Sample Treatment Plan - Dr. Beatrice Leung · 2015. 3. 7. · Cosmetic, Restorative & Implant Dentistry The Fine Art of Beautiful, Healthy Smiles! Please note this is only a sample

Dr. Beatrice Leung DDS MPH Cert. Pros FACP FRCD(C)

Prosthodontist Tel: 416-927-9085 • Fax: 647-258-0208

39 Pleasant Boulevard Lower Level | Toronto, ON | M4T 1K2 www.drbeatriceleung.ca [email protected]

Cosmetic, Restorative & Implant Dentistry

The Fine Art of Beautiful, Healthy Smiles!

Please note this is only a sample treatment plan. Actual number of appointments required

and the timeline may vary according to each patient’s dental condition.

Sample Treatment Plan For

Two Implant Supported Crowns








Approximate Time Line for Treatment

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC

PREPARATORY

STAGE

SURGICAL

STAGEPROSTHETIC

STAGE

HEALING HEALING








Treatment Estimate

Preparatory Stage

~$2300.00

Surgical Stage

~$3600.00Prosthetic Stage

~$4260.00

Treatment Estimate

Total Cost ~$10160.00

What these fees include (approximate lab and materials included): Preparatory Stage

• Remove old bridge 12

• Extraction 13

• Bone Grafting 13 12

• Sedation

• Temporary Denture

Surgical Stage

• Surgical Placement of Implants 13, 12

• Sedation

• Reline of Temporary Denture

Prosthetic Stage

• Uncovery of Implants 13, 12

• Implant Supported Crowns 13, 12








Approximate Number of Appointments

Preparatory Stage

1. Prepare for extraction/ grafting/sedation/

send case to lab for temporary denture

2. Extraction/ Grafting with sedation/Delivery

of temporary denture (payment required)

3. Follow up week 1

4. Follow up week 2

Surgical Stage

1. Prepare for implant surgery

2. Surgical placement of implant #13, 12 +grafting

(payment required)

3. Follow up week 1

4. Follow up week 2

Prosthetic Stage

1. Open up implants

#13, 12 (Payment required)

2. Final impression (2-4 weeks after)

3. Metal framework try in (2 weeks after)

4. Delivery of implant

crowns (2 weeks after) (payment required)

5. Follow up








Detailed Description of the Procedures involved at each appointment Preparatory Stage 1.1.1.1. Prepare for extraction/ grafting/sedation/ send case to lab for temporary denture (Deposit Required)

• This is an appointment to review in detail the treatment plan that you’ve selected. It is also

an opportunity to prepare for the next appointment. In this case, the patient will require

extraction of a front tooth and bone grafting. The patient also prefers to have the procedures

done under sedation. So some basic information will be given to the patient as to what to expect

and how to prepare for being sedated during the dental procedure. Because the tooth to be

extracted involves a front tooth, a temporary denture will be made prior to the next appointment

and so impressions of the teeth will be taken at this appointment as well.

2. Extraction/ Grafting with sedation/Delivery of temporary denture (Payment Required)

• This is an appointment where the majority of the dentistry is done at this preparatory stage.

The procedures are done to prepare the area for implants. For this case, the patient will be

sedated for an extraction and bone grafting. Bone grafting is performed to preserve and to

increase the amount of bone in preparation for the implants at the next stage. The temporary

denture replacing the tooth to be extracted is also given to the patient at this time. Some

discomfort, swelling, and bleeding may be anticipated after this appointment but Dr. Leung will

prescribe the necessary medications to minimize the discomfort.

3. Follow up week 1 • About a week later, the patient returns for follow up care. Because there were many

procedures performed under sedation in the last visit, this appointment is an opportunity for the

patient to ask further questions if any. It also allows Dr. Leung to check that the area is healing

well and to check that the patient is adjusting well to the temporary denture. This is usually a

very short appointment but an important one to ensure that the patient is comfortable with the

treatment

4. Follow up week 2

• This is another follow up care appointment. Usually two weeks have elapsed since the dental

procedures have been performed and if there were any sutures placed, Dr. Leung will remove

them at this appointment. Also, the gum tissue should have healed more and the temporary

denture will be checked again for its fit and comfort. At this time, the patient will not have an

appointment for another four to six months to allow healing. But should there be any problem or

concern with the temporary denture, an appointment can be made as needed.








Surgical Stage 1. Prepare for implant surgery (Deposit Required)

• This appointment is usually made four to six months after the last appointment. It is

important to allow adequate time for healing before moving onto this stage. This appointment is

to review the treatment and to evaluate the area to see if it’s ready for the dental implants. One

or two x-rays may be required and further adjustment to the denture may be necessary. If the

patient prefers to have sedation, then he/she will be given the proper information as well

2. Surgical placement of implant #13, 12 +grafting (Payment Required) • This appointment involves the actual surgical placement of dental implants. Normally local

anesthetics, or freezing will be given. If the patient prefers, the procedure can also be done under

sedation. Some bone grafting will be done as required. The temporary denture may be relined or

adjusted as needed. Some discomfort, swelling, and bleeding may be anticipated after this

appointment but Dr. Leung will prescribe the necessary medications to minimize the discomfort

3. Follow up week 1

• A follow up appointment in a week ensures the patient has had no problem with the

procedures since the last visit. If needed, some adjustment to the temporary dentures will be done

as well.

4. Follow up week 2 • Another follow up appointment to remove sutures and to ensure everything is healing well.

After this appointment, the patient will not be seen for another four to six months.








Prosthetic Stage

1. Open up implants #13, 12 (Payment Required)

• During this appointment, the previously placed implants will be opened up and checked for

healing. This is considered a very minor surgical procedure so normally it does not require a

long period of healing. An abutment will be placed on top of the implant and some sutures may

be placed. This will allow gum tissue to heal around this abutment.

2. Final impression (2-4 weeks after) (Deposit Required) • Once the gum tissue has healed around the abutment, the patient will return for taking final

impression. This impression will be sent to the lab and the lab will begin fabricating the implant

crowns.

3. Metal framework try in (2 weeks after) • The first part of the implant crowns is the metal framework; it is the substructure that

supports the porcelain. This metal framework will be checked for its fit at this appointment. An

x-ray may be required. Once the fit is verified, it will be sent back to the lab for applying the

porcelain.

4. Delivery of implant crowns (2 weeks after) (Final Payment Required)

• The implant crowns have been returned from the lab and they will be checked in the mouth

for fit, for the bite and for the look. Once the patient is satisfied with the implant crowns, they

will be placed permanently on the implant. The crowns may be screwed directly onto the

implants or “glued” to the abutments that are screwed onto the implant. The exact design

depends on the positions and angulations of the implants as well as the patient’s own bite

5. Follow up • A final follow up care to ensure the patient is comfortable with the new implant crowns and

to ensure proper home care will take place.








Actual Treatment Performed by Dr. Leung (Based on the above timeline, treatment plan)

Before

After

Documents

Sample Treatment Plan - Dr. Beatrice Leung · 2015. 3. 7. · Cosmetic, Restorative & Implant Dentistry The Fine Art of Beautiful, Healthy Smiles! Please note this is only a sample