Case Study Workshop

Treatment planning workshop. This program is for students that are applying to schools that as part of the examination, will include a Case study .

Workshop includes:

  • On-line lecture and demonstration (30 days access)
  • Printable treatment planning worksheets: student must have treatment plans for all 13 cases ready to discuss before the scheduled workshop.
  • 2 hour group discussion with Dr Duggan

Treatment planning workshop with Dr Duggan including online access: $80 Cash only.

Dates:

Saturday July 29th @ 1:00pm to 3:00pm

Saturday August 12th @1:00pm to 3:00pm

(Must register and begin cases if you want to be prepared)

To register please email us @ meghan@dugganinstitute.com

This course consists of a lecture giving the orientation to patient data collection, and organization including a systematic program for evaluation of problems, and sequencing of treatment plan. Dr. Duggan will demonstrate setting up a treatment plan on an example patient using radiographs that the students can also evaluate, and then another case will be presented for student generation of a treatment plan. The student plans will be discussed by the group.

 

The following thirteen cases demonstrate a wide range of issues relevant to the successful and prudent planning of dental therapy in a variety of disciplines.  There are no models, photographs, periodontal charts or detailed histories associated with these cases – but some notes are provided on patient complaints and potential medical issues.  The radiographs will demonstrate to a great extent the patient needs.  It is recognized that in some instances, it would be more diagnostic to have a photograph showing a particular area, but when there are alternative interpretations, we will just go with whatever seems to be the most expected based on a detailed evaluation of the radiographs.

We will follow a protocol during the problem list and treatment planning phase of this work, so that we are sure to collect ALL of the pertinent information, and that we make a reasonable decision about how to sequence the appropriate therapeutic measures.  Variables that must be considered for each patient include the severity of the periodontal therapy and the need for reevaluation prior to prosthetic treatment, the need for orthodontics and the appropriate point within the treatment plan, the patient’s chief complaint and whether it can be addressed immediately, emergency measures, and disease control measures that should be taken early in the plan so that certain conditions don’t worsen to the point where more extensive therapy is required.  Otherwise, we will follow the basic tenet that the sequence will generally run from therapy of acute conditions to periodontal therapy, followed by operative, fixed and removable, in that order.

 

The most current therapeutic measures will be illustrated in these plans, as far as within the purview of the general dentist, and it will be assumed that money is not a factor, so that if implant-supported prostheses are most appropriate, they will be planned.  The choice between amalgam and composite restorations may be obvious in some instances, but not in others – a sound choice will be made based on clinical experience, but this does not mean it is the only choice that is acceptable.  Issues of attrition due to excessive grinding, or the presence of abrasive restorations, like PFM crowns, may lead to rather complex treatment plans in some cases.  In these instances it is by no means obvious that a patient will elect to pursue such complete therapy, but the plan noted is that calculated to bring the patient into the most normal and comfortable and long-lasting condition.

In generating the problem list, we will study the radiographs in stages – first looking only at the bone itself for cysts, large sinuses, tori, etc – then looking at the bone levels on the teeth – then looking at the apices of every tooth – then looking for calculus – then looking at each of the clinical crowns.  It is always tempting to try to see everything at once on a set of radiographs, but it is always more effective to look only for certain types of pathology with every pass.