DSCD CASE PRESENTATION TEMPLATE
APPENDIX 2
1. PATIENT DETAILS
Initials:
Gender:
Age at start of treatment:
Age at last review:
Number of attendances:
2. ASSESSMENT
a) History of patient’s presenting complaint(s)
b) Medical history
c) Dental history
d) Social history
e) Pre-treatment radiographs
Insert clearly labeled and dated radiographic images
Give indications for the images taken
Summarise the radiographic findings
f) Pre-treatment photographs
Insert clearly labeled and dated photographs
3. DIAGNOSTIC SUMMARY
4. RISK ASSESSMENT
5. TREATMENT PLAN
6. TREATMENT UNDERTAKEN (CHRONOLOGICAL PRESENTATION)
7. OUTCOME
a. Post-treatment radiographs
Insert clearly labeled and dated radiographic images
Give indications for the images taken
Summarise the radiographic findings
b. Post-treatment photographs
Insert clearly labeled and dated photographs
8. PLAN FOR THE FUTURE
9. DISCUSSION AND REFLECTION ABOUT THE CASE PRESENTED
10. REFERENCES (if applicable)