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Treatment Planning > Treatment Planning - Preliminary Treatment > Flashcards

Treatment Planning - Preliminary Treatment Flashcards

1
Q

The primary six steps to treatment planning include:

A
  1. Patient information: data collection, evaluation & development of diagnosis
  2. development of problem list
  3. phasing of treatment in the treatment plan
  4. sequencing and procedures within phases
  5. case development: reviewing multiple cases & developing treatment plans
  6. informed consent
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2
Q

The phasing of treatment in the treatment plan includes: (5)

A
  1. systemic phase: managing patients physical health
  2. acute phase: urgent treatment needs
  3. disease control: dental caries, initial therapy for periodontal disease, oral infections & pathology
  4. definitive phase: core of treatment plan
  5. maintenance: preservation of oral health & develop long-term relationship with patient
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3
Q

Managing the patients physical health is involved in what phase of treatment planning?

A

systemic phase

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4
Q

The patients urgent treatment needs is involved in what phase of treatment planning?

A

acute phase

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5
Q

Dental caries, initial therapy for periodontal disease, oral infections and pathology are involved in what phase of treatment planning?

A

Disease control

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6
Q

The core of treatment plan is involved in what phase of treatment planning?

A

definitive phase

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7
Q

Preserving oral health, involving long-term relationships with patients is involved in what phase of treatment planning?

A

maintenance

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8
Q

Precise scientific terms used to describe variation from normal:

A

diagnosis

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9
Q

Why should you create a list of diagnosis or problems?

A
  1. better organization
  2. professional competence
  3. patient education
  4. insurance reimbursement
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10
Q

When should you get all consults?

A

Get all consults BEFORE treatment planning

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11
Q

How should you treatment plan difficult/advanced cases where some procedures must be done to determine what is even possible?

A

Preliminary treatment plan

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12
Q

What should you bring to the treatment planning appointmet?

A
  1. study models
  2. work sheets
  3. patient record
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13
Q

Required to plan any fixed prosthodontic treatment, extensive operative and any removable partial dentures:

A

Study models

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14
Q

Pre-treatment planning at UMKC includes (7):

A
  1. completed diagnosis
  2. completed consultd
  3. discussion with patient about their needs and desires
  4. discussion with patient about ability to finance treatment
  5. discussion with faculty at diagnosis what can and cannot be accomplished in the pre-doc clinic
  6. diagnostic casts
  7. completed worksheet
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15
Q

Why break treatment into phases?

A

as a way to structure the thinking process and to have definitive times when treatment is re-evaluated before going on to the next phase of treatment

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16
Q

What are the preliminary treatment phases at UMKC?

A

Phase 1: systemic phase
Phase 2: acute phase
Phase 3a: disease control
Phase 3b: re-evaluation

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17
Q

Preliminary treatment at UMKC includes what phases (just the numbers):

A

Phase 1, 2, 3a, 3b

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18
Q

What are the (second category) treatment phases at UMKC?

A

Phase 4a: periodontics
Phase 4b: operative
Phase 4c: orthodontics
Phase 4d: fixed prosthodontics

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19
Q

What are the definitive treatment phases at UMKC?

A

Phase 4e: removable prosthodontics
Phase 5a: exit exam/completed patient
Phase 5b: maintenance phase

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20
Q

-Re-evaluation
-Ortho
-Maintenance phase
-Periodontics
-acute phase
-systemic phase
-Fixed prosthodontics
-Operative
-Removable prosthodontics
-disease control
-Exit exam/completed patient

Put these in order:

A

Phase 1: systemic phase
Phase 2: acute phase
Phase 3a: disease control
Phase 3b: re-evaluation

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

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21
Q

Phase 1 of treatment planning at UMKC:

A

Systemic phase

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22
Q

What is involved in phase1: systemic phase?

A

-systemic disease referreal
-med consult
-premedication consult
-altering/prescribing meds

23
Q

Phase 2 of treatment planning at UMKC:

A

Acute phase

24
Q

What is involved in phase 2: acute phase?

A

-pain
-swelling
-traumatic injury

25
Q

What are components of an acute phase examination?

A
  1. chief complaint
  2. health status
  3. oral cancer screening
  4. vital signs
  5. area of chief concern
  6. contiguous tissues
  7. necessary radiographs
26
Q

An avulsed tooth would be addressed in what phase of treatment planning?

A

acute phase treatmet

27
Q

An fractured tooth would be addressed in what phase of treatment planning?

A

acute phase treatment

28
Q

Facial swelling would be addressed in what phase of treatment planning?

A

acute phase treatment

29
Q

Traumatic injury and/or pain associated with individual teeth are treated in what phase of treatment planning?

A

acute phase treatment

30
Q

Periodontal and other soft-tissue pain is addressed in what phase of treatment planning?

A

acute phase treatment

31
Q

Acute phase informed consent states the patient must be fully awayre of:

A
  1. the diagnosis
  2. all reasonable treatment options, including no treatment
  3. risk and benefits of each option
  4. the cost of that treatment now and in the future
32
Q

Phase 3a at UMKC:

A

Disease control

33
Q

Why do we do a preliminary treatment plan?

A
  1. to control disease in patient
  2. to help plan for the definitive treatment
  3. to stabilize the patients oral health
34
Q

Phase 3a (disease control) usually occurs in what sequence?

A
  1. extraction of hopeless teeth and O&R
  2. scaling & root planing
  3. caries control
35
Q

Extraction of non-restorable teeth occurs in what phase of treatment planning?

A

3a (disease control)

36
Q

Periodontics #1 occurs in what phase of treatment planning?

A

3a (disease control)

37
Q

Scaling & root planing occur in what phase of treatment planning?

A

3a (disease control)

38
Q

O&R (open & report) is used to determines ________ and is evaluated in what phase of treatment planning?

A

restorability of a tooth; phase 3a

39
Q

Caries control/O&R is evaluated in what phase of treatment planning?

A

Phase 3a

40
Q

Endodontics is evaluated during what phase of treatment planning?

A

Phase 3a

41
Q

What is phase 3b of treatment planning?

A

Re-evaluation for definitive treatment plan

42
Q

Re-evaluation for definitive treatment plan =

A

Phase 3b

43
Q

Factors to consider during the re-evaluation phase (3b) include:

A

-adherence to home care
-new lesions present
-keeps appointments
-financial ability to continue

44
Q

What are the phases in the PRELIMINARY Treatment plan?

A

Phase 1: systemic treatments/consults
Phase 2: Acute treatment
Phase 3a: Disease control
Phase 3b: Re-evaluation

45
Q

-70 year old female
-history of HTN (controlled 140/72)
-Medications: Pravastatin, Eliquis
-Chief complaint: Wants regular dental checkups

A

Preliminary treatment plan

46
Q

Phase 4 of treatment planning=

A

Definitive treatment plan

47
Q

Phase 4-definitive treatment plan includes:

A

restorative treatment

48
Q

What sub-phases are included in phase 4 (definitive treatment plan):

A

4a: Periodontics (1. implants, 2. surgery)
4b: Operative dentistry
4c: Orthodontics
4d: Fixed prosthodontics
4e: Removable prosthodontics

49
Q

Phase 5 -definitive treatment plan includes:

A

Restorative treatment

50
Q

Phase 5- definitive treatment plan sub-phases include:

A

Phase 5a: Exit exam/Post treatment assessment/Completed patient

Phase 5b: Maintenance phase/recall and continuing issues to follow

51
Q

The PRELIMINARY TREATMENT is mainly concerned with:

A

Disease control

52
Q

The DEFINITIVE TREATMENT is mainly concerned with:

A

Restorative/Prosthodontic dentistry (restoring function & esthetics)

53
Q
A

Treatment Planning (5 decks)

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