Week 7 Clinical Decisions and Minimal Intervention Flashcards
(15 cards)
What are the learning outcomes of minimum intervention dentistry?
Consider the parameters that guide clinical decision making for care planning
Explore the concepts of minimum intervention dentistry
These outcomes focus on understanding decision-making processes and the philosophy behind minimally invasive techniques.
Who is responsible for making clinical decisions in dentistry?
Patient’s responsibility, dental professional’s role
The patient decides to attend and accept advice, while the dental professional offers advice and treatment.
What are the types of advice provided in clinical decisions?
- Diagnosis
- Prognosis
- Treatment options
- Prevention of future disease
Each type of advice plays a crucial role in guiding patient care and outcomes.
What should be recorded during treatment planning?
Available information to avoid disorderly management and oversight
Recording information is essential for reference and effective treatment planning.
What factors should be considered when deciding to restore or attempt to arrest a carious lesion?
- Extent of lesion
- Caries risk assessment
- Preventive options
- Patient compliance
These factors influence the treatment approach for carious lesions.
What is the philosophy of Minimum Intervention Dentistry?
- Early detection/diagnosis of disease
- Earliest possible cure at micro level
- Minimally invasive treatment to repair irreversible damage
- Patient involvement through education
This philosophy emphasizes prevention and patient empowerment in managing oral health.
What are the applications of Minimum Intervention Dentistry to dental disease?
- Early caries diagnosis
- Assessment of caries depth and progression
- Assessment of individual caries risk
- Reduction of cariogenic bacteria
- Placement of restorations in minimal cavity designs
- Repair rather than replacement of defective restorations
These applications aim to manage dental disease effectively while preserving tooth structure.
What aids are used for early caries diagnosis?
- Good lighting
- Clean teeth
- Triple syringe
- Probe
- Transillumination
- Radiographs
These aids enhance the visibility and assessment of carious lesions.
What does a matt white spot lesion indicate?
About half through enamel
The appearance of lesions can help determine their progression and necessary intervention.
What are the radiographic assessments for dental caries?
- RA-1: Enamel caries < halfway through enamel
- RA-2: Enamel caries ≥ halfway through enamel
- RA-3: Caries at D-E junction
- RA-4: Dentin caries halfway to pulp
These classifications help in diagnosing the severity of carious lesions.
What factors are considered in the assessment of individual caries risk?
- Age
- Previous caries experience
- Tooth factors
- Oral hygiene
- Oral microflora
- Saliva characteristics
- Fluoride exposure
- Medical history
- Special needs
- Socio-economic status
- Attitudes to oral health
A comprehensive assessment of these factors aids in determining a patient’s risk for caries.
What are strategies for reducing cariogenic bacteria?
- Optimum plaque control
- Decrease refined carbohydrate intake
- Ensure optimum salivary flow
- Mineral availability
- Patient education
These strategies help to mitigate the risk of caries and support oral health.
What is the purpose of using minimal cavity designs for restorations?
Conserve tooth structure and improve plaque control
Minimal cavity designs aim to preserve healthy tooth material while effectively treating carious lesions.
What is emphasized in the repair rather than replacement of defective restorations?
Assess disease management outcomes at pre-established intervals
This approach focuses on maintaining existing restorations whenever possible, reducing the need for more invasive procedures.
Who are key authors advocating minimum intervention dentistry?
- Ngo
- Mount
- Chalmers
These authors have contributed significantly to the philosophy and practice of minimally invasive dentistry.
