copy of proteza flexibila an vi
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EVALUAREA PACIENTULUIEVALUAREA PACIENTULUI
3 categorii de parametrii de evaluare:
1) Parametrii socio-economici
2) Parametrii psiho-comportamentali
3) Parametrii clinico-tehnologici
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Sunt destinati evaluarii calitatii vietii pacientului
Indicatorii socio-economici Varsta 1. 0-20ani
2. 21-40
3. 41-60
4. 61-70
5. 71-80
6. Peste 80
1) Parametrii socio-economici
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Mediul de provenienta1. Rural
2. Urban
1. Foarte greu2. Doar cu mijloc de transport3. Usor4. Foarte usor
Accesul la servicii medicale
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Nivelul de scolarizare
1. Clase primare2. Gimnaziu3. Liceu4. Facultate
Statut profesional
1. Somer2. Angajat
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Nivelul venitului
1. 0-600 ron2. 600-1200 ron3. 1200-2400 ron4. Peste 2400 ron
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Indicator socio-economic=(I se)
Interpretare
0,00-0,25 = Status s-ec scazut
0,25-0,50 = Status s-ec mediu
0,50- 0,75 = Status s-ec bun
0,75 –1,00 = Status s-ec foarte bun
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2) Parametrii psiho-comportamentali
-sunt destinati evaluarii modului in care pacientul se raporteaza din punct de vedere personal la sfera serviciilorde medicina dentara
Indicatorii psiho-comportamentali
Anxietatea in raport cu medicul dentist
1. Absenta2. Redusa3. Medie4. Mare
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Frecventa controlalelor periodice
1. O data 6 luni2. O data pe an 3. Foarte rar4. Cand am probleme
Frecventa periajului dentar
1. De 2 ori pe zi2. O data pe zi3. Saptamanal4. Lunar
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Utilizarea mijloacelor suplimentare de igiena
1. Zilnic2. Saptamanal3. Lunar4. Niciodata
Fumatul
1. Nefumator2. 1-10 tigari/zi3. 11-20 tigari/zi4. Peste 21 tigari
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Relatia edentatie-estetica dentara
1. Deloc2. Putin3. Foarte mult4. Mult
Relatia edentatie-status psihic
1. Deloc
2. Putin
3. Foarte mult
4. Mult
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Indicator psiho-comportamental = (I pc)
Interpretare
0,00-0,25 = Status nefav
0,25-0,50 = Status putin fav
0,50- 0,75 = Status fav
0,75 –1,00 = Status foarte fav
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3) Parametrii clinico-biologici
- evalueaza statusul local, loco-regional si general al pacientului
Indice de stare generala
-evalueaza starea generala a pacientului
(HTA, diabet zaharat, cardiopatie ischemica, reactii alergice)
Interpretare
0,00-0,25 = Stare gen nefav
0,25-0,50 = Stare gen putin fav
0,50- 0,75 = Stare gen fav
0,75 –1,00 = stare gen foarte fav
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Indice de stare locala
Indice suport odontal (anomalie, punct de contact, leziuni carioase, restaurari coronare, complicatii endodontice, distributia pe arcada)
Indice suport parodontal (papila interdentara, recesiune,leziuni interradiculare, mobilitate de ntara)
Indice suport mucos (plici alveolo-jugale, fren labial, zonefunctionale, rezilienta mucoasei, papila bunoida)
Indice suport osos (creasta ededntata, tuberozitate, tuberculPiriform, bolta palatina(
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Indice ocluzie
Indice relatii mandibulo-craniene
Indicator clinico-biologic =
(Icb)
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Scorul de evaluare initiala al pacientului (S1)
S1 = Ise + Ipc + Icb
3interpretare
0,66-1 (COD A) = Situatie fav, pozitiva
0,33-0,66 (COD B) = Situatie medie
0,00- 0,33 (COD C) = Situatie nefav, negativaSe contureaza
O situatie de proiect terapeutic
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Plan de tratament
-protezare acrilica-protezare elastica-protezare scheletata cu crosete-protezare scheletate cu elem rigide-protezare scheletate cu elem rigide-protezare scheletate cu elem articulate-reabilitare implanto-protetica mobila-Reabilitare implanto-protetica fixa
Solutia de electieSolutia aplicata
S2 = Sta/STe
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Interpretare S2
1,oo (COD a) = Sol terapeutica de electie
0,50-0,99 (COD b) = Sol terapeutica medie
0,50- 0,00 (COD c) = Sol terapeutica nefavorabila
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Scorul final al pacientului (Sf)
Sf = S1 + S2
COD 1 (valoare Aa sau Ba) = prognostic fav
COD 2 (valoare Ab, Bb, Ca, Cb) = mediu
COD 3 (valoare Ac, Bc, Cc) = nefav