Transcript proposed

Clinical Treatment Planning
Treating Clinician:
The plans where useless, but the planning
was indispensable.
Dwight Eisenhower, WW2
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Treatment
Planning Case
Presentation.
Introduction and
Background.
Patient Name:
Gender:
Date of Birth:
Age:
Marital Status:
Race:
Date of Initial Examination:
Occupation:
Personality Type:
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
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Intra-oral Images: (Soft tissue)
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Intra-oral, Anterior – (Soft Tissue)
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Intra-oral - Occlusal Views
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Radiographs
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Radiographs
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Radiographs
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Radiographs
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Radiographs
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Images - Intra oral, Including casts
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Images - Intra oral, Including casts
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Images - Intra oral, Including casts
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Description and Images
Intra-oral.
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Occlusal Notes
Class occlusion:
Class:
Incisal guidance and Canine
Guidance
No non-working interferences.
CO/CR/MIP - relationship:
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Occlusal Images
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Occlusal Images
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Occlusal Images
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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
Periodontics
Restorative
Dentistry
Caries
Endodontics
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
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/
Discard garbage
Cell
Name Tags and
Phone
CE sheets
Time
Drive safely