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Treatment Plan

Esagio Demo Clinic · Ref: DEMO-001

Draft

Patient Information

Name

Sarah Thompson

Email

sarah.thompson@example.com

Phone

+44 7700 900123

Date of Birth

15 Mar 1988

Tooth Chart

Interactive dental chart showing current conditions and planned treatments.

Upper Arch

18
17
16
15
14
13
12
11
21
22
23
24
25
26
27
28
48
47
46
45
44
43
42
41
31
32
33
34
35
36
37
38

Lower Arch

Healthy
Decay
Missing
Crown Needed

Treatment Items

Composite Filling (Tooth 36)

Direct composite restoration to treat decay on lower left first molar. Tooth-coloured material matched to natural shade.

Tooth: 36

£195.00

Qty: 1

Dental Implant (Tooth 46)

Titanium implant placement with healing abutment for the missing lower right first molar. Includes surgical guide and follow-up appointments.

Tooth: 46

£2,450.00

Qty: 1

Porcelain Crown (Tooth 11)

Full ceramic crown for the upper right central incisor. Shade-matched and designed for optimal aesthetics.

Tooth: 11

£850.00

Qty: 1

Professional Teeth Whitening

Optional

In-surgery LED-activated whitening treatment. Includes take-home maintenance kit with custom trays.

£350.00

Qty: 1

Before & After Examples

Sample reference images showing expected treatment outcomes.

Before
After

Crown Restoration

Upper central incisor restored with porcelain crown.

Before
After

Implant Placement

Missing molar replaced with a single dental implant.

Plan Summary

Composite Filling (Tooth 36) £195.00
Dental Implant (Tooth 46) £2,450.00
Porcelain Crown (Tooth 11) £850.00
Professional Teeth Whitening (optional) £350.00
Total (excl. optional) £3,495.00

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Clinic Details

Esagio Demo Clinic

demo@esagio.com

+44 20 7946 0958

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