DECISION MAKING: FUNDAMENTAL DIAGNOSTIC QUESTIONS
1. Overview of decision-making processes, Periodontal care
A. role in the decision-making process
1. Dentists role
a. It dentist responsibility to arrive in periodontal diagnostics; however, as the dentist and hygienist responsibilities to plan a non-surgical treatment.
B. Effective dental practice, the entire team should be familiar with the diagnostic decision-making process and the basic principles for planning non-surgical periodontal therapy.
2. The patient's role in decision making
a. Not less important component of the treatment planning is the involvement of the patient in the decision making process.
B. Dental services providers are required to encourage patients to participate fully in decisions about treatment and goals.
B. decision-making is a continuous process
1. Since most of the patients observed for many years or even decades dental team, clinical decision and treatment planning can be an ongoing process over time.
2. In addition, periodontal, consists of a dynamic and ever-changing the fabric and human periodontal needs change over time.
3. The dental team should remember that it is quite reasonable periodontal the diagnosis and the treatment plan at any one time you may need to change at a later date.
C. designation of periodontal diagnosis. The first step in treatment planning is the correct prescription of periodontal diagnosis.
1. The definition of periodontal the diagnosis can be simplified by to ask and answer three key clinical questions in a systematic manner (Fig. 23-1).
2. These three fundamental questions that are used to guide dentists through the diagnostic process.
3. Many decisions, including the appointment of periodontal diagnosis and planning nonsurgical treatment revolve around the answers to these fundamental questions.
2. The purpose of periodontal diagnosis: fundamental questions of diagnostics
A. First fundamental diagnostic question: "is there a clinical assessment indicate health or inflammatory periodontal disease?"
1. The answer to the first question must be based on the signs of inflammation that are marked and recorded during the clinical assessment, and by its very nature, as a rule, it is not difficult for members of the dentist to answer,
a. Dentists must be familiar with the difference between the signs and symptoms of the disease. Signs of periodontal disease are the features of disease that can be observed or measured by a doctor.
1) examples signs of periodontal disease may include gingival erythema (redness), gingival swelling (edema), bleeding on gentle probing, loss of affection, tooth mobility, or loss of alveolar bone support.