dentalsherpa.org

– Doctor


Treatment Plan Proposal

Patient Name: N/A

DOB: N/A

Chief Complaint:

Severe tooth wear and missing teeth

Problem/Issue List:

  • Multiple missing teeth (3-5)
  • Worn or attrited teeth
  • Severe caries risk

Relevant Medical Issues:

None reported

Patient Desires and Goals:

Restore function and aesthetics, manage caries risk


Patient Name: N/A

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 – Partial Dentures Most affordable solution, restores function and appearance Comfort limitations, esthetic compromises, durability concerns, functional inefficiencies $2,500–3,500
2 – Bridges Fixed solution, better aesthetics than dentures Dependence on remaining teeth, potential for decay, more expensive than dentures $3,800 per bridge
3 – Implants and crowns Best for function and aesthetics, standalone solution Most expensive, surgical procedure required, requires good bone health Varies, discuss with dentist
4 – Comprehensive Care Addresses all issues, optimal function and aesthetics Requires significant investment of time and money Varies, discuss with dentist
5 – Full Mouth Reconstruction Complete restoration of mouth, ideal function and aesthetics Aggressive option, high cost, extensive treatment time Varies, discuss with dentist


Patient Name: N/A

Phased Treatment 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 – Immediate Needs

  • Comprehensive oral examination
  • Full mouth debridement
  • Caries control and prevention regimen
  • Discuss restorative options and decide on treatment strategy

Phase II – Restorative Treatment

  • Extraction of non-restorable teeth (if any)
  • Placement of partial dentures/bridges/implants (based on chosen strategy)
  • Occlusal equilibration as needed

Phase III – Maintenance and Prevention

  • Routine dental cleanings and examinations
  • Continued caries control and prevention
  • Occlusal guard if indicated
  • Replacement or repair of restorations as needed


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