DENTAL TREATMENT PLAN
a. DA Form 3984. Every effort should be made to ensure that each phase of a
simple or complex treatment plan is carried out in a logical, sequential order and that
each step complements and reinforces other phases of treatment. The DA Form 3984,
Dental Treatment Plan, may be used to record the treatment plan and to serve as a
functional outline for dental treatment (see figures 2-1 and 2-2). This form must be
retained as a part of the patient's dental health record until the treatment plan has been
accomplished or superseded. TB MED 250 outlines the proper procedures for filling in
the Dental Treatment Plan, DA Form 3984. It states that the first step in developing a
treatment plan is the accomplishing and recording a thorough examination of dental,
oral, and adjacent tissue. The examination should include determining and recording
the status of oral hygiene. Plaque-disclosing solutions may be used, but stainable
material on the tooth surfaces should not serve as the sole criteria for oral disease
activity. Although the presence of plaque implies a lack of self-care, bleeding from the
gingival sulcus during probing serves as a better indication of oral disease.
b. Specific Preventive Measures. Specific preventive measures generally
included in treatment plans are:
Treatment required to prevent early development of emergency
Individual instruction and motivation in self-care measures.
Topical application of a stannous fluoride solution.
c. Sequence of Appointments. Success in dentistry cannot be measured in
absolute terms. If, during the accomplishment of a treatment plan, a patient has
difficulty in controlling plaque, counseling and instruction should be intensified, but
corrective care should not be interrupted except in extreme cases. A suggested
sequence of appointments is found in Appendix B.