1. Personal Introduction & Hobby Slide – (Insert Your Name Here)
Personal Introduction/Hobby Slide (Optional)
Tell the group a little bit about yourself! Insert your name & a photo or two highlighting your personal interests and/or family.

2. Treatment Planning Case Presentation
Patient Name
(first name only)
Age
Occupation
Personality Type
Fill-out Information

3. Patient’s FIRST Name Full Face - Full Smile M.I.P. Retracted
Place photos
Picture 1 (Full Face - Full Smile)
Picture 9 (M.I.P. Retracted)
Full Face - Full Smile
M.I.P. Retracted

4. Scan and place Patient’s DENTAL HISTORY
Scan and place Patient’s DENTAL HISTORY. (This works just like placing a photo.)
NOTE: The thumbnail in the upper left corner is just a reminder as to what the form looks like. Please don’t attempt enlarge and fill it out! Feel free to delete the thumbnail.

5. Medical History Positive Answers
NOTE: edit as appropriate (# and description), and what it means on Medical and Dental History, ie: 2: allergic reaction to latex use nitrile gloves 22: high cholesterol or taking statin drugs - Potential correlation between statins and pulp chambers calcification - Associative risk for periodontal disease.

6. Medical History Positive Answers
(Duplicate slide if necessary, or delete if not needed)

7. Medical History Positive Answers
MEDICATIONS:

8. Scan and place Patient’s DENTAL HISTORY
Scan and place Patient’s DENTAL HISTORY. (This works just like placing a photo.)
NOTE: The thumbnail in the upper left corner is just a reminder as to what the form looks like. Please don’t attempt enlarge and fill it out! Feel free to delete the thumbnail.

9. Dental History Positive Answers
NOTE: edit as appropriate (# and description) Immediate Concern: PERSONAL HISTORY 01: Fear of Dentist GUM AND BONE 07: Gums Bleed / Painful when brushing

10. Dental History Positive Answers
TOOTH STRUCTURE 14: Cavities in past 3 years BITE AND JAW JOINT 21: Having problems with jaw joint

11. Dental History Positive Answers
SMILE CHARACTERISTICS

12. Diagnostic Opinion: PERIODONTAL
Scan and place Patient’s RADIOGRAPH. (This works just like placing a photo.)
Full-Mouth Radiograph or Panoramic Radiograph (Date)

13. Scan and place Patient’s DATA COLLECTION
Scan and place Patient’s DATA COLLECTION. This works just like placing a photo.
NOTE: the thumbnail in the upper left corner is just a reminder as to what the form looks like. Please don’t attempt enlarge and fill it out! Feel free to delete the thumbnail.

14. Diagnostic Opinion: PERIODONTAL
Gingivitis (AAP I) Modified by:
Attachment Loss / Chronic Periodontits (Bone Loss)
Mild (AAP II)
Moderate (AAP III)
Severe (AAP IV)
Site Specific Bone Loss:
Horizontal Bone Loss:
Aggressive Periodontitis:
Secondary Occlusal Traumatism:
Apical Root Resorption:
Abrasion:
Recession:
Missing Teeth (due to Perio):
Fill-out Information

15. RISK ASSESSMENT PERIODONTAL PROGNOSIS LOW MODERATE HIGH
GOOD
FAIR
POOR
HOPELESS
SPECIFIC
GOOD FAIR POOR HOPELESS
List tooth numbers that are good/fair/poor/hopeless
TOOTH NUMBERS

16. Diagnostic Opinion: BIOMECHANICS
Scan and place Patient’s RADIOGRAPH. (This works just like placing a photo.) OR
Duplicate Slide #20 and Move Here
Full-Mouth Radiograph or Panoramic Radiograph (Date)

17. Diagnostic Opinion: BIOMECHANICS
Place photos
Image 13      Maxillary Occlusal View
Image 14      Mandibular Occlusal View
Upper Arch
Lower Arch

18. Diagnostic Opinion: BIOMECHANICS
Caries:
Defective Restorations:
Questionable Restorations:
Structural Compromises:
Erosion:
Margin Location Concerns:
Root Resorption:
Other:
Fill-out Information

19. Diagnostic Opinion: BIOMECHANICS
Completed Root Canal Acceptable:
Completed Root Canal Questionable:
Completed Root Canal Unacceptable:
Irreversible Pulpal Pathology:
Questionable Pulpal Pathology:
Future Risk for Endodontic Therapy:
Missing Teeth (Biomechanics):
Other:
Fill-out Information

20. RISK ASSESSMENT BIOMECHANICS PROGNOSIS LOW MODERATE HIGH
GOOD
FAIR
POOR
HOPELESS
SPECIFIC
GOOD FAIR POOR HOPELESS
List tooth numbers that are good/fair/poor/hopeless
TOOTH NUMBERS

21. Occlusal View Upper Arch Lower Arch Place photos.
Image 13      Maxillary Occlusal View
Image 14      Mandibular Occlusal View
Upper Arch
Lower Arch

22. Diagnostic Opinion: FUNCTIONAL
MINIMAL
MODERATE
SEVERE
Attrition (Wear) Normal Force:
Abnormal Attrition (Wear) / Excessive Force:
Abfraction:
Primary Occlusal Traumatism:
Abnormal Neuromuscular Habits:
Compromised OVD:
Missing Teeth (due to Function):
Other:
Fill-out Information

23. Diagnostic Opinion: FUNCTIONAL
Place photos.
Cephalometric Radiograph
Cephalometric Tracing

24. Cephalometric Measurements
Norm
Actual
SNA
82° (+/- 3)
SNB
79° (+/- 3)
ANB
3° (+/- 2)
SN-MP
32° (+/- 5)
UAFH / LAFH (N-ANS / ANS-Me) .8
Upper Central to SN
103° (+/- 6)
Lower Incisor to MP
90° (+/- 5)
Interincisal Angle
135° (+/- 11)
Fill-out Information
Typing a “degree “°” symbol” Hold down “Alt” on your keyboard and using the 10-key number pad on your standard keyboard, type “0176”

25. Constricted Chewing Pattern
Functional Diagnosis
Acceptable Function
Constricted Chewing Pattern
Occlusal Dysfunction
Fill-out Information
Parafunction (Sleep Bruxism)
Neurologic Disorders

26. RISK ASSESSMENT FUNCTIONAL PROGNOSIS LOW MODERATE HIGH
GOOD
FAIR
POOR
HOPELESS
SPECIFIC
GOOD FAIR POOR HOPELESS
List tooth numbers that are good/fair/poor/hopeless
TOOTH NUMBERS

27. Diagnostic Opinion: DENTOFACIAL
Place photos.
Image 1         Full face, frontal view, smile
Image 2         Full face, frontal view, repose
Full Face – Full Smile
Full Face - Repose

28. Diagnostic Opinion: DENTOFACIAL
Place photos.
Image 5         Maximum Tissue Display, Frontal View (Close up Full Smile)
Image 6         Lips in Repose, Frontal View (Close up Repose)
Close Up – Full Smile
Close Up - Repose

29. Diagnostic Opinion: DENTOFACIAL
Place photos.
Image 3         Full face, lateral view, smile (Lateral Full Smile)
Image 4         Nose to Chin, lateral view, Smile (Lateral Close up Full Smile)
Lateral Full Face – Full Smile
Lateral Close Up - Repose

30. Diagnostic Opinion: DENTOFACIAL
Place photos.
Historical = any graduation, wedding, etc.
Image 1         Full face, frontal view, smile
Full Face – Full Smile (Historical)
Full Face – Full Smile

31. Diagnostic Opinion: DENTOFACIAL
Color
ACCEPTABLE
MODIFY
Developmental Disturbances
Facially Related Tooth Position
1. Maxillary Incisal Edge Position
ACCEPTABLE
MODIFY
2. Maxillary Posterior Occlusal Plane
ACCEPTABLE
MODIFY
3. Mandibular Incisal Edge Position
ACCEPTABLE
MODIFY
4. Mandibular Posterior Occlusal Plane
ACCEPTABLE
MODIFY
5. Intra-arch Tooth Position (Arrangement and Form)
Fill-out Information
Midline Left Right Axially Inclined
ACCEPTABLE
MODIFY
Crowding / Overlap:
Diastema:
Rotations:
ACCEPTABLE
MODIFY
ACCEPTABLE
MODIFY
ACCEPTABLE
MODIFY

32. Gingival Tissue Assessment
DENTOFACIAL
Gingival Tissue Assessment
LOW
MEDIUM
HIGH
MAXILLA
ACCEPTABLE
MODIFY
Lip Dynamics
LOW
MEDIUM
HIGH
MANDIBLE
ACCEPTABLE
MODIFY
MAXILLA
FLAT
NORMAL
HIGH
Scallop / Form
Fill-out Information
MANDIBLE
FLAT
NORMAL
HIGH
MAXILLA
ACCEPTABLE
MODIFY
Horizontal Symmetry
MANDIBLE
ACCEPTABLE
MODIFY

33. RISK ASSESSMENT DENTOFACIAL PROGNOSIS LOW MODERATE HIGH
GOOD
FAIR
POOR
HOPELESS
SPECIFIC
GOOD FAIR POOR HOPELESS
List tooth numbers that are good/fair/poor/hopeless
TOOTH NUMBERS

34. Case In Review
Insert duplicate copy of slides 11, 20 & 25 below for quick case review during course

35. Patient’s Name
Full Face - Full Smile
M.I.P. Retracted

36. Full-Mouth Radiograph or Panoramic Radiograph (Date)
RADIOGRAPHS
Insert duplicate slide - #20
Full-Mouth Radiograph or Panoramic Radiograph (Date)

37. OCCLUSAL PHOTOS
Insert duplicate slide - #25
Upper Arch
Lower Arch

38. STEPS 1-5 DENTOFACIAL Non-Invasive/Restorative

39. Step 6: Dentofacial Orthognathic Surgery Orthodontic Restorative
Periodontal
The 10 Step is MANDATORY for the Mentor Exam, optional (but encouraged!) for all other uses. The slides are ‘hidden’ and won’t show when doing a presentation.

40. Step 7: Functional - Therapeutic Considerations
Functional Analysis
Monitor
Maximum Intercuspation
Neuromuscular
TMJ
C.R.
Adapted C.R.
Position
Occlusal Vertical Dimension
Unchanged
Increase
Decrease
Place
Centric Contact Points
Posterior Teeth
Anterior Platform
Fill-out Information. NOTE: DUPLICATE SLIDE – SEE SLIDE 59 (you could copy/paste to slide 59 if so inclined)
Anterior Pathway
Unchanged
Steepen
Flatten
Eccentric Guidance
Cuspid Rise
Pathway
Anterior Group Function
Posterior Group Function

41. Step 7: Functional - Therapeutic Considerations
Appliance Therapy
Pre-Treatment
Post – Treatment
TMJ Stabilization/Reposition
Occlusal Adj. Contour Alteration
Orthodontic / Orthognathic Surgery
Extraction (non-functional)
Direct Restorations
Indirect Restorations
Partially Edentulous Areas
FPD
RPD
Implants
The 10 Step is MANDATORY for the Mentor Exam, optional (but encouraged!) for all other uses. The slides are ‘hidden’ and won’t show when doing a presentation.

42. Step 7: Functional - Therapeutic Considerations
Edentulous Arch
Maxilla
Mandible
Conventional CD
Implant Supported / Retained
Other
Referral / Consult
The 10 Step is MANDATORY for the Mentor Exam, optional (but encouraged!) for all other uses. The slides are ‘hidden’ and won’t show when doing a presentation.

43. Step 8: Restoration Design – Treatment Options
DIRECT RESTORATIONS:
Root Canal Tx
Foundation Restorations
Extractions (non-restorable)
Other
INDIRECT RESTORATIONS:
All Metal
Core Supported
Enamel Supported
FPD
Implant Retained
Referral/Consult
The 10 Step is MANDATORY for the Mentor Exam, optional (but encouraged!) for all other uses. The slides are ‘hidden’ and won’t show when doing a presentation.

44. Step 9: Gingival Management
Treatment Options:
Supportive Periodontal Therapy:
Scale / Root Plane (SRP)
Adjunctive Chemotherapeutics
Maintenance Interval: Other
Extraction (Perio Hopeless):
Root Resection:
Regenerative Procedures:
Orthodontic Correction:
Surgical Correction:
Other:
Referral / Consult:
Fill-out Information (DUPLICATE – SEE SLIDE 42 – you could copy paste to slide 42 if you wish)

45. Step 10: Restoration Enhancement
Inappropriate Visual Coronal Length:
Inadequate Preparation Length:
Ferrule Compromises:
Margin Location / Violation of Biologic Width:
Edentulous Ridge Considerations:
Treatment Options:
Orthodontic Considerations:
Surgical Correction:
Other:
Referral / Consult:
Fill-out Information (DUPLICATE – SEE SLIDE 71)