Treatment Planning (Pt. I) Flashcards
Treatment Planning Overview
• Appropriate treatment plan INFORMS the patient about:
– Current ____
– Extent of dental treatment proposed
– ____ of treatment
– Level of home care needed
– Amount of ____ for success
– The possibility some details may need to be altered once treatment is started
conditions
time and cost
professional follow-up
Treatment Goals • (1)Correct an existing \_\_\_\_ • (2)Prevent \_\_\_\_ disease • (3)Restore \_\_\_\_ • (4)Improve \_\_\_\_
May include combination
disease
future
function
appearance
(1)Correction of Existing Disease
• Existing disease revealed during ____ examination
• Usually arrest by identifying and improving resisting factors
– Example: ____ instruction
– Example: increasing ____ intake
• Need to control cause
clinical
oral hygiene
fluoride
(2)Prevention of Future Disease
• Predict ____ disease
– by evaluating disease experience
• Recommend ____ if future disease seems likely without treatment
future
treatment
(3)Restoration of Function
• \_\_\_\_ loss often difficult to assess • May plan treatment to correct \_\_\_\_ – Example: • \_\_\_\_ • \_\_\_\_
degree of function
impaired function
mastication
speech
(4)Improvement of Appearance
• Often dissatisfied with ____
• Evaluate appearance
•____ to
patient’s views
• ____ dental health should NOT be compromised by esthetics
• Patient needs to know possible ____ of treatment
appearance
listen
long-term
adverse consequences
(1)Plastic Materials
– Capable of being shaped or formed
• Most ____ used restorative materials
– Ex. ____ resin
• Allows simple and conservative restoration of damaged teeth
• Mechanical properties ____ to cast metal, metal-ceramic or ceramic restorations
• Success depends on strength and integrity of remaining ____
• May use as ____
commonly amalgam and composite inferior tooth structure foundation or core
Plastic Materials vs. Indirect Restorations
____ restorations are difficult to condense and contour accurately intraorally
____ facilitate the fabrication of more accurately shaped restorations
large amalgam indirect procedures (crowns)
(2)Cast Metal Restorations
• Cemented with ____ agent
• Indirect technique
– enables more ____ than direct
• Preparation design crucial
luting
precise contours
(2) Cast Metal
(a) Intracoronal Restoration
• Inlay
– Relies on strength of remaining ____ for support and retention
tooth structure
(2)Cast Metal (a)Intracoronal Restoration
• Greater tooth bulk needed to resist ____ effect
– Contraindicated in ____ tooth
• Extremely ____ due to strength and corrosion resistance of casting alloy
• Requires ____ tooth removal than amalgam
• Does ____ have sufficient resistance or retention to use as ____ for FDPs
wedging weakened durable greater NOT abutment retainers
(2) Cast Metal
(b) Extracoronal Restoration
• Crown or Onlay
– Encircles all or part of remaining ____
• Can strengthen and protect tooth weakened by ____
tooth structure
caries or trauma
(2) Cast Metal
(b) Extracoronal Restoration
• More ____ than for intracoronal restoration
• Margins generally near ____ – makes maintenance of tissue health
____
• Intracoronal features may be incorporated into the preparation design
– ex. ____
• add resistance and retention
tooth removal
gingival margin
difficult
grooves
(3)Metal Ceramic Material
• Tooth colored layer of porcelain bonded to a cast metal substructure
• Used to restore ____
• Need sufficient bulk for porcelain to be ____
– Among least ____ preparation design
• ____ margin, if metal, is unesthetic
– Porcelain labial margin improves ____
• Technique sensitive
appearance esthetic conservative labial esthetics
(4)Fiber-Reinforced Resin • Indirect composite resin restorations for \_\_\_\_, crowns, and FDPs • Excellent \_\_\_\_ adaptation • Excellent \_\_\_\_ • Do not withstand \_\_\_\_ well over time • Useful as \_\_\_\_ interim restorations
inlays marginal esthetics functional loads long-term
(5)Complete Ceramic • Most \_\_\_\_ restorations • Comparative lack of \_\_\_\_ in comparison to other materials • Difficulty with \_\_\_\_ – Technique sensitive (technician and dentist)-depends on fabrication method • \_\_\_\_ technique • Can mill and do directly in the \_\_\_\_ • Luted with \_\_\_\_
esthetic strength marginal fit indirect office composite resin
(5)Complete Ceramic
• Focus in improving strength of esthetic
restorations
– Veneering high strength core (ex. Zirconia or lithium disilicate) with a more translucent ____ or ____ reinforced translucent material
• ____ restorations are among the strongest ceramic restorations
– ____ acceptable esthetics for posterior teeth
• ____ retained with composite resin
porcelain leucite monolithic esthetic restorations colored monolithic zirconia etchable ceramic crowns
(1)Fixed Dental Prosthesis (FDP)
- Indicated for one or more ____ teeth
- ____ attached with connectors to retainers
- ____ technique
- Requires precise alignment of tooth preparations
- Long-term success with proper placement and meticulous oral hygiene
missing
pontics
indirect
(2)Implant-Supported Prostheses
• Indicated for one or more ____ teeth
• Titanium cylinders are drilled into bone and ____ for several months
• Following osseointegration, the implant is restored with a ____
– Either left in place without ____ for several months or restored immediately with ____
• Does not involve ____ teeth
missing osseointegrate prosthesis loading interim restoration adjacent
(3)Partial Removable Dental
Prosthesis (PRDP)
- Replaces missing teeth and supporting structures
- Forces distributed to ____ and residual alveolar ridges
- Forces best distributed with carefully contoured ____ and rest seats
- ____ restorations may be needed to provide the best contours
- Specific design requirements can affect tooth preparation design for “____”
remaining teeth
guide planes
fixed cast restorations
survey crowns
(4)Complete Removable Dental
Prosthesis (Complete Dentures)
• A ____ prosthesis replacing entire dentition and associated structures
• Complicated by lack of ____ and gradual loss of supporting bone
• Damage to premaxilla when ____ opposing maxillary denture
– Combination syndrome
• Complete denture opposing fixed restorations
require careful planning of occlusion
• ____ can enhance stability and preserve ridge
– Rests on ____ or implants
removable stability mandibular incisors overdentures endodontically treated roots
Combination Syndrome
• Occurs when ____ maxilla is opposed by natural ____ teeth
– Bone loss from ____
– Overgrowth of ____
– Papillary hyperplasia of ____
– ____ of lower anterior teeth
– Loss of ____ and ridge height beneath mandibular PRDP bases
• Also called ____ syndrome
edentulous mandibular anterior anterior portion maxillary ridge tuberosities hard palate mucosa extrusion alveolar bone anterior hyperfunction
Combination Syndrome
• Severe resorption of ____ with hyperplastic tissue
– Occlusal forces have been concentrated in ____
anterior maxilla
anterior region
Treatment of Tooth Loss • Reasons for tooth loss – \_\_\_\_ – Periodontal disease – \_\_\_\_ – Trauma – \_\_\_\_
dental caries
congenitally absent
neoplastic disease
