Treatment Plan Proposal
Patient Name: N/A
DOB: N/A
Chief Complaint:
Pain and discomfort due to tooth and jaw injuries
Problem/Issue List:
- Tooth fracture
- Jaw dislocation
- Jaw fracture
- Soft tissue damage
- Missing teeth due to injury
- Temporomandibular joint disorder (TMD)
Relevant Medical Issues:
No known medical issues
Patient Desires and Goals:
Relieve pain, restore function, improve aesthetics
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 – Splinting and temporary restorations | $500-$1,200 | ||
| 2 – Definitive restorative treatment | $2,500-$5,000 | ||
| 3 – Surgical intervention | $5,000-$10,000 | ||
| 4 – Comprehensive treatment plan | $10,000-$20,000 | ||
| 5 – Do nothing | $0 |
Patient Name: N/A
Phased Comprehensive 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 management
- Splinting of mobile teeth
- Placement of temporary restorations
- Pain management
- Referral for surgical consultation if necessary
Phase II – Definitive restorative treatment
- Placement of crowns and bridges
- Endodontic treatment if necessary
- Extraction and replacement of non-restorable teeth
Phase III – Surgical management
- Surgical treatment of jaw fractures or dislocations
- Post-surgical physiotherapy
Phase IV – Orthodontic treatment
- Correction of any malocclusion
- Adjustment of occlusion
- Retention
Phase V – Maintenance and prevention
- Regular dental check-ups
- Orthodontic retainer
- Oral hygiene education