Transcript ABOI/ID Part II Case Presentation – Template

+
ABOI/ID Part II Case
Presentation – Template
2016
+
Key Points for quality case
submissions

Please only use this template

Do not change the case submission template

Be sure to number your cases in numerical order as listed on the Required Cases listing
(on next slide)

Panorex or CT scans are required.

Photos must be of diagnostic quality and must clearly show the soft tissue response to
the implant/s

De-Identify your cases

No patient name should be shown on documents, only initials

Your practice name should not be shown on any consent forms etc.
+
More key points for case
submission

All of your cases must be from different patients and must be restored and functional
with the final prosthesis for a minimum of one year at the time of case submission

Date your x-rays and photographs

Make sure you provide as much detail about the case as possible

The ABOI/ID Board of Directors expect a high level of expertise to be shown in your
case presentations, please do not rush through this process.
+
Required Cases

Label your cases according to the following list:

Case 1- Full arch removable implant overdenture

Case 2- Edentulous posterior maxillae with compromised vertical height (less than 5
mm) requiring at least 3 mm of sinus augmentation and two or more implants.

Case 3-Anterior maxillae with implant support that includes one or more root form
implants with a minimum diameter of 3.0 mm.

Case 4-Extraction with immediate implant placement or extraction with ridge
preservation and delayed implant placement.

Case 5-Edentulous mandible with implant support that includes four or more root form
implants with a minimum diameter of 3.25 mm
+
Required Cases continued

Case 6- A posterior quadrant in a partially edentulous mandible or maxillae with
implant support that includes two or more root form implants with a minimum diameter
of 3.25 mm.

Case 7- Case showing the management of a width deficient bony ridge (less than 3 mm
) requiring augmentation or manipulation and the placement of two or more root form
implants with a minimum diameter of 3.0.

Cases 8-10 Cases to be determined by the applicant. No more than one of these cases
can be a single tooth replacement.
+
Case #

Type of Case:
+
Implant Surgery
Date of Initial implant surgery:
Number of implants placed and where:
Did this case require pre-implant placement grafting of any
kind?
+

Date of final prosthesis insertion

Type of restoration

Opposing dentition

Current status
+
Patient Medical History

ASA Classification

Patient’s mental status

Relevant past/and current medical history

Medications

Allergies
+
Dental History

Missing teeth

Periodontal status

Occlusion/ Angle Classification
+
Pre-Surgical X-Ray (insert)(date)
+
Social History

Smoking

Alcohol

Drug/substance abuse
+
Treatment Planning

Surgical Plan
+
Prosthetic Plan

Prosthetic plan
+
Informed Consent (insert)
(de-identify)
+
Alternative treatment plans
discussed with patient

Alternative treatments discussed:
+
Implant Surgery

Operative report of actual implant surgery (detailed)
+
Post Surgical x-ray (date)
+
Post-Operative Care

What were your post-operative instructions for this patient?
+
Maintenance

What is your maintenance protocol?

List this patients maintenance history
+
Prosthetic Restoration

What type of restoration was placed?

Explain
+
Immediate post prosthetic
placement x-ray (insert) (date)
+
Occlusal view of maxillary arch
(insert)
+
Occlusal view of mandibular arch
(insert)
+
Frontal view in maximum
intercuspation position (insert)
+
Left side (insert)
+
Right side (insert)
+
For cases that involve implant
supported/retained prostheses

Insert views of all implant attachment mechanisms (intraoral)

Views of tissue surface areas of the removable prostheses

(add slide if necessary)
+
One year post prosthetic
placement x-ray (insert)(date)
+
Revision (if necessary)
+