Start with history:Medical, dental, family, social
Record past dental care
Now we move to STEPS IN DIAGNOSIS & TREATMENT PLANNING
You have to Conduct head and neck exam
Also to Perform a complete oral examination
Use a thorough and detailed form
Establish a provisional diagnosis
( preliminary Diagnosis ) , I
f there’s some sort of
gingivitis or caries or ulcer . But ,sometimes you are not sure what is the cause of ulcer (caused by chemical burn,precancerous , aph
thous ulcer … )
Obtain any additional tests:
Radiographs, blood tests, study models, medical consults,etc.. to insure your treatment plan .
Finalize diagnosis and treatment plan
Present case to patient/parents :
After I write my treatment plan , I usually talk to
child’s parents and tell them that’s this is the plan , and then I start explaining to them (
procedures , type of the material I will use , cost .. )
Then we Outline recommended treatment plan
Involve parents in planning , WHY ? regards the pulpotomy , the parents has to acceptor refuse it !
Because the insurance about doing any procedure either pulpotomy orSSC is refered to them .
Secure parental consent :
The parents should sign for approval of the treatment
TREATMENT PLAN SHOULD INCLUDE THESE FEATURES