Treatment planning Dentistry

1. Oral Rehabilitation
Asist.univ.dr. Andreea-Simona Pop

2.  1. Emergency diagnosis
 2. Preventive oncologic diagnosis
 3. Odontal/ Dental diagnosis
 4. Periodontal diagnosis
 5. Edentulous and Prosthetics diagnosis
 6. Surgical diagnosis
 7. Orthodontic diagnosis
 8. Functional diagnosis
 9. General disease diagnosis

3. Sympthoms Diagnosis
PAIN PULP HYPEREMIA, PULPITIS
INFLAMMATION LOCAL MARGINAL
PARODONTITIS,
VESTIBULAR ABCESS
SWELLING GINGIVITIS, ACUTE APICAL
PARODONTITIS
BLEEDING TRAUMA, FRACTURE
HIGH FEVER RELATED TO ENDODONTICAL,
PARODONTAL OR SURGICAL
DIAGNOSIS
ALTERED GENERAL
CONDITION
RELATED TO ENDODONTICAL,
PARODONTAL OR SURGICAL
DIAGNOSIS

4. Localisation
(Mesial,
Oclusal, Distal)
Extended on
the surface or
into depht
Does/does not
involves the
pulp chamber
Signs and Sympthoms
Example: 1.6 with a carious lesion located on Mesio-
Oclusal side, extended into depht with the involvment
of the pulp chamber

5.  Just by looking on the X-ray – can not put a proper diagnosis; but, if
there are given any signs and sympthoms
 3.1. Perform a vitality test
 If + (positive) pulp reacts to temperature stimuls vital pulp
 Ps: Don’t do a vitality test if there are any signs/simpthoms starting
with pulp hyperemia – purulent pulpitis
 If – (negative) Diagnosis: Pulp Necrosis
Pulp Gangrene
Example: 1.6 After performing a vitality test and the result was
negative, the endodontic diagnosis is: Pulp Necrosis that could
develop faster into Pulp Gangrene

6.  Localisation - marginal / apical
 Extension - localised / generalised
 Intensity - acute/ chronic
 Signs
 Ex 1: Localised marginal chronic parodontitis
 Ex 2: Acute apical periodontitis
Radiolucency
Bone resorbtion
Orizontal/vertical
Clinical
simpthoms (
parodontal
pokets/
inflamation, pain)

7.  Signs/Symptoms
 Edentulous Spaces, Spee Curve, Oclusal Plane (oclusal interference
based on the incorect obturation, missing teeth, etc)
 You should say here: Kenedy Class (if needed)
 about Spee Curve (normal, stepped)
 about Oclusal Plane (normal morphologic or
incorect due to bad obturations, missing teeth)

8.  6.1 If you are given only an X-ray, say:
- Extractions in the past example: 1.6 extracted in the past (is no
longer present in the arch)
- -Bone density (compared the upper and lower arch, only if you can
trace some differences, like low bone density, it can be a sign for
osteoporosis)
- 6.2. If you are given a photomontage, and just a few signs/symptoms
say (based strictly on what you are given) it might be:
- Vestibular abcess
- Postextractional alveolitis

9. https://ro.stomatology.biz/xirurgiya/udalenie-zubov/alveolit-posle-udaleniya-zuba.html. Accesed
1.11.2020

10. https://military-medicine.com/article/3613-periodontal-emergency-treatment-in-the-field.html.
Accesed 1.11.2020

11. https://www.tannlegetidende.no/i/2016/1/d2e746. Accesed 1.11.2020

12.  Signs/ Sympthoms
 Crowdening, Tilted teeth, Mesial Line
 Angle Classification
 Cl. I- neutral relationship C & M1
 Cl II: II/1: Distalization & Protruzion
 Cl II/ 2: Distalization & Retruzion
 Cl. III: Mezialization

13.  Correct Diagnosis (based on clinical and paraclinical examinatios)
 Written consent of the specialist (if needed)
 Written consent of the patient (MANDATORY)
 !!! INTERDISCIPLINARY COLLABORATION!!!

14.  1. Always start with the emergency
 2. Treat the tooth that caused the emergency (endo or extraction)
 3. Elimination of dental foci
 - Treat odontal caries lesions
 - Do endodontic tratments
 - Perform dental extractions
 4. Prosthetic treatment
 5. Orthodontic treatment (if needed)

15. 45, Cardiac Insuficiency, Hyperlipidemia,
Overweight,

16. Rp/ Amoxicilina caps. 500 mg, Nr. XX (douazeci)
D.S. int/ p.o. 4x1/zi, inainte de masa
Rp/ Augumentin compr. 1g, Nr. X (zece)
D.S. int/ p.o. 2x1/zi, inainte de masa
Rp/ Clindamicina cpr 6oomg, Nr XV
D.S. int. 3x1/ day

17. Rp/ Amoxicilina 500 mg caps., Nr. IV (FOUR)
D.S. int. 1x4/zi, 1 h before intervention
Rp/ Augumentin 1g cpr., Nr. II (doua)
D.S. int. 1x2/zi, 1 h before intervention
Rp/ Clindamicina 6oomg cpr., Nr I (unu)
D.S. int. 1x1/ 1 h before intervention

18.  Rp/ Paracetamol 500mg cpr., Nr. XV(cinsprezece)
 D. S. int. 3x1/day, After meals
 Rp/ Ibuprofen 200mg cpr, Nr. XV(cinsprezece)
 D.s. int 3x1/ day, or when needed, after meal
 Rp/ Ketonal Forte 100 mg cpr, Nr. VI (six)
 D.S. Int. 2x1/day, or when needed, after meal
 Rp/ Celecoxib 100 mg cps, Nr .VI (six)
 D.S. Int. 2x1/day, or when needed, after meal

19.  Rp/ Flucovimcaps 150 mg, Nr. I (unu)
 D.S. int. 1x1/zi, in prima zi de trat

20.  Linex Forte, Original package NR I
 D. s. int 1x1/ day, ar four h distance to AB, during the AB
treatment & 3 days after (7-10 days)