Diagnosis and Treatment Planning in Dentistry

Cover image
Title page
Table of Contents
Copyright
Contributors
Dedication
Preface
Acknowledgments
Learning Resources
Review Questions
Videos
Section 1: Patient Evaluation and Diagnosis
1. Patient Evaluation and Assessment
Outline
Overview of the Diagnostic Process
Information Gathering
Review Questions
References
Electronic Pages
2. Common Diagnoses in Dentistry
Abstract
Outline
PATIENT DIAGNOSIS
Benefits of a Diagnosis and Problem List
THE COMPREHENSIVE PATIENT DIAGNOSIS
COMMON DIAGNOSES
B. GENERAL HEALTH DIAGNOSES
C. PSYCHOSOCIAL CONSIDERATIONS THAT INFLUENCE THE TREATMENT PLAN
D. EXTRAORAL DIAGNOSES
E. INTRAORAL SOFT TISSUE DIAGNOSES
F. SALIVARY GLAND ABNORMALITIES
G. ABNORMALITIES OF THE MAXILLA AND MANDIBLE: COMMON RADIOGRAPHIC FINDINGS
H. TEMPOROMANDIBULAR DISORDERS, TRIGEMINAL NEUROPATHIC PAIN AND HEADACHES
I. SLEEP DISORDERS
J. PERIODONTAL DISEASES
K. PULPAL AND PERIAPICAL DIAGNOSES
L. DENTAL CARIES
M. TOOTH CRACKS AND FRACTURES
N. OTHER NONCARIOUS ABNORMALITIES OF TEETH
O. OCCLUSAL ABNORMALITIES
P. Esthetic Problems
Q. SINGLE TOOTH RESTORATION DEFECTS
R. FIXED PROSTHODONTIC PROBLEMS
S. REMOVABLE PROSTHODONTIC PROBLEMS
T. IMPLANT-RELATED DIAGNOSES
REVIEW QUESTIONS
References
Suggested Readings
Electronic Pages
Section 2: The Treatment Planning Process
3. Evidence-Based Treatment Planning: Assessment of Risk, Prognosis, and Expected Outcomes
Outline
Definition of Evidence-Based Dentistry, Risk Assessment, Prognosis, and Treatment Outcomes
Evidence-Based Decision Making
Risk Assessment
Prognosis ,,–
Outcomes and Outcomes Measures
The Evolving Use of Evidence-Based Dentistry in Treatment Planning
Conclusion
Review Questions
References
Suggested Readings and Resources
Electronic Pages
4. Digital Tools for Diagnosis and Treatment Planning
Abstract
Outline
Introduction
Patient Evaluation and Diagnosis
Communication
Digital Hardware and Software for Treatment Planning
Conclusion
References
Electronic Pages
5. Developing the Treatment Plan
Abstract
Outline
Developing Treatment Objectives
Establishing the Nature and Scope of the Treatment Plan
Presenting Treatment Plans and Reaching Consensus with the Patient
Guidelines for Sequencing Dental Treatment
Obtaining Informed Consent and Documenting the Treatment Plan
Conclusion
Review Questions
References
6. Interprofessional Treatment Planning
Outline
Definition of Interprofessional Care
Requirements for Shared Decision Making
Members of an Interprofessional Team
Communication or Referrals to Other Health Professionals
Dentistry as Part of the Medical Team
Conditions Best Managed by an Interprofessional Team that Includes Dentistry
Conclusion
References
Electronic Pages
7. Ethical and Legal Considerations When Treatment Planning
Outline
Ethical Foundations of Dentistry
Relationship Between Ethics and Law
Dentist–Patient Relationship
Applying Ethics and Law to Diagnosis and Treatment Planning
Malpractice and Professional Liability
Risk Management
Conclusion
Review Questions
Practice EnhancementDevelop a Risk Reduction Plan for Your Practice
References
Suggested Readings
Section 3: Phases of the Treatment Plan
8. The Systemic Phase of Treatment
Abstract
Outline
Introduction
Importance of the Systemic Phase of Treatment
Rationale for Systemic Therapy
Evaluating the Patient’S Current Health Status
Evaluating Relationship Between Systemic Health and Dental Treatment
Systemic Procedures
How Systemic Conditions Can Affect Treatment Planning
Documentation of Systemic Concerns
Conclusion
Review Questions
References
9. The Acute Phase of Treatment
Abstract
Outline
Challenges
Rewards
Profile of the Patient Requesting Immediate Treatment
Patient Evaluation
Common Acute Problems and Diagnoses
Treatment Planning for Acute Needs
Documenting Acute Care Treatment and Follow-Up
Conclusion
Review Questions
References
10. The Disease Control Phase of Treatment
Abstract
Outline
Purpose Of The Disease Control Phase
Structuring The Disease Control Phase
Common Disease Control Problems And Issues
Reassessment
Making The Transition To The Definitive Phase Of Care
Review Questions
Practice Enhancements
References
Suggested Readings
11. The Definitive Phase of Treatment
Outline
Definitive Phase Treatment Options
Orthodontic Treatment
Other Occlusal Therapies
Restoring Individual Teeth
Esthetic Dentistry
Elective (Nonacute) Endodontic Treatment
Extractions And Preprosthodontic Surgery
Replacing Missing Teeth
Conclusion
Review Questions
Practice Enhancement
REFERENCES
SUGGESTED READINGS
12. The Maintenance Phase of Care
Outline
POSTTREATMENT ASSESSMENT
RATIONALE FOR INCLUDING a MAINTENANCE PHASE IN THE TREATMENT PLAN
ISSUES TO CONSIDER IN THE MAINTENANCE PHASE OF CARE
SUGGESTED RESOURCES
References
Electronic Page
Section 4: Planning Treatment for Unique Populations
13. Patients With Special Needs
Abstract
Outline
IDENTIFYING THE PATIENT WITH SPECIAL NEEDS
ROLE OF THE GENERAL DENTIST IN MANAGEMENT OF THE PATIENT WITH SPECIAL NEEDS
ACCESS TO CARE
PLANNING FOR SPECIFIC CONDITIONS
PATIENT EVALUATION
Arriving at a Diagnosis
TREATMENT PLANNING FOR THE PATIENT WITH SPECIAL NEEDS
DELIVERY OF CARE
ETHICAL AND LEGAL ISSUES
Conclusion
REVIEW QUESTIONS
PRACTICE ASSESSMENT
References
SUGGESTED READINGS
14. Patients Who Are Substance Dependent
Outline
Introduction
Challenges For The Dentist
Patient Assessment For Signs And Symptoms Of Substance Abuse
Effects And Implications Of Inappropriate Drug Use
Alcohol Abuse
Other Abused Substances
Physician Consultation and Laboratory Testing
Confronting Substance Abuse With The Patient
Assisting The Patient In Managing The Addiction
Practice Management Issues
Conclusion
Review Questions
References
15. Patients With Anxiety, Fear, or a Phobia of Dental Care
Abstract
Outline
Introduction
Characteristics Of Dental Anxiety, Fear, And Phobia
Etiology
Pain Perception And Memory In Patients With Dental Fear And Anxiety
Dental Anxiety And History Of Abuse
The Impact Of Anxiety, Fear, And Phobias
Recognition, Diagnosis, And Management Of Dental Anxiety
Managing A Fearful And Anxious Patient
Pharmacologic Intervention
Conclusion
Review Questions
Suggested Projects
REFERENCES
16. Patients With a Psychological Disorder
Abstract
Outline
Patient Evaluation
General Treatment Planning Considerations for Patients With a Psychological Disorder
Anxiety Disorders
Depressive Disorders
Bipolar I and Bipolar II Disorders
Schizophrenia Spectrum and Other Psychotic Disorders
Other Pathologic Disorders
Somatic Symptom and Related Disorders
Other Psychological Phenomena
Medication Effects that Affect Dental Treatment
Effect of Psychological Disorders on the Oral Cavity
Conclusion
References
17. Adolescent Patients
Outline
The Adolescent in the World
Lifestyle Issues that May Affect Adolescent Health
Patient Assessment
Oral Health Problems in the Adolescent
Treatment Planning
Treating the Adolescent Patient
Follow-Up and Maintenance
Conclusion
Review Questions
Practice Enhancements
References
Suggested Readings and Websites
18. Geriatric Patients
Outline
Oral Health in the Aging Population
Evaluation of Older Patients
Systemic Phase Dental Treatment Planning
Disease Control Phase and Prevention Strategies
Definitive Treatment Planning for Older Adults
Maintenance Phase Treatment Planning
Conclusion
Review Questions
Suggested Readings and Resources
References
19. Patients Who Are Motivationally or Financially Challenged
Abstract
Outline
Oral Health Myths and Beliefs
Identifying Underlying Problems
Evaluating Potential for Change
Making a Treatment Decision
Motivating the Patient
Motivational Interviewing
Management Options
Caring for Patients With Limited Financial Means
Disparities in Oral Health and Access to Care
A Look to the Future
Review Questions
Practice Assessment
References
Suggested Readings/Websites
Glossary
Index