Treatment Plan Proposal
Patient Name: Steve Ulrich
DOB: N/A
Chief Complaint:
Finish up my work
Problem/Issue List:
- Missing teeth
- Crowded teeth
- Abfractions (notching of the base of teeth)
- Biomechanical risk (strong bite leading to weak teeth)
- Chemical erosion of teeth (acid damage)
- Severe Caries Risk
- Poor Oral Hygiene
- Upper Airway Resistance Syndrome (UARS)
Relevant Medical Issues:
Hypertension (controlled), Penicillin Allergy
Patient Desires and Goals:
Improve chewing function, better smile aesthetics
Patient Name: Steve Ulrich
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 – Orthodontics | $5-10k | ||
| 2 – Dental Implants | $3-7k | ||
| 3 – Dental Crowns | $1-2k | ||
| 4 – Dental Fillings | $200-500 | ||
| 5 – Oral Hygiene Education | Minimal cost | ||
| 6 – Airway Management | $1-3k |
Patient Name: Steve Ulrich
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
- Get implant credentials
- -Goldberg
- -Kemm Clinic in Mexico (#31 and possibly #4)
- Clean teeth and assess for perio health
- Uncover LR implant
- Implant in UL #14 (Goldberg stated this was ready)
- -Crown #15 to help prevent food trap?
- Replace #3 when placing #4?
- Start orthodontics to idealize teeth for future improved biomechanics
Phase II
- Address #18 broken porcelain
- Rebuild lower left due to food impaction
- Crown select, many, all teeth depending on a variety of needs and goals. Ideally, many/all teeth crowned, so we can attain ideal function and long-term predictability of the teeth. We would discuss the details on this part of the phase in person.
Phase III
- Maintain good oral hygiene
- Regular dental check-ups
- Monitor airway management
- Protective bite guard