Decision making-Treatment Plan

Question 1

what is clinical decision making

Answer 1

process whereby the dentist and dental hygienist use the information gathered during clincical PA to identify treatment strategies that meet the patients individual needs

Question 2

It is the legal responsibility of the ______ to make a periodontal diagnosis

Answer 2

dentist

Question 3

responsibility of who to plan nonsurgical therapy?

Answer 3

dentist and dental hygienist

Question 4

responsibility of patient to _____ fully in treatment decisions and goals

Answer 4

participate

Question 5

does an individuals periodontal care needs change over time? due to what?

Answer 5

yes due to the intermittent theory

Question 6

the decision between health or disease is based on what?

Answer 6

signs of inflammation

Question 7

T/F: patients are aware of the disease

Answer 7

false; they are unaware and we must inform the patient

Question 8

purpose of the diagnosis

Answer 8

determine the prognosis, aid in establishing a treatment plan, and state the etiology of the disease (type of gingivitis or perio)

Question 9

clinical parameters to assist in making the diagnosis

Answer 9

age, attachment level, bone level, plaque level, and pattern of disease

Question 10

prognosis is a _____. It is a prediction of the probable course of disease and of the chances of the patients recovery

Answer 10

forecast

Question 11

three meanings of dentistry

Answer 11

1. diagnostic
2. therapeutic
3. prosthetic

Question 12

what is a diagnostic prognosis:

Answer 12

what is the main status now without treatment and what is the future of the dentition

Question 13

what is a therapeutic prognosis:

Answer 13

what will treatment have on the course of the disease

Question 14

what is a prosthetic prognosis:

Answer 14

what will be the success of prosthetic restoration

Question 15

purpose of the prognosis

Answer 15

1. inform the patient

2. establishes treatment plan

Question 16

characteristics of an excellent prognosis

Answer 16

• no bone loss
• excellent gingival conditions
• good patient cooperation
• no systemic or local factors

Question 17

characteristics of a good prognosis

Answer 17

one or more of the following:

• adequate remaining bone support
• possible to control local and systemic factors
• adequate patient cooperation

Question 18

characteristics of a fair prognosis

Answer 18

one or more of the following:

• less than adequate remaining bone
• some tooth mobility
• class 1 furcation
• adequate maintenance by patient
• limited local and systemic factors

Question 19

characteristics of a poor prognosis

Answer 19

one or more of following:

• moderate to advanced bone loss
• tooth mobility
• class 1 or 2 furcation involvements
• difficult to maintain areas
• doubtful patient cooperation
• presence of local and systemic factors

Question 20

characteristics of a questionable prognosis

Answer 20

• advanced bone loss
• class 2 or 3 furcation involvements
• tooth mobility
• inaccessible areas
• presence of systemic or local factors

Question 21

characteristics of a hopeless prognosis

Answer 21

non-maintainable areas

• extractions included
• presence of local factors
• the dentist will inform the patient of hopeless teeth

Question 22

is the hygienist qualified to tell the patient that a tooth needs to be extracted?

Answer 22

no; that is the dentists’ job

Question 23

individual tooth prognosis depends on what factors?

Answer 23

• %age of tooth loss
• probing depths
• distribution and type of bone loss
• mobility
• crown to root ratio
• pulpal involvement
• presence and severity of furcas

Question 24

overall prognosis depends on what factors?

Answer 24

• age
• medical status
• individual tooth prognosis
• degree of involvement, duration, and history of the disease
• economic considerations

Question 25

What significance does documentation have on periodontal diagnosis

Answer 25

- critical skill for dental team - use case type system - use correct terms

Question 26

T/F: bleeding doesn't indicate bone loss

Answer 26

True

Question 27

master treatment plan does what for the patient?

Answer 27

- coordinates and sequences all treatment and education - estimates length of time required for comprehensive treatment - communication with patient is vital

Question 28

5 phases of perio treatment plan

Answer 28

1. assessment phase and preliminary therapy 2. nonsurgical periodontal therapy 3. surgical therapy 4. restorative therapy 5. periodontal maintenance

Question 29

features of assessment and preliminary therapy

Answer 29

- Periodontal assessment | - stage is also referred to as emergency therapy

Question 30

features of nonsurgical phase

Answer 30

- all nonsurgical measures used to help control gingivitis and perio - dental hygiene care and educational measures - also called bacterial control and anti-infective therapy

Question 31

features of surgical phase

Answer 31

- periodontal surgery - placement of implants - root canal therapy

Question 32

features of restorative phase

Answer 32

- splinting of teeth - restorations - replacement of missing teeth by fixed or removal prostheses

Question 33

features of perio maintenance phase

Answer 33

- all measures used to keep perio under control - maintain teeth functioning throughout life - goal is to prevent recurrence of disease

Question 34

what should documentation in patient record include

Answer 34

assessment data, all educational instructions, and treatment services provided

Question 35

what is informed consent

Answer 35

patient's voluntary agreement to proposed treatment after achieving an understanding of relevant facts, benefits of treatment, risks involved

Question 36

what is the most vital about informed consent?

Answer 36

communication with the patient about the treatment plan

Question 37

informed consent is only possible if the patient has been advised of what?

Answer 37

- recommended treatment - alternate treatment options - benefits and risks of treatment

Question 38

what does the informed consent originate from

Answer 38

a persons legal right to direct what happens to his or her body the ethical duty of the dental healthcare provider to involve the patient in his or her own dental care

Question 39

what is important for the patient to understand about the scope of information?

Answer 39

the patient's role and responsibilities during and after perio treatment - discuss prognosis if no treatment is provided - reinforce the right to refuse treatment

Question 40

never ______ the outcome of proposed treatment? why?

Answer 40

guarantee because the perio disease is intermittent