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Clinical Treatment Planning Treating Clinician:

Clinical Treatment Planning Treating Clinician:. Patient Name: Gender: Date of Birth: Age: Marital Status: Race: Date of Initial Examination: Occupation:

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Page 1: Clinical Treatment Planning Treating Clinician:. Patient Name: Gender: Date of Birth: Age: Marital Status: Race: Date of Initial Examination: Occupation:

Clinical Treatment Planning

Treating Clinician:

Page 2: Clinical Treatment Planning Treating Clinician:. Patient Name: Gender: Date of Birth: Age: Marital Status: Race: Date of Initial Examination: Occupation:

Patient Name:Gender:Date of Birth:Age:Marital Status:Race:Date of Initial Examination:Occupation: Personality Type:

Treatment Planning Case Presentation.

Introduction and Background.

Page 3: Clinical Treatment Planning Treating Clinician:. Patient Name: Gender: Date of Birth: Age: Marital Status: Race: Date of Initial Examination: Occupation:

Introduction-Background

Chief Dental Complaint:

Reason for Initial Visit:

Oral Image and Expectation:

Page 4: Clinical Treatment Planning Treating Clinician:. Patient Name: Gender: Date of Birth: Age: Marital Status: Race: Date of Initial Examination: Occupation:

Medical History

ASA:Medications: Allergies:Smoker:Systemic Diseases:

Page 5: Clinical Treatment Planning Treating Clinician:. Patient Name: Gender: Date of Birth: Age: Marital Status: Race: Date of Initial Examination: Occupation:

Dental History

Previous Dental Treatment History: What does the patient desire?

Page 6: Clinical Treatment Planning Treating Clinician:. Patient Name: Gender: Date of Birth: Age: Marital Status: Race: Date of Initial Examination: Occupation:

Diagnostic Findings Head and Neck Nodes: TMJ/Mandibular: Range of Motion: Functional: Joint sounds: Tenderness to musculature palpation:

Myofacial pain: Headaches:

Page 7: Clinical Treatment Planning Treating Clinician:. Patient Name: Gender: Date of Birth: Age: Marital Status: Race: Date of Initial Examination: Occupation:

Extra-Oral - Face/Profile/Symmetry

Page 8: Clinical Treatment Planning Treating Clinician:. Patient Name: Gender: Date of Birth: Age: Marital Status: Race: Date of Initial Examination: Occupation:

Extra-Oral : Lips/Smiles

Page 9: Clinical Treatment Planning Treating Clinician:. Patient Name: Gender: Date of Birth: Age: Marital Status: Race: Date of Initial Examination: Occupation:

Extra-Oral - Buccal Corridors

Page 10: Clinical Treatment Planning Treating Clinician:. Patient Name: Gender: Date of Birth: Age: Marital Status: Race: Date of Initial Examination: Occupation:

Combination Dental-Perio. Chart

Page 11: Clinical Treatment Planning Treating Clinician:. Patient Name: Gender: Date of Birth: Age: Marital Status: Race: Date of Initial Examination: Occupation:

Periodontal ChartGI – PI –

Page 12: Clinical Treatment Planning Treating Clinician:. Patient Name: Gender: Date of Birth: Age: Marital Status: Race: Date of Initial Examination: Occupation:

Intra-oral Images: (Soft tissue)

LR

Page 13: Clinical Treatment Planning Treating Clinician:. Patient Name: Gender: Date of Birth: Age: Marital Status: Race: Date of Initial Examination: Occupation:

Intra-oral, Anterior – (Soft Tissue)

LR

Page 14: Clinical Treatment Planning Treating Clinician:. Patient Name: Gender: Date of Birth: Age: Marital Status: Race: Date of Initial Examination: Occupation:

Intra-oral - Occlusal Views LR

Page 15: Clinical Treatment Planning Treating Clinician:. Patient Name: Gender: Date of Birth: Age: Marital Status: Race: Date of Initial Examination: Occupation:

Radiographs LR

Page 16: Clinical Treatment Planning Treating Clinician:. Patient Name: Gender: Date of Birth: Age: Marital Status: Race: Date of Initial Examination: Occupation:

Radiographs LR

Page 17: Clinical Treatment Planning Treating Clinician:. Patient Name: Gender: Date of Birth: Age: Marital Status: Race: Date of Initial Examination: Occupation:

Radiographs LR

Page 18: Clinical Treatment Planning Treating Clinician:. Patient Name: Gender: Date of Birth: Age: Marital Status: Race: Date of Initial Examination: Occupation:

Radiographs LR

Page 19: Clinical Treatment Planning Treating Clinician:. Patient Name: Gender: Date of Birth: Age: Marital Status: Race: Date of Initial Examination: Occupation:

Images - Intra oral, Including casts LR

Page 20: Clinical Treatment Planning Treating Clinician:. Patient Name: Gender: Date of Birth: Age: Marital Status: Race: Date of Initial Examination: Occupation:

Images - Intra oral, Including casts LR

Page 21: Clinical Treatment Planning Treating Clinician:. Patient Name: Gender: Date of Birth: Age: Marital Status: Race: Date of Initial Examination: Occupation:

Images - Intra oral, Including casts LR

Page 22: Clinical Treatment Planning Treating Clinician:. Patient Name: Gender: Date of Birth: Age: Marital Status: Race: Date of Initial Examination: Occupation:

Occlusal Notes

Class occlusion:Class:Incisal guidance and Canine GuidanceNo non-working interferences.CO/CR/MIP - relationship:

Slide

Page 23: Clinical Treatment Planning Treating Clinician:. Patient Name: Gender: Date of Birth: Age: Marital Status: Race: Date of Initial Examination: Occupation:

Occlusal Images LR

Page 24: Clinical Treatment Planning Treating Clinician:. Patient Name: Gender: Date of Birth: Age: Marital Status: Race: Date of Initial Examination: Occupation:

Occlusal Images LR

Page 25: Clinical Treatment Planning Treating Clinician:. Patient Name: Gender: Date of Birth: Age: Marital Status: Race: Date of Initial Examination: Occupation:

Problem list

Page 26: Clinical Treatment Planning Treating Clinician:. Patient Name: Gender: Date of Birth: Age: Marital Status: Race: Date of Initial Examination: Occupation:

Diagnosis and Prognosis

AAP Type: AAP Hopeless: #’sGuarded: #’s See risk factors.Good: The rest, assuming homecare improvement, and patient pursues prescribed treatment.

Page 27: Clinical Treatment Planning Treating Clinician:. Patient Name: Gender: Date of Birth: Age: Marital Status: Race: Date of Initial Examination: Occupation:

Comprehensive CareComprehensive Care

CariesEndodonticsPeriodonticsPeriodontics

Restorative Dentistry

PredictabilityFunction and

Esthetics.

Page 28: Clinical Treatment Planning Treating Clinician:. Patient Name: Gender: Date of Birth: Age: Marital Status: Race: Date of Initial Examination: Occupation:

Treatment Planning Work Sheet.Additional consultations requested:Disease control, aka. Initial Therapy, Phase 1 Therapy,

Restorative: Periodontal: Endodontic: Oral Surgical: Other:

Reconstructive DentistryPeriodontal:Orthodontic:Oral Surgical:Restorative:Prosthodontic:Esthetic enhancement:Functional:Other:

MaintenanceProfessional:Patient:

Page 29: Clinical Treatment Planning Treating Clinician:. Patient Name: Gender: Date of Birth: Age: Marital Status: Race: Date of Initial Examination: Occupation:

•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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