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Seattle Study Club Treatment Planning Template

Seattle Study Club Treatment Planning Template. Patient Name. Date of presentation. Treating Clinicians: (Enter name(s) of clinicians here) Age at initial presentation: (Enter age & gender here) Initial presentation date: (Enter date here). Introduction & Background.

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Seattle Study Club Treatment Planning Template

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  1. Seattle Study ClubTreatment Planning Template

  2. Patient Name Date of presentation

  3. Treating Clinicians: (Enter name(s) of clinicians here)Age at initial presentation: (Enter age & gender here)Initial presentation date: (Enter date here)

  4. Introduction & Background Enter case description here.

  5. Medical History Enter patient information here.

  6. Diagnostic Findings

  7. Full Face Smile Full Face Repose • Enter patient data here. Extraoral/Facial Findings

  8. Full Face Profile Smile Full Face Profile Repose • Enter patient findings here. Extraoral Findings, cont.

  9. Smile Close-Up Repose Close-Up • Enter data here. Smile Analysis

  10. Retracted Closed Retracted Open • Enter dental findings here. Dental Findings

  11. Left Lateral Right Lateral • Enter occlusal findings here. Occlusal Notes

  12. Maxillary Occlusal Mandibular Occlusal • Enter occlusal findings here. Occlusal Notes

  13. Additional Image Additional Image • Enter any additional findings or concerns here. Additional Notes

  14. TMJ & Mandibular Range of Motion Enter TMJ findings here.

  15. Periodontal Findings Enter periodontal findings here.

  16. Periodontal Probing

  17. Insert Date Here Panorex or FMX • Enter radiographic findings here. Radiographic Findings

  18. Diagnosis & Prognosis Diagnosis Type in here. Prognosis Periodontal: Biomechanical/Structural: Functional: Esthetic:

  19. Summary of Concerns Enter summary of concerns here.

  20. Proposed Treatment Plan Enter proposed treatment plan here.

  21. Proposed Treatment Plan, cont. Continue proposed treatment plan.

  22. Group Treatment Planning

  23. Review of Treatment Goals Enter the goals here.

  24. Active Treatment

  25. Active Treatment - Phase I Enter Phase I treatment here.

  26. Phase II Enter Phase II treatment here.

  27. Phase III Enter Phase III treatment here.

  28. Phase IV Enter Phase IV treatment here.

  29. Phase V Enter Phase V treatment here.

  30. Phase VI Enter Phase VI treatment here.

  31. Phase VII Enter Phase VII treatment here.

  32. Enter commentary here. Commentary

  33. Enter post-treatment information and/or commentary here. Post-Treatment Follow-up

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