ACAD CASE PRESENTATION

Doctor: Date:

Patient: Case# Presented:

The purpose of ACAD includes the enrichment of the dental arts. To that end the clinician is challenged to present a thoughtful, organized and rehearsed presentation. The presentation will include a report, with copies presented to the membership, to include one success and one failure. Two presentations are required for full membership. You are limited to 10 minutes for each presentation.

Patient Profile and Dental History:

Chief Complaint. In the patient’s words, what motivated the patient to seek treatment? What are their expectations? How would they like to look?

Esthetic Analysis. Please indicate those features pertinent and those you with to improve.

Face classification (square, oval etc.):
Lip length, tooth exposure:
Smile line;
Incisal silhouette:
Gingival outline:
Diastemas:
Inclinations:
Rotations:
Color of teeth, discoloration:
Occlusion, Class I, II, III:
Other:

Diagnosis

Photos must be of the following intra and extraoral views. Power point presentation appreciated but if not possible we can set that up for you. Please take any and all views you feel are necessary to illustrate your case.

Preop Postop (Please check the views you will present)

_____ _____ A) Patient xrays of all teeth to be restored

B) Patient photos

_____ _____ 1. Full face

_____ _____ 2. Smile line

_____ _____ 3.Facial profile left and right

_____ _____ 4. Retracted views

_____ _____ a. Centric occlusion

_____ _____ b. Edge to edge view

_____ _____ c. Smile line to include incisal edges and gingival outline

_____ _____ d. Right and left lateral view

_____ _____ e. Incisal view

_____ _____ f. Occlusal reflected view

C) Please note indirect treatment requires:

_____ _____ 1. Pre and post operative views with shade tab in field

_____ _____ 2. Study model, wax-up views

_____ _____ 3. Patient try-in

_____ _____ D. Postoperative views you feel necessary

Treatment plan. Discuss alternative possibilities and why patient chose this type of restorative treatment

Direct treatment. Please note preop shade, postop shade, material, and manufacturer.

Indirect treatment. Including a copy of lab presentation and proposed goals.

This case presents the following obstacles to success:

Treatment plan as presented to the patient. List teeth treated and fee charged. List life expectancy of the restoration as explained to the patient.

#	Treatment	Life Expect.	Fee
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
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25
26
27
28
29
30
31
32

9. Summary. Please include a candid discussion of restorative treatment, including what was learned, procedures you might do differently, and patient’s response to treatment.