Treatment Plan Proposal
Patient Name: Steven Smithen
DOB: N/A
Chief Complaint:
Crowded and worn teeth, severe periodontal disease
Problem/Issue List:
- Crowded teeth
- Worn or attrited teeth
- Biomechanical risk (strong bite leading to weak teeth)
- Caries (Tooth Decay)
- Severe Caries Risk
- Severe periodontal disease
Relevant Medical Issues:
None reported
Patient Desires and Goals:
Improve dental health and appearance, manage periodontal disease, manage caries risk within financial constraints
Patient Name: Steven Smithen
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 – Scaling and Root Planing | Low cost, Addresses periodontal disease | Does not address biomechanical risk or tooth wear, Does not address tooth decay or crowding | $800-1200 |
| 2 – Traditional Orthodontics | Addresses crowding, Can improve bite and reduce biomechanical risk | Does not directly address tooth decay or periodontal disease, Requires compliance and extended treatment time | $3,000-7,000 |
| 3 – Full Mouth Rehabilitation with Crowns | Addresses tooth decay, wear, and crowding, Can manage biomechanical risk | High cost, Does not directly address periodontal disease, Requires multiple procedures and appointments | $20,000-45,000 |
| 4 – Comprehensive Plan (see next page) | Addresses all issues, Optimizes function and esthetics | High cost, Requires extended treatment time | $25,000-55,000 |
| 5 – “Full Mouth Extraction and Dentures | Addresses periodontal disease, decay, and crowding, Low cost compared to other options | Loss of natural teeth, May require adjustments or replacements over time, Does not address biomechanical risk | $3,000-5,000 |
Patient Name: Steven Smithen
Phased 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
- Scaling and root planing to address periodontal disease
- Caries control with fillings as needed
- Occlusal guard to manage biomechanical risk
Phase II
- Orthodontic treatment to address crowding and improve bite
- Continued periodontal maintenance
- Continued caries control
Phase III
- Full mouth rehabilitation with crowns to finalize occlusion, manage biomechanical risk, and restore esthetics
- Continued periodontal maintenance
- Continued caries control