treatment strategy Flashcards
How do you take a history?
Reason for attendance (who referred, why, what to do after)
Presenting complaint (in pts own words)
HPC (SOCRATES, hx of management, self reported aetiology)
OPC (opc + hpc)
Relevant med history (form, current meds, attach prescription sheet, relevant conditions, allergies)
Relevant dental history (read past notes, relevant correspondence, referral letter, pt hx) NEED TO FAMILIARISE
Patient expectations (must consider in treatment plan and if can be met)
Social history
How do you do a clinical exam?
General exam
Focussed exam on clinical anomalies (endo, prosthodontics, perio)
How do you do special investigations?
Focused on conditions of interest
Must be reported and dated
Eg. Pulpal status, occlusion, radiographs, perio assess
Should review previous radiographs
How do you do diagnoses?
Must have diagnoses for every condition noted in assessment
Differential diagnosis must be provided if not definitive
This must be addressed in treatment strategy
Eg, refer to oral med for ulcer OR dismantle crown to determine extent of caries
How should you do prognoses?
For every diagnosis
Informed judgement of individual and specific risk factors, ability to institute prevention and maintenance and operative considerations
What is a prognosis statement?
Condition listed in diagnosis
Likely outcome based on current status (good, fair, guarded, poor, hopeless)
Rationale based on risk factor
How is a treatment strategy done?
Must be staged
Establish aim (preventative regime, end point, maintenance strategy) and convey to patient
Stage 1- emergency care
Stage 2- stabilisation of disease and structure
Stage 3- patient centred review of outcomes
Stage 4- advanced restorative care (new aim)
Stage 5- evaluate outcomes
Stage 6- maintenance plan
What is the aim of a treatment strategy?
To provide a functional, disease free and structurally sound dentition that can be maintained effectively in a durable and predictable manner
