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Patient – Doctor


Treatment Plan Proposal

Patient Name: Patient

DOB: 2025-05-01

Chief Complaint:

Patient reports multiple dental issues such as missing teeth, loose teeth, dark teeth and infections.

Problem/Issue List:

  • Missing teeth
  • Hopeless teeth
  • Crowded teeth
  • Loose Teeth (fremitus)
  • Abfractions (notching of the base of teeth)
  • Restorations with large fillings in need of crowns
  • Bone loss around teeth
  • Recession
  • Infection of root canals
  • Apical abscesses
  • Root Resorption
  • Dark Teeth

Relevant Medical Issues:

No known medical issues.

Patient Desires and Goals:

Patient’s goals are to restore function and aesthetics of teeth, improve oral health, and prevent further dental problems.

Patient Name: 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
Cost-Conscious Plan Most economical option, Addresses most urgent dental issues, Prevents further dental damage Does not address all dental issues, May require more treatment in the future, Does not focus on aesthetics $3000-$5000
Cost-Conscious Upgraded Plan Addresses more dental issues than the Cost-Conscious Plan, More focus on aesthetics, Still relatively economical Does not address all dental issues, Quality of materials may not be as high, May require additional treatment in the future $5000-$7000
Mixed Plan Balances cost and comprehensive care, Addresses most dental issues, Focuses on function and aesthetics More expensive than Cost-Conscious Plans, May still require additional treatment in the future, Could be out of budget for some $7000-$10000
Moderately Comprehensive Plan Addresses all dental issues, High-quality materials, Focuses on long-term health and aesthetics More expensive, May require more time to complete, Could be out of budget for some $10000-$15000
Ideal Plan Addresses all dental issues comprehensively, Best materials and technology, Focuses on long-term health, function, and aesthetics Most expensive option, Requires most time to complete, Could be out of budget for many $15000-$20000

Patient Name: Patient

Recommended Strategy: Moderately Comprehensive 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: Disease Control

  • Extractions
  • Root Canal Treatment
  • Initial Periodontal Therapy

Phase II: Restorative

  • Crowns for teeth with large fillings
  • Replacement of missing teeth

Phase III: Aesthetic and Functional

  • Teeth Whitening
  • Orthodontic Treatment for crowded teeth


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