
Treatment Plan Proposal
Patient Name: hello
DOB: 2025-04-30
Chief Complaint:
Entrapment – restricted anterior envelope of function
Problem/Issue List:
- Entrapment (anterior envelope of function restriction)
Relevant Medical Issues:
None stated
Patient Desires and Goals:
Increase anterior envelope of function

Patient Name: hello
Note: No treatment is always an option, just not a recommendation for cases of this complexity.
Note: The fees associated are approximate, not absolute. Actual costs will be done after specific plan is chosen. These are estimates to guide patient into best option for them and financial ability. Again, these are estimates. Once a tentative option is chosen, more exact costs will be given, as specific numbers take a considerable amount of administrative effort.
*These fees do not take into account insurance benefits. You can expect that your yearly benefit will be maximized for a case of this size. 5% bookkeeping benefit is given for any case paid in full prior to start.
Below, it’d be great if the strategies created were based off of conditions in the “Dental Conditions Problem List”. From there, the pros and cons get generated. The estimates are generated off of fee schedule of various procedures that adds as we go along.
Each strategy will have it’s own “layman’s” term with basic description beneath it.
| Strategy | Pros | Cons | Estimate |
|---|---|---|---|
| 1 – Occlusal Adjustment | Non-invasive, relatively quick and cost effective | May not fully restore anterior function, potential for sensitivity post-adjustment | ~$1,200 |
| 2 – Anterior Restorations | Can restore anterior function, improve esthetics | More invasive than adjustment, potential for sensitivity, higher cost | Cost varies depending on number and type of restorations |
| 3 – Orthodontics | Can fully restore anterior function without altering tooth structure | Long treatment time, high cost, potential need for retainer or nightguard post-treatment | Variable, depends on complexity of the case |
| 4 – Comprehensive Restorative Plan (full mouth rehabilitation) | Can fully restore function, resolve other dental issues, optimize esthetics | Invasive, high cost, long treatment time | $30-45k |
| 5 – Orthognathic Surgery | Can correct severe entrapment, can improve function and esthetics | Highly invasive, long recovery time, high cost, potential for complications | $20-30k |

Patient Name: hello
Phased Ideal Plan
*This is the recommended and optimal option, one that I’d recommend for my sibling, parent, or close friend. To help alleviate the daunting nature of such a plan, I have broken up the treatment into phases. Although phasing is not required, it helps to spread out the financial and time considerations. In addition, in many cases, treatment can be spread out over multiple yea rs to take advantage of multiple years of insurance coverage. The column indicated by “Time between phases” will have a time range. The first number is the minimum time needed for healing. The maximum is the maximum amount of time that can pass before compromise/issues can arise. It is also important to note that phasing any of the plans often ends up in an overall cost greater than if done all at once.
The phased plan would be laid out from the “ideal” option on the previous page. The actual plan in detail would be in response to the specific criteria/conditions that exist in response the problem/condition list.
Phase I
- Comprehensive exam and diagnostic workup
- Occlusal analysis and adjustment if indicated
- Monitor for improvement in function and comfort
Phase II
- If Phase I successful, initiate maintenance plan and protective bite guard
- If Phase I unsuccessful, discuss and consider restorative and/or orthodontic options
Phase III
- If restorative or orthodontic treatment undertaken, complete treatment and initiate long-term maintenance and prevention plan
- Protective bite guard to prevent further issues