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DIAGNOSIS AND TREATMENT PLANNING

DIAGNOSIS AND TREATMENT PLANNING. DR MUHAMMAD RIZWAN MEMON F.C.P.S (T) (Prosthodontics). Patient Interview. Demographic data Chief complaint and its history Medical history review Dental history review Patient expectations. Infection Control. Doctor : Gloves Mask Glasses

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DIAGNOSIS AND TREATMENT PLANNING

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  1. DIAGNOSIS AND TREATMENT PLANNING DR MUHAMMAD RIZWAN MEMON F.C.P.S (T) (Prosthodontics)

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

  3. Infection Control • Doctor: • Gloves • Mask • Glasses • Instruments: • Sterilization • Operatory: • Scrubbing & wiping of surfaces • Carefully handling of disposable materials

  4. 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

  5. Radiographic Examination • Periodontal bone loss • Structure of basal bone in denture bearing areas • Presence of perapical bone loss & furcation involvement

  6. 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

  7. 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

  8. 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

  9. 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)

  10. 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

  11. THANK U

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