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Case Conference

How was that case with the missing 2.2 treated?

Last month, JCDA OASIS and ITI, initiated Phase 1 of a joint treatment planning challenge pilot project. Just over 100 colleagues had agreed to participate in this exercise and many gave us feedback on a completely anonymous basis.

For Phase 2 of the project, We have placed links below to a representative sample of the inputs we got from over 50 Canadian dentists to the following 3 principal questions:

Q 1: What further information is needed to create a treatment plan?  Question 1 Input

Q 2: What range of options would you present to the patient?  Question 2 Input

Q 3: What further questions do you have for the specialists?  Question 3 Input

Also for Phase 2 of the exercise, Drs Bill Abbott (OMFS) and Chris Storey (prosthodontist) have created a YouTube video (16.5 minutes) in which they answer your most important questions and tell us how the patient was actually treated.

Because this is a pilot project, your feedback is crucial to us as we plan next steps. I welcome your feedback about the case itself and the processes we have used for this exercise by contacting me directly or by giving us your comments in the comment box on this blog posting.

If you choose to provide input directly in the blog posting, your comments will come to me before they appear. I welcome you to be as anonymous as you wish by putting either your real name or a made-up name in “Name” input area.

I look forward to hearing from you at your earliest convenience. You can contact me directly at either jokeefe@cda-adc.ca or 1-800-267-6354 ext. 2297. Best wishes, John


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  1. Brian Clark August 28, 2012

    Hi John,

    This is an excellent idea for education. I have worked with both Dr. Abbott and Dr. Storey and they do a very good job of educating.

    Warm regards,

  2. Kent Orlando August 28, 2012

    Congratulations on an excellent, successful project. I was happy to see that the other practitioners had similar comments regarding this case as I did (although some were more thorough in their responses than I).
    I especially liked seeing how the case was eventually treated and welcomed the commentary from the specialists.
    This format should prove useful for treatment planning and case presentations in the future.
    My only suggestion would be to keep the presentations as short as possible so that dentists can get the information they need quickly. Here you will need to exercise your role as “Editor” to the fullest.
    Thanks for including me in this project.

  3. Mark Venditti August 28, 2012

    Great job.

  4. Dr. Brian Yim August 29, 2012

    Great format…and very accessible for busy lives. Huge potential for staff meeting so the whole team can understand our thought process.

  5. Dr. James Miles August 29, 2012

    Excellent “to the point” format at initial stage of case presentation and also in the review format. I appreciate ‘user friendly’ process.
    The questions amplified my observations and although there were not many new insights or conclusions from my perspective, this did reinforce my own clinical judgments. This is always valuable, particularly in more complicated cases.
    This is an excellent resource. Keep up the good work.

    Jim Miles

  6. Jack Cottrell August 29, 2012

    Hi John
    This is absolutely fabulous and is a tool that can and will be extremely useful for me as a practitioner.
    It provides a very credible unbiased approach to problems and situations and an opportunity to further build community in our profession by involving generalists , specialists, and academics .
    Certainly it is just another example of how you keep Canadian Dentists on the leading edge of the communication explosion.
    Very innovative!!!!

  7. Dana August 30, 2012

    Very well done. I enjoyed seeing the completed case. Great questions from the participating dentists.

  8. Reza Nouri August 30, 2012

    A great success for this pilot project! Well done!
    For future projects i strongly suggest a very short lapse between the Phase I and Phase II of such case presentations. This will ensure that participants remain engaged and all the information about the case stays fresh in their minds.
    Thank you for pioneering such educational programs, John.

  9. Margot Hiltz September 1, 2012

    The information discussed was interesting and very valid. There is a huge advantage of having so many comments to review, although sifting through all of the comments was quite tedious and time consuming.

  10. Marielle Pariseau September 6, 2012

    What a wonderful pilot project you have launched John. In a world where we are constantly bombarded with information from people who have financial gain in mind, it is so refreshing to be given access to unbiased professional knowledge. The format, which challenges us in questioning and treatment planning, supports the retention of knowledge and weaves a new thread into the fabric of our community.

  11. Frank Lee September 8, 2012

    Hi John
    Very well done. I can see this as an amazing and useful tool in increasing and reinforcing our knowledge base. As clinicians, we tend to be visually oriented; the format of real time picture and voice really helps cement the information in our minds. I agree with the previous post that there should be a shorter time lapse between phase 1 and phase 2 , since there is a constant chatter of other info in our fast paced world.
    Great Work!!

  12. Anton luu May 5, 2013

    Treatment option:
    IF the width is small enough, I have treated a missing lateral with a mini implant (Dentatus) at the age of 12-13 in my residency because her teeth are too small for either a resin bonded bridge and there is no room for the minor connector in a partial. Follow up at the age of 16 was no correction needed. In planning stage was removal of the mini implant, mesialization of the canine, distalization of the central to leave a normal alveolar ridge before moving them back to their original position and create a symmetrical space for the lateral before final implant at the age of 20-21.


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