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D3 CASE

PRESENTATION

Student NameSpring 2012


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SECTION 1

INTRODUCTION

&HISTORY


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I N T R O D U C T I O N

biographical data

occupation

socioeconomicprofile


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H I S T O R Y

chief complaint

history of present

illness.

behavioral profile


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medical history

list significant history

summary of medical

status


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medications & medical risk

list medications

list medications list medications

list medications

list medicationsASA

med consult ?


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medical consult

purpose of consult

reply from MD recommendations

only add this slideIF APPLICABLE


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dental history

last dental exam

history of dental care

pain or bleeding present ? problems associated w/ previous dental care ?

dental related anxiety or fear issues ?


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SECTION 2

CLINICAL &

RADIOGRAPHICFINDINGS


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E X T R A O R A L F I N D I N G S

list vital signs

list significant findings only


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I N T R A O R A L F I N D I N G S

list soft tissue lesions

conditions (dry mouth etc)


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summarize

plaque

calculus,

stain

food impactions, etc.

oral hygiene status


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periodontal description

describe gingiva

overview of significant periodontal findings


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overview ofsignificant

periodontal charting

periodontal charting


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number present

state of repair

mobility

overview of existingrestorations (#, type,

defects)

dentition description


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describe clinical caries present

list teeth with clinical caries evident

list caries risk factors

classify risk /

risk assessment

caries description


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overview of existing

occlusion

classify occlusion

occlusal analysis


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RADIOGRAPHIC FINDINGS

list available films


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bone loss

severity & distribution

defects / furcations

periapical lesions

bone


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caries

defective restorations

calculus

abnormalities etc.

teeth


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SECTION 3

PROBLEMS&DIAGNOSIS


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problem diagnosis treatment


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M A N A G E M E N T C O N C E R N S

medical problems

apply basic scienceknowledge to issues

pathogenesis of diseasepresent

medication issues anxiety / behavioral issues

economic concerns


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periodontal status

etiologic factors

systemic factors

homecare / OH issues

P E R I O D O N TA L P R O B L E M S


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(need to l ist in ord er of sign i f icance)

missing teeth

non-restorable teeth

amount & location of caries

defective restorations

occlusal issues

OH considerations

D E N T I T I O N P R O B L E M S


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D I A G N O S I S

diagnosis

diagnosis

diagnosis

diagnosis

diagnosis

diagnosis


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SECTION 4

TREATMENT PLANOPTIONS


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list 3 sources (no texts)

describe relevance to case

use to defend diagnosis

& treatment decisions

R E F E R E N C E S O U R C E S


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positives & negatives

PLAN # 2

positives xxx

xxx

negatives

xxx

xxx

PLAN # 1

positives xxx

xxx

negatives xxx

xxx


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patient considerations

interpret patient

considerations (modifiers

& goals)

describe how choices

presented to patient


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rationale

defend choices

list reasons why


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PHASE I xxx

PHASE II xxx

xxx

PHASE III

xxx xxx

xxx

PHASE IV xxx

F I N A L T R E AT M E N T P L A N


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create a plan to assess

effectiveness of treatment

assessment plan


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add photos

if available

add photos

if available

completed treatment


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SECTION 5

PROGNOSIS &SUMMARY


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predict outcome of treatment

state prognosis

discuss patient responsibility &

compliance

discuss longevity of proposed

treatment

P R O G N O S I S


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S U M M A R Y

reflection / what was learned ? critique work completed

prepare self assessment

create / devise plan forimprovement


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Q U E S T I O N Sf o r a u d i e n c e

question 1 question 2

question 3

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