Quartz 4

Treatment Planning Session 2 Quizes

3 min read

Comprehensive Treatment Planning quiz

For each case:

  1. Identify key problems
  2. Determine risk level
  3. Outline treatment priorities (in order)
  4. Propose a phased treatment plan
  5. Provide justification

Case 1:

” A 52 year-old patient presents after many years without dental care” Findings

  • Generalized plaque and calculus, BPE: 3,3,2/ 3,3,3
  • Multiple root stumps (16,36,46)
  • Large cavitated lesion (13,23,37)
  • Halitosis and bleeding gums
  • Smoker (15 cigarettes/day)

Questions

a. List the key diagnoses b. what is the patient’s overall risk profile c. what is your first priority? d. Sequence treatment e. What must be addressed before definitive restorations

Answers

Case 2 - “The pain-driven patient”

A 34-year-old presents with severe pain URQ

Findings:

  • 16: deep caries, lingering ⇒ likely irreversible pulpitis
  • Poor OH, multiple early lesions
  • Irregular attender

Questions

a. Immediate management? b. Should you start comprehensive care today? Why/why not? c. Outline phased plan after pain relief d. what risk factors must be controlled?

Case 3 - “The Medically Compromised Patient”

A 67-year-old patient:

Medical History:

  • Type 2 diabetes (HBA1c 9%)
  • On Apixaban (NOAC)
  • Xerostomia

**Dental Findings: **

  • Generalised moderate periodontitis
  • Multiple cervical caries
  • Several teeth with poor prognosis

Questions

a. What are the red flags? b. What modifications are required for treatment planning? c. Prioritise care d. Which teeth would you consider extracting vs maintaining? e. What is your prevention strategy?

Case 4 - “The Aesthetic Request vs Reality”

A 28-year-old requests veneers for anterior teeth. findings:

  • active caries posteriorly
  • poor plaque control
  • gingivitis
  • High sugar diet

Questions

a. Is the patient suitable for veneers at this stage? b. How do you communicate this? c. What is the correct sequencing of care? d. Ethical considerations?

Case 5 - “The failing Dentition”

A 60-year old patient: Findings

  • Multiple missing teeth
  • Remaining teeth heavily restored
  • Mobility grade II on several teeth
  • collapsed bite
  • poor OH

Questions

a. What is the overall prognosis? b. What are you treatment optins (list at least ) c. How do you decided between saving and extracting d. What is the role of patient factors?

Case 6- “The high caries risk young adult ”

A 22 year old Findings

  • multiple active carious lesions
  • frequent snacking + energy drinks
  • Poor fluoride exposure

Questions:

a. Caries risk level? b. What is more important: restorations or prevention? c. Outline a preventative plan d. When do you restore vs monitor

Case 7 - “The periodontal Priority Case ”

A 48-year-old Findings

  • BPE 4,4,4/4,4,4
  • Generalised mobility
  • Deep pockets >6mm
  • Minimal caries

Questions

a. Primary diagnosis? b. Why must perio be addressed first? c. Outline perio treatment phases d. When can restorative care begin?

Case 8 - “The Root Stump Dilemma”

A patient presents with multiple retained root stumps but is asymptomatic.

Questions

a. Do all root stumps need removal? b. What factors influence your decision? c. Risks of leaving vs removing d. How do they affect overall treatment planning?

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