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Personal Introduction & Hobby Slide – (Insert Your Name Here). Treatment Planning Case Presentation. Patient’s FIRST Name. Full Face - Full Smile. M.I.P. Retracted. Medical History Positive Answers.
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Personal Introduction & Hobby Slide – (Insert Your Name Here)
Patient’s FIRST Name • Full Face - Full Smile • M.I.P. Retracted
Medical History Positive Answers • NOTE: edit as appropriate (# and description), and what it means on Medical and Dental History, ie: • 2: allergic reaction to latex • use nitrile gloves • 22: high cholesterol or taking statin drugs • - Potential correlation between statins and pulp chambers calcification • - Associative risk for periodontal disease.
Medical History Positive Answers • (Duplicate slide if necessary, or delete if not needed)
Medical History Positive Answers • MEDICATIONS:
Dental History Positive Answers • NOTE: edit as appropriate (# and description) • Immediate Concern: • PERSONAL HISTORY • 01: Fear of Dentist • GUM AND BONE • 07: Gums Bleed / Painful when brushing
Dental History Positive Answers • TOOTH STRUCTURE • 14: Cavities in past 3 years • BITE AND JAW JOINT • 21: Having problems with jaw joint
Dental History Positive Answers • SMILE CHARACTERISTICS
Diagnostic Opinion: PERIODONTAL • Full-Mouth Radiograph or Panoramic Radiograph (Date)
Diagnostic Opinion: PERIODONTAL Gingivitis (AAP I) Modified by: Attachment Loss / Chronic Periodontits (Bone Loss) Moderate (AAP III) Severe (AAP IV) Mild (AAP II)
PERIODONTAL • GOOD • FAIR • POOR • HOPELESS RISK ASSESSMENT HIGH LOW MODERATE PROGNOSIS GOOD POOR FAIR HOPELESS SPECIFIC TOOTH NUMBERS
Diagnostic Opinion: BIOMECHANICS • Full-Mouth Radiograph or Panoramic Radiograph (Date)
Diagnostic Opinion: BIOMECHANICS • Upper Arch • Lower Arch
BIOMECHANICS • GOOD • FAIR • POOR • HOPELESS RISK ASSESSMENT HIGH LOW MODERATE PROGNOSIS GOOD POOR FAIR HOPELESS SPECIFIC TOOTH NUMBERS
Occlusal View • Upper Arch • Lower Arch
Diagnostic Opinion: FUNCTIONAL MODERATE SEVERE MINIMAL
Diagnostic Opinion: FUNCTIONAL • Cephalometric Radiograph • Cephalometric Tracing
Functional Diagnosis Acceptable Function Constricted Chewing Pattern Occlusal Dysfunction Parafunction (Sleep Bruxism) Neurologic Disorders
FUNCTIONAL • GOOD • FAIR • POOR • HOPELESS RISK ASSESSMENT HIGH LOW MODERATE PROGNOSIS GOOD POOR FAIR HOPELESS SPECIFIC TOOTH NUMBERS
Diagnostic Opinion: DENTOFACIAL • Full Face – Full Smile • Full Face - Repose
Diagnostic Opinion: DENTOFACIAL • Close Up – Full Smile • Close Up - Repose
Diagnostic Opinion: DENTOFACIAL • Lateral Full Face – Full Smile • Lateral Close Up - Repose
Diagnostic Opinion: DENTOFACIAL • Full Face – Full Smile (Historical) • Full Face – Full Smile
Diagnostic Opinion: DENTOFACIAL Color MODIFY ACCEPTABLE Developmental Disturbances Facially Related Tooth Position 1. Maxillary Incisal Edge Position MODIFY ACCEPTABLE 2. Maxillary Posterior Occlusal Plane MODIFY ACCEPTABLE 3. Mandibular Incisal Edge Position MODIFY ACCEPTABLE 4. Mandibular Posterior Occlusal Plane MODIFY ACCEPTABLE 5. Intra-arch Tooth Position (Arrangement and Form) Midline Left Right Axially Inclined MODIFY ACCEPTABLE MODIFY ACCEPTABLE MODIFY ACCEPTABLE MODIFY ACCEPTABLE
DENTOFACIAL • Gingival Tissue Assessment MEDIUM HIGH LOW MAXILLA MODIFY ACCEPTABLE Lip Dynamics MEDIUM HIGH LOW MANDIBLE MODIFY ACCEPTABLE MAXILLA NORMAL HIGH FLAT Scallop / Form MANDIBLE NORMAL HIGH FLAT MAXILLA MODIFY ACCEPTABLE Horizontal Symmetry MANDIBLE MODIFY ACCEPTABLE
DENTOFACIAL • GOOD • FAIR • POOR • HOPELESS RISK ASSESSMENT HIGH LOW MODERATE PROGNOSIS GOOD POOR FAIR HOPELESS SPECIFIC TOOTH NUMBERS
Patient’s Name • Full Face - Full Smile • M.I.P. Retracted
RADIOGRAPHS • Full-Mouth Radiograph or Panoramic Radiograph (Date)
OCCLUSAL PHOTOS • Upper Arch • Lower Arch
STEPS 1-5 DENTOFACIAL • Non-Invasive/Restorative • Step 1____________________________________________ • Step 2____________________________________________ • Step 3____________________________________________ • Step 4____________________________________________ • Step 5____________________________________________
Step 7: Functional - Therapeutic Considerations Functional Analysis Monitor Neuromuscular Maximum Intercuspation TMJ Adapted C.R. C.R. Position Occlusal Vertical Dimension Unchanged Increase Decrease Centric Contact Points Posterior Teeth Anterior Platform Place Anterior Pathway Unchanged Steepen Flatten Eccentric Guidance Cuspid Rise Pathway Anterior Group Function Posterior Group Function
Step 9: Gingival Management • Treatment Options:
Step 10: Restoration Enhancement Treatment Options: