Clinical Treatment Planning

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Clinical Treatment Planning Treating
Clinician
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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

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Introduction-Background Chief Dental Complaint
Reason for Initial Visit Oral Image and
Expectation
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Medical History ASA Medications
Allergies Smoker Systemic Diseases
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Dental History Previous Dental Treatment
History What does the patient desire?
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Diagnostic Findings Head and Neck Nodes
TMJ/Mandibular Range of Motion
Functional Joint sounds Tenderness to
musculature palpation Myofacial pain Headaches
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Extra-Oral - Face/Profile/Symmetry
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Extra-Oral Lips/Smiles
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Extra-Oral - Buccal Corridors
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Combination Chart
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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
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Intra-oral.
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Occlusal Notes Class occlusion Class Incisal
guidance and Canine Guidance No non-working
interferences. CO/CR/MIP - relationship Slide
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Occlusal Images
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Occlusal Images
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Occlusal Images
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Problem list
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• 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

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Diagnosis and Prognosis AAP Type AAP
Hopeless s Guarded s
See risk factors. Good The rest, assuming
homecare improvement, and patient pursues
prescribed treatment.
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Comprehensive Care
Caries Endodontics
Periodontics
Restorative Dentistry
Predictability Function and Esthetics.
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Treatment Planning Work Sheet. Additional
consultations requested Disease control, aka.
Initial Therapy, Phase 1 Therapy, Restorative
Periodontal Endodontic Oral Surgical
Other Reconstructive Dentistry Periodontal Orth
odontic Oral Surgical Restorative Prosthodontic
Esthetic enhancement Functional Other Mainten
ance Professional Patient
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• 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

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Doctors ProposedTreatment Plan
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• Phase I
• Disease control.
• Includes
• Periodontal HCI

PROPOSED
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Phase II
PROPOSED
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Phase III
PROPOSED
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Phase IV Definitive treatment
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Phase IV
PROPOSED
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Phase V
PROPOSED
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Phase VI
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Phase VII Maintenance q 3 months,
alternating with the Periodontist.
PROPOSED
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Actual treatment provided
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Actual treatment provided Disease Control
Caries/SRP/Endo/Etc
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Actual treatment provided Orthodontic/Oral
surgery/Orthognathics
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Actual treatment provided Restorative
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Actual treatment provided Reconstructive
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Actual treatment provided Maintenance
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Actual treatment provided Supplemental over time/
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