Treatment Plan Proposal
Patient Name: Dd
DOB: N/A
Chief Complaint:
Crowded teeth, Abfractions (notching at the base of teeth)
Problem/Issue List:
- Crowded teeth
- Abfractions (notching of the base of teeth)
- Potential attrition due to crowding
- Possible increased risk of decay and periodontal disease due to difficulty in oral hygiene maintenance
Relevant Medical Issues:
None
Patient Desires and Goals:
Align teeth, Improve oral health, Enhance smile aesthetics
Patient Name: Dd
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 – Orthodontic Treatment | Improves teeth alignment, Enhances smile aesthetics, Easier oral hygiene maintenance | Requires commitment and time, Regular appointments necessary, Slight discomfort during treatment | $3,000-$7,000 |
| 2 – Dental Veneers/Crowns | Immediate improvement in teeth appearance, Resolves notching (abfractions) issue | Higher cost, Requires modification of tooth structure, Doesn’t address underlying crowding issue | $1,000-$2,000 per tooth |
| 3 – Composite Bonding | Cost-effective, Immediate results, Minimal tooth modification | Doesn’t address crowding, May require frequent touch-ups, Not as durable as veneers/crowns | $200-$600 per tooth |
| 4 – Combined Orthodontic and Restorative Treatment | Addresses both crowding and abfractions, Optimal function and aesthetics, Long-term benefits | Requires time and commitment, High cost | $7,000-$14,000 |
Patient Name: Dd
Phased Combined Orthodontic and Restorative Treatment
*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
- Consultation with orthodontist
- Orthodontic treatment initiation
- Regular orthodontic appointments for adjustments
Phase II
- Completion of orthodontic treatment
- Evaluation of abfractions
- Restorative treatment (veneers/crowns/bonding)
Phase III
- Post-treatment follow-up
- Regular dental check-ups and cleanings
- Nightguard for protecting restorative work