AiDENTAL

Mouse over treatment row or say "tooth number whatever (ex. tooth number 2) to enter treatment decisions. Select treatments on a tooth by tooth basis. Where caries is noted, assume it has destroyed an average amount of the surface.

Enter treatments which could include Extractions, Perio (On the specific tooth), Restorations, Root Canal Treatment, Post Cores, Crowns, Bridges and Implants. Note that credit will be given for recommending Extraction even if the system deems the Extraction as Optional. Also note that Upper Anteriors and Lower Canines have a higher strategic value. If there are missing teeth, you may enter treatments such as Bridges (FPDs), Implants, or Removable Partial Dentures (RPDs). Use the 'Pontic' button to indicate a bridge. Use the 'Crown' button to indicate retainers. Long span (greater than 3 units) bridges are not recommended in this system.

Decisions are triggered by a set of findings and circumstances that cause certain treatments to be recommended. Below you will find some guidance as to what findings to look for in determining a certain treatment.

The most complicated decision may be when to recommend a Denture. Depending upon the degree of Periodontal Disease, Mobility, Caries and Missing Teeth, a decision may be made to go to a Complete Denture. If Complete Denture is selected and the system determines that a Complete Denture is recommended, scoring increases. Depending upon circumstances, the system may recommend a Removable Partial Denture, while at the same time allowing a Complete Denture. In this case, points are given for either answer.

Another controversial scenario is when to recommend a crown. If endo is NOT planned and there are more than (3) involved surfaces (caries and/or existing restorations), the system will recommend a crown. If endo IS planned, your class instructor recommends crowns (after endo) when there are () or more caries/restored surfaces (including access). Access surfaces are 'O' for Posteriors and 'L' for Anteriors. Please note if a crown already exists, the system recommends a new crown following endo with a new underlying build-up restoration.

Third molars are not considered strategic and the system recommends Extraction when certain pathological findings are present (moderate perio disease, mobility, caries). Optional Extractions are generally counted as correct in Posteriors and Lower Incisors where more than (3) surfaces are involved and caries is present. The most strategic teeth are Maxillary Anteriors and Mandibular Canines. To avoid Lower Complete Dentures, Mandibular Canines should be preserved for anchoring future Removable Partial Dentures. Optional Extractions are counted as correct in these strategic teeth when MORE than (4) surfaces are involved.

If PAIN and restorable caries is present the system will recommend Endo (Endo involvement would be highly likely). If PAIN is present with restorations, but no caries, the system will NOT recommend treatment (Endo will not be recommended due increased chances of other causes). If PAIN is present with a Post or Implant, Extraction will be a correct answer. However, Bridge Pontics and Implants (New) will be correct within certain conditions.

The Defective stripe generally indicates a Defective Restoration, Crown, Implant or Post Core. If a Defective stripe appears over Endo treatment, the Defective will only apply to the Restoration. If there is a Restoration present and there is a Defective stripe, assume the Endo is NOT defective and the restoration IS Defective.


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Tooth	Say Tooth Number [whatever number] Example Tooth Number Four or Tooth Four
Perio	Mesio Central Disto	-	Buccal Lingual	-	N u m b e r
Surfaces	M, O, I, D, B, F, L (or name of surface) + Amalgam, Composite, or Caries. See undo below to remove surface findings.
Cusps	MB, ML, DB, DL or say cusp names (such as mesio-buccal) + Chip or Fracture (Repeat to remove)
Findings	Missing, Root tip, Impacted, Submerged, Endo, Root Canal, Apical Lesion, Apex, Post Core, Crown, Porcelain, Ceramic, Full Cast, Metal, PMC, Pontic, Implant, Defective, Hopeless,Mobility + number. To undo, repeat the command. Narrative brings up dialogue for dictation of text.
Undo	To undo specific surfaces, say Remove, Undo, or Clear + [surface(s)]. To undo a button finding, repeat the command. To undo all surfaces and button findings, say Reset. To Delete and Reset ENTIRE chart, say Delete.
Other	Voice On, Voice Off, Submit, Okay, Done, Cancel, Close, Generate Treatment Plan, and Chart. Most buttons respond to their names.

Maxillary
	Periodontally Healthy		Periodontally Compromised
	Short Span (Up to 5 missing)	Long Span (6 or more missing incl anterior)	All Spans
Class I	A-P Strap (if only missing molars) -otherwise- Palatal Plate	Palatal Plate	Lingual Plating (if possible)
Class II	A-P Strap (if the space between the straps spans at least two teeth) -otherwise- Palatal Strap/Plate	Palatal Plate	Lingual Plating (if possible)
Class III	A-P Strap (if the space between the straps spans at least two teeth) -otherwise- Palatal Strap/Plate	A-P Strap	Lingual Plating (if possible)
Class IV	Horseshoe or A-P Strap	Horseshoe	Lingual Plating (if possible)
Mandibular
	Short and Long Span		All Spans
8mm or more vestibular depth	Lingual Bar		Lingual Plating
Less than 8mm vestibular depth	Lingual Plate		Lingual Plating

Attributes	McCracken (Carr)-Mayo Clinic	Stewart (Phoenix)-US Air Force	Stratton-University of Oklohoma	Hybrid (Mahrous)-University of Iowa
Allows design changes for occlusal interferences.	No	No	Yes	Yes
Stress release recommended for mesial abutment adjacent to space in Class II, Mod 1, Dentate side.	Yes	No	Yes	Yes
Lingual Plating preferred instead of space when space would be adjacent to only one tooth.	Yes	Yes	No	Yes

RPD Design

RPD Game