口腔种植学精品教学（中山大学）Patient Assessment and Treatment Planning.pptVIP

Patient Assessment and Treatment-Planning Clinical Assessment The first part of the assessment To define the patient’s requirements and expectations. Unrealistic expectations need to be identified and discussed. particularly important when significant hard and soft tissue has been lost. when the placement of multiple implants is critical to a successful aesthetic outcome. Medical History A full medical history is taken. In addition to the usual contraindications for surgery, it is important to pay particular attention to the following: ? smoking ?uncontrolled diabetes ? facial pain ?psychological problems Smoking In patients that smoke, failure rates are considerably higher , with the probability that the failure rate increases with the extent of smoking. The risks need to be evaluated and carefully explained to the patient. Ideally he or she should be encouraged to stop smoking. Medical History Diabetes Implants can be placed in patients with diabetes if the condition is controlled. Uncontrolled diabetes should be stablised before contemplating 期待，意欲，打算，考虑沉思，凝视 implant placement. Medical History Facial Pain Particular care must be taken with patients suffering from “atypical facial pain”, as an implant may become a focus for this pain, leading to an intractable难驾驭的，难处理的 problem The origin of any facial pain needs to be carefully diagnosed, with specialist help as appropriate 适宜的，专属某人的 Medical History Psychological Problems The suitability of patients with psychological disorders needs to be assessed most carefully before agreeing to proceed with treatment. Dental History A full dental history is essential. includes detailed extra- and intraoral examination Special attention needs to be paid to progressive periodontal disease, active caries and destructive 机能异常的parafunctional activities. Dental History For Example If split roots, typi