Lino Calvani - Fundamentals of Treatment Planning

| Eyes

| Ears

| Nose

| Mouth

Head and neck inspection – palpation examination

| Static and dynamic possibilities

| Palpation techniques

Nerves

| Neurologic examination

| Trigeminal nerve (sensory component of the nerve)

| Facial nerve (sensory and motor components of the nerve)

Muscles

| Masticatory muscles

| Muscles of facial expression

Temporomandibular joints

| Neurological examination

Lymphatic system

| The lymph nodes and their importance

Salivary glands

| How to palpate the salivary glands

Thyroid gland

| Shape

| Inspection

| Palpation

| Health status

| Function

| Clinical relevance

| Absence

References

Chapter eight Physical examination – Part II: intraoral examination

Intraoral examination procedure

Intraoral examination checklist

Vestibular area

| Lips

Vestibules

| Cheeks

| Parotid (salivary) glands

| Floor of the vestibules

Oral cavity

| Palate

Oropharynx and isthmus of fauces

| Pharyngeal tonsils

Tongue

| Anatomy

| Examination of the tongue

Floor of the mouth

Salivary glands

| Submandibular salivary glands

| Sublingual salivary glands

| Minor mucous salivary glands

| Von Ebner’s glands

| Clinical conditions of salivary glands

Alveolar arches and teeth

Occlusion

| Radiographic examination

References

Chapter nine Main clinical examination assessment questions

Clinical extraoral examination

Clinical intraoral examination

| Oral mucosa evaluation

| Case assessment occlusal evaluation

| Clinical oral and tooth assessment questions

References

Chapter ten The type and structure of prosthodontic treatments

Prosthodontic treatment algorithms

Treatment planning and predictable results

| Clinical priorities

| Presence of an infectious disease and its healing time

| Need for additional clinical collaborators

| Consequentiality of procedures

Treatment planning of complex cases

| Concept of the ‘initial phase’

| Concept of customization

| Expectations: a danger zone

| ‘Not enough time’

| Balance of time commitment

| Posttreatment care commitment

| The clinical result should not be equal to or worse than the problem itself

Classification of prosthodontic treatments

| Class I: Prosthodontic treatments – full reconstructive rehabilitations

| Class II: Prosthodontic treatments – interdisciplinary improving rehabilitations

| Class III: Prosthodontic treatments – interdisciplinary healing rehabilitations

Prosthodontic treatment phases and their algorithms

Predictability, sequence of work, and consent

| Predictability

| ‘Red line’ concept

| Emergencies and priorities

References

Chapter eleven Treatment planning analysis of complex rehabilitations Phase I: Diagnostics, consultations, and emergencies

Some preliminary remarks

| Treatment variations and alterations

| Time for communication and explanations

Diagnostics

| Initial diagnostic screening questionnaire

| Second updating questionnaire

| Initial interview and first visit

Consultations with other specialists

| Dental specialties and other areas of consultation

| Diagnostic digital dental technology

Emergencies

| Preprosthetic emergencies, priority treatments, and initial disease control

| Preferential route medical priorities

| Oral cancer control

| Maxillofacial emergencies

| Periodontal emergencies

| Endodontic emergencies

| Tooth extraction emergencies

| Caries emergencies

| Professional oral hygiene emergencies

| Relining and rebasing of complete and partial dentures

References

Chapter twelve Treatment planning analysis of complex rehabilitations Phase II: Prosthetic and restorative treatment

Some preliminary remarks

| General factors that may affect the planned treatment sequence

| Complications that may affect the planned treatment sequence

Orthodontic therapy

Periodontal and oral surgery therapies

Endodontic therapies

Mutilated roots and teeth

Post and cores

Provisional restorations

| Planning the lifespan of provisionals

| Long-term fixed provisionals

| Analog or digital provisionals?

Implant placement

| Implants are a sensitive rehabilitation to plan

| Implant postsurgery instructions for patients

Maxillomandibular registration

Final impressions

Final prosthesis try-in and delivery

| Relining and rebasing of RPDs and CDs

Bite guards

References

Chapter thirteen Treatment planning analysis of complex rehabilitations Phase III: Posttreatment care and recalls

Planning for Phase III

| Periodic recalls for maintenance

| Patient compliance and special maintenance holding programs

Basic prosthodontic maintenance checklists

| Fixed prosthesis maintenance checklist

| Removable partial denture (RPD) maintenance checklist

| Complete denture (CD) maintenance checklist

Reinforcing oral hygiene at recall visits

| Educating patients about personal oral hygiene

Treatment planning fluoride

Treatment planning prophylactic therapies

Treatment planning the improvement of the patient’s diet

Making patients more aware of dangerous habits

References

Chapter fourteen Treatment planning for the elderly and those with challenging health conditions

Some medical statistics

Patient awareness and communication

Prosthodontic treatment planning for elderly and geriatric patients

| Some basic statistics

| Treating elderly people

Prosthodontic treatment planning for patients who are addicted to drugs

Signs and symptoms of the most common drugs

| Prescription analgesics

| Sedatives, anxiolytics, and antidepressants

| Marijuana

| Cocaine

| MDMA and ecstasy

| Methamphetamines

| Heroin

References

Chapter fifteen How to write a prosthodontic treatment plan

I. How to write a prosthodontic treatment plan for your patient

II. How to write a prosthodontic treatment plan for a professional case presentation

III. Main text and writing guidelines

IV. Prosthodontic case presentation narratives

| Examples and scenarios

Case 1 Perioprosthetic treatment

| Phase I diagnostics – case narrative

Case 2 Perioprosthetic treatment

| Phase I diagnostics – case narrative

Case 3 Perioprosthetic treatment

| Phase I diagnostics – case narrative

Case 4 Perioprosthetic treatment

| Phase I diagnostics – case narrative