Treatment Planning for Periodontal Patients dh308 final
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Questions and Answers

What is the immediate goal of each session of instrumentation in periodontal treatment?

  • To assess the overall health of the oral cavity
  • To reduce patient anxiety during treatment
  • To completely remove all adherent bacterial plaque biofilm and calculus deposits (correct)
  • To ensure patient compliance with the care plan

    • Which prognosis classification indicates no bone loss and excellent tissue condition?

  • Good
  • Fair
  • Excellent (correct)
  • Questionable

    • What is a factor considered in determining the prognosis of a tooth?

  • Degree of embedded calculus
  • Crown-to-root ratio (correct)
  • Presence of dental cavities
  • Patient's dental insurance

    • In what prognosis classification is there 25-40% attachment loss and class I furcation?

    <p>Fair</p> Signup and view all the answers

    Which option best describes attributes of a hopeless prognosis?

    <p>Advanced bone loss and class III mobility</p> Signup and view all the answers

    What does the dental hygiene care plan primarily focus on?

    <p>Individualized approach to treatment</p> Signup and view all the answers

    What is the primary goal of a treatment plan for a periodontal patient?

    <p>To define the sequence of delivering appropriate treatment</p> Signup and view all the answers

    Which factor could lead to a fair prognosis classification?

    <p>Less than 25% attachment loss</p> Signup and view all the answers

    How is the prognosis of periodontal disease determined?

    <p>Based on diagnosis and various clinical factors</p> Signup and view all the answers

    Which phase of treatment is responsible for addressing immediate treatment needs such as extractions?

    <p>Preliminary phase</p> Signup and view all the answers

    What is included in Phase I therapy for periodontal patients?

    <p>Patient education and plaque control</p> Signup and view all the answers

    Which of the following is a key component of the treatment plan for a periodontal patient?

    <p>Addressing both clinician-identified disease and the patient's needs</p> Signup and view all the answers

    What is the significance of the preliminary phase in periodontal treatment?

    <p>To manage immediate treatment needs and critical situations</p> Signup and view all the answers

    Which of the following phases follows the preliminary phase in a periodontal treatment plan?

    <p>Phase I–etiologic treatment</p> Signup and view all the answers

    What is a critical ethical consideration in developing a treatment plan for periodontal patients?

    <p>Patient consent and understanding of disease and treatment</p> Signup and view all the answers

    Which of the following best describes the role of the dental hygienist in a periodontal treatment plan?

    <p>Contributes assessment, preventive, therapeutic, and evaluative skills</p> Signup and view all the answers

    Which factors influence the sequence of débridement procedures?

    <p>Location and extent of infection</p> Signup and view all the answers

    What is the typical time frame for evaluating tissue healing after débridement in periodontal disease?

    <p>4-6 weeks</p> Signup and view all the answers

    During the re-evaluation visit, what is primarily assessed by the dental hygienist?

    <p>The effectiveness of the patient's plaque control</p> Signup and view all the answers

    What is the first component of the dental hygiene process of care?

    <p>Assessment</p> Signup and view all the answers

    Why might the re-evaluation appointment be significant for both the dental hygienist and the periodontist?

    <p>It initiates a new treatment plan</p> Signup and view all the answers

    What is the primary purpose of a treatment plan in dental hygiene?

    <p>To restore the patient to a state of health</p> Signup and view all the answers

    Which component is NOT part of the dental hygiene care process?

    <p>Consultation</p> Signup and view all the answers

    What is the significance of the length of the appointment time in the treatment planning process?

    <p>It influences the areas that can be treated in one session</p> Signup and view all the answers

    Study Notes

    Treatment Planning for Periodontal Patients

    • Treatment planning defines how to treat periodontal disease, requiring assessment, prevention, therapy, and evaluation skills from both the hygienist and dentist.
    • The treatment plan outlines the management of a dental patient and is crucial for successful therapy.

    Goals of Treatment

    • The treatment plan defines the sequence and methods used to deliver the most appropriate treatment.
    • The dental hygiene treatment plan includes services performed by the hygienist as part of the overall treatment plan.
    • Treatment planning happens after a complete assessment of clinical data and reflects the patient's diagnosis and prognosis.
    • Goals of the treatment plan include:
      • Eliminating and controlling the etiologic and predisposing factors of disease.
      • Maintaining patient health.
      • Preventing the recurrence of disease.
    • The patient must understand the problems and treatment goals clearly.
    • The clinician's disease identification and the patient's perceived needs must be addressed.

    Phases of Treatment

    • The treatment sequence starts with:

      • The preliminary phase, focusing on immediate treatment needs like extractions or endodontic treatment.

    • Following the preliminary phase are:

      • Phase I - Etiologic Treatment
      • Phase II - Surgical Treatment
      • Phase III - Restorative Treatment
      • Phase IV - Maintenance Treatment

    • The preliminary phase brings all emergency and critical situations under control.

    • Phase I therapy is the etiologic phase and includes procedures that control or eliminate the factors causing disease.

    • Phase I includes:

      • Patient education and plaque control instructions.
      • Scaling and root planing.
      • Administration of antimicrobial agents.
      • Periodontal re-evaluation.

    • Phase II therapy is the surgical phase and includes procedures to reduce the effects of disease.

    • Treatment plans are adapted to the patient's needs and presented in a sequential way to ensure thoroughness in completing each procedure.

    Treatment Planning in Dental Hygiene

    • Determining the débridement sequence is influenced by:

      • Location and extent of infection.
      • Presence of pain.
      • Medical or physical limitations of the patient.

    • All aspects of the patient's condition must be considered when choosing the treatment area, appointment length, and homecare recommendations.

    • Patients with periodontal disease require a follow-up visit to evaluate the tissues' response to scaling and débridement.

    • This follow-up appointment is often called the periodontal re-evaluation.

    • Tissue healing and progress towards effective plaque control are evaluated approximately 4-6 weeks after débridement.

    • Pockets re-epithelialize within a week, but connective tissue healing takes longer.

    • At the re-evaluation appointment, the hygienist assesses and determines the interval for periodontal maintenance.

    • OHI is also assessed and reinforced.

    • The re-evaluation visit provides an opportunity for the periodontist or dentist to examine the patient and initiate the next stage of the overall treatment plan.

    Treatment Planning in Dental Hygiene (Cont.)

    • Treatment planning is considered part of the dental hygiene process of care.
    • Dental hygiene care is divided into five categories: assessment, diagnosis, planning, implementation, and evaluation.
    • Treatment planning integrates assessment and diagnosis to define procedures that restore the patient's health.
    • The treatment plan serves as a guideline for comprehensive care management and is essential for successful therapy in all dental patients.

    Treatment Planning for Periodontal Disease (Cont.)

    • The currently accepted scaling technique is to completely scale a sextant, quadrant, or more teeth in a single session.
    • Local anesthesia is often required for patient comfort.
    • The immediate goal of each instrumentation session is the complete removal of all adherent bacterial plaque biofilm and calculus deposits.

    Prognosis

    • A prognosis predicts the probable:
      • Course
      • Duration
      • Outcome of disease.
    • Prognosis is determined during diagnosis.

    Prognosis (Cont.)

    • The prognosis is considered on an individual tooth basis and includes factors such as:
      • CAL
      • PD
      • BOP
      • Type of bone loss
      • Furcation
      • Mobility
        • Fremitus
        • Widening of PDL
      • Crown-to-root ratio

    Prognosis (Cont.)

    • Prognosis is categorized as:
      • Excellent
      • Good
      • Fair
      • Poor
      • Questionable
      • Hopeless

    Prognosis (Cont.)

    • Excellent Prognosis:
      • No bone loss
      • Excellent tissue condition
      • Good patient compliance with excellent oral hygiene
      • No systemic or risk factors

    Prognosis (Cont.)

    • Good Prognosis:
      • Adequate periodontal support
      • Easy maintenance
      • Patient compliance

    Prognosis (Cont.)

    • Fair Prognosis:
      • 25-40% attachment loss
      • Class I furcation
      • Adequate maintenance possible
      • Acceptable patient cooperation
      • Limited systemic or risk factors

    Prognosis (Cont.)

    • Poor Prognosis:
      • 40-50% attachment loss
      • Class I or II furcation
      • Mobility
      • Difficult to maintain areas
      • Doubtful patient cooperation
      • Systemic or risk factors

    Prognosis Cont.)

    • Questionable Prognosis:
      • Advanced bone loss
      • Mobility
      • Class II or III furcation
      • Poor crown-to-root ratio
      • Systemic or risk factors

    Prognosis (Cont.)

    • Hopeless Prognosis:
      • Advanced bone loss
      • Non-maintained areas
      • Class III mobility
      • Class III furcation
      • Recurrent abscesses
      • Uncontrolled risk factors

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    Related Documents

    Treatment Planning for Periodontal Patients WLAC DH 308 Lecture

    Description

    This quiz covers the essential aspects of treatment planning for patients with periodontal disease. It emphasizes the importance of assessment, prevention, and therapy in developing an effective treatment strategy. Understand the goals of treatment and the responsibilities of both the hygienist and dentist in managing patient care.

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