DSCD CASE PRESENTATION TEMPLATE APPENDIX 2 DATE OF - PDF document

DSCD CASE PRESENTATION TEMPLATE APPENDIX 2 DATE OF EXAMINATION CANDIDATE NUMBER CASE NUMBER PATIENT INITIALS CATEGORY OF PATIENT WORD COUNT (MAXIMUM 2500) BRIEF DESCRIPTION OF THE CASE (100 WORDS)

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)

DSCD CASE PRESENTATION TEMPLATE APPENDIX 2 DECLARATION I declare that I have obtained written informed consent from the patient in relation to this case report, including the use of radiographic images and photographs. CANDIDATE NUMBER SIGNATURE OF CANDIDATE DATE: