treatment planning part 2

Question 1

what is the plan of treatment

Answer 1

emergency stage
stabilisation
corrective therapy
reconstruction

Question 2

when do we review the treatment

Answer 2

after stabilisation and after corrective therapy

Question 3

what does the stabilisation process include

Answer 3

to remove unrestorable teeth with poor prognosis
also includes caries stabilisation
endodontics and semi permanent restorations
also includes provisional and immediate dentures

Question 4

what do we need to fix first

Answer 4

the reason the patient came in eg pain

and fix the caries first

Question 5

how can we also stabilise a patient

Answer 5

by giving preventative advice using the delivering better oral health toolkit
smoking cessation advice

Question 6

what professional advice do we as dentists give

Answer 6

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

Question 7

what info do we give for self care plaque removal

Answer 7

remove plaque by brushing with modified bass technique

involving brushing gum line and tooth twice a day

Question 8

what kind of toothbrush should you use if it is a manual toothbrush

Answer 8

soft head

medium levelled toothbrush

Question 9

who responds less well to treatment of perio disease

Answer 9

smokers

Question 10

by what % of cases are refractory in smokers

Answer 10

90%

Question 11

what do we have to consider when reviewing the patient after the stabilisation stage

Answer 11

are they motivated
caries free
plaque free score

Question 12

what is the shortest review time

Answer 12

3 months

Question 13

what is the longest review time

Answer 13

24 months

Question 14

what do we need to consider when seeing when to review a patient

Answer 14

depends on risk factors

depends on treatment provided

Question 15

what is the recommended review time for an average patient

Answer 15

6 months

Question 16

what can we do in corrective therapy

Answer 16

advanced perio care
definitive restorations
completion of RCT

Question 17

what are the aims of reconstruction

Answer 17

a long term plan for restoring a patients dentition
address functional or aesthetic concerns
diagnostic waxup for rehabilitation cases

Question 18

what do we have to consider about the reconstruction stage

Answer 18

referrals 
long term maintenance 
time to complete treatment 
cost 
patient availably

Question 19

what can reconstruction also include

Answer 19

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

Question 20

what do we need to consider about consent

Answer 20

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

Question 21

what do we use to work out the diagnosis

Answer 21

special tests
examination
history