Prognosis



Big Idea: Traditionally the periodontal examination is done and the prognosis is based on that but these assessments do not predict prognosis and generally teeth given fair, poor, questionable and hopeless prognosis were incorrectly predicted, other host factors and systemic health should contribute to the prognosis of teeth.--Martina S. #40

Prognosis is a prediction of the probable course, duration, and outcome of a disease based on a general knowledge of the pathogenesis of the disease and the presence of risk factors for the disease.- Christy Heslin #29 

Big Idea: A provisional prognosis should be done when the prognosis in highly unpredictable and highly dependent on the host’s response. At the re-eval visit a better prognosis can be determined. Elizabeth Munoz #34

Big Idea: A prognosis for likelihood for tooth loss can be determined by the presence of the genotyype IL-1 and the patients current status of smoking. A positive IL-1 genotype increased the risk of tooth loss by 2.7 times, and heavy smoking by 2.9 times. The combined effects of IL-1genotype and heavy smoking increased the risk of tooth loss by 7.7 times. Tonya #23 Big idea: Prognosis is a complex procedues that must take into account each and every factor that can alter patient/host response in any way. Doing so allows us as clinicians to provide the best treatment options and opportunity to educate our patients. -Alyssa

Big Idea: Prognosis is the prediction of the future development and/or outcome of a disease or a disease treatment, given the diagnosis of current information which can change due to expected/unexpected circumstances that can interfere with the most probable prognosis.--Barbara Richardson #37

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Prognosis can be based on statistical figures or interpretation of guidelines that can determine the overall prediction of a specific case. In the case of periodontal disease or therapy, it is a list of factors such as types of treatment that was rendered or host response to treatment.- Lyn 26

Big idea: Prognosis helps us as clinicians to predict the possibility of new disease and instead of focusing on the cause or risk of the disease we can focus on the outcome therefore possibly preventing the disease from progression. Of course many factors alter and determine the prognosis of disease. In the case of gingival diseases most of these factors depend on the patient and their compliance. ___ Nichole Tillison #41

Big Idea: All of the factors that we use to determine our patients' diagnosis, should also be used to determine their prognosis. Ideally these two should always coorelate, but factors such as patient compliance can alter the prognosis. -Brittany

Big Idea: As clinicians, we must always place the patient's best interest first by knowing when to treat and when to refer new and excisting patients with periodontal disease for specialty care---Martha #38 big idea: prognosis is based on the diagnosis of the patient's status. four main level of prognosis are present and depends on the patient's disease and stage of the disease. Eman # 25 Big Idea: Advances in technology that may make it possible to have a more positive outlook on the prognosis for teeth with severe periodontal involvement like GTR and the use of biological modifiers like enamel matrix proteins and tissue growth factors. Mayte Hernandez #28

Big Idea: The prognosis or, the expected future resulting from a decision of treatment or no treatment, should always be discussed thoroughly and completely with the patient. This should not be based on the possibility that the outcome is negative or positive just clear factual information.- Chris Fisher #27