Treatment Plan Proposal
Patient Name: KRD Patient
DOB: N/A
Chief Complaint:
Patient is not happy with their smile and has concerns towards esthetic of tooth #11.
Problem/Issue List:
- Bolton Discrepancy – Interarch tooth-width discrepancy leading to esthetic concerns.
- Tooth #11 needs to be rotated into better position for improved esthetics.
- Very narrow lateral incisors contributing to smile dissatisfaction.
Relevant Medical Issues:
No significant medical issues mentioned that could affect dental treatment.
Patient Desires and Goals:
Patient’s goal is to improve the esthetics of their smile, with a particular emphasis on the position and appearance of tooth #11.
Patient Name: KRD Patient
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 | What this means |
|---|---|---|---|---|
| Cost-Conscious Plan | Least expensive option, Minimal treatment needed, Addresses immediate concern of tooth #11, Improved esthetics to a degree | Does not comprehensively address Bolton Discrepancy, May require additional treatments in future, Esthetic improvement may not meet patient’s expectations | $1,725 – $2,075 | This involves minimum intervention, mainly focused on rotating tooth #11 into a better position. It may involve bonding or veneers. |
| Moderately Comprehensive Plan | Addresses both tooth #11 and Bolton Discrepancy, More comprehensive esthetic improvement, Long-term solution | More expensive than cost-conscious plan, May involve more complex procedures like orthodontics, Longer treatment time | $5,145 – $7,060 | This involves comprehensive treatments, like orthodontic treatment to correct Bolton Discrepancy and rotation of tooth #11, along with esthetic treatments like veneers or crowns. |
| Ideal Plan | Best esthetic outcome, Addresses all identified issues, Long-term solution | Most expensive option, Longest treatment time, May involve multiple specialties | $10,000 – $12,000 | This is a comprehensive plan that includes orthodontic treatment, restorative procedures, and cosmetic enhancements to provide the best possible esthetic outcome. |
Patient Name: KRD Patient
Recommended 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 – Initial Treatment
- Consultation with orthodontist for tooth rotation and addressing Bolton Discrepancy
- Initial rotation of tooth #11
Phase II – Orthodontic Treatment
- Orthodontic treatment for comprehensive correction of Bolton Discrepancy
- Regular follow-ups and adjustments
Phase III – Restorative and Cosmetic Treatments
- Final rotation and positioning of tooth #11
- Placement of veneers or crowns as necessary for optimal esthetics
- Final smile design to meet patient’s expectations