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