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Clinical Treatment Planning Treating Clinician: The plans where useless, but the planning was indispensable. Dwight Eisenhower, WW2 On the lower left see the icons for using Guidelines for inserting text. Powerpoint, use the left sided one. Double click on the image on the right, and this will allow you to enter text. To copy in a slide or a picture, right click the picture; hit copy, then left double click the slide where you want the picture to appear, right mouse, paste. To change sizes of the picture, grab the dot in the right corner and move appropriately to change the sizes of the images. There are two files, one is a .ppt which can be edited, the other is a .pdf for information only. 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 R Intra-oral Images: (Soft tissue) L R Intra-oral, Anterior – (Soft Tissue) L R Intra-oral - Occlusal Views L R Radiographs L R Radiographs L R Radiographs L R Radiographs L R Radiographs L R Images - Intra oral, Including casts L R Images - Intra oral, Including casts L R Images - Intra oral, Including casts L R R Description and Images Intra-oral. L Occlusal Notes Class occlusion: Class: Incisal guidance and Canine Guidance No non-working interferences. CO/CR/MIP - relationship: Slide R Occlusal Images L R Occlusal Images L R Occlusal Images L 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