Treatment Planning Flashcards
(36 cards)
Radiograph report
Diagnostically acceptable
Teeth present: 12 11
Restorations:
12 - mesial composite, veneer
11 - mesial and distal composites, RCT well condensed, to apical length
Caries: Nil
Bone loss: Nil
Periapical pathology: 11 root resorption
Radiograph report
Diagnostically acceptable
Teeth present: 21 22
Restorations:
21 - extra-coronal restoration with temp post in site, RCT acceptable apical length with some coronal voids
22 - core for extra-coronal restoration, RCT with apical voids and extruded apical
Caries: Nil
Bone loss: Nil
Periapical pathology: 22 root resorption
Radiograph report
Diagnostically acceptable
Teeth present: 22 23
Restorations:
22 - core for extra-coronal restoration, RCT with apical voids, extruded apical GP
Caries: Nil
Bone loss: Nil
Periapical pathology: 22 root resorption
Radiograph report
Right bitewing
Diagnostically acceptable
Teeth present: 17 15 14 13 47 46 45 44
Restorations:
47 occlusal amalgam
46 DO amalgam
Caries: Nil
Bone loss: generalised horizontal bone loss <10%
Radiograph report
Left bitewing
Diagnostically acceptable
Teeth present: 23 24 25 27 37 36 35 34 33
Restorations: 27 occlusal amalgam, 36DO amalgam, 35DO amalgam
Caries: Nil
Bone loss: generalised horizontal bone loss <10%, localised vertical bone loss mesial 27
Calculus present 34 36 37
Drugs with suffix -ipine
Calcium channel blockers
Relax blood vessels, therefore increasing blood supply and oxygen to the heart, and reducing heart workload while lowering blood pressure
Drugs with suffix -olol
Beta blockers
Block the release of adrenaline and noradrenaline
Prescribed for angina, heart failure, heart rhythm disorders and to lower blood pressure
Often prescribed with an ACE inhibitor or calcium channel blocker
Drugs with suffix -pril
ACE inhibitors
Angiotensin-converting enzyme inhibitors
Relax the veins are arteries to lower blood pressure
Prevent an enzyme in the body from making angiotensin 2, which narrows blood vessels
Bisphosphonates
Drugs used to slow bone loss, reducing the risk of hip and spine fractures
This is done by inhibiting osteoclastic bone resorption by attaching to hydroxyapatite binding sites on bony surfaces, especially surface undergoing active resorption
Increased risk of MRONJ
Drugs ending in -dronic acid or similar
Bisphosphonates
What type of drug is Clopidogrel
Anti platelet - used to reduce risk of heart attack
HGPECPROFA
Structure for unseen cases
Headline
Generalised observations
Perio
Endo
Crowns
Prosthetics
Restorations
Occlusion
Function
Aesthetics
Treatment plan order
Immediate
Disease control
Re-evaluation
Reconstruction
Maintenance
Warfarin
Anticoagulant used to reduce risk of blood clot by inhibition of vitamin K related enzymes, reducing the available vitamin K and therefore reducing vitamin K related clotting factors
What does INR stand for?
International normalised ratio
What is INR?
Prothrombin time used to determine blood clotting in warfarin patients
Time taken for prothrombin to convert into thrombin
What are the considerations for an extraction on a patient taking warfarin?
Must have INR 2-4 within 48 hours of the procedure
What is stable periodontitis?
No pockets more than 4mm and no bleeding at 4mm base - can be with or without gingivitis (10% bleeding)
Unstable periodontitis
Pockets of more than 4mm or bleeding at 4mm pocket bases
Possible period risk factors
Smoking
Diabetes
Family history/ genetic predisposition
(Stress/obesity/poor diet)
Stage 1 perio treatment
Supragingival scaling
OHI
Diet advice/smoking cessation
Stage 2 perio treatment
3-4 weeks later
Review periodontal health
MPBS - is the pt engaging with the process?
If yes, subgingival instrumentation
Repeat OHI and diet advice/smoking cessation
Review 6ppc at 12 weeks
Guidelines which dictate you must give a pulpal diagnosis and an apical diagnosis if carrying out pulpal treatment
AAE
Success rate for primary root treatment
85%
