Guest guest Posted February 20, 2012 Report Share Posted February 20, 2012 Hi Smriti, Very well done!!!!!.Your treatment plan is very good but i felt it might be difficult for us and we dont have time if we give advantages and disadvantages in every phase.I think they want the advantages and disadvantages of only permanent restorations and prosthesis and can be done in a tabular form.Will post my treatment plan on the group soon for further corrections. Good luck and keep it up, Poonam Julka From: jasmine chopra <contactjasmine288@...> Sent: Friday, February 17, 2012 7:02 PM Subject: Re: new guideline case discussion Hi SmritiI think it looks pretty okay on the whole except for a couple of changes that i can think of. firstly at rcs college we were told that perio is never an emergency and its the first thing that comes in the primary/stabilisation phase. so perio should be put in primary phase.IF there is accompanying sensitivity then we can apply desensitising agents and varnish to relieve sensitivity in the emergency phase. in primary phae deal with perio as followsexplain periodontitis and role of diabetes and smokingcollect additional data (bleeding index, fuull mouth six point pocket chart, plaque and debris index) carry out supra and subgingival scalingeducate oral hygiene maintainance.then in the maintainance phasereview and monitor oral hygiene and reinforce oral hygiene instructions where necessary. In case of the option for implants i think we also need to mention the referral to a restorative specialist with special interest in implantology.Kind regardsJasmine. On Fri, Feb 17, 2012 at 5:03 PM, doc_smriti <doc_smriti@...> wrote: hi, My written treatment plan for the case. Please do make corrections and give your opinion regarding the notes.(i have put question marks against points that i am not sure off.) Treatment Plan: Treatment Options: EMERGENCY PHASE For Lump In Palate: 1. No Treatment Adv: No cost. Disadv: Possible increase in size/pain/ulceration/discomfort. 2. Oral and Maxillofacial referral- for a. biopsy of palatal lesion. Justification- possible salivary gland neoplasm. likely to be benign but biopsy needed to confirm. Adv: help identify etiology of lesion and plan treatment. Disadv: Possibility of Mild discomfort associated with surgical procedures- pain/bleeding/discomfort for few days. For Periodontitis: 1. OHI+ Full mouth Scaling and polishing Adv: help improve gingival health. help prepare mouth for possible replacement of teeth with poor prognosis (LL1,LL2) in future. Disadv: May cause some bleeding. May cause sensitivity for 2-3 days post scaling. may increase mobility of teeth for 2-3 days post scaling. Smoking cessation advice??? PRIMARY PHASE 1. Monitor Gingival condition, redo scaling/polishing if required. Adv: Help stabalise oral health. help remove plaque/calculus from areas previously covered by inflamed gingiva. Disadv: Same as for initial scale and polish??? For multiple radiolucencies in mandible: 1. No treatment??? Adv?? Disadv?? 2. Referral to Oral and maxillofacial surgeon Justification- To determine etiology and treatment options for lesion. To eliminate possibility of a tumor. To eliminate bone lesion as a possible cause of tooth mobility?? 3. Referral to GP Justification- To eliminate the possibility of a systemic bone lesion. For mobile teeth: 1. No treatment Adv: No cost. Disadv: Possibility of periodontal abscess./spread of infection. Teeth may fall off. 2. extraction of LL1, LL2 and replacement justification: Grade 3 mobile teeth with poor prognosis. Adv: Prevent development of abscess/infection. Disadv: Minor surgical procedure involving anesthesia. might experience Mild pain/bleeding/soreness for few days after procedure. 3. Impressions for immediate dentures post extraction. SECONDARY PHASE: Replacement Options: 1. Removable Partial denture- options 1. Acrylic adv: Low cost easy fabrication disadv: takes time to adjust to acrrylic denture. speech difficulty for few days. might feel altered taste sensation needs to be removed and cleaned daily 2. Co-Cr Partial denture adv: lighter than acrylic better adjustment disadv: needs to be removed and cleaned daily. 2. Fixed Partial denture- (requires good periodontal condition) options- 1. resin retained partial denture 1. Single- (LL1,LL2-pontic, LL3,LR1-abutment)??? 2. Two separate- (LL1-pontic, LR1 abutment, LL2 pontic, LL3 abutment) adv: minimal reduction of supporting tooth. fixed to teeth so don't require removal better tolerated than removable dentures lower cost than other fixed options. disadv: Might debond. Longevity 4-5 years. (do you think option of two separate cantilevers should be given?? what will be the advantages of such an option??) 2. Fixed-fixed partial denture. LL1, LL2-Pontic LL3, LR1- abutment Adv: Longevity 10-15 years. Fixed to teeth, no removal required. better tolerated than removable dentures Disadv: require reduction of adjacent teeth for support. higher cost compared to previous options Risks: 20-30% chance of abutments developing pulpal damage, requiring RCT in future. 3. Implants Adv: Success rate 95-97% mandible. Fixed in bone. Disadv: Will involve minor surgical procedure to place implant- possible complications- bleeding/pain/soreness/difficult eating for few days after procedure. Waiting period of 4-6 months before placement of log-term restoration on implant, during which temp denture will have to be worn. Risks: Smoking may reduce success rate. Diabetes may reduce success rate. MAINTENANCE PHASE: 1. review oral Hygiene 2. review Restorative work 3. Review lump on palate. This is my first attempt at writing a treatment plan. Please make additions/corrections etc. Also, is there anything else that should be done for the lump in palate or mandibular radiolucencies?? Regards, Smriti > > Thanks Pratheba for the info, > i might br wrong ,but if it is cyst then the teeth might be vital even in case of tumors they might be vital or non vital (that is what i understod recently)also my question is ;Â is it in our scope to specify what kind of xray(excluding maybe PA or occlusal veiw)? > > > > > ________________________________ > From: Pratheeba <pratheebat@...> > > Sent: Friday, February 17, 2012 5:22 AM > Subject: new guideline case discussion > > > Â > hi, > in 3rd stage(written treatment plan)they will give you the necessary radiographs to support your treatment plan.you can find out the multiple radiolucency in this stage only.(vitality test on G111 mobile teeth is unlikely-i think) > written treatment plan-you can write down the radiographic features( > how it looks like,why you are suspecting this).to confirm your diagnosis(biopsy) and to do further treatment ,refer the patient to omfs. > > even for the palatal lump ,you can write your finding and according to you finding if you suspect any salivary gland benign / malignant tumour > again refer the patient to confirm the diagnosis and further treatment. > torus-ressure the patient & explain the detail > > (can we request for biopsy in special investigation part) > correct me. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 20, 2012 Report Share Posted February 20, 2012 what is fixed partial denture, i think it should be resin retained bridges or crowns, whatever it is as i have not read the whole case yet. From: Poonam Kapoor <docpoonam_99@...> " " < > Sent: Monday, 20 February 2012, 8:00 Subject: Re: To dear Smriti Hi Smriti, Very well done!!!!!.Your treatment plan is very good but i felt it might be difficult for us and we dont have time if we give advantages and disadvantages in every phase.I think they want the advantages and disadvantages of only permanent restorations and prosthesis and can be done in a tabular form.Will post my treatment plan on the group soon for further corrections. Good luck and keep it up, Poonam Julka From: jasmine chopra <contactjasmine288@...> Sent: Friday, February 17, 2012 7:02 PM Subject: Re: new guideline case discussion Hi SmritiI think it looks pretty okay on the whole except for a couple of changes that i can think of. firstly at rcs college we were told that perio is never an emergency and its the first thing that comes in the primary/stabilisation phase. so perio should be put in primary phase.IF there is accompanying sensitivity then we can apply desensitising agents and varnish to relieve sensitivity in the emergency phase. in primary phae deal with perio as followsexplain periodontitis and role of diabetes and smokingcollect additional data (bleeding index, fuull mouth six point pocket chart, plaque and debris index) carry out supra and subgingival scalingeducate oral hygiene maintainance.then in the maintainance phasereview and monitor oral hygiene and reinforce oral hygiene instructions where necessary. In case of the option for implants i think we also need to mention the referral to a restorative specialist with special interest in implantology.Kind regardsJasmine. On Fri, Feb 17, 2012 at 5:03 PM, doc_smriti <doc_smriti@...> wrote: hi, My written treatment plan for the case. Please do make corrections and give your opinion regarding the notes.(i have put question marks against points that i am not sure off.) Treatment Plan: Treatment Options: EMERGENCY PHASE For Lump In Palate: 1. No Treatment Adv: No cost. Disadv: Possible increase in size/pain/ulceration/discomfort. 2. Oral and Maxillofacial referral- for a. biopsy of palatal lesion. Justification- possible salivary gland neoplasm. likely to be benign but biopsy needed to confirm. Adv: help identify etiology of lesion and plan treatment. Disadv: Possibility of Mild discomfort associated with surgical procedures- pain/bleeding/discomfort for few days. For Periodontitis: 1. OHI+ Full mouth Scaling and polishing Adv: help improve gingival health. help prepare mouth for possible replacement of teeth with poor prognosis (LL1,LL2) in future. Disadv: May cause some bleeding. May cause sensitivity for 2-3 days post scaling. may increase mobility of teeth for 2-3 days post scaling. Smoking cessation advice??? PRIMARY PHASE 1. Monitor Gingival condition, redo scaling/polishing if required. Adv: Help stabalise oral health. help remove plaque/calculus from areas previously covered by inflamed gingiva. Disadv: Same as for initial scale and polish??? For multiple radiolucencies in mandible: 1. No treatment??? Adv?? Disadv?? 2. Referral to Oral and maxillofacial surgeon Justification- To determine etiology and treatment options for lesion. To eliminate possibility of a tumor. To eliminate bone lesion as a possible cause of tooth mobility?? 3. Referral to GP Justification- To eliminate the possibility of a systemic bone lesion. For mobile teeth: 1. No treatment Adv: No cost. Disadv: Possibility of periodontal abscess./spread of infection. Teeth may fall off. 2. extraction of LL1, LL2 and replacement justification: Grade 3 mobile teeth with poor prognosis. Adv: Prevent development of abscess/infection. Disadv: Minor surgical procedure involving anesthesia. might experience Mild pain/bleeding/soreness for few days after procedure. 3. Impressions for immediate dentures post extraction. SECONDARY PHASE: Replacement Options: 1. Removable Partial denture- options 1. Acrylic adv: Low cost easy fabrication disadv: takes time to adjust to acrrylic denture. speech difficulty for few days. might feel altered taste sensation needs to be removed and cleaned daily 2. Co-Cr Partial denture adv: lighter than acrylic better adjustment disadv: needs to be removed and cleaned daily. 2. Fixed Partial denture- (requires good periodontal condition) options- 1. resin retained partial denture 1. Single- (LL1,LL2-pontic, LL3,LR1-abutment)??? 2. Two separate- (LL1-pontic, LR1 abutment, LL2 pontic, LL3 abutment) adv: minimal reduction of supporting tooth. fixed to teeth so don't require removal better tolerated than removable dentures lower cost than other fixed options. disadv: Might debond. Longevity 4-5 years. (do you think option of two separate cantilevers should be given?? what will be the advantages of such an option??) 2. Fixed-fixed partial denture. LL1, LL2-Pontic LL3, LR1- abutment Adv: Longevity 10-15 years. Fixed to teeth, no removal required. better tolerated than removable dentures Disadv: require reduction of adjacent teeth for support. higher cost compared to previous options Risks: 20-30% chance of abutments developing pulpal damage, requiring RCT in future. 3. Implants Adv: Success rate 95-97% mandible. Fixed in bone. Disadv: Will involve minor surgical procedure to place implant- possible complications- bleeding/pain/soreness/difficult eating for few days after procedure. Waiting period of 4-6 months before placement of log-term restoration on implant, during which temp denture will have to be worn. Risks: Smoking may reduce success rate. Diabetes may reduce success rate. MAINTENANCE PHASE: 1. review oral Hygiene 2. review Restorative work 3. Review lump on palate. This is my first attempt at writing a treatment plan. Please make additions/corrections etc. Also, is there anything else that should be done for the lump in palate or mandibular radiolucencies?? Regards, Smriti > > Thanks Pratheba for the info, > i might br wrong ,but if it is cyst then the teeth might be vital even in case of tumors they might be vital or non vital (that is what i understod recently)also my question is ;Â is it in our scope to specify what kind of xray(excluding maybe PA or occlusal veiw)? > > > > > ________________________________ > From: Pratheeba <pratheebat@...> > > Sent: Friday, February 17, 2012 5:22 AM > Subject: new guideline case discussion > > > Â > hi, > in 3rd stage(written treatment plan)they will give you the necessary radiographs to support your treatment plan.you can find out the multiple radiolucency in this stage only.(vitality test on G111 mobile teeth is unlikely-i think) > written treatment plan-you can write down the radiographic features( > how it looks like,why you are suspecting this).to confirm your diagnosis(biopsy) and to do further treatment ,refer the patient to omfs. > > even for the palatal lump ,you can write your finding and according to you finding if you suspect any salivary gland benign / malignant tumour > again refer the patient to confirm the diagnosis and further treatment. > torus-ressure the patient & explain the detail > > (can we request for biopsy in special investigation part) > correct me. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 20, 2012 Report Share Posted February 20, 2012 Hi all, Thank you for your valuable comments and additions. ) Will be posting another case soon. Hope all of u will participate in it too. Poonam, Ya, we'll have limited time.. It 'll be best to write only what's absolutely necessary.. And it'll definitely be much better in tabular form. I was trying that earlier but was having problems with typing it like that!!! ) May be it'll be better to type in as word doc first and then upload.. Do post ur treatment plan, I am sure all of us would benefit from the additions and corrections.. Thank u so much for ur effort... Aqsa, I am sorry, but I couldn't understand ur question.. In fixed partial dentures we have 3 options in this case, resin retained, fixed-fixed bridge and implants.. Regards, Smriti > >> > >> Thanks Pratheba for the info, > > > > i might br wrong ,but if it is cyst then the teeth might be vital even in case of tumors they might be vital or non vital (that is what i understod recently)also my question is ; is it in our scope to specify what kind of xray(excluding maybe PA or occlusal veiw)? > >> > >> > >> > >> > >> ________________________________ > >> From: Pratheeba <pratheebat@> > > > >> > >> Sent: Friday, February 17, 2012 5:22 AM > >> Subject: new guideline case discussion > >> > >> > > > >  > > > >> hi, > >> in 3rd stage(written treatment plan)they will give you the necessary radiographs to support your treatment plan.you can find out the multiple radiolucency in this stage only.(vitality test on G111 mobile teeth is unlikely-i think) > >> written treatment plan-you can write down the radiographic features( > >> how it looks like,why you are suspecting this).to confirm your diagnosis(biopsy) and to do further treatment ,refer the patient to omfs. > >> > >> even for the palatal lump ,you can write your finding and according to you finding if you suspect any salivary gland benign / malignant tumour > >> again refer the patient to confirm the diagnosis and further treatment. > >> torus-ressure the patient & explain the detail > >> > >> (can we request for biopsy in special investigation part) > >> correct me. > >> > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 20, 2012 Report Share Posted February 20, 2012 In the treatment plan mentioned below( scroll down) Someone mentioned this in the options2. Fixed Partial denture- (requires good periodontal condition)> >options-> >1. resin retained partial denture I was wondering what is a fixed partial denture! RegardsAqsa From: doc_smriti <doc_smriti@...> Sent: Monday, 20 February 2012, 9:42 Subject: Re: To dear Smriti Hi all, Thank you for your valuable comments and additions. ) Will be posting another case soon. Hope all of u will participate in it too. Poonam, Ya, we'll have limited time.. It 'll be best to write only what's absolutely necessary.. And it'll definitely be much better in tabular form. I was trying that earlier but was having problems with typing it like that!!! ) May be it'll be better to type in as word doc first and then upload.. Do post ur treatment plan, I am sure all of us would benefit from the additions and corrections.. Thank u so much for ur effort... Aqsa, I am sorry, but I couldn't understand ur question.. In fixed partial dentures we have 3 options in this case, resin retained, fixed-fixed bridge and implants.. Regards, Smriti > >> > >> Thanks Pratheba for the info, > > > > i might br wrong ,but if it is cyst then the teeth might be vital even in case of tumors they might be vital or non vital (that is what i understod recently)also my question is ; is it in our scope to specify what kind of xray(excluding maybe PA or occlusal veiw)? > >> > >> > >> > >> > >> ________________________________ > >> From: Pratheeba <pratheebat@> > > > >> > >> Sent: Friday, February 17, 2012 5:22 AM > >> Subject: new guideline case discussion > >> > >> > > > >  > > > >> hi, > >> in 3rd stage(written treatment plan)they will give you the necessary radiographs to support your treatment plan.you can find out the multiple radiolucency in this stage only.(vitality test on G111 mobile teeth is unlikely-i think) > >> written treatment plan-you can write down the radiographic features( > >> how it looks like,why you are suspecting this).to confirm your diagnosis(biopsy) and to do further treatment ,refer the patient to omfs. > >> > >> even for the palatal lump ,you can write your finding and according to you finding if you suspect any salivary gland benign / malignant tumour > >> again refer the patient to confirm the diagnosis and further treatment. > >> torus-ressure the patient & explain the detail > >> > >> (can we request for biopsy in special investigation part) > >> correct me. > >> > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 20, 2012 Report Share Posted February 20, 2012 Some texts descibe bridge as fixed partial denture(it is a bridge but denoted by a different term),donot confuse urself... in UK its better to say Bridge to make it simple. From: Aqsa Fatima Burki <aqsaburki@...> " " < > Sent: Monday, February 20, 2012 8:54 AM Subject: Re: To dear Smriti what is fixed partial denture, i think it should be resin retained bridges or crowns, whatever it is as i have not read the whole case yet. From: Poonam Kapoor <docpoonam_99@...> " " < > Sent: Monday, 20 February 2012, 8:00 Subject: Re: To dear Smriti Hi Smriti, Very well done!!!!!.Your treatment plan is very good but i felt it might be difficult for us and we dont have time if we give advantages and disadvantages in every phase.I think they want the advantages and disadvantages of only permanent restorations and prosthesis and can be done in a tabular form.Will post my treatment plan on the group soon for further corrections. Good luck and keep it up, Poonam Julka From: jasmine chopra <contactjasmine288@...> Sent: Friday, February 17, 2012 7:02 PM Subject: Re: new guideline case discussion Hi SmritiI think it looks pretty okay on the whole except for a couple of changes that i can think of. firstly at rcs college we were told that perio is never an emergency and its the first thing that comes in the primary/stabilisation phase. so perio should be put in primary phase.IF there is accompanying sensitivity then we can apply desensitising agents and varnish to relieve sensitivity in the emergency phase. in primary phae deal with perio as followsexplain periodontitis and role of diabetes and smokingcollect additional data (bleeding index, fuull mouth six point pocket chart, plaque and debris index) carry out supra and subgingival scalingeducate oral hygiene maintainance.then in the maintainance phasereview and monitor oral hygiene and reinforce oral hygiene instructions where necessary. In case of the option for implants i think we also need to mention the referral to a restorative specialist with special interest in implantology.Kind regardsJasmine. On Fri, Feb 17, 2012 at 5:03 PM, doc_smriti <doc_smriti@...> wrote: hi, My written treatment plan for the case. Please do make corrections and give your opinion regarding the notes.(i have put question marks against points that i am not sure off.) Treatment Plan: Treatment Options: EMERGENCY PHASE For Lump In Palate: 1. No Treatment Adv: No cost. Disadv: Possible increase in size/pain/ulceration/discomfort. 2. Oral and Maxillofacial referral- for a. biopsy of palatal lesion. Justification- possible salivary gland neoplasm. likely to be benign but biopsy needed to confirm. Adv: help identify etiology of lesion and plan treatment. Disadv: Possibility of Mild discomfort associated with surgical procedures- pain/bleeding/discomfort for few days. For Periodontitis: 1. OHI+ Full mouth Scaling and polishing Adv: help improve gingival health. help prepare mouth for possible replacement of teeth with poor prognosis (LL1,LL2) in future. Disadv: May cause some bleeding. May cause sensitivity for 2-3 days post scaling. may increase mobility of teeth for 2-3 days post scaling. Smoking cessation advice??? PRIMARY PHASE 1. Monitor Gingival condition, redo scaling/polishing if required. Adv: Help stabalise oral health. help remove plaque/calculus from areas previously covered by inflamed gingiva. Disadv: Same as for initial scale and polish??? For multiple radiolucencies in mandible: 1. No treatment??? Adv?? Disadv?? 2. Referral to Oral and maxillofacial surgeon Justification- To determine etiology and treatment options for lesion. To eliminate possibility of a tumor. To eliminate bone lesion as a possible cause of tooth mobility?? 3. Referral to GP Justification- To eliminate the possibility of a systemic bone lesion. For mobile teeth: 1. No treatment Adv: No cost. Disadv: Possibility of periodontal abscess./spread of infection. Teeth may fall off. 2. extraction of LL1, LL2 and replacement justification: Grade 3 mobile teeth with poor prognosis. Adv: Prevent development of abscess/infection. Disadv: Minor surgical procedure involving anesthesia. might experience Mild pain/bleeding/soreness for few days after procedure. 3. Impressions for immediate dentures post extraction. SECONDARY PHASE: Replacement Options: 1. Removable Partial denture- options 1. Acrylic adv: Low cost easy fabrication disadv: takes time to adjust to acrrylic denture. speech difficulty for few days. might feel altered taste sensation needs to be removed and cleaned daily 2. Co-Cr Partial denture adv: lighter than acrylic better adjustment disadv: needs to be removed and cleaned daily. 2. Fixed Partial denture- (requires good periodontal condition) options- 1. resin retained partial denture 1. Single- (LL1,LL2-pontic, LL3,LR1-abutment)??? 2. Two separate- (LL1-pontic, LR1 abutment, LL2 pontic, LL3 abutment) adv: minimal reduction of supporting tooth. fixed to teeth so don't require removal better tolerated than removable dentures lower cost than other fixed options. disadv: Might debond. Longevity 4-5 years. (do you think option of two separate cantilevers should be given?? what will be the advantages of such an option??) 2. Fixed-fixed partial denture. LL1, LL2-Pontic LL3, LR1- abutment Adv: Longevity 10-15 years. Fixed to teeth, no removal required. better tolerated than removable dentures Disadv: require reduction of adjacent teeth for support. higher cost compared to previous options Risks: 20-30% chance of abutments developing pulpal damage, requiring RCT in future. 3. Implants Adv: Success rate 95-97% mandible. Fixed in bone. Disadv: Will involve minor surgical procedure to place implant- possible complications- bleeding/pain/soreness/difficult eating for few days after procedure. Waiting period of 4-6 months before placement of log-term restoration on implant, during which temp denture will have to be worn. Risks: Smoking may reduce success rate. Diabetes may reduce success rate. MAINTENANCE PHASE: 1. review oral Hygiene 2. review Restorative work 3. Review lump on palate. This is my first attempt at writing a treatment plan. Please make additions/corrections etc. Also, is there anything else that should be done for the lump in palate or mandibular radiolucencies?? Regards, Smriti > > Thanks Pratheba for the info, > i might br wrong ,but if it is cyst then the teeth might be vital even in case of tumors they might be vital or non vital (that is what i understod recently)also my question is ;Â is it in our scope to specify what kind of xray(excluding maybe PA or occlusal veiw)? > > > > > ________________________________ > From: Pratheeba <pratheebat@...> > > Sent: Friday, February 17, 2012 5:22 AM > Subject: new guideline case discussion > > > Â > hi, > in 3rd stage(written treatment plan)they will give you the necessary radiographs to support your treatment plan.you can find out the multiple radiolucency in this stage only.(vitality test on G111 mobile teeth is unlikely-i think) > written treatment plan-you can write down the radiographic features( > how it looks like,why you are suspecting this).to confirm your diagnosis(biopsy) and to do further treatment ,refer the patient to omfs. > > even for the palatal lump ,you can write your finding and according to you finding if you suspect any salivary gland benign / malignant tumour > again refer the patient to confirm the diagnosis and further treatment. > torus-ressure the patient & explain the detail > > (can we request for biopsy in special investigation part) > correct me. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 20, 2012 Report Share Posted February 20, 2012 Ohhh I see!! My apologies.. I am so used to the term RPD(removable partial denture) and FPD(fixed partial denture- meaning any fixed prosthesis) that I didn't realise that most british texts don't use the term FPD. Its just that I've read american books in my undergraduate years hence the error.... ) > >> > >> Thanks Pratheba for the info, > > > > i might br wrong ,but if it is cyst then the teeth might be vital even in case of tumors they might be vital or non vital (that is what i understod recently)also my question is ; is it in our scope to specify what kind of xray(excluding maybe PA or occlusal veiw)? > >> > >> > >> > >> > >> ________________________________ > >> From: Pratheeba <pratheebat@> > > > >> > >> Sent: Friday, February 17, 2012 5:22 AM > >> Subject: new guideline case discussion > >> > >> > > > >  > > > >> hi, > >> in 3rd stage(written treatment plan)they will give you the necessary radiographs to support your treatment plan.you can find out the multiple radiolucency in this stage only.(vitality test on G111 mobile teeth is unlikely-i think) > >> written treatment plan-you can write down the radiographic features( > >> how it looks like,why you are suspecting this).to confirm your diagnosis(biopsy) and to do further treatment ,refer the patient to omfs. > >> > >> even for the palatal lump ,you can write your finding and according to you finding if you suspect any salivary gland benign / malignant tumour > >> again refer the patient to confirm the diagnosis and further treatment. > >> torus-ressure the patient & explain the detail > >> > >> (can we request for biopsy in special investigation part) > >> correct me. > >> > > > > > Quote Link to comment Share on other sites More sharing options...
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