Clinical Treatment Planning Treating Clinician:

The plans where useless, but the planning was indispensable. Dwight Eisenhower, WW2

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Patient Name: Gender: Date of Birth: Age: Marital Status: Race: Date of Initial Examination: Occupation: Personality Type: Treatment Planning Case Presentation. Introduction and Background.

Introduction-Background Chief Dental Complaint: Reason for Initial Visit: Oral Image and Expectation:

Medical History ASA: Medications: Allergies: Smoker: Systemic Diseases:

Dental History Previous Dental Treatment History: What does the patient desire?

Diagnostic Findings Head and Neck Nodes: TMJ/Mandibular: Range of Motion: Functional: Joint sounds: Tenderness to musculature palpation: Myofacial pain: Headaches:

Extra-Oral - Face/Profile/Symmetry

Extra-Oral : Lips/Smiles

Extra-Oral - Buccal Corridors

Combination Chart

Periodontal Chart GI – PI – Heavily restored

Intra-oral Images: (Soft tissue) L R

Intra-oral, Anterior – (Soft Tissue) L R

Intra-oral - Occlusal Views L R

Radiographs L R

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Images - Intra oral, Including casts L R

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R Intra-oral. Description and Images L R

Occlusal Notes Class occlusion: Class: Incisal guidance and Canine Guidance No non-working interferences. CO/CR/MIP - relationship: Slide

Occlusal Images L R

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Problem list

Summary of Concerns Interesting issues related to this case that warrant discussion prior to treatment? Wear Expectation Are there phasing issues? Depending on treatment plan chosen, see treatment outline below. Are there conflicts between what is best and what the patient wants or will tolerate? Possible cost, depending on treatment plan chosen

Diagnosis and Prognosis AAP Type: AAP Hopeless: #’s Guarded: #’s See risk factors. Good: The rest, assuming homecare improvement, and patient pursues prescribed treatment.

Comprehensive Care Caries EndodonticsPeriodontics Restorative Dentistry Predictability Function and Esthetics.

Treatment Planning Work Sheet. Additional consultations requested: Disease control, aka. Initial Therapy, Phase 1 Therapy, Restorative: Periodontal: Endodontic: Oral Surgical: Other: Reconstructive Dentistry Periodontal: Orthodontic: Oral Surgical: Restorative: Prosthodontic: Esthetic enhancement: Functional: Other: Maintenance Professional: Patient:

Treatment Plan Break out time - 30 min Group A Ideal, costs are not a factor Group B Ideal, costs are a factor Group C The best you can do, costs and time are major factors. Outline Goals/Objectives of Treatment

Doctors Proposed Treatment Plan

Phase I: Disease control. Includes: Periodontal: HCI; PROPOSED

Phase II PROPOSED

Phase III PROPOSED

Phase IV Definitive treatment

Phase IV PROPOSED

Phase V PROPOSED

Phase VI :

Phase VII Maintenance q 3 months, alternating with the Periodontist. PROPOSED

Actual treatment provided

Disease Control: Caries/SRP/Endo/Etc

Actual treatment provided Orthodontic/Oral surgery/Orthognathics

Actual treatment provided Restorative

Actual treatment provided Reconstructive

Actual treatment provided Maintenance

Actual treatment provided Supplemental over time/

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