Unless neutropenia can be corrected, these patients present with a fair to poor prognosis. Teeth with a good prognosis are likely to respond well to treatment, while teeth with a hopeless prognosis should be extracted. For eg- decreased number of circulating neutrophils may contribute to widespreads destruction of periodontium. These stains can take up to six months or longer to whiten. The doctor is not exactly sure of what the patient’s probability for recovery might be, but they still believe that the patient has a (slight) chance of recovery. Whitening may only reduce amounts of ‘masking’. Dr. Zev Lazarus presents a case study demonstrating how proper periodontal-endodontic therapy is able to save teeth that have a guarded prognosis, thus eliminating the need for extraction. Prognosis is the prediction of the probable course, duration, and outcome of a disease, based on the general knowledge of the pathogenesis of the disease and the presence of risk factors for the disease 4. Prognosis is linked to management of associated dermatologic disorders. Guarded prognosis for whitening required. All dental interventions have a limited lifespan whereby its replacement typically removes more tooth structure, leaving the patient at an even greater biomechanical risk. A post perforation or root fracture is suspected. Any single criterion of a more complex class places the patient into the more complex class. It commonly appears in news releases, particularly those describing the medical condition of some currently hospitalized famous person. So a guarded pronosis is when the doctor makes evaluates a patient but then keeps the findings from him or her. ... or periodontal surgery including osseous resective or additive procedures followed by consistently performed home dental care; prognosis is considered guarded. Questionale (guarded) prognosis. Prognosis for these patients depends on elimination of the causative agent. Stage 2 -- (PD2) Description: Early periodontal disease with <25% attachment loss. Guarded is usually more ill than a serious prognosis, but not as ill as critical. Guarded (I'm assuming you know what this means, lol) in this sense is referring to the patient, and his lack of knowledge about the prognosis. 2. I have yet to meet a physician or nurse who knew what the term “guarded condition” meant. Guarded prognosis required. It stands to reason that the less tooth structure that is removed in order to restore a patient, the greater the long-term prognosis … Stains in the gray family (such as from tetracycline) can be harder to remove, if not impossible. Conditions Creating a Guarded Prognosis Severe oral manifestations of systemic disease Maxillomandibular dyskinesia and/or ataxia Refractory patient Guidelines for use of the worksheet 1. Treatment consists of concomitant cyst enucleation and bone grafting to correct a periodontal defect, along with subepithelial connective tissue grafting to correct Miller Class III gingival recession. Dental scaling, polishing, irrigation, home dental care. Making the case for 'herodontics': Tips for case selection and management of the tooth with a guarded prognosis A patient presents with an infected tooth and failing prior root canal therapy. Teeth with a questionable prognosis may require investigation, with the consent of the patient, prior to a definitive decision regarding any proposed treatment. I have met several intensive care unit personnel who have used the term, but they could not define it or tell me where the definition might be found. In dentistry prognosis of a particular tooth or teeth depends on various factors. Discoloration in gingival third or exposed yellow. Hopeless prognosis. 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