Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

rpd > lecture 6 - diagnosis and treatment planning > Flashcards

lecture 6 - diagnosis and treatment planning Flashcards

1
Q
  • Act or process of identifying or determining the nature and cause of a disease or injury through evaluation of patient history, examination, and review of laboratory data.
A

DIAGNOSIS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

o On first impression or complaint of the patient.

A
  1. Tentative Diagnosis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

o Final identification of disease after a series of examination
o Example: Palpation, percussion, radiograph, thermal test

A
  1. Definitive Diagnosis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q
  • Is the prediction of the probable outcome of the treatment; final results or effect of the treatment.
A

Prognosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q
  • Series of treatment that has to be done and planned according to the diagnosis of the case of the patient.
A

Treatment plan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q
  • The reason that the patient seeks care, as described in the patients own words.
A

Chief complaint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q
  • The purpose of dental treatment is to respond to a patient’s needs, both the _______________ by the patient and those demonstrated through a _______________ and patient interview.
  • The delineation of each patient’s uniqueness occurs through the ________________ and ______________________ process.
A

needs perceived
clinical examination
patient interview
diagnostic clinical examination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q
  • ___________________, past and present should be noted since such may affect the treatment plan that favorable for the individual.
  • _________, current medication, family history may need remedial attention prior to and after dental treatment.
  • The ________________, particularly past experiences with removable partial denture contribute valuable data which if overlooked can result in treatment failures.
A

Serious illnesses
Allergies
past dental history

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Psychological Make-Up of Patient (4)

A

(1) Philosophical
(2) Exacting
(3) Hysterical
(4) Indifferent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q
  • Easiest to treat
  • Well adjusted and easygoing
  • Accept their share of responsibilities and recognizes the need for replacement of missing teeth
  • They have the role in maintaining their dental health
  • Easily adjust to any properly constructed denture
  • Does not present problems for the dentist
A

Philosophical Patient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q
  • Precise in everything they do
  • Can only be satisfied by perception
  • Many demands, dentist needs to explain the treatment step by step in details
  • Additional appointments is needed, due to the dentists needs extreme care, effort and patience
  • High expectation, difficult to treat
  • If satisfied they become your supporter and valuable asset in your practice
A

Exacting Patient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q
  • Emotionally unstable
  • Excessively apprehensive to dental treatment
  • Complaint without justification
  • They were never be able to wear the prosthesis
  • Cannot accept responsibilities for any dental problems
  • With chronic and debilitating disorder (depression)
  • They are made to be aware that their dental problems is related to their systemic diseases
  • Psychiatric and medical treatment is very useful
  • Unless mental attitude of patient is change, possibility for success in treatment is poor
A

Hysterical Patient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q
  • Lack of motivation and care to oral health
  • Uncooperative, ignore instructions given
  • No concern in their appearance
  • Prognosis of RPD is poor
A

Indifferent Patient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

4 Important Points of Patient Interview (UADE)

A

(1) Understanding patient’s desires or chief complains regarding their condition.

(2) Ascertaining the patient’s dental needs through a systematic interview process.

(3) Developing a treatment plan that reflects the best management and desires.

(4) Executing appropriately sequenced treatment with planned follow-up.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Provision of the best care for a patient may involve _______________, ______________________, and the dentist must be prepared to help patients decide the best treatment option given his or her individual circumstances.

A

no treatment
limited treatment or extensive treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q
  • Patient present for professional evaluation:
    o To address some ___________________that requires correction.
    o To ________ optimum oral health.
A

perception of an abnormality
maintain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q
  • The interview is an opportunity to develop ________ with the patient and it involves listening to and understanding the patient’s chief complaint or concern about their oral health
A

rapport

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q
  • To ensure thoroughness, the dentist should follow a sequence that follows: (4)
A
  1. Chief Complaint and It’s History
  2. Medical History Review
  3. Dental History Review
  4. Patient Expectations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q
  • _____________________
    o We should carefully consider what the patient needs to hear from us.
    o Gives structure to a process where the provider and the patient identify together the best course of care.
A

Shared Decision Making (communication model)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Objectives of Prosthodontic Treatment (4)

A
  1. Elimination of disease
  2. Preservation, restoration & maintenance of the health of the remaining teeth and oral tissues
  3. The selected replacement of lost teeth
  4. Restoration of function in a manner that ensures optimum stability and comfort in an
    esthetically pleasing manner
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q
  • A __________________ should precede any treatment decisions.
  • It should include visual and digital examination of the teeth and surrounding tissues with a mouth mirror, explorer and periodontal probe.
  • Conducting the ____________ of critical teeth.
  • Examination of ______correctly oriented on a suitable articulator.
A

complete oral examination
vitality tests
casts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Sequence for Oral Examination

  1. ______ of pain and discomfort and ____________ by placement of temporary restorations.
  2. Thorough and complete ______________.
  3. Complete intraoral ____________
  4. ___________________________to be mounted for occlusal examination.
  5. _________ of teeth, investing structures, and residual ridges
  6. _____________ of remaining teeth.
  7. Determination of ___________________ of the mouth to locate ________________ of lingual mandibular major connectors.
A

Relief
caries control
oral prophylaxis
radiographic survey
Impression for accurate diagnostic casts
Examination
Vitality tests
height of floor
inferior borders

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

should be an accurate reproduction of all the potential features that aid diagnosis.

A

diagnostic cast

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q
  • These include the teeth locations, contours, and occlusal plane relationship, the residual ridge contour, size & mucosal consistency, and the oral anatomy delineating the prosthesis extensions. _______________________________________________________
A

(vestibules, retromolar pads, pterygo-maxillary notch, hard/soft palatal junction, floor of the mouth and frenum)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

PURPOSE OF THE DIAGNOSTIC CASTS
* Used to supplement the oral examination by permitting a view of the occlusion from the _________, as well as from the buccal aspect.

A

lingual

26
Q

PURPOSE OF THE DIAGNOSTIC CASTS
* Analysis of the existing occlusion is made possible when opposing casts are ___________, as is a study of the possibilities for improvement by ______________, ________________, or both.

A

occluded
occlusal adjustment
occlusal reconstruction

27
Q

PURPOSE OF THE DIAGNOSTIC CASTS
* Used to permit a ________________ of the dental
arch that is to be restored by means of a removable partial denture.

A

topographic survey

28
Q

PURPOSE OF THE DIAGNOSTIC CASTS
* Used to permit a logical and _________________ to the patient or present and future restorative needs, as well as of the hazards of future neglect.

A

comprehensive presentation

29
Q
  • Occluded and individual diagnostics casts can be used to point out to the patient.
  • ____________ may be fabricated on the diagnostic casts for final impressions.
  • May be used as a constant reference as the work progresses. _______________ should become a permanent part of the patients record.
A

Individual trays
Unaltered casts

30
Q
  • For Diagnostic purposes, casts should be related on an anatomically appropriate articulator. To best understand the role of occlusion, that may have a factor in the design and functional stability of the removable partial denture.
  • This become increasingly important as the prosthesis replaces more teeth.
  • If the patient presents with a harmonious occlusion and the edentulous span is a tooth-bound space, _______________ is generally all that is required.
A

simple hand articulation

31
Q
  • The information gathered in the patient interview and clinical examination provides the basis for establishing whether treatment is indicated, and if so, what specific treatment should be considered.
  • _________________ treatment option can be considered, and financial implications need to be considered against long-term expectations if the best decision is to be reached.
A

More than one

32
Q
  • The _________________ serves as the basis for decisions that will ultimately identify the suggested treatment.
A

interpretation of these diagnoses

33
Q
  • The condition of the supporting bone must be evaluated, with specific attention to reduced bone support and mobility patterns recorded.
  • Oral hygiene habits must be determined, and efforts made to educate the patient relative to plaque control.
A

Periodontal Considerations

34
Q
  • The need for protective restorations must be considered.
A

Caries Risk Assessment Considerstions

35
Q
  • An ________________ is required to ensure that an appropriately stable base of sound teeth and/or residual ridge(s) is provided to maximize prosthesis function and patient comfort.
A

evaluation of the prosthesis (Teeth & Residual Ridges)

36
Q
  • Grossly displaceable soft tissue covering basal seat areas and hyperplastic tissue should be removed to provide a firm denture foundation.
  • _____________ should be removed if they will interfere with the optimum location of a lingual bar connector or a favorable path of placement.
  • Any other areas of bone prominence that will interfere with the path of placement should be removed also.
A

Mandibular tori

37
Q
  • The goal of artificial tooth placement is to harmonize with the functional parameters of the existing occlusion providing _______________________.
  • The dentist must decide whether it is best to accept and maintain the existing occlusion or to attempt to improve on it by means of ________________ and/or restoration of occlusal surfaces.
A

bilateral, simultaneous functional contact
occlusal adjustment

38
Q
  • There may be a need to restore modification spaces with _______________ rather than include them in the removable partial denture, especially when dealing with isolated abutment teeth.
A

fixed restorations

39
Q
  • Occasionally, orthodontic movement of malposed teeth followed by retention through the use of fixed partial dentures makes possible a better removable partial denture design mechanically and esthetically than could otherwise be used
A

Orthodontic Treatment

40
Q
  • One of the criteria used to determine the use of the lingual bar or linguo-plate is the ________________ of the patient’s mouth when tongue is elevated.
A

height of the floor

41
Q

Tooth Alteration (T.A.P.)

A
  • Surveying
  • Guide Plane Preparation
  • Tooth Re-contouring
  • Dimpling / Grooving / Rest Seat
42
Q
  • One of the more difficult decision to make for the partially edentulous patient involves making the choice of a complete denture over a removable partial denture.
  • Many factors need to be considered when one is making such a decision, these generally fall under the categories of ___________ factors, factors of ________________, and _______________ factors.
A

tooth-related
comparative functional expectations between prosthesis
patient-specific

43
Q
  • Tooth bounded edentulous regions (FPD or RPD)
A

FPD

44
Q
  • Modification spaces (anterior / posterior) (FPD/ RPD)
A

FPD

45
Q
  • Replacement of unilaterally missing molars (shortened dental arch) (FPD/ RPD)
A

FPD

46
Q
  • Distal extension situation (FPD/ RPD)
A

RPD

47
Q
  • After recent extractions (FPD/ RPD)
A

RPD

48
Q
  • Long span
A

RPD

49
Q
  • Need for effect of bilateral stabilization (RPD/FPD)
A

RPD

50
Q
  • Excessive loss of residual bone (FPD/ RPD)
A

RPD

51
Q
  • Unusually sound abutment teeth (FPD/ RPD)
A

RPD

52
Q
  • Abutments with guarded prognosis (FPD/ RPD)
A

RPD

53
Q
  • Economic considerations (FPD/ RPD)
A

RPD

54
Q
  • More accurate than resins ________
  • Cleanliness of the metal base maintains healthy oral tissues.
  • Metal alloys can be much thinner than resins and still have adequate strength and rigidity.
  • ___________ as temperature is transmitted through the base maintaining health of the tissue
  • Most common metal used are __________ and _________.
A

Metal
Thermal conductive
nickel chromium
cobalt chromium

55
Q
  • The cast framework offers significant advantage over the all acrylic-resin removable partial denture.
  • Practically all cast frameworks for removable partial dentures are made from a cobalt-chromium alloy or nickel-chromium.
  • The popularity of ________ alloys has been attributed to their low density (weight), high modulus of elasticity (stiffness), low material cost, & resistance to tarnish
A

Co-Cr

56
Q

Disadvantages of Metal

A
  • Expensive
  • Time consuming
  • Technique sensitive (casting)
  • Visible metal clasp (esthetic)
  • Heavy weight
  • Brittle
  • Difficulty in relining & repairing
57
Q

Disadvantages of PMMA

A
  • Brittleness
  • Allergy to MMA Monomer
  • High porosity
  • Irritation of mucosa
  • Foul smell
  • Difficult to insert in undercut areas
  • Dimensional changes
  • Needs denture adhesives
  • Complicated processing
58
Q

what to identify in Chief of Complaint

A

o Function
o Esthetics
o Function and Esthetics

59
Q

what to ask in History of Present Illness (HPI)

A
  • What
  • When
  • Where
  • Why
60
Q

other documents for treatment planning (2)

A

dental chart
data privacy and consent form

rpd (17 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions