DIAGNOSIS%20AND%20TREATMENT%20PLANNING

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DIAGNOSIS AND TREATMENT PLANNING

• DR MUHAMMAD RIZWAN MEMON
• F.C.P.S (T) (Prosthodontics)

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Patient Interview

• Demographic data
• Chief complaint and its history
• Medical history review
• Dental history review
• Patient expectations

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Infection Control

• Doctor
• Gloves
• Mask
• Glasses
• Instruments
• Sterilization
• Operatory
• Scrubbing wiping of surfaces
• Carefully handling of disposable materials

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Clinical Examination

• Extra Oral
• TMJ, Mouth opening etc
• Intra Oral
• Existing Teeth
• Periodontal health
• Occlusion
• Conservative Endodontic status
• Residual ridges
• Height of floor of mouth

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Radiographic Examination

• Periodontal bone loss
• Structure of basal bone in denture bearing areas
• Presence of perapical bone loss furcation
  involvement

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Examination of Diagnostic Casts

• Permit view of occlusion from lingual buccal
  aspects, degree of overclosure, amount of
  interocclusal space available etc
• Permit topographic survey of occlusion
• Permits a logical comprehensive presentation to
  the patient
• Individual impression trays may be fabricated
• Used as constant reference as the work progress
• Become a permanent part of patient record

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Treatment Planning

• Phase-1
• Collection evaluation of diagnostic data
• Treatment of emergency conditions
• Determining type of prosthesis
• Patient motivation
• Phase-2
• Preprosthetic mouth preparation ( Relief of pain,
  Oral surgical procedures, Periodontal therapy,
  Correction of occlusal plane, Orthodontic
  correction, Splinting weakened teeth
• Making primary impression
• Patient motivation

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• Phase-3
• Designing the RDP
• Phase-4
• Prosthetic mouth preparation (Preparation of
  undercuts, guide planes rest seats)
• Making the final impression
• Patient motivation
• Phase-5
• Fabrication of RDP
• Phase-6
• Insertion
• Post insertion management
• Periodic recall and review

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Differential DiagnosisFixed OR Removable Dental
Prosthesis

• Indications for fixed restorations
• Tooth-bounded edentulous regions
• Modification spaces
• Anterior modification spaces
• Replacement of unilaterally missing molars (SDA)

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• Indications for removable restorations
• Distal extension situations
• After recent extractions
• Long span
• Need for effect of bilateral stabilization
• Excessive loss of residual bone
• Unusually sound abutment teeth
• Abutments with guarded prognosis
• Economic considerations

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THANK U