new guideline case 2 discussion

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treatment plan case- 2

emergency phase

1.relieve pain-apthous ulcer

bonjela

chlorhexidine mouthwash

refer to GP -blood test

2.sensitivity related to toothwear

F tooth paste, mouthwash

duraphat varnish(?)

refer GP to eliminate gastric problem/any

primary phase

1.apthous ulcer(more than 2 weeks-refer to omfs and explain to patient about

detail)

if not try tropical steroids

2.tooth surface loss

explain to patient -stress management,bruxism,tooth surface loss

take photographs,study models,tooth wear index-to compare in future

take an impression and make a splint

diet advice

3.chronic generalised gingivitis

OHI

supra & subgingival scaling

secondary phase

monitor tooth wear

severe-(reduced in height)

explain to patient

discuss treatment options & costs

refer the patient to restorative specialist

maintenance phase

monitor -tooth wear

-ulcer

reinforce OHI

reinforce stress management

correct me.