The importance of proper treatment planning and reporting

On average, a dental surgeon at LCIAD spends around 400-500 hours a year on dental reporting and patient administration in the background compared to approximately 1,300 -1,400 hours on actual chairside patient care. This includes:

  • Collating and organising patient information collected during the consultation process including pre-operative appraisal of patient medical history and dental questionnaires, writing detailed consultation notes, optimising clinical photographs and creating presentations for patient communication and case documentation.
  • Painstakingly analysing each patient case through notes, photographs, radiographs, models, digital scans and CBCT scanning and analysis.
  • Making a documented diagnosis or diagnoses.
  • Planning an ideal course of treatment to address that patient’s problems with viable alternatives based on the individual patient’s wishes.
  • Time and cost planning to be able to carry out the required treatment to the highest doumented quality without rushing, but as efficiently as possible. We call this “Stepping Stone Dentistry” to ensure that we can navigate often very complex cases requiring multidisciplinary care over months or years of treatment without ever leaving our patients indisposed or embarrased between visits.
  • Writing detailed professional reports communicate these findings and advice with realistic cost estimates.
  • Meeting with patients via Zoom or face to face to discuss their reports and plans and answering emails where patients have questions.

Of course, it is our practice ethos to provide the best centre for dental care that we can. It takes a special kind of professional to be a team member at LCIAD.

However, we also feel that this time spent on behalf of our patients in our own time must have value. Often patients ask why dentistry is so expensive? Correct diagnosis and treatment planning of a case takes time and can prevent many future problems that may be biologically and financially costly if not correctly addressed. It should be remembered that virtually all of this reporting is carried out in our private time, at weekends, in the evenings and away from family and friends, not during practice opening hours. However this allows us to think. It allows us to do what we call “Slow Dentistry” or use what Daniel Kahneman calls “Slow thinking”

Ethical and medico-legal obligations

As time has passed, the medicolegal environment in the UK has increased the demands on the dental profession. The UK is the most dentally and medically litigious society in the world, surpassing even the US and Israel. The consent process is becoming more and more stringent (for more information please see Consent – Dental Protection). It is our duty to each and every patient to ensure that we provide them with full and complete information to make the best treatment decisions for themselves. This means that we provide information about our patients in their reports that they may not have been expecting or may seem very detailed to them compared to what they are used to.

But our experience is that this approach of informing our patients serves them well. We would rather a patient think twice about the implcations of treatment than rush into treatment without understanding the possible ramifications of the treatment in the future. This practice is here to look after our patients long term and not just for a single course of treatment. We really think hard about each case and spend time in your absence to ensure that we reach the correct diagnosis and provide the best advice for you. It is gratifying to see that our treatments remain stable and reliable many years after they were provided.

We abide by the 9 Principles set by the GDC Standards for the Dental Profession and indeed teach on the subjects of treatment planning, consent and fee setting in practice for our colleagues. Our practice has been chosen by the largest postgraduate online education portal in the UK, Dentinal Tubules, to provide the definitive interactive course on diagnosis, treatment planning, treatment costing and report writing on a forum providing over 65,000 hours of online video teaching.

Types of report at LCIAD

We carry out different types of report at LCIAD which are listed below together with likely associated costs. These reports are documents representing the culmination of hours of our time based on experience and the will to do things correctly and to a high standard.

They are our signature on the future and proof that we have allocated sufficient time to provide you with the best advice we can.

Dr Koray Feran BDS MSc FDSRCS
Clinical Director

Consultation and reporting - From 1st January 2022

Preliminary Dental Report (PDR)

Basic list of observations and diagnoses at consultation with basic strategy for treatment and estimate for likely stages. Includes pdf resolution copies of photographs and radiographs taken at your consultation. Suitable for patients with minimal or minor problems that are easily addressed. (Please see below for more detailed explanation).

Basic list of observations and diagnoses at consultation with basic strategy for treatment and estimate for likely stages. Includes pdf resolution copies of photographs and radiographs taken at your consultation. Suitable for patients with minimal or minor problems that are easily addressed. (Please see below for more detailed explanation).

Included in New Patient Consultation

Full dental report (FDR)

Detailed list of observations from consultation with detailed table of diagnostic observations and implications, detailed tooth-by-tooth charting and prognosis, strategy for treatment, and estimate for likely stages. Includes pdf resolution copies of photographs and radiographs taken at your consultation. Required for patients with advanced or complex problems that may also require multidisciplinary care or several phases over a long period to complete. (Please see below for more detailed explanation).

Detailed list of observations from consultation with detailed table of diagnostic observations and implications, detailed tooth-by-tooth charting and prognosis, strategy for treatment, and estimate for likely stages. Includes pdf resolution copies of photographs and radiographs taken at your consultation. Required for patients with advanced or complex problems that may also require multidisciplinary care or several phases over a long period to complete. (Please see below for more detailed explanation).

£400 if ordered at time of New Patient Consultation instead of Preliminary Dental Report (PDR)

Full dental report (FDR) or additional treatment planning and reporting

As above, if ordered separately or as medicolegal report request from solicitors.

As above, if ordered separately or as medicolegal report request from solicitors.

£220 per hour up to £880

Specialist Periodontal Report (SPR)

Report provided by Dr Isabella Rocchietta following New Patient Consultation for patients referred predominantly for periodontal or bone or tissue augmentation requirements by their existing dental surgerons. The referring clinician will continue to be responsible for the patient's general dental care.

Report provided by Dr Isabella Rocchietta following New Patient Consultation for patients referred predominantly for periodontal or bone or tissue augmentation requirements by their existing dental surgerons. The referring clinician will continue to be responsible for the patient's general dental care.

Included in New Patient Consultation for patients referred for periodontal problems by their existing dental surgeon.

Hygienist and Therapist Report (HTR)

Basic report following Direct Access Hygienist visit for patients that do not have a general dental surgeon or for LCIAD patients who require a revised course of treatment for advancing disease

Basic report following Direct Access Hygienist visit for patients that do not have a general dental surgeon or for LCIAD patients who require a revised course of treatment for advancing disease

Included in New Patient Hygienist Direct Access Visit or £220 for further reporting for existing patients

Updated Dental Report (UDR)

Updated report of findings for existing LCIAD patients who have presented requiring further dental care

Updated report of findings for existing LCIAD patients who have presented requiring further dental care

£220 per hour

Interim Dental Report (IDR)

Basic report of findings and advice at emergency appointment for New Patients who have not undergone a full NEW Patient Consultation

Basic report of findings and advice at emergency appointment for New Patients who have not undergone a full NEW Patient Consultation

£220 per hour

CBCT report

Mandatory report following receipt of CBCT scan

Mandatory report following receipt of CBCT scan

Single jaw £180 / both jaws £240

Comparison of Preliminary and Full Dental Reports

Preliminary Dental Report: The Preliminary Dental report is about what we find and what might be necessary

Preliminary Dental Report: The Preliminary Dental report is about what we find and what might be necessary

Full Dental Report: The Full Dental Report adds detailed information about what we find and why it ocurred, prevention of future issues and how any treatment might be carried out with personalised advice on the process and steps required. It is a much more comprehensive plan.

Summary of reason for attendance

Yes

Yes

Yes

Summary table of clinical findings and severity

Yes

Yes

Yes

Diagnoses in order of importance

Yes

Yes

Yes

Likely treatment sequence recommended

Yes

Yes

Yes

Possible alternatives mentioned

Yes

Yes

Yes

PDF copy of all clinical photos and x-rays

Yes

Yes

Yes

Possible consequences of doing nothing

Yes

Yes

Yes

Broad estimate range

Yes

Yes

Yes

Complementary 15 minute zoom call with patient care Co-Ordinator

Yes

Yes

Yes

Full Dental charting (tooth by tooth detail with prognosis)

No

No

Yes

Detailed table of clincal findings and diagnoses

No

No

Yes

In depth treatment planning customised to your case and circumstances to maximise time and cost efficiency and reduce risk of unexpected outcomes.

No

No

Yes

Detailed explanation of issues and causes of problems

No

No

Yes

Detailed "stepping stone" dental plan strategy visit by visit

No

No

Yes

Detailed considerations of options and pros and cons as they relate to you

No

No

Yes

Detailed appointment and fees breakdown for each phase

No

No

Yes

Annotated photographs and x-rays to highlight what is mentioned in the report

No

No

Yes

Full disclosure of possible adverse outcomes for comprehensive consent process

No

No

Yes

Complimentary 30 minute recorded Zoom call with your clinician to go over plan which is then sent to you for your records

No

No

Yes

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