A Fireproof Life

Living a FIREPROOF life for the everlasting, almighty GOD of the UNIVERSE


oh goodness - so much to remember

Treatment planning

1. Assess client’s present level of knowledge about mouth protectors

2. Teach client about the value of wearing a mouth protector during contact sports

3. Teach parent and client emergency care for avulsed tooth

4. Construct a mouth protector and discuss use and care with client

5. Evaluate and fit client with mouth protector

6. Teach both parent and child about perio disease process – use S/S in client’s mouth to help

7. Root planning and anti-microbial therapy

8. Teach parent and child self-care stuff

9. Evaluate knowledge after 1 month

Treatment sequencing

1. Chief compliant – no1, even if just discussion

2. Medical/systemic care – e.g. medically related diagnostic tests and consultations (pt status and control of diabetes

3. Emergency care – Head/neck pain/infection

4. Treatment plan presentation (and consent) – discussion - + alternatives

5. Disease control – To control active disease: endo, perio, restorative, behaviour mod

6. Re-evaluation – reassessment – to continue, alter or discontinue tx

7. Definitive care – procedures to enhance fn and esthetics: ortho, prostho, cosmetic

8. Maintenance care – maintenance of perio health, prevention/detection/tx of caries, prevention of dental attrition/erosion/abrasion

Things to note:

- Functional needs: functional and parafunctional needs/assessment (material selection)

- Esthetics: tooth coloured vs. non-tooth coloured – ANT=composite (43.5mths -72mths), POST=stressbearing amal

o Full/partial cusp coverage: amalgam or cast-metal restorations (good for parafn habits)

§ All-ceramic vs. metal-ceramic: porcelain = esthetics, tho zirconia ceramix core is 7x stronger

Treatment phases

Systemic Phase

Protection of pt health

Conditions that contribute to perio conditions

Conditions req mods of tx plan

Need for medical consultation

Protection of operator/auxillary

Infectious control methods

Hygienic/Initial/Aetiological Phase

Eliminate/reduce plaque

Addresses plaque retentive factors

Tx modalities

Supra-gingival plaque control regime - OH

Root debridement – Subgingival instrumentation

Correction of restorative defects

Antimicrobial agents as adjunct

Extraction of hopeless teeth

Reevaluation

Assessment of clinical response to tx

Indication of tissue response & maturation

Tissue char; colour, contour & texture

Bleeding +/- exudate

Subgingival plaque +/or calculus

Clinical probing depths & AL

Elimination of inflamm à maintenance

Selective instrumentation à reevaluation

Surgical tx req

Corrective Phase

Tx of sequelae of disease

May involve: Occlusal

Sx

Restorative

Aims to satisfy needs for aesthetic & function under condition of health

Maintenance Phase/Supportive Perio Therapy

Principle of Chronic Disease mgmt

Reevaluation

Early interception – selective instrumentation

Prevention – OH review; plaque/calculus removal; evaluation of risk factors

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