| Patient Selection: The purpose of the dental treatment is to respond to a ___ | patient’s needs |
| Four Distinct Processes of patient selections | Understanding the patient/s desire and chief concern/ complain, Ascertaining the patient’s dental needs through a diagnostic clinical exam, Developing a treatment plan that reflects the best management of the desires and needs, Appropriately sequenced execution of the treatment with planned follow up |
| Patient Interview, Why do patients come to us? | Perception of an abnormally that requires correction,To maintain optimum oral health |
| Patient Selection objective | To again a clear understanding of why the patient is coming for examination |
| on what appointment is this done: Preliminary oral examination | FIRST APPOINTMENT |
| on what appointment is this done: Prophylaxis | FIRST APPOINTMENT |
| on what appointment is this done: Full-mouth radiographs | FIRST APPOINTMENT |
| on what appointment is this done: Diagnostic Casts | FIRST APPOINTMENT |
| on what appointment is this done: Definitive oral evaluation | SECOND APPOINTMENT |
| on what appointment is this done: Review of the radiographs to correlate with clinical findings | SECOND APPOINTMENT |
| on what appointment is this done: Arrangement of additional consultations | SECOND APPOINTMENT |
| Opportunity to develop rapport with the patient | interview |
| INFECTION CONTROL: should be worn in trating all patients | gloves |
| INFECTION CONTROL: should be worn to protect oral and nasal mucosa from splatter or blood and salova | masks |
| INFECTION CONTROL: Sterilization methods known to kill all life forms should be used in | dental instruments |
| INFECTION CONTROL: Contaminated disposable material should be handled carefully and discarded in ____ to minimize human contact | plastic bags |
| OBJECTIVES OF PROSTHODINTIC RESTORATION: | elimination of disease; Preservation, restoration, and maintenance of the health of the remaining teeth and oral tissues; Replacement of lost teeth; Restoration of normal function |
| Failures of RPD is usually attributed to _____ | poor stability |
| is often the final step in a lengthy sequence of treatment | Treatment plan for RPD |
| Failures of RPD may be due to: | Poor diagnosis
Failure to evaluate properly existing conditions of the oral cavity
Failure to prepare the patient properly
Failure to prepare the oral tissues |
| ORAL EXAMINATION MAIN OBJECTIVE: Consideration of possibilities for ________ the remaining oral structures in a state of health for the longest period of time | RESTORING AND MAINTAINING |
| SEQUENCE FOR ORAL EXAM | Visual exam
Pain relief and temporary Restoration Radiographs
Oral Prophylaxis
Evaluation of teeth and periodontium
Vitality test of teeth
Determination of floor of the mouth position
Impression |
| Oral examination includes | visual and digital evaluation of teeth and surrounding structures; vitality tests of critical teeth; examination of casts correctly oriented on a suitable articulator |
| main objective of oral examination | consideration of possibilities for restoring and maintaining the remaining oral structures in a state of health for the longest period of time |
| conducted to determine the need for management of acute needs | preliminary examination |
| an adequate examination can be accomplished best with the _____ | teeth free of accumulated calculus and debris |
| may preced oral prophylaxis | cursory examination |
| objectives of complete intraoral radiographic survey | 1. To locate areas of infection and other pathosis that may be present
2. To reveal the presence of root fragmentsm foreign objects, bone spicules and irregular ridge formations
3. To display the presence and extent of caries and the relation of carious lesions to the pulp and periodontal attachment
4. To permit evaluation of existing restorations
5. To reveal the presence of root canal filling
6. To permit evaluation of periodontal conditions
7. to evaluate the alveolar support of abutment teeth, their number, the supporting length and morphology of their roots
8. the relative amount of alveolar bone loss suffered through pathogenic processes, and the amount of alveolar support remaining |
| accurate reproduction of all the potential features that aid diagnosis | diagnostic cast |
| diagnostic cast should include | teeth locations
tooth contours
occlusal plane relationship
residual ridge contour size and mucosal consistency
oral anatomy |
| give 1 objective of diagnostic cast | constant reference as the work progresses; supplement the oral examnitaion by permitting a view of the occlusion from the lingual and buccal aspects |
| given to teeth to be used as abutment | vitality tests |
| a ____ residual ridge is preferrable to a ____ for providing support for the denture | small but stable; larger unstable |
| the presence of ___ must be detected and an evaluation must be made of their presence in relation to framework design | tori or other bony exostosis |
