ITDP 2020 - TX Planning PPT
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This document discusses phasing and sequencing treatment plans. It defines phasing as grouping procedures into categories like systemic, acute, disease control, corrective, and maintenance. Sequencing refers to arranging procedures within a phase in a logical order tailored to the patient's needs. It provides examples of treatments that fall within each phase. Developing an organized treatment plan with proper phasing and sequencing is important for comprehensive patient care.
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ITDP 2020 - TX Planning PPT
- 1. Phasing and Sequencing Treatment Plans Stephen J. Stefanac, DDS MS
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- 7. Important Concepts • Phasing – Grouping procedures in a treatment plan into five categories (Systemic, Acute, etc.) • Sequencing – The arrangement of procedures within a Phase so they are in logical order, tailored the patient’s needs.
- 8. Systemic Phase Treatment • Medical consultation/testing • Premedication • Stress and fear management • Prescribing or altering patient medication • Special patient positioning
- 9. Acute Phase Treatment • Treatment of pain or infection • Simple esthetic and restorative complaints • Treating the chief concern whenever possible
- 10. Disease Control Phase • Caries control/prevention • Periodontal disease control • Periapical disease control • Extracting hopeless/problematic teeth • Diet and habit analysis and modification
- 13. Definitive (Corrective) Phase Care ∙ Additional periodontal treatment ∙ Ex. Crown lengthening, esthetic soft tissue surgery. ∙ Orthodontic treatment ∙ Occlusal therapy ∙ Elective Oral surgery ∙ Ex. Third molar removal, ridge augmentation ∙ Elective endodontic procedures ∙ Full coverage restorations and esthetic dentistry ∙ Replacement of missing teeth ∙ Ex. Implants, removable and fixed partial dentures, complete dentures
- 15. Maintenance, Monitoring and Prevention • Periodic recall examination • Periodontal maintenance therapy • Oral hygiene instruction • Diet evaluation • Fluoride application • Observation of tooth/area
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- 19. Phasing and Sequencing in MiDent • 0:x – Systemic Treatment • 1:0 – Acute Care Treatment • 1:x – Disease Control Treatment • 2:x – Corrective Treatment • 3:x – Maintenance Treatment
- 20. Finding Diagnosis (Dx) Treatment (Tx) Phase : Sequence Systemic 0 : 1,2,3… Acute 1 : 0 Disease Control 1 : 1,2,3… Corrective 2 : 1,2,3… Maintenance 3 : 1,2,3… Red gums Marginal gingivitis Prophylaxis Wiggling cusp Fractured tooth Porcelain crown 1 1 2 1 Phase : Sequence
- 21. Dx: Plaque induced gingival disease Tx: Adult prophy Dx: Fracture of tooth Tx: PFM crown Dx: None Tx: 4 Bitewing x-rays Dx: Primary caries (at DEJ) Tx: Composite restoration Dx: Attrition of teeth Tx: Bite guard (splint) Dx: None Tx: Post Treatment Exam
- 24. Questions?
- 25. Reviewing Patients in MiDent
- 26. Think of sorting your growing patient family into three buckets NEW Active Treatmen t Maintenance • No active treatment plan • Few progress notes • Should have recent X-ray images and scanned HQ form • Schedule: D0150 – New patient exam • No active treatment plan • Many progress notes • May need new radiographs • May be due for recall treatment including exam • Study patient record carefully. Appoint as needed or touch base with patient if recall is not yet due • Active treatment plan • Review progress notes for next procedures • Run/review clinic summary report • Schedule next treatment or recall if due. Update and transfer treatment plan