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ACAD ACAD Academy of Cosmetic and Adhesive Dentistry Case Case Presentations Presentations Date Dr. Name City Years in Practice
ACADACADAcademy of Cosmetic and Adhesive Dentistry
Case PresentationsCase Presentations
Date
Dr. NameCity
Years in Practice
Patient InformationPatient Information
Name:____(Get Release)___ Age:____ Sex ___
Chief Complaint. (In the Patients words, what motivated the patient to seek Treatment)
What are Their Expectations?
How Would they Like to Look?
Medical Health History.
Allergies.
Financial Limitations.
Dental HistoryDental History
Dental History:________________________
Periodontal Prognosis:__________________
Endodontic Concerns: __________________
Orthodontic History:____________________
Dental Materials Allergies:_______________
Dental Plan Considerations:______________
Dental ChartingDental Charting
_____________________________________
Preoperative - Full Face
ACAD Founded 1984Date/Image/Taken
Preoperative - Incisal Show
ACAD Founded 1984
Preoperative - Half Smile
ACAD Founded 1984
Preoperative - Full Smile
ACAD Founded 1984
Preoperative - Retracted Smile
ACAD Founded 1984
Preoperative - Upper Arch Mirror
ACAD Founded 1984
Preoperative - Lower Arch Mirror
ACAD Founded 1984
Preoperative - Left Occlusion
ACAD Founded 1984
Preoperative - Right Occlusion
ACAD Founded 1984
Esthetic AnalysisEsthetic AnalysisFace Classification: Square Oval Tapering, etc
Occlusion Class: I, II, III
Lip Length, Tooth Exposure:______________
Smile Line: __________________
Incisal Silhouette:____________________
Gingival Outline:______________________
Diastemas:___________________________
Inclinations:_____________
Rotations:_________________
Color of Teeth, Discolorations:
Wear and Parafunctions:________
Dental Treat PlanningDental Treat Planning
Smile Analysis:________________________
Vertical Dimension:_________________
Endodontic Concerns: __________________
Orthodontic History:____________________
Dental Plan Considerations:______________
Panographic Film
ACAD Founded 1984Date/Image/Taken
Full Mouth Radiographic Series
ACAD Founded 1984Date/Image/Taken
Study Models - Facial View
ACAD Founded 1984Date/Image/Taken
Study Models - Lingual View
ACAD Founded 1984Date/Image/Taken
Treatment
ACAD Founded 1984Date/Image/Taken
Treatment
ACAD Founded 1984Date/Image/Taken
Treatment
ACAD Founded 1984Date/Image/Taken
Treatment
ACAD Founded 1984Date/Image/Taken
Complications
ACAD Founded 1984Date/Image/Taken
Postoperative - Full Face
ACAD Founded 1984Date/Image/Taken
Postoperative - Smile
ACAD Founded 1984
Postoperative - Retracted Smile
ACAD Founded 1984
Postoperative - Upper Arch Mirror
ACAD Founded 1984
Postoperative - Lower Arch Mirror
ACAD Founded 1984
Postoperative - Left Occlusion
ACAD Founded 1984
Postoperative - Right Occlusion
ACAD Founded 1984
Before - AfterSmile
ACAD Founded 1984
Date/Image/Taken
Date/Image/Taken
Before - After
ACAD Founded 1984
Date/Image/Taken Date/Image/Taken
1 MonthBefore - After
ACAD Founded 1984
Date/Image/Taken
Date/Image/Taken
1 Month Before - After
ACAD Founded 1984
Date/Image/Taken Date/Image/Taken
3 MonthsBefore - After
ACAD Founded 1984
Date/Image/Taken
Date/Image/Taken
3 Month Before - After
ACAD Founded 1984
Date/Image/Taken Date/Image/Taken
6 MonthsBefore - After
ACAD Founded 1984
Date/Image/Taken
Date/Image/Taken
6 Month Before - After
ACAD Founded 1984
Date/Image/Taken Date/Image/Taken
12 MonthsBefore - After
ACAD Founded 1984
Date/Image/Taken
Date/Image/Taken
12 Month Before - After
ACAD Founded 1984
Date/Image/Taken Date/Image/Taken
QUESTIONSQUESTIONS
E-Mail Address
Address
Phone
