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ABOI/ID Part II Case Presentation – Template

ABOI/ID Part II Case Presentation – Template. 2011. Case #. Type of Case:. Implant Surgery. Date of Initial implant surgery: Number of implants placed and where: Did this case require pre-implant placement grafting of any kind?. Date of final prosthesis insertion Type of restoration

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ABOI/ID Part II Case Presentation – Template

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  1. ABOI/ID Part II Case Presentation – Template 2011

  2. Case # • Type of Case:

  3. Implant Surgery Date of Initial implant surgery: Number of implants placed and where: Did this case require pre-implant placement grafting of any kind?

  4. Date of final prosthesis insertion • Type of restoration • Opposing dentition • Current status

  5. Patient Medical History • ASA Classification • Patient’s mental status • Relevant past/and current medical history • Medications • Allergies

  6. Dental History • Missing teeth • Periodontal status • Occlusion/ Angle Classification

  7. Pre-Surgical X-Ray (insert)

  8. Social History • Smoking • Alcohol • Drug/substance abuse

  9. Treatment Planning • Surgical Plan

  10. Prosthetic Plan • Prosthetic plan

  11. Informed Consent (insert)

  12. Alternative treatment plans discussed with patient • Alternative treatments discussed:

  13. Implant Surgery • Operative report of actual implant surgery

  14. Post Surgical x-ray

  15. Post-Operative Care • What were your post-operative instructions for this patient?

  16. Maintenance • What is your maintenance protocol? • List this patients maintenance history

  17. Prosthetic Restoration • What type of restoration was placed? • Explain

  18. Immediate post prosthetic placement x-ray (insert)

  19. Occlusal view of maxillary arch (insert)

  20. Occlusal view of mandibular arch (insert)

  21. Frontal view in maximum intercuspation position (insert)

  22. Left side (insert)

  23. Right side (insert)

  24. For cases that involve implant supported/retained prostheses • Insert views of all implant attachment mechanisms (intra-oral) • Views of tissue surface areas of the removable prostheses • (add slide if necessary)

  25. One year post prosthetic placement x-ray (insert)

  26. Revision (if necessary)

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