Treatment-planning simulator
15 original cases. Put each procedure in its phase (urgent → disease control → re-evaluation → definitive → maintenance) or leave it out, answer the key decision, and get a rubric score with the reasoning for every item.
Toothache on top of untreated periodontitis
- Patient
- 45-year-old man, warehouse supervisor
- Chief Complaint
- My lower left back tooth has been killing me for three days, especially with cold drinks.
- Medical History
- No significant medical history.
- Current Medications
- None reported
- Allergies
- None reported
- Social History
- Smokes one pack of cigarettes a day for 25 years. Two to three beers a week.
- Vital Signs
- Blood pressure 128/82 mm Hg, pulse 78 per minute, respirations 14 per minute.
- Background and/or Patient History
- Last dental visit about 8 years ago.
- Current Findings
- #19: large occlusal-distal caries; cold causes intense pain lingering about 60 seconds; percussion normal; no swelling. Generalized 5–7 mm probing depths with bleeding on probing, interproximal bone loss into the middle third of the roots, heavy calculus; no tooth lost to periodontitis. Caries #3 MO and #14 O. #30 missing.
Exhibits
Place each procedure in a phase, or mark it not indicated
1. Urgent / systemic
Pain, infection, trauma, suspicious lesions, and medical issues that must be settled before care.
Pain, infection, trauma, suspicious lesions, and medical issues that must be settled before care.
2. Disease control
Stop active disease: caries control, extraction of hopeless teeth, scaling and root planing, prevention, habits.
Stop active disease: caries control, extraction of hopeless teeth, scaling and root planing, prevention, habits.
3. Re-evaluation
Check the response (pockets, caries activity, pulp status, healing) before committing to definitive care.
Check the response (pockets, caries activity, pulp status, healing) before committing to definitive care.
4. Definitive
Rehabilitation once disease is controlled: crowns, prostheses, implants, surgery, orthodontics, elective esthetics.
Rehabilitation once disease is controlled: crowns, prostheses, implants, surgery, orthodontics, elective esthetics.
5. Maintenance
Recall, periodontal maintenance and monitoring, at an interval set by risk.
Recall, periodontal maintenance and monitoring, at an interval set by risk.
Pulpectomy (emergency endodontic care) on #19
Tobacco cessation counselling (ask, advise, refer)
Scaling and root planing, all quadrants, with oral hygiene instruction
Restore #3 MO and #14 O
Complete root canal treatment on #19
Periodontal re-evaluation 4–6 weeks after scaling and root planing
Full-coverage crown on #19
Implant to replace #30
Periodontal maintenance every 3 months
Extract all teeth and deliver immediate dentures
0/10 placed · key decision not answered