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: Instruments: Operatory: Gloves Mask Glasses Sterilization Operatory: Scrubbing & wiping of surfaces Carefully handling of disposable materials

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

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

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

Treatment Planning Phase-1 Phase-2 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

Phase-3 Phase-4 Phase-5 Phase-6 Designing the RDP 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

Differential Diagnosis Fixed OR Removable Dental Prosthesis Indications for fixed restorations Tooth-bounded edentulous regions Modification spaces Anterior modification spaces Replacement of unilaterally missing molars (SDA)

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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