Normal and healthy. Little or no anxiety. Little or no risk.
Mild to moderate systemic disease or are healthy ASA I patients who demonstrate a more extreme anxiety and fear toward dentistry. Patients are able to walk up one flight of stairs or two level city blocks, but will have to stop after completion of the exercise because of distress.
Examples: well-controlled NIDDM, epilepsy, asthma, and/or thyroid conditions; ASA I with a respiratory condition, pregnancy, and/or active allergies.
Severe systemic disease that limits activity, but is not incapacitating. Patients are able to walk up one flight of stairs or two level city blocks, but will have to stop enroute because of distress
Examples: angina, MI or CVA history, IDDM, CHF, COPD
Patients have severe systemic disease that limits activity and is a constant threat to life. Distress is present even at rest.
Examples: unstable angina, MI or CVA within the last six months, HTN, severe CHF or COPD, uncontrolled epilepsy, diabetes, or thyroid condition.
III- Moderate Periodontitis (3-5 mm attachment loss)
IV- Advanced Periodontitis (6 mm and more attachment loss)
V- Refractory Periodontitis
Post therapy loss of attachment
ICC TRIAGE (30-45 minutes)
Have patient in Endo or Oral Surgery by 10 am or 2:30 pm
Obtain short medical history
If tooth is unable to be restored, or patient does not want to save the tooth refer to oral surgery.
Report to ICC secretary before referral!
If tooth is savable:
Is saving the tooth the best choice?
If tooth need endo and patient agrees: Do 1 tooth treatment plan, report to ICC secretary, have patient go to accounting before endo clinic.
PULP DIAGNOSIS Normal- short response to thermal and electrical stim, does not exibit caries, attrition, abrasion, etc.
Reversible Pulpitis- Pain must be provoked, short response to thermal stim, sensitivity to sweets and exhibits caries, attrition, abrasion, etc without exposing the pulp.
Irreversible Pulpitis- Pain may be spontaneous, radiating, wake the patient. Not relieved by Tylenol or aspirin. Thermal stim produces prolonged pain. Usually assymptomatic, caries excavation can serve as a diagnostic test. Pulpal expusure.
Necrotic- Non responsive to thermal or electrical stim