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28 Cards in this Set
- Front
- Back
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What does an accurate diagnosis require (four things?)
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good clinical, photographic, and radiological evaluation PLUS an accurate diagnostic waxing
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Define: abutment
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that tooth, portion of a tooth, or portion of an implant that serves to support and/or retain a prosthesis
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Define: retainer
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any type of device used for the stabilization and/or retention of a prosthesis
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Define: foundation restoration
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the core buildup portion of a natural tooth restoration
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Define: pre-treatment records
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any records made for the purpose of diagnosis, recording of patient history, or treatment planning in advance of therapy
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Define: diagnosis
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the determination of the nature of a disease
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Define: etiology
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the causes implicated in the cause or origin of a disease/disorder
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Define: treatment plan
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the sequence of procedures planned for the treatment of a patient after diagnosis
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Define: prognosis
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the forecast as to the probable result of a disease or course of therapy
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Shortly and sweetly, give the six treatment planning requirements
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1. excellent clinical exam
2. appropriate radiographic and photographic evaulation 3. complete control phase of therapy 4. diagnostic waxing 5. develop templates for provisional restoration or to guide implant placement, if needed 6. consultations as required |
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How many individual things does the clinical evaluation require us to assess in order to properly treatment plan our patients' fixed prosthodontics?
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25.
Can you name them, wiseguy? May want to be able to spout off at least a few... |
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Why are most teeth deemed non-salvageable?
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perio reasons
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If you do not know this history of a restoration and you are treatment planning a crown, what must you do?
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Remove existing restoration
A) prior to crown prep and place a core foundation -or- B) during crown prep and incorporate excavating into procedure |
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Why do you need to remove a restoration if you don't know its history before placing a crown?
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to assess restorability of tooth and determine whether or not active disease is present below restoration
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When should posterior RCT teeth always be crowned? What may be the exception?
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if there is an opponent tooth in occlusion; exception may be mandibular 1st premolar
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When should anterior RCT teeth always be crowned?
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if they are abutments for RPDs
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If a RCT tooth requires a crown, what will it most likely require prior to crown prep?
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core foundation
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What is the sole purpose of an endodontic dowel?
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retain core material coronally
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Ideal clinical crown/root ratio?
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1:2
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Minimally acceptable crown/root ratio as measured on PA film?
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1:1
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What may be more important than crown/root ratio?
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tooth mobility
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Regarding tooth mobility, what is the guideline for: physiologic to Class I mobility?
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generally acceptable as abutment teeth for crowns and FPDs
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Regarding tooth mobility, what is the guideline for: Class II mobility?
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may be acceptable as abutment teeth IF splinted to other teeth (as in a FPD)
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Regarding tooth mobility, what is the guideline for: Class III mobility?
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never acceptable as an abutment tooth
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If you must extract a tooth, what should you consider doing, and why?
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ridge preservation grafting in the site to preserve cortical bone/buccal plate for the future
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What's the most important thing to address first for the patient?
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relieve pain (pulpal, periodontal, occlusal, TMD, etc)
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What do you sequence first - caries removal or initial periodontal therapy? Why?
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caries removal - you're more likely to have poor outcome leaving caries than periodontal disease until later
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When do you do your diagnostic records?
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depends - usually at the end of the control phase
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