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Dialogue Case Presentation Outline - The American Academy of ...

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<strong>Dialogue</strong> <strong>Case</strong> <strong>Presentation</strong> <strong>Outline</strong><br />

AADSM members are encouraged to submit a <strong>Case</strong> <strong>Presentation</strong> to be considered for publication<br />

in <strong>Dialogue</strong>. <strong>The</strong> goal <strong>of</strong> a case presentation is to highlight a particular point about oral<br />

appliance therapy that will be applicable in the practice <strong>of</strong> dental sleep medicine. This point<br />

should be made in the context <strong>of</strong> the information typically made available to sleep dentists by the<br />

referring physician and/or gathered during clinical evaluation.<br />

Not all <strong>of</strong> the outline points are pertinent to each case presentation but are here to give guidance<br />

when writing a <strong>Case</strong> <strong>Presentation</strong> for <strong>Dialogue</strong>. <strong>Case</strong> <strong>Presentation</strong>s should be submitted by<br />

email to dialogue@aadsm.org.<br />

Introduction:<br />

Provide concise context <strong>of</strong> the case.<br />

Explain the relevance and importance <strong>of</strong> the case.<br />

What are your treatment goals?<br />

<strong>Case</strong> Description:<br />

History <strong>of</strong> the chief complaint<br />

History <strong>of</strong> the present problem<br />

Relevant prior medical history<br />

Relevant medications and allergies<br />

Relevant social and family history<br />

Clinical Findings:<br />

PSG results<br />

Oral findings<br />

Radiographic, imaging findings<br />

Other clinical evaluations: TMJ, etc.<br />

Decision Tree:<br />

Which <strong>of</strong> the presenting factors were thought germane?<br />

What was the process that led to the treatment decision?<br />

What is the historical solution?<br />

What other options were considered and why were they discarded?<br />

Were there ethical concerns?<br />

Cite published literature that either supports or contraindicates your decisions (thought<br />

processes).<br />

Patient’s Progress and Outcome:<br />

Address the case at hand and not the problem in general.


Summary:<br />

Keep this to 3-5 sentences.<br />

Give a concise summary that addresses the essentials <strong>of</strong> the case and distils the clinical<br />

data to its essence.<br />

State the clinical lesson to be learned from this case presentation: What is the ‘take home’<br />

message?<br />

Give a critical appraisal <strong>of</strong> why the case was successful or unsuccessful.<br />

Abbreviations, Acronyms & Terms:<br />

Limit use <strong>of</strong> abbreviations as much as possible.<br />

Use only widely accepted acronyms.<br />

Spell the full term when it is used for the first time and include the acronym or<br />

abbreviation in parentheses.<br />

Don’t get bogged down in jargon / terminology<br />

General advice:<br />

Make statements as objectively as possible.<br />

Be concise and only include relevant items.<br />

Remember that we also learn from our failures, which help us find unique solutions to<br />

problems.<br />

Use <strong>of</strong> scientific literature to support clinical decisions is encouraged.<br />

Ethical concerns can include a lack <strong>of</strong> dental radiographs or copies <strong>of</strong> films that are poor<br />

and difficult to read, or <strong>of</strong>fering to treat the restorative needs <strong>of</strong> a patient who has a<br />

dentist <strong>of</strong> record.<br />

<strong>Case</strong>s that present patient management problems are as important as clinical management.<br />

For example:<br />

o Does a patient want her money back after developing the perception <strong>of</strong> OAT<br />

failure?<br />

o Is he demanding a discount?<br />

o Are there cultural concerns?<br />

o Are there handicaps that complicate patient treatment?<br />

o Are their economic restrictions?

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