treatment planning

Question 1

what are we aiming for with treatment planning

Answer 1

we are aiming to address those problems

and we can make the dentition functional and aesthetically pleasing

Question 2

what makes a good treamtment plan

Answer 2

logical
the more info you have form the exam- accurate diagnosis
can we deliver in the timing
can we deliver in the skills i have
take into account patient preference- timing and costs
followed carefully and only changed after discussion

Question 3

how to we form a diagnosis

Answer 3

by history taking
examinations-EO,IO
special tests-vitality and x rays

Question 4

what can we form from the diagnosis

Answer 4

prognosis and speak to the patient

Question 5

after speaking to the patient we can form a

Answer 5

treatment plan

Question 6

what does C/O mean

Answer 6

complaining of- eg 
pain
aesthetics
function
 or factors

Question 7

what does HPC mean

Answer 7

history of presenting complaint

Question 8

what can history of presenting complaint contain

Answer 8

site
radiation 
onset
character 
radiation 
timing
associated factors 
exacerbating/relieving factors 
severity

Question 9

what is the HPC of reversible pulpitis

Answer 9

site:localised
onset:set off by stimulus
character:sharp
radiation:none
timing:short
exacerbating/relieving factors:removal of stimulus
severity:mild to moderate severity

Question 10

what is the HPC of irreversible pulpitis:

Answer 10

site: not well localised
onset: spontaneous

Question 11

PDH

Answer 11

past dental history

Question 12

what does past dental history include

Answer 12

attendance
previous dental treatment
LA
oral hygiene regime

Question 13

how can we tell if someone is a low risk for dental caries

Answer 13

regular visits to the dentist
they brush twice a day with floss
they use fluoride toothpaste
and they use interdental aids

Question 14

how do we tell if someones medium risk for caries

Answer 14

irregular dental visits
might forget to brush x2
irregular use of floss or aids

Question 15

how do we tell if someones a high risk for caries

Answer 15

infrequent visits
hardly brushes
no use of interdental brushes

Question 16

what does social history contain

Answer 16

smoking- current status and history of smoking or alternatives such as vaping  
alcohol 
diet 
personal habits 
grinding teeth 
stress 
occupation 
availability to attend

Question 17

how long does it take for the body to get to pre smoking health

Answer 17

around 10 years

Question 18

how much of a higher risk can you have of getting oral cancer when you smoke and drink

Answer 18

x40

Question 19

why might people get erosion

Answer 19

due to excess acid found in alcohol

Question 20

what do we ask about relating to the diet

Answer 20

sugar- type and amount
acid
frequency

Question 21

what questions will be asked in relation to alcohol

Answer 21

type
amount
frequency

Question 22

personal habits also need to be included

Answer 22

such as nail biting habits and chewing pens

and life style such as working hours and stress

Question 23

what questions do we ask in the medical history

Answer 23

are they fit and well
are the on any medications- dosage and usage
hospitalised in the past
any allergies

Question 24

when do we ask about the medical history

Answer 24

before every appointment

Question 25

what medications makes it difficult to remove teeth

Answer 25

bisphosphonates due to the fact it makes it difficult to heal

Question 26

what diseases can be shown in the dental clinic in patients

Answer 26

heart problems-eg angina cannot put patient very supine asthmatic patients- can cause drying of the mouth, acidic and cause toothwear high BP- gingival hyperplasia leading to fibrous ginigva gastric problem- bullimic and tooth wear

Question 27

why might patients experience dry mouth

Answer 27

due to sjrogrens syndrome polypharmacy radiotherapy diabetes

Question 28

what is sjrogrens syndrome

Answer 28

where the salivary glands do not produce enough saliva and the patient has xerophthalmia

Question 29

if it is a BPE score of 0 what does that mean

Answer 29

healthy gums

Question 30

BPE of 1 means

Answer 30

bleeding on probing

Question 31

BPE of 2 means

Answer 31

calculus or PRF

Question 32

BPE of 3 means

Answer 32

OHI, RSD and the band is partially visible and the pocket is 3.5mm-5.5mm

Question 33

BPE of 4 means

Answer 33

further testing and definitely needs radiographs

Question 34

what do we look at in EO exam

Answer 34

``` swelling asymmetry ulcer gait obesity we also look at the lymph nodes-infection TMJ-dislocation or bruxism ```

Question 35

in the IO exam what do we look for

Answer 35

``` the hard palette the tongue dorsal surface of the tongue floor of the mouth ventral surface of the tongue lateral border of the tongue gingiva mucosa buccal mucosa posterior gingiva vestibule ```

Question 36

special tests include:

Answer 36

vitality tests such as EPT(electronic pulp testing) and ethyl chloride

Question 37

disadvantages od ethyl chloride

Answer 37

icy spray which can go to the tooth next door

Question 38

what are the two types of occlusion

Answer 38

static | dynamic

Question 39

why is it hard to do a vitality test on a crown

Answer 39

as the crown is in the way

Question 40

what are the stages of the treatment plan

Answer 40

emergency stabilisation corrective therapy reconstructive therapy

Question 41

what does the emergency stage include

Answer 41

pain relief \ | restore function or aesthetic

Question 42

stabilisation phase

Answer 42

``` ohi-modified bass technique preventative advice smoking cessation plaque free score fluoride toothpaste brushing twice is 14% more effective ```

Question 43

how much % is more effective brushing twice a day

Answer 43

14%

Question 44

what is high fluoride toothpaste called

Answer 44

durophat which has 5000ppm of fluoride | not for life but the first few months

Question 45

who should durophat be used for

Answer 45

``` exposed root surfaces extensive restorations reduced salivary flow orthodontic appliance wear elderly patients oral cancer only over 16+ ```

Question 46

mouthwash rinse

Answer 46

POOR DEXTERITY ORAL APPLIANCES root caries

Question 47

what is the other type of fluoride

Answer 47

durophat varnish | 22600ppm fluoride

Question 48

how can we stabilise the dentition

Answer 48

diet advice reduce frequency do not have before bed

Question 49

what does a diet sheet include

Answer 49

type amount and timing of foods includes three days two weekdays and 1 weekend day depends high patient cooperation and truth

Question 50

what options can we offer people with a dietsheet

Answer 50

``` realistic offer alternatives sugar free gum drink water limit frequency of sugar/cariogenic ```