... or periodontal surgery including osseous resective or additive procedures followed by consistently performed home dental care; prognosis is considered guarded. 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. All dental interventions have a limited lifespan whereby its replacement typically removes more tooth structure, leaving the patient at an even greater biomechanical risk. In dentistry prognosis of a particular tooth or teeth depends on various factors. Prognosis for these patients depends on elimination of the causative agent. Prognosis is linked to management of associated dermatologic disorders. 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. Dental scaling, polishing, irrigation, home dental care. Teeth with a questionable prognosis may require investigation, with the consent of the patient, prior to a definitive decision regarding any proposed treatment. It commonly appears in news releases, particularly those describing the medical condition of some currently hospitalized famous person. 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. Stage 2 -- (PD2) Description: Early periodontal disease with <25% attachment loss. Discoloration in gingival third or exposed yellow. Hopeless prognosis. Stains in the gray family (such as from tetracycline) can be harder to remove, if not impossible. Whitening may only reduce amounts of ‘masking’. Guarded prognosis required. These stains can take up to six months or longer to whiten. 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. Any single criterion of a more complex class places the patient into the more complex class. 2. Questionale (guarded) prognosis. For eg- decreased number of circulating neutrophils may contribute to widespreads destruction of periodontium. Guarded prognosis for whitening required. I have yet to meet a physician or nurse who knew what the term “guarded condition” meant. Unless neutropenia can be corrected, these patients present with a fair to poor prognosis. 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. Teeth with a good prognosis are likely to respond well to treatment, while teeth with a hopeless prognosis should be extracted. 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. A post perforation or root fracture is suspected. 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. 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. It stands to reason that the less tooth structure that is removed in order to restore a patient, the greater the long-term prognosis … Guarded is usually more ill than a serious prognosis, but not as ill as critical. So a guarded pronosis is when the doctor makes evaluates a patient but then keeps the findings from him or her. The worksheet 1, but not as ill as critical describing the medical condition some... 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