Week 10 - SGSS Treatment Planning

Question 1

What is the purpose of a treatment plan

Answer 1

• The treatment plan addresses all diagnoses identified for a patient in a systematic manner
• Aims to eliminate disease and their etiological factors
• A blueprint or schedule of treatment for a patient

Question 2

What affects treatment planning

Answer 2

• patient factors
• dentist factors

Question 3

what patient factors affect treatment planning

Answer 3

• Chief complaint
• Short and long term goals
• General health
• Patient modifiers, interest in oral health, financial constraints, motivation, fear of dental

Question 4

What dentist factors affect treatment planning

Answer 4

• Dentist knowledge and capabilities
• Laboratory support
• Availability of specialist and technicians

Question 5

What is the sequence to treatment planning

Answer 5

1. Acute (urgent) phase
2. Disease control phase
3. Re-evaluation phase patient response to treatment)
4. Definitive phase (complex treatment)
5. Maintenance phase (recall and review)

*NOTE: the treatment plan must address all of the diagnoses recorded in your diagnosis list

Question 6

What is the acute (urgent) phase

Answer 6

• goal is to revolve patient’s presenting complaint
• Pain, swelling, infection, broken teeth, missing restorations
• Treatment may include, extractions, initial endodontic therapy, initial periodontal therapy, temporary or permanent restorations or repair of prostheses
• May include prescription of medication to control pain and swelling
• Often provided before comprehensive treatment plan is crated

Question 7

What is the disease control phase

Answer 7

• Goal is to control active disease and infection, stop deterioration and manage any risk factors
  Includes
• Stabilising periodontal disease
• Controlling caries
  Common procedures during this phase include:
• scaling and root planning
• Oral hygiene instructions
• Dietary/tobacco counselling
• Caries risk assessment and prevention
• Restorative treatment to eradicate caries
• Extraction of hopeless or non-strategic teeth

Question 8

What is the re-evaluation phase (patient response to treatment)

Answer 8

• Time between disease control and definitive phase
• Healing time to allow resolution of inflammation
• Evaluate patient response to initial treatment before proceeding with definitive phase treatment procedures
• If the patient’s dental disease is not controlled, or if the patient wishes to limit treatment, they may enter a holding period where the dentist simply maintains the patient and does not proceed with definitive treatment

Question 9

What is the definitive phase (complex treatment)

Answer 9

• Aim to rehabilitate the patient’s oral condition
• Includes procedures to improve appearance and function such as prosthodontics, orthodontics, periodontics and endodontics
  Example
• Additional periodontal treatment including periodontal surgery
• Orthodontic treatment
• Occlusal therapy
• Elective oral surgery
• Non acute endodontic procedures
• Fixed or removable prosthodontics
• Cosmetic or aesthetic procedures (veneers, bleaching)

Question 10

What is the maintenance phase (recall and review)

Answer 10

• Must specify a maintenance phase of care following completion of treatment
• Personalized plan that strives to maintain the patient in optimum oral health
• Unlike other phases this phase is ongoing and continuous
  Includes
• Periodic examinations
• Periodontal maintenance
• Fluoride application and OHI
  *NOTES: Frequencies of these is determined by disease risk