Post on 03-Jun-2018
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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