review time
24 months
what do we need to consider when seeing when to review a patient
depends on risk factors
depends on treatment provided
what is the recommended review time for an average patient
6 months
what can we do in corrective therapy
advanced perio care
definitive restorations
completion of RCT
what are the aims of reconstruction
a long term plan for restoring a patients dentition
address functional or aesthetic concerns
diagnostic waxup for rehabilitation cases
what do we have to consider about the reconstruction stage
referrals long term maintenance time to complete treatment cost patient availably
what can reconstruction also include
surgical periodontics
crown lengthening surgery
definitive crowns, onlays
Fixed Bridges: Resin Retained, Conventional
Definitive partial dentures: Co/Cr(chromium cobalt denture)
dental implants
management of tooth wear
Articulated models and wax-ups
Direct composite build ups as per wax ups
Stabilisation Splint post treatment
what do we need to consider about consent
always need informed consent
need to ask patient to sign a form- cannot be months in advance needs to be pretty recent informed consent
Planning should normally be led by a
Consultant and every patient’s care be under a named Consultant
what do we use to work out the diagnosis
special tests
examination
history
