Treatment Planning

Question 1

What are the 3 Stages of the Treatment Plan?

Answer 1

• initial therapy/stabilisation
• corrective therapy
• supportive/maintenance therapy

Question 2

What part of the appointment do you find out the patients risk factors?

Answer 2

in the history and examination

Question 3

What’s are the steps you take with a new patient?

Answer 3

history and examination
diagnosis
determine a prognosis
construct a treatment plan
perform treatment
initial therapy
corrective therapy
supportive therapy
recall

Question 4

what should you avoid using when communicating with patients?

Answer 4

dental/medical jargon

Question 5

what shouldn’t you be when talking to patients?

Answer 5

vague or patronising

Question 6

how should you begin your discussion with a patient?

Answer 6

positively and talk with them chair side

Question 7

what is the purpose of initial therapy?

Answer 7

• eliminate infectious and inflammatory processes
• bring oral cavity to health

Question 8

what procedures come under initial therapy?

Answer 8

periodontal procedures
endodontics
extractions

Question 9

in initial therapy, how many you control plaque infections?

Answer 9

OHI
smoking cessation
scaling and RSD
arrange extraction/endo/restore/denture
monitor the response to treatment

Question 10

how many weeks after do you monitor the response after initial therapy?

Answer 10

at least 6 weeks but usually 8-12

Question 11

after initial therapy, what do you check for when monitoring/reviewing? (8)

Answer 11

plaque levels
BPE
diet
suppuration
any furcation
recession
mobility
patient compliance

Question 12

when can you move onto corrective therapy?

Answer 12

only when you’re positive that initial therapy has worked

• when plaque score is high standard
• inflammation has resolved - BOP
• there is response to initial therapy
• disease is stabilised

Question 13

what is the aim of corrective therapy?

Answer 13

to restore function
provide stable occlusion
restore aesthetics

Question 14

why can initial therapy fail?

Answer 14

• systemic factors
• host factors - motivation, smoking, compliance
• microbial factors
• inadequate instrumentation

Question 15

what may you find if initial therapy has failed?

Answer 15

• BOP
• pockets
• calculus
• ineffective oral hygiene regime
• ineffective instrumentation

Question 16

during corrective therapy, how may you restore function and aesthetics?

Answer 16

• replace missing teeth - crown, bridge, implant, dentures
• periodontal surgery
• endo surgery
• orthodontics
• RCT
• definitive restorative therapy

Question 17

only when can orthodontic treatment be done?

Answer 17

when periodontal tissues = healthy
- RSD completed
- pocket depth less than 3mm

Question 18

in corrective therapy, how can ortho treatment aid function?

Answer 18

if molars are tilted
traumatic overbite
drifting anterior teeth
open bites
lip seal

Question 19

in corrective therapy, how can restorative treatment aid function?

Answer 19

mastication
load distribution
protect tooth structure
maintain tooth alignment
maintain horizontal and vertical jaw relationship

Question 20

what is the purpose of root filling?

Answer 20

to avoid extraction
eliminate pulpal disease

Question 21

how can ortho aid aesthetic?

Answer 21

realign teeth
decrease overjet
upright tilt and rotation

Question 22

how can restorative aid aesthetic?

Answer 22

replace missing teeth
recession - gingival mask
cervical margins - pink porcelain
bone contours - dentures

Question 23

define supportive therapy

Answer 23

a phase in patient management directed at preventing relapse or recurrence of periodontal disease after initial and corrective therapy

Question 24

what may be part of the supportive therapy?

Answer 24

motivation
re-instruction
treat re-infected sites
polish
fluorides

Question 25

what can be the risk factors for the patient?

Answer 25

diet
smoking
alcohol
compliance
oral hygiene
pockets
bleeding
systemic

Question 26

what can be the risk factors for each tooth?

Answer 26

their positioning
morphology
any furcation
plaque retentive factors

Question 27

how often should you see the patient during supportive therapy?

Answer 27

every 3 months in the first year
then every 6 months

• needs to be tailored to each patient