Treatment plan
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The treatment plan involves 5 phases: 1) stabilizing any medical conditions, 2) assessing caries risk and providing preventive measures, 3) behavior management, oral prophylaxis, caries control, orthodontic/oral surgery, and endodontic treatment as needed, 4) placing permanent fillings, stainless steel crowns, prosthetics, and early orthodontics, 5) establishing 3-6 month recall visits depending on caries risk and oral hygiene.
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040.maintenance phase (Supportive Periodontal Therapy)
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Treatment plan
- 2. PHASES OF TREATMENT PLANNING 1.Systemic phase 2.Preventive phase 3.Preparatory phase 4.Corrective phase 5.Maintenance phase Treatment plan
- 3. 1.Systemic phase • A patient with a medical disease background may require the condition to be stabilized and then dental treatment to be carried out. In this respect the patient may have to be referred to the physician or pediatrician as required. • Keeping in mind the systemic condition, premedication ( as in antibiotic prophylaxis, sedation) needs to be given to the child, again with the consent of the pediatrician or physician
- 4. 2.Preventive phase • Caries risk assessment for various preventive measures(fluoride application, pit and fissure sealant, diet counselling)
- 5. 3.Preparatory phase • Behavior management: The child's behavior shaping should start right from the reception itself • Oral prophylaxis: It presents a clear view of caries process which facilitates its diagnosis. It also gives an idea whether the patient will cooperate. • Caries control: Further progress of carious lesions should be controlled. Sometimes multiple lesions may need to be temporized. • Orthodontic consultation: Minor orthodontic correction should be carried out before evaluating the space maintenance program. • Oral surgery: Gross caries may necessitate the removal of teeth. • Endodontic therapy: Sometimes, a tooth may need to be saved with endodontic treatment.
- 6. 4.Corrective phase • Restorative dentistry: Permanent fillings, stainless steel crowns would be included under this phase • Prosthetic rehabilitation: tooth replacement, jacket crowns etc. • Early orthodontic intervention is to be carried out
- 7. 5.Maintenance phase • Depending on the risk of the individual and his oral hygiene status, a 3-6 month recall visit can be established.