Treatment Planning Midterm Flashcards

1
Q

List six core steps of treatment planning:

A

I: Patient information
II: Development of problem list
III: Phasing of treatment in treatment plan
IV: Sequencing the procedures within phases
V: Case development
VI: Informed consent

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2
Q

Data collection, evaluation & development of diagnosis:

A

I: Patient information

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3
Q

Diagnosis (general health dx, psychosocial dx, intra/extraoral diagnosis, perio dx, dental dx, pulpal/periapical dx):

A

II: Development of a problem list

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4
Q

-HTN
-Stable/unstable angina
-controlled DM

These would fall under what category of development of a problem list?

A

General health diagnosis

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5
Q

-Dental anxiety
-smoking
-substance abuse
-poor dental hygiene
-limited income

These would fall under what category of development of a problem list?

A

Psychosocial diagnosis

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6
Q

-Lesion on soft tissue
-prominent lymph node in neck
-salivary gland tumor

These would fall under what category of development of a problem list?

A

Intra/extra oral diagnosis

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7
Q

-Pockets> 3mm
-mobile teeth
-gingival recession

These would fall under what category of development of a treatment plan?

A

Perio diagnosis

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8
Q

-New caries
-Recurrent caries
-failing restorations
-excessive wear
-discolored tooth
-cracked tooth
-missing tooth
-malocclusion

These would fall under what category of development of a problem list?

A

Dental diagnosis

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9
Q

-Internal resorption
-acute apical abscess
-reversible pulpitis

These would fall under what category of development of a problem list?

A

Pulpal & periapical diagnosis

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10
Q

What needs to be accomplished PRIOR to scheduling appt with a treatment planner?

A
  1. completed diagnosis
  2. completed consults
  3. discussion w/ patient about their needs & desires
  4. discussion w/patient about ability to finance treatment
  5. discussion w/faculty at diagnosis about what can/cannot be accomplished in pre-doc clinic
  6. diagnostic casts
  7. completed worksheet
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11
Q

What is the third CORE step of treatment planning?

A

III: Phasing of treatment planning

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12
Q

What steps are considered the PRELIMINARY phases of treatment plan?

A

Phase 1: Systemic
Phase 2: Acute
Phase 3A: Disease control
Phase 3B: Re-evaluation

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13
Q

What are the names of the phases involved in the PRELIMINARY treatment plan?

A

Systemic, acute disease control, re-evaluation

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14
Q

What phase of treatment planning is being described below?

-systemic disease referral
-medical consult
-premedication consult
-altering/prescribing medications

A

Phase 1: Systemic

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15
Q

What phase of treatment planning is being described below?

-pain
-swelling
-traumatic injury

A

Phase 2: Acute

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16
Q

What are the components of an ACUTE exam? (9)

A

-Chief complaint
-Health status
-Oral CA screening
-Vital signs
-Area of chief concern
-Contiguous tissues
-Necessary radiographs
-Informed consent
-Plan for follow-up

17
Q

What phase of treatment planning is being described below?

-O&R
-caries restorations
-scaling & root planing (initial perio)
-extraction of hopeless teeth
-endodontics

A

Phase 3A: Disease control

18
Q

What phase of treatment planning is being described below?

-Taking a pause to look over treatment plan & patient status in accordance to plan

A

Phase 3B: Re-evaluation

19
Q

What steps are considered the DEFINITIVE phases of treatment plan?

A

Phase 4A: Periodontics
Phase 4B: Operative
Phase 4C: Orthodontics
Phase 4D: Fixed prosthodontics
Phase 4E: Removable prosthodontics
Phase 5A: Exit exam/Completed patient
Phase 5B: Maintenance phase

20
Q

Used to determine restorability of teeth:

A

O&R (open & report)

21
Q

What are some factors to consider with re-evaluation? (4)

A
  1. adherence to home care
  2. new lesions present
  3. keeps appointments
  4. financial ability to continue
22
Q

Why is periodontics addressed first in definitive treatment?

A

Because we need to make sure there is adequate bone support for prosthodontic treatment

23
Q

The “FOUNDATION” for all definitive treatment:

A

Periodontics

24
Q

What are the names of the phases 4A-5B involved in the definitive treatment?

A

POOFREM

Phase 4A: Periodontics
Phase 4B: Operative
Phase 4C: Orthodontics
Phase 4D: Fixed prosthodontics
Phase 4E: Removable prosthodontics
Phase 5A: Exit exam/Completed patient
Phase 5B: Maintenance phase

25
Q

What phase of treatment planning is being described below?

-Implant evaluation (not surgery)
-Surgery (such as crown lengthening)

A

Phase 4A: Periodontics

26
Q

What phase of treatment planning is being described below?

-Inlays
-Onlays
-single crowns
-composite veneers

A

Phase 4B: Operative

*note: this does not include caries, or caries restorations as this was part of 3A Disease control

27
Q

What phase of treatment planning is being described below?

-Lowering/raising gingival margin
-Moving of teeth for further procedure

A

Phase 4C: Orthodontics

28
Q

What phase of treatment planning is being described below?

-Implant surgery
-Survey crowns
-Bridges

A

Phase 4D: Fixed prosthodontics

29
Q

What phase of treatment planning is being described below?

-Partial dentures
-Complete dentures
-Night guard

A

Phase 4E: Removable prosthodontics

30
Q

What phase of treatment planning is being described below?

-evaluating patients mouth to determine if anything on treatment plan was missed or needs revised

A

Phase 5A: Exit exam/completed patient

31
Q

What phase of treatment planning is being described below?

-Perio maintenance
-Periodic exam

A

Phase 5B: Maintenance phase

32
Q

Why do we do a PRELIMINARY treatment plan?

A
  1. to control disease in the patient
  2. to help plan for definitive treatment
  3. to stabilize the patients oral health
  4. necessary when there is extensive caries or questionable teeth
33
Q

According to the ADA, single crowns are listed under ______ not _____

A

restorative/operative (4B); NOT fixed

34
Q

Why do we do an exit exam?

A
  1. To ensure the patients oral health is stable before placing in the recall program
  2. To identify any deficiencies in treatment
  3. To evaluate the patients homecare & determine a recall interval
35
Q

Three signs of instability:

A
  1. Hypermobility of teeth not related to perio disease
  2. Excessive wear
  3. Change in tooth position
36
Q
A