Patient Basic Data Last name, Gender, Age etcetera
Medical History The estimation of patient’s physical condition and medication usage
Dental History The estimation of patient’s oral cavity condition
Clinical Examination Clear clinical pictures of frontal view of extra oral including pictures of smile line Clear clinical pictures of lateral view of extra oral
Clinical Examination Clear clinical pictures of frontal view of intra oral (including pictures of centric occlusal view of frontal view) Clear clinical pictures of left and right view of intra oral (It is better if pictures of lingual and buccal view are included) Clear clinical pictures of upper jaw and lower jaw view (Full mouth) of occlusal view
Clinical Examination Panoramic radiograph Clear periapical radiography of treatment location before surgery Dental CT scans results of treatment location before surgery (optional) Dental cast analysis before surgery
Treatment Plan Expected treatment plan ( including treatment procedures, healing time, implant location, final implant prosthesis etcetera)
Treatment Plan Please provide 1-3 article(s) explaining why your treatment plan is used
Surgery procedures Stage I Clear clinical pictures of treatment location of intra oral before surgery Flap design Clear clinical pictures of alveolar bone before bone drilling Using surgical template to confirm the ideal implant hole drilling Guide Pin placement, take periapical radiograph during surgery to ensure proper depth and angle of dental implant Implant placement
Surgery procedures Stage I If performing GBR process, the used materials need to be indicated For the purpose of identification, once performing GBR process, clear clinical pictures of intra oral need to be provided during surgery Clear clinical pictures of intra oral after suture Take clear periapical radiograph after surgery Suture is removed 1-2 weeks after surgery. Clinical pictures of Intra oral are taken before and after removing suture
Surgery procedures Stage I I (if using one stage, ignore this step) Clear clinical pictures of intra oral before surgery Take clear periapical radiograph of surgical location before surgery Flap design If necessary, remove the new bone or regenerated membranes which cause obstructions of two-stage surgery. Take clear clinical pictures of this procedure Clear clinical pictures of suture of intra oral after two-stage surgery Take clear periapical radiograph of surgical location after surgery to ensure healing abutment is locked completely.
The procedures of making impressions and prostheses Stage III Rodiograph of intra oral and implant location before performing impression Clinical pictures or radiograph when placing abutment and accessories Enclose partial pictures of dental technician’s working procedure if possible Enclose clinical pictures of working procedure of making intra oral prosthesis if possible Pictures of denture of extra oral dental cast before delivering
The procedures of making impressions and prostheses Stage III Clear clinical pictures of intra oral after prosthesis delivery (including frontal, occlusal and buccal view etcetera) Clear periapical radiograph of finished location after prosthesis delivery The results of occlusion adjustment including working side and non-working side The estimation results of smile line on anterior teeth
One year monitoring after finished implant surgery Include clear clinical pictures of frontal and lateral view of intra oral Clear comparison of the radiograph monitoring (periapical film of parallel shooting method)
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