What is a diagnosis?
Precise, scientific term used to describe a variation from normal
What are the 6 areas of prognosis determination?
- Patient’s desires/capabilities
- Systemic Health
- Supporting structures
- Teeth
- Matching treatment plan with desires of patient
- Individual considerations
list the 5 steps in treatment planning process
- Collecting Info
- Evaluation of Findings
- Formulating the treatment plan
- Determining the prognosis
- Presenting the treatment plan and reaching consensus with the patient.
When several findings point clearly to a specific disease entity. Indicates a high level of certainty.
Definitive Diagnosis
When findings suggest several possible conditions.
Differential diagnosis
What are the 5 benefits of creating a problem list?
- shows reason for treatment
- Helps organize treatment
- Shows professional competence- avoiding unnecessary treatment
- Patient education
- Standard of car
Acute phase of treatment-eliminate pain and infection
Phase I
Disease control phase
Phase 2
Definitive phase, restorations of function and esthetics
Phase 3
Maintenance phase
phase 4
2 reasons for phasing dental treatments
Helps clinician organize the plan, the patient comprehends it better when separated into segments
Pain relief is an example of which phase?
1, emergency
Fillings and RUC’s are examples of which phase of treatment planning?
Phase 2, disease control
Crowns, FPDs, RPD, are example of which phase of treatment plans?
Phase 3
recalls and maintenance are examples of which phase of treatment planning?
Phase 4
What is the chief complaint and when should it be taken care of?
Why the patient came in and ASARP
what are the 5 factors that influence treatment plans?
- Patient health
- Patient age
- Psychological factors
- Emergency treatment
- Presentation of best treatment option
What is the long term outlook of a treatment?
Prognosis
4 levels of prognosis
Stable, Guarded, Diminished (1-5 years of life), Hopeless
Why use prognosis in treatment planning?
Helps the patient make the decision for what makes sense for them, gives them a realistic expectation for options
Purpose of alternative treatment plans?
Able to modify to the patient’s wants and needs
What are some positive patient modifiers?
Interest in oral health, ability to afford treatment, history of regular dental care
What are some negative patient modifiers?
Time or financial constraints, fear of dental treatment, lack of motivation, poor oral or general health, destructive habits
How do dentist goals and desires affect the treatment plan?
we want ideal, when ideal is not what the patient wants, go for the best option that works for the patient.
