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D3 Case Presentation: Student Name

This document contains an outline for a dental case presentation covering 5 sections: introduction and history, clinical and radiographic findings, problems and diagnosis, treatment plan options, and prognosis and summary. Section 1 involves collecting biographical data and medical/dental history. Section 2 describes extraoral, intraoral, periodontal, and radiographic exam findings. Section 3 identifies medical/dental problems and diagnoses. Section 4 presents treatment plan options in phases with goals and timelines. Section 5 makes a prognosis and allows for self-assessment and questions.

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Evan Blackwell
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74 views41 pages

D3 Case Presentation: Student Name

This document contains an outline for a dental case presentation covering 5 sections: introduction and history, clinical and radiographic findings, problems and diagnosis, treatment plan options, and prognosis and summary. Section 1 involves collecting biographical data and medical/dental history. Section 2 describes extraoral, intraoral, periodontal, and radiographic exam findings. Section 3 identifies medical/dental problems and diagnoses. Section 4 presents treatment plan options in phases with goals and timelines. Section 5 makes a prognosis and allows for self-assessment and questions.

Uploaded by

Evan Blackwell
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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D3 CASE

PRESENTATION

Student Name
Spring 2012
SECTION 1
INTRODUCTION
&
HISTORY
I NTRODUCTI ON
biographical data
occupation
socioeconomic
profile

HI STORY
chief complaint
history of present
illness.
behavioral profile




medical history
list significant history
summary of medical
status


medications & medical risk
list medications
list medications
list medications
list medications
list medications
ASA
med consult ?

medical consult

purpose of consult
reply from MD
recommendations

only add this slide
IF APPLICABLE




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 ?
SECTION 2
CLINICAL &
RADIOGRAPHIC
FINDINGS
EXTRAORAL FI NDI NGS
list vital signs
list significant findings only

I NTRAORAL FI NDI NGS
list soft tissue lesions
conditions (dry mouth etc)
summarize
plaque
calculus,
stain
food impactions, etc.
oral hygiene status
periodontal description
describe gingiva
overview of significant periodontal findings

overview of
significant
periodontal charting




periodontal charting
number present
state of repair
mobility
overview of existing
restorations (#, type,
defects)
dentition description
describe clinical caries present
list teeth with clinical caries evident
list caries risk factors
classify risk /
risk assessment

caries description
overview of existing
occlusion
classify occlusion
occlusal analysis
RADIOGRAPHIC FINDINGS
list available films




bone loss
severity & distribution
defects / furcations
periapical lesions







bone
caries
defective restorations
calculus
abnormalities etc.







teeth
SECTION 3
PROBLEMS
& DIAGNOSIS
problem diagnosis treatment

MANAGEMENT CONCERNS
medical problems
apply basic science
knowledge to issues
pathogenesis of disease
present
medication issues
anxiety / behavioral issues
economic concerns
periodontal status
etiologic factors
systemic factors
homecare / OH issues

PERI ODONTAL PROBL EMS
(need to list in order of significance)
missing teeth
non-restorable teeth
amount & location of caries
defective restorations
occlusal issues
OH considerations
DENTI TI ON PROBL EMS
DI AGNOSI S

diagnosis
diagnosis
diagnosis
diagnosis
diagnosis
diagnosis
SECTION 4
TREATMENT PLAN
OPTIONS








list 3 sources (no texts)
describe relevance to case
use to defend diagnosis
& treatment decisions
REFERENCE SOURCES

positives & negatives
PLAN # 2
positives
xxx
xxx
negatives
xxx
xxx


PLAN # 1
positives
xxx
xxx
negatives
xxx
xxx




patient considerations
interpret patient
considerations (modifiers
& goals)
describe how choices
presented to patient
rationale
defend choices
list reasons why

PHASE I
xxx
PHASE II
xxx
xxx
PHASE III
xxx
xxx
xxx
PHASE IV
xxx
FI NAL TREATMENT PL AN


list treatment goals
describe timeline

now
1
month
2
months
3
months
4
months
5
months
6
months
9
months
12
months
goals & timeline
create a plan to assess
effectiveness of treatment
assessment plan
add photos
if available
add photos
if available
completed treatment
SECTION 5
PROGNOSIS &
SUMMARY
predict outcome of treatment
state prognosis
discuss patient responsibility &
compliance
discuss longevity of proposed
treatment
PROGNOSI S
SUMMARY
reflection / what was learned ?
critique work completed
prepare self assessment
create / devise plan for
improvement

QUESTI ONS
f or audi ence
question 1
question 2
question 3

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