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Transcript 
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
Date/Image/Taken
Before - After
Smile
Date/Image/Taken
ACAD
Founded 1984
Before - After
ACAD
Date/Image/Taken
Founded 1984
Date/Image/Taken
Date/Image/Taken
1 Month
Before - After
Date/Image/Taken
ACAD
Founded 1984
1 Month Before - After
ACAD
Date/Image/Taken
Founded 1984
Date/Image/Taken
Date/Image/Taken
3 Months
Before - After
Date/Image/Taken
ACAD
Founded 1984
3 Month Before - After
ACAD
Date/Image/Taken
Founded 1984
Date/Image/Taken
Date/Image/Taken
6 Months
Before - After
Date/Image/Taken
ACAD
Founded 1984
6 Month Before - After
ACAD
Date/Image/Taken
Founded 1984
Date/Image/Taken
Date/Image/Taken
12 Months
Before - After
Date/Image/Taken
ACAD
Founded 1984
12 Month Before - After
ACAD
Date/Image/Taken
Founded 1984
Date/Image/Taken
QUESTIONS
E-Mail Address
Address
Phone
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