dental patient case report template

What is a case report in dentistry?

A case report is a useful type of publication to describe information on unusual clinical diseases or syndromes, new management techniques, potential risk factors/oral disease associations, and uncommon side effects or responses to traditional dental treatments.

What should be included in a case report?

Since most case reports describe new things, it is essential to tell the reading audience what typically occurs in practice. Some authors give a brief report of the history of the condition which helps the reader understand t he dis order and how it is managed. A

Are case reports useful for clinical research?

Additionally, case reports are potential resources of new hypotheses for more complex methodological designs in clinical research studies and are one of the best ways to get started in scholarly writing.

What information can I add to a patient profile template?

It has information such as name of client, date and time, address, contact number, treatment performed, doctor's name, monitoring progress report and many more. This template is editable and allows you to add more information or remove if you need to. Add your hospital's logo or insert images to make it more personalized.

How do you write a patient case report?

III. Patient case presentationDescribe the case in a narrative form.Provide patient demographics (age, sex, height, weight, race, occupation).Avoid patient identifiers (date of birth, initials).Describe the patient's complaint.List the patient's present illness.List the patient's medical history.More items...•

How do you write a simple case report?

Ten Steps to Writing an Effective Case Report (Part 1)Step 1: Identify the Category of Your Case Report. ... Step 2: Select an Appropriate Journal. ... Step 3: Structure Your Case Report According to the Journal Format. ... Step 4: Start Writing. ... Step 5: Collect Information Related to the Case.

How do you present a dental patient?

2:556:25How to present dental treatment plans and why this presentation is so ...YouTubeStart of suggested clipEnd of suggested clipThe third thing I would say is to make sure you're doing this in an environment where you can reallyMoreThe third thing I would say is to make sure you're doing this in an environment where you can really have a conversation with a patient. Now. Again I do a ton of videos on this in front office rocks.

What is a dental report?

The dental record, also referred to as the patient chart, is the official office document that records all diagnostic information, clinical notes, treatment given, and patient-related communications that occur in the dental office, including instructions for home care and consent to treatment.

How do I start writing a report?

Here are some steps to follow when writing a report:Decide on terms of reference.Conduct your research.Write an outline.Write a first draft.Analyze data and record findings.Recommend a course of action.Edit and distribute.

What is the format of a report?

Reports are divided into sections with headings and subheadings. Reports can be academic, technical, or business-oriented, and feature recommendations for specific actions. Reports are written to present facts about a situation, project, or process and will define and analyze the issue at hand.

How can I increase my dental case acceptance?

7 Effective Ways to Increase Dental Case AcceptanceCreate a positive experience.Build an emotional connection.Identify potential roadblocks.Deliver information based on the patient's personality type.Help patients overcome concerns about cost.Give the right message at the right time.More items...

What should a dental treatment plan include?

The ultimate goal of the treatment plan is to have an oral cavity that is free from active disease, pain and/or discomfort whilst being aesthetically acceptable to the patient. Short- and long-term treatment goals must be targeted along with an oral hygiene maintenance plan.

When is a treatment plan presented to the patient in dentistry?

It is during the sequencing stage that a dentist will flex their ability to handle complex issues and distill them into a comprehensive plan of action. To organize the stages into a proper sequence of treatments, a dentist should: Review the stages and the different treatments they plan to use.

What should be included in dental clinical notes?

What should a dental record contain?The patient's name, and contact details (address, preferred telephone / fax / e-mail or other contact details). ... An up to date medical history. ... Treatment information. ... Missed appointments. ... Phone contacts. ... Investigations. ... Financial records. ... Correspondence.More items...•

How do you write a dental chart?

Remember to include these steps when making notes in your charts:Patient's medical history reviewed, signed, and dated.Patient consent forms signed and dated.Pre- and post-operative vitals taken.Routine information such as procedure done, and all information given to the patient for pre- or post-op instructions.More items...•

What do dental records consist of?

Dental records, also known as patient charts, are made up of the recorded information regarding your medical history, diagnostic information, clinical notes, patient-doctor communication, consent to treatment documents and treatment notes, as the American Dental Association (ADA) explains.

What are the methods used in case studies?

There are the various methods used implied in the case study such as the participant observation, interviewing, collecting the materials etc. These involves the researcher immersing itself in the health condition of the individual or the group. It needs the extensive work to do a research study.

What is a case study in health?

The health case study focuses on the individual or a small group, producing the detailed but non-generalized report based on months of research.In the health sector, case studies describe a development story presented to promote the health sector.

What is a case study?

The case study is a research plan and an empirical query that investigates a phenomenon within its real-life context. The Case studies are relyed on an in-depth investigation of a single individual, group or event to explore the causes of underlying principles.

Why is case study used in research?

It is the used in the various academic as well as the health sector to research on the issues related to the sustainability and the institutional system. The case study can serve the variety of the functions like enabling the researcher to get ...

What are the different types of case studies?

There are the many types of the case studies in the researches. The illustrative cases describe the unfamiliar situation in order to assists the people understand it. For the instances, the patient case study of the individual with depression, designed to help interact with the subjective experiences of depression. The critical instances case study the unique cases. The descriptive study regarding the patient with the rare condition or the study of the specific cases to determine theory is applicable or useful.

How long do case studies last?

Most health department case studies last at least for few months, and many of them continue for years. You may be controlled by your research funding or the length of your degree program, but you ought to allow a few weeks to conduct the study at the very least.

Why do we use case studies?

The Case Study investigates the contemporary cases for the purpose of the illumination and the better understanding. In some cases the studies are used to provide the data for the making of the decision and to discover the usual link in the set up where the cause-effect relationship is quiet complicated and are not readily recognised.

What is patient feedback form?

A patient feedback form is a survey with questions that allows medical doctors to gather feedback from patients regarding their overall experience with the clinic.

What is an employee medical history form?

Here is an Employee Medical History Form that can be used to create an employee medical information database which provides employee contact information along with emergency contact information and medical insurance details.

What is a health survey?

A health survey is a questionnaire used by medical professionals to collect information about their client’s health.

What is a health screening form?

This health screening form is for physical training centers that accept registration from individuals that would want to undergo a series of training related to physical wellness. Use this health screening report template if you are looking to screen clients before they can join your training. You can screen clients through this screening form template by asking them for their personal measurements, their current occupation and lifestyle, their medical history and nutrition habits if any. This health screening template is a six (6) part form with your terms and condition that discusses how the business proceeds with cancellation and late session arrivals.

Can you fill out an online health form?

If you have an online health service , this forms is suitable for you. Get your patient to fill the form so that you can be able to diagnose them.

What is a case report in dentistry?

A case report is a useful type of publication to describe information on unusual clinical diseases or syndromes, new management techniques, potential risk factors/oral disease associations, and uncommon side effects or responses to traditional dental treatments. In the practice of Dentistry and Medicine, the publication of case reports has the purpose of sharing new clinical experiences and knowledge with interested colleagues. Case reports in the field of Evidence-Based Pediatric Dentistry convey unique contributions to the clinical practice and help improve the process of clinical decision making in the form of a brief written communication. Additionally, case reports are potential resources of new hypotheses for more complex methodological designs in clinical research studies and are one of the best ways to get started in scholarly writing. The purposes of the present report were to comment on the role, relevance, and main limitations of case reports in Clinical Pediatric Dentistry, to describe the reasons for writing a case report and some recommendations for critically reviewing a published case report, and finally, to provide the fundamentals of preparing a case report, and finally, to provide the fundamentals of preparing a case report manuscript in a structured manner.

How many case reports are there in the medical literature?

Case reports are published by many prominent journals—with more than 170,000 case reports are indexed in MEDLINE from 1996 till today, and a number of narrative guidelines for the preparation of case reports have appeared in the medical literature. To facilitate the preparation of case reports, we reviewed the existing guidelines and a random sampling of published case reports and created a fill-in-the-blanks worksheet for dentists, and dental specialists to use to capture unique scientific observations. Although originally developed to assist family practice residents to write case reports, the case report worksheet can be used by physicians in any practice setting and any discipline to collect and report interesting, unusual, or newsworthy cases.

What is a comprehensive overview of health research?

A concise and comprehensive overview of health research as an integrated, problem-solving process. It bridges the gap between health research methods and evidence based clinical practice.l

What should a report be?

reports should be short and focused, with a limited number of figures a nd references. There are usually a

What is a protocol in research?

A protocol is a document that explicitly states the reasoning behind and the structure of a research projec t.

What information is included in a research protocol?

All research protocols include detailed information about the design a nd methodology of an experiment.

What do clinical workers consult in research?

other research groups. If questions about specific procedures arise, clinical workers consult the research

How to select a case for the case report?

Every case is unique in a way, but every case cannot be reported. I am giving you some pointers on how to select a good case and ensure it gets published after all those writing efforts – the next time you go to your clinic, document the case if you observe any of the following:

Structure of a case report

Case reports are shorter than most other types of articles. They consist of the following six sections:

Abstract

An abstract is not compulsory, but it is always better if you give one. The abstract should summarize the case, the problem it addresses, and the message it conveys. Abstracts of case studies are usually short (preferably not more than 200 words) and unstructured (not subdivided into different headings but a single paragraph).

Introduction

The introduction gives a brief overview of the problem that the case addresses, citing relevant literature where necessary. It should provide background information on why the case is worth reading and publishing. The introduction generally ends with a single sentence describing the diagnosis and treatment plan executed.

Case description

The case description or summary is the focus of the case report. The case should be best presented in enough detail for the reader to establish his or her own conclusions about the case's validity.

Discussion

The discussion is the most important section of the case report. It interprets the key findings of the case report, contrasts the case report with what is already known in the literature to justify its uniqueness and draws clinically useful conclusions.

Conclusion

The author should provide the main conclusion of the case report based on the evidence reviewed in the discussion section. A concise statement of the lesson to be learnt from the case could be stated. Here, the author can give suggestions and recommendations to clinicians, teachers, or researchers.

How to submit case reports for AAID?

Candidates should submit all reports online through the link in the confirmation letter or by mail on one memory stick (USB flash drive), which includes a folder for each case type, labeled as appropriate, e.g., single tooth case. Only submit cases once.

When are case reports due for associates?

Case reports for both the Associate Fellow and Fellow examinations are due in the Headquarters Office 45 days before the examination period begins. The applicant is responsible for insuring that the case materials arrive by that date; therefore, use of a delivery process that allows verification of receipt in the Headquarters Office is recommended.

How to create a photo report?

Creating the Photograph Report. Step 1: Download and save the photograph template as specified for the case type in Required Photograph views section. Step 2: Open the template for photographs in Microsoft PowerPoint. All of the photo views required by case are listed on the opening slide (s).

What is case 2 of Edentulous?

Case 2: Edentulous Segment of Two (2) or more adjacent teeth with a minimum of two implants.

What is a written narrative report?

The written narrative report is the second (2) of four (4) documents required for each case submission. The written report is the step by step narrative of how the treatment was completed, why the candidate chose these methods and materials, and what this means to the patient. Candidates must develop written narrative (prose) ...

What is patient release?

The patient release is the first (1) of four (4) documents required for each case submission.

How many cases are required for an associate fellow?

Associate Fellow candidates must submit and present three (3) case reports on three (3) different patients for Part 2 (oral/case) of the examination as specified in Case Requirements for Associate Fellows.

What is a dental consent form?

This is a written form that gives authorization, by the patient, to allow their dentist to proceed with treatment. It requires the signature of the patient, and it should be a comprehensive form that covers risks, benefits, alternatives, and medical issues. The purpose of the Dental (Patient) Consent Form is to make sure the patient, or parent/guardian, has been given details about the procedure, and it can protect the dentist against liability should anything go wrong when the procedure is being done.

What is the legal duty of a dentist?

Legal Implications. It is a dentist’s legal duty to make sure their patients are aware of all aspects of a proposed treatment, including any risks and alternatives. Performing a treatment without getting consent can have legal consequences should something go wrong.

What is the responsibility of a dentist?

The dentist and any team members have a responsibility to make sure a patient’s consent has been given properly before any treatment can be started. There are two types of consent; implied and express.

What is the age of consent for a patient?

In most states in America, the age of consent is 18. If a patient being treated is under the age of 18, consent from a parent or guardian is needed.

Can a dentist perform a dental exam without a parent?

For simple and routine treatments, if a minor comes in without a parent, but the treatment has already been discussed and agreed upon by the guardian, a dentist can perform that treatment.

Do you need consent for dental treatment?

It’s important for any medical or dental practice to get proper consent from a patient who is a minor before they can perform treatments. There are different types of consent, and some will require the use of a Dental (Patient) Consent Form.

What is dental invoice?

The dental invoice is a record of care and a formal request for payment. It should include descriptions of all services provided and their costs. In addition, the invoice should include: A date of issue. Complete contact information for the patient. Total payment that is due and the due date. Penalties for late payment.

Do dental insurance companies need to include treatment in their invoice?

Insurers often require specificity and may require other documentation to be affixed to the invoice too.

Can you hand an invoice to a patient?

The best case is to hand the invoice to the patient in-person. That way, there is no doubt that the patient has received it, and any confusion about costs and billing responsibilities can be ironed out on the spot. If mailing an invoice, a practice might consider following up with the patient to verify that it has been received, or else sending an email copy too.

Do dentists have a payment plan?

Dental practices differ in their payment policies. While it is always wise to ensure that a consistent office billing protocol is in place, some dentists are more flexible in their terms. Practices may offer payment plans or operate on a billing cycle that means that all balances for a month or period are invoiced together and due at some common date in the future.

Why is a treatment plan template important?

Keeping treatment plan templates for different scenarios will be super helpful for everyone in your office by saving you and your team tons of time.

When writing out recommended treatment on the plan, what should you include?

Include area of the mouth: when writing out recommended treatment on the plan, don’t just list teeth numbers . Patient doesn’t know teeth numbers, they may remember what you told them during the exam if you write out where the tooth is located in their mouth .

What does "keep your templates flexible" mean?

If you have a strict philosophy on not showing all patients any breakdown, you will face resistance from patients where it’s difficult either in getting them to move forward with treatment, or you may just make them angry.

How many pages should a treatment plan be?

So break it up in phases and have them simply sign off at start of each phase. You can include a second page for Payment Schedule / Financial arrangement only – but a treatment plan should be one page.

What is a customized treatment plan?

Your customized treatment plan is a reinforcement of what should’ve been already discussed during your presentation before you present finances.

Can you charge a dentist when their insurance maxes out?

Make sure to follow your State’s rules when it comes to figuring out what you can charge the patient when their insurance maxes out. In New Jersey according to this patient’s insurance contract, as an in-network dentist, I’m still obligated to follow the insurance contracted fee for any procedures completed.

Can you upload a document to Google Docs?

You can also upload onto Google Docs and keep them on the cloud and edit/make copies for different patients .

Do you include a case report in a title?

Do not include “a case report” in the title. Do not use cryptic or humorous titles. Keep the title clinical and straight forward - this way people are more likely to find your article.

Do all diagnoses need to be substantiated?

All working diagnoses need to be substantiated.

Do you have to have informed consent before submitting a case report?

You must have signed informed consent from patients (or relatives/guardians) before submitting to BMJ Case Reports.

How to Select A Case For The Case Report?

Structure of A Case Report

• Case reports are shorter than most other types of articles. They consist of the following six sections: 1. an abstract 2. an introduction with a short literature review 3. a description of the case 4. a discussion with detailed literature review 5. a brief summary and conclusion of the case and 6. references To enhance the case report's flow and cl...

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Abstract

Introduction

Case Description

Discussion

Conclusion

References

Further Reading