Download Oral Image and Expectation

Clinical Treatment Planning
Treating Clinician:
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 Dental-Perio. Chart
Periodontal Chart
GI –
PI –
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
Images - Intra oral, Including casts
L
R
Images - Intra oral, Including casts
L
R
Images - Intra oral, Including casts
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
Problem list
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