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Diagnosis and treatment planning

In completely edentulous patients

introduction

introduction
Diagnosis and treatment planning are the
most important parameters in the successful management of a patient. Inadequate diagnosis and treatment planning are the major reasons behind the failure of a complete denture.

Definitions

Definitions
Diagnosis

a careful investigation of the facts

to determine the nature of a thing

Diagnosis

The act or process of deciding the

nature of a diseased condition by examination.

Diagnosis

the determination of the nature,

location, and causes of disease.

 Treatment planning
is a consideration of all of the diagnostic findings, which influence the surgical preparations of the mouth, impression making, maxillomandibular relation records and occlusion to be developed.

1-Diagnosis

1-Diagnosis
Diagnosis

A-Patient Evaluation
B-History taking
C-Clinical Examination
D-Radiographic Examination

A-Patient Evaluation

Gait Age of the patient Sex Complexion Cosmetic Index Mental Attitude

B-Clinical history taking

1-Personal history -Name -Age -Sex -Occupation -Race -Location -Religion

Personal history
Name
Age

Sex

Occupation Race Religion

2- Medical History Debilitating Diseases Diseases of the Joints Cardiovascular Diseases Diseases of the Skin Neurological Disorders Oral Malignancies Climacteric Conditions

3-Dental History Chief Complaint Expectations Period of Edentulous ness Pre-treatment Records Previous Denture Current Denture Pre-extraction Records Diagnostic Casts Denture Success

C-Clinical Examination of the patient

1- Extra oral Facial examination Muscle Tone Muscle Development Speech TMJ Examination Neuromuscular Examination Lip Examination

2-Intra oral Existing teeth (If any) Mucosa Saliva Residual Alveolar Ridge Ridge Defects Hyper plastic Tissue Floor of the Mouth Soft palate Bony Undercuts Tori Tongue Hard palate

D-Radiographic Examination
Bone Quality

Bone Quantity

2-TREATMENT PLANNING

TREATMENT PLANNING
Elimination of Infection Elimination of Pathosis Pre-prosthetic Surgery Tissue Conditioning Nutritional Counseling

Thank you