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Presentation Title

Resident Name

and information

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Case History

Medical history

Information

Information

Information

Dental History

information

Information

Information

Chief Complaint

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Radiographs

Describe everything on

the radiograph

Anatomy

Teeth Periodontal status

Pathosis

Insert Cone Beam if

appropriate

Add Radiographs

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Pulpal and Periapical Diagnosis

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Clinical Evaluation (sample information)

Tooth#

Tooth # Tooth#

Palpation - - -

Percussion - + -

Cold test + - +

Mobility - - -

Probing Mesial, distal,buccal, lingual

In mm, or WNL

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Differential Diagnosis

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Possible Treatment Options

Treatment option 1

Treatment option 2

Treatment option 3

Treatment option 4

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Level of Evidence (LOE)

Cohort Study

Case Control Studies

Case Series

Case Reports

Ideas, Editorials, Opinions

Animal Research

In Vitro (test tube) Research

Randomized

Controlled Double

Blind Studies

Systematic Review andMeta Analysis

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Key Procedural Points (if applicable)

Point 1

Point 2

Point 3 Point 4

Etc

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Additional Clinical Images/radiographs

Insert media here

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Additional Clinical Images/radiographs

Insert media here

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Potential Complications

Possible complication 1

Possible complication2

Possible complication 3 etc

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Radiographs

Insert starting film here Insert final film or recall

here

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Outcome and Prognosis

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References

Citation 1

Citation 2

Citation 3

Citation 4

Etc