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Treatment Planning

Full Mouth Treatment Plan: Step-by-Step Exam Blueprint

A structured way to combine perio, endo, operative, and prostho in exam cases.

Quick Answers

What is the first step in any full-mouth plan?

Stabilise disease first — pain, infection, caries, mobility, periodontal issues.

How do examiners want treatment plans structured?

Phases: Emergency → Disease Control → Definitive → Maintenance.

Which phase includes extractions?

Disease control phase — after assessment, before definitive work.

What makes a full-mouth plan “exam ready”?

Short phases, clear sequencing, and linking decisions to diagnosis.

1. Why full-mouth plans appear in exams

Examiners want to see structure. A messy plan loses marks even if your ideas are correct. When you use fixed phases, you show clarity, safety, and examiner-style thinking.

2. The 4-phase blueprint

Full-mouth plan phases

• Phase 1 — Emergency: Pain, swelling, trauma, acute infections.
• Phase 2 — Disease Control: Caries removal, RCTs, extractions, perio therapy.
• Phase 3 — Definitive: Restorations, crowns, RPD/FDP design, implants, ortho.
• Phase 4 — Maintenance: Periodic recalls, hygiene, reinforcement of instructions.

Use this structure for ANY exam case: perio, caries, ortho, prostho, or mixed problems.

3. Phase 1 — Emergency & Stabilisation

  • Treat pain, swelling, trauma, fractured restorations
  • Address urgent mobility or abscesses
  • Temporary restorations if needed
  • Explain short-term plan to the patient

4. Phase 2 — Disease Control (the most tested phase)

This phase shows examiners you understand foundations before aesthetics.

Key steps

• Caries excavation → RCT decisions → extractions
• Initial periodontal therapy (scaling + OHI)
• Manage occlusal issues or parafunction
• Re-evaluate before moving to definitive care

5. Phase 3 — Definitive Treatment

This is where you design long-term solutions after stabilising disease.

  • Direct restorations
  • Crowns / onlays
  • RPD or bridge planning
  • Implants (if needed)
  • Orthodontics

6. Phase 4 — Maintenance

Always include maintenance — it shows examiners you understand long-term stability.

  • 3–6 month recalls
  • Periodontal maintenance
  • Checking restorations
  • Reinforcing hygiene

7. OSCE Script (high-yield)

Exam-friendly script

“I will stabilise first, control disease second, provide definitive treatment once the foundation is stable, and then maintain the result with periodic reviews.”

8. How DentAIstudy helps

DentAIstudy can turn ANY full-mouth case into:

  • Clean phased plans
  • Case-based viva answers
  • Flowcharts for sequencing
  • Decision-making trees

Try Study Builder →

References

  • Peter E. Dawson. Functional Occlusion and Complete Dentistry. Mosby.
  • Stefanac SJ, Nesbit S. Treatment Planning in Dentistry. Mosby.
  • AAE & AAP Treatment Planning Guidelines.