2019 Portfolio

Treatment Planning Board

Please carefully review the outline for presentation of your patient to the Treatment Planning Board. Your "write-up" should follow this outline, to include underline headings as shown. You will need to provide four copies (one for eachboard member). Attach a copy of your RPD design(s) and Treatment Plan(s) to this "write-up" and provide a packet for each Board member.

You will follow this outline for the oral presentation of your your patient to the Board. Make sure you have also completed your *TPB check-list. Remember this is a joint consultation and requires that you have all current needed data to evaluate the patient as he/she presents to the TPB.

Outline for Treatment Planning Board Presentations

Patient's Name & Bio/Social History (Age, Race, Gender, Occupation, Marital Status)
Chief Complaint  
History of Present Illness  
Dental History  
Medical History (known problems, suspected problems, medications, allergies)
Review of Systems  
Clinical Findings  
Extraoral  
Intraoral  (Periodontal, Dental Degeneration - caries, pulpits, necrosis, pericpical concerns, edentulous concerns, other)
Radiographs  
Occlusion Analysis (Subjective - symptoms)
(Objective - signs/articulation of casts)
TMD  
Consultations Oral Surgery
Endodontics
Oral Path/Oral Med
Ortho
Medical
Other
Diagnostic Summary (Diagnosis/Problems)
Oral Disease Control Program Baseline Information and Instruction
Response to Instruction
Treatment Already Performed  
Treatment Plan Recommendation (Ideal, alternate plans)
*consider modifiers, phase of care
Level of Care Anticipated  

 

 

Treatment Planning Board Checklist

The following are required at the time of the Treatment Planning Board Appointment

Complete Oral Examination (Data/Information) including:

  • Complete medical and dental histories (any consults as directed by faculty at DXR or appropriate)
  • Current (6 months old or less) periapicals of all potential abutment teeth - unless otherwise directed by a faculty member
  • Current (6 months old or less) bitewing radiographs
  • Panoramic radiograph (1 year old or less) unless otherwise directed by a faculty member
  • Periodontal examination and prognosis - Charting verified by a faculty member
  • Pulpal evaluation and prognosis
  • TMD Screening Exam
  • Handouts for faculty (4 copies)

Maxillary and mandibular casts should:

  • Have entire anatomic portions of ridges and vestibules present on casts
  • Have retromolar pad and hamular notches - Required in their entirety
  • Be properly trimmed (Land areas, tongue areas, thickness, etc.) and cleaned (neat)
  • Be mounted or semi-adjustable articulator
  • Have maxillary cast mounted with face-bow -- Required
  • Edentulous Patients - Mandibular cast mounted in CR at correct VDO - Required
  • Diagnostic wax-up/setup if indicated

Occlusal Analysis completed

  • Occlusal Analysis Form completed and signed by a Faculty Member
  • Mandibular cast mounted in CR or MI as determined at Occlusal Analysis (Normally CR)
  • Condylar guidances set with a protrusive record

TMD Analysis if determined to be necessary by faculty

Removable Partial Denture Patients:

  • Diagnostic Casts:
    • Three widely spaced tripod marks placed
    • Heights of contour drawn on all potential teeth to receive guide planes or clasping
    • Position of clasp tip in retentive undercuts indicated with red dot
  • Removable Partial denture(s) designed on a Work Authorization Form
  • Surveyor and table with all tools including graphite marking points

All the above steps have been completed in their entirety and all data and materials are present for the Treatment Planning Board members.