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Oral diagnosis and treatment planning (Consider Treatment options (General…
Oral diagnosis and treatment planning
Collect and collate info
How can I help?
Main problem
History and exam
Dental
Medical
Social
Financial
Psychological
Occupational
Formulate Treatment plan
Functinally adequate
Free of active disease
comfort
aesthetics
Treatment Phases
Emergency and stabilise
Control acute pain, infection tooth fracture, Gingival bleeding. Medical consultations. Extraction of Non-strategic and hopeless teeth, retained roots, Caries and erosion control
Initial Restorative and consultation
Simple restorations, Place cores, Endo, Perio, Pros, Ortho consults
Review and occlusal analysis
Assess responses to prev preventative and op rx. Evaluate wax ups and models
Prevention and disease control
OHI, S+P, F-, ChX, Diet analysis, Splints
Definitive Complex Restorative
Conformative or reorg occlusal scheme.? Increase OVD or crown length?
Maintenance and monitoring
Recalls, RV OH, Perio, Caries, Occlusion, Fixed and removable pros, implants, Further special tests?
Establish Diagnosis
Initial
Final diagnosis
Consider Treatment options
List Options Risks and Benefits
General Considerations
Patients Attitudes
Age
Ability to tolerate and Maintain
Ability to attend
££
Ability to treat
Dental considerations
OH , Motivation and cooperation
Control of caries, tooth wear and perio
Pulp state, Endo state
Occlusion
appearance
Restorability of tooth
Crown height
Enamel
Risk assessment, cost benefit analysis, based on risk factors eg caries, perio, TSL
Special investigations