ACAD Case Presentations ACAD Academy of Cosmetic and Adhesive Dentistry Case Presentations Date Dr. Name City Years in Practice

Patient Information Name:____(Get Release)___ Age:____ Sex ___ Chief Complaint. (In the Patients words, what motivated the patient to seek Treatment) What are Their Expectations? How Would they Like to Look? Medical Health History. Allergies. Financial Limitations.

Dental History Dental History:________________________ Periodontal Prognosis:__________________ Endodontic Concerns: __________________ Orthodontic History:____________________ Dental Materials Allergies:_______________ Dental Plan Considerations:______________

Dental Charting _____________________________________

Preoperative - Full Face ACAD Founded 1984 Date/Image/Taken

Preoperative - Incisal Show ACAD Founded 1984

Preoperative - Half Smile ACAD Founded 1984

Preoperative - Full Smile ACAD Founded 1984

Preoperative - Retracted Smile ACAD Founded 1984

Preoperative - Upper Arch Mirror ACAD Founded 1984

Preoperative - Lower Arch Mirror ACAD Founded 1984

Preoperative - Left Occlusion ACAD Founded 1984

Preoperative - Right Occlusion ACAD Founded 1984

Esthetic Analysis Face Classification: Square Oval Tapering, etc Occlusion Class: I, II, III Lip Length, Tooth Exposure:______________ Smile Line: __________________ Incisal Silhouette:____________________ Gingival Outline:______________________ Diastemas:___________________________ Inclinations:_____________ Rotations:_________________ Color of Teeth, Discolorations: Wear and Parafunctions:________

Dental Treat Planning Smile Analysis:________________________ Vertical Dimension:_________________ Endodontic Concerns: __________________ Orthodontic History:____________________ Dental Plan Considerations:______________

Panographic Film ACAD Founded 1984 Date/Image/Taken

Full Mouth Radiographic Series ACAD Founded 1984 Date/Image/Taken

Study Models - Facial View ACAD Founded 1984 Date/Image/Taken

Study Models - Lingual View ACAD Founded 1984 Date/Image/Taken

Treatment ACAD Founded 1984 Date/Image/Taken

Treatment ACAD Founded 1984 Date/Image/Taken

Treatment ACAD Founded 1984 Date/Image/Taken

Treatment ACAD Founded 1984 Date/Image/Taken

Complications ACAD Founded 1984 Date/Image/Taken

Postoperative - Full Face ACAD Founded 1984 Date/Image/Taken

Postoperative - Smile ACAD Founded 1984

Postoperative - Retracted Smile ACAD Founded 1984

Postoperative - Upper Arch Mirror ACAD Founded 1984

Postoperative - Lower Arch Mirror ACAD Founded 1984

Postoperative - Left Occlusion ACAD Founded 1984

Postoperative - Right Occlusion ACAD Founded 1984

Before - After Smile ACAD Founded 1984 Date/Image/Taken

Before - After ACAD Founded 1984 Date/Image/Taken

1 Month Before - After ACAD Founded 1984 Date/Image/Taken

1 Month Before - After ACAD Founded 1984 Date/Image/Taken

3 Months Before - After ACAD Founded 1984 Date/Image/Taken

3 Month Before - After ACAD Founded 1984 Date/Image/Taken

6 Months Before - After ACAD Founded 1984 Date/Image/Taken

6 Month Before - After ACAD Founded 1984 Date/Image/Taken

12 Months Before - After ACAD Founded 1984 Date/Image/Taken

12 Month Before - After ACAD Founded 1984 Date/Image/Taken

QUESTIONS Address Address Phone