Patient Dental History Summary
Comprehensive record of dental care, treatment attempts, and insurance history
Contents
1. Patient Information
Patient:AG Traya
Location:Calgary, Alberta
Health Status:Non-smoker, non-drug user, healthy weight
Insurance (Former):Manulife CoverMe DentalPlus Enhanced (2011-2025, now cancelled)
Current Coverage:Low-Income Dental Assistance Program
Primary Concerns:Anterior teeth restoration, upper denture, infection management
2. Summary
This document presents a complete record of dental care efforts spanning over 13 years. During this period, the patient consistently sought treatment from multiple providers and maintained dental insurance throughout. Treatment completion was repeatedly delayed due to insurance coverage limitations and provider transitions.
13+
Years Seeking Treatment
6+
Dental Providers Consulted
14 Years
Continuous Insurance Coverage
$18,000+
Total Premiums Paid to Insurer
Key Point: This patient has been proactive and persistent in seeking dental care. The treatment delays are attributable to systemic factors (insurance limitations, provider transitions, and scheduling barriers) rather than any lack of initiative. Comprehensive MRI imaging from 2022 confirms normal cognitive function and overall good neurological health.
3. Dental Care Timeline
2011 Manulife Insurance Enrolled
Enrolled in Manulife "CoverMe" DentalPlus Enhanced plan. Monthly premiums approximately $100-$110. Maintained coverage continuously for 14 years.
2013 Go Dental (Dr. Abdul)
Established care with Dr. Abdul at Go Dental, Calgary. Multiple appointments for fillings and gum treatment. Insurance notified patient that the $1,250 per 3-year maximum had been reached. Manulife declined to share coverage details with the dental office, citing privacy regulations.
Jan 2014 Go Dental (Dr. Abdul)
Extended 2-hour dental appointment (January 10, 2014) for comprehensive restorative work. Insurance coverage uncertainty due to Manulife renewal timing. Treatment progressing but limited by coverage cap.
~2015 Go Dental / Memorial Square Dental
Primary dentist (Dr. Abdul) became unavailable. Go Dental staff recommended contacting Memorial Square Dental or an emergency dentist for urgent needs. Continuity of care disrupted.
~2018-2019 Nuera Dental
Attempted to engage Nuera Dental for continued treatment. Effort to retrieve prior dental records was unsuccessful due to the previous provider's system being offline for maintenance. Treatment could not proceed without records.
Aug 2021 Las Vegas Dental Provider
Travelled to Las Vegas with the specific intention of attending a dental appointment. The appointment did not occur due to an unrelated vehicle incident during the trip (documented in insurance records, Progressive claim #21-3318667).
2022 Foothills Medical Centre
Dental clinic involvement at Foothills Medical Centre, Calgary. Comprehensive brain MRI conducted (May 2022) — results confirm normal and healthy neurological function. Dental records maintained separately from general medical records at this facility.
Sept 2023 Smile Dental Care (Dr. Tariq El-Kiswani)
Comprehensive treatment plan developed at Smile Dental Care (502-922 5th Ave SW, Calgary):
- Immediate upper denture impression
- Scheduled extractions: teeth 11, 12, 15, 18, 28
- Denture fitting post-extraction
- Further restorative procedures as needed
Oct 2023 Insurance Dispute
Formal correspondence sent to Manulife regarding coverage adequacy. The policy's $1,250 per 3-year maximum covered approximately 2.5% of the estimated treatment cost. Manulife Complaint File 63561181 opened.
2024-2025 Insurance Resolution
Ongoing dispute resolution with Manulife. AmEx credited disputed premium charges. Manulife Complaint Office engaged under File 63561181. A comprehensive rebuttal and settlement proposal was submitted.
2026 Low-Income Dental Program / Concept Dental
Currently enrolled in a low-income dental assistance program. Seeking to complete the treatment plan originally outlined in 2023. Ready to proceed with a comprehensive, single-provider treatment approach.
4. Dental Providers Consulted
| Provider | Location | Period | Services / Notes |
|---|---|---|---|
| Go Dental (Dr. Abdul) | Calgary, AB | 2013-2015 | Fillings, gum treatment, restorative work. Primary provider for ~2 years. |
| Memorial Square Dental | Calgary, AB | ~2015 | Emergency referral from Go Dental when Dr. Abdul became unavailable. |
| Nuera Dental | Calgary, AB | ~2018-2019 | Records transfer attempt. Treatment did not proceed (system unavailability). |
| Dental Provider (Las Vegas) | Las Vegas, NV | Aug 2021 | Scheduled appointment. Did not occur due to travel disruption. |
| Foothills Medical Centre | Calgary, AB | 2022 | Dental clinic involvement. Brain MRI completed May 2022. |
| Smile Dental Care (Dr. Tariq El-Kiswani) | 502-922 5th Ave SW, Calgary | Sept-Nov 2023 | Comprehensive treatment plan: extractions, immediate denture, restorative work. $10K+ predetermination. |
| Concept Dental | Calgary, AB | 2026 | Current preferred provider. Treatment pending under low-income program. |
5. Insurance History
| Detail | Information |
|---|---|
| Insurer | Manulife Financial Corporation |
| Product | CoverMe DentalPlus Enhanced |
| Policy No. | 177790 / 6820347552 |
| Duration | 2011 – 2025 (14 years) |
| Monthly Premium | $100 – $140 (increased over time) |
| Total Premiums Paid | Approximately $18,000+ |
| Coverage Maximum | $1,250 per 3-year period |
| Total Claims Paid | $279.39 (September 2023, Claim H345410510) |
| Complaint File | 63561181 (Manulife Complaint Office) |
| Status | Policy cancelled. Settlement/rebuttal submitted. |
Insurance Coverage Gap: The treatment plan estimated at $10,000+ against a maximum coverage of $1,250 per 3-year cycle meant the insurance covered less than 5% of actual treatment costs per cycle. Monthly premiums of $100-$140 were paid consistently for 14 years, totalling approximately $18,000+. The single claim payout of $279.39 represents a 1.5% return on premiums paid.
6. Brain MRI Documentation (May 2022)
A comprehensive brain MRI was conducted in May 2022 at an Alberta Health Services facility. The study (MR BRAIN=HD) included multiple imaging sequences. Key findings confirm healthy neurological structure with no abnormalities. Select scan images are presented below.
MRI Scan Images — Axial Brain Sections
Axial DWI Slice 30
Axial DWI Slice 50
Axial DWI Slice 56
Axial DWI Slice 70
Axial DWI Slice 80
Additional Imaging Sequences
Axial T2 FRFSE-XL
Axial T2 FLAIR
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Axial SWI (SWAN)
Apparent Diffusion Coefficient
SWAN MinIP
Brain Analysis
Brain Elevation / Depression Analysis Graph
Medical Assessment Documentation
MRI Summary: Full 594-slice brain MRI (MR BRAIN=HD) with multiple sequences (DWI, T2 FRFSE, T2 FLAIR, SWI/SWAN, ADC mapping). All findings within normal parameters. Detailed volumetric analysis reports are available upon request, documenting healthy hippocampal volume, corpus callosum connectivity, and cortical structure.
7. Current Treatment Needs
Based on the comprehensive assessment performed by Dr. Tariq El-Kiswani at Smile Dental Care in September 2023, the following treatment needs were identified:
| Priority | Treatment | Teeth | Notes |
|---|---|---|---|
| Urgent | Infection control and drainage | Affected anterior teeth | Must be addressed before any structural work |
| Urgent | Extractions | 11, 12, 15, 18, 28 | As identified in 2023 treatment plan |
| High | Immediate upper denture | Full upper arch | Restores function and appearance immediately |
| Standard | Restorative work | Remaining viable teeth | Composites or porcelain as indicated |
| Standard | Permanent prosthetic solution | Upper arch | After healing period (8-12 weeks post-extraction) |
Patient Preference: The patient is seeking a single comprehensive provider who can execute the full treatment plan from start to finish — infection control through final prosthetics — without referrals to external specialists. A clear, written treatment plan with defined phases, timelines, and costs is requested.
8. Recommended Treatment Plan
| Phase | Description | Estimated Timeline | Estimated Cost Range |
|---|---|---|---|
| Phase 1 | Emergency assessment, infection control, antibiotics if required, drainage of any active abscess | Immediate (Week 1) | $500 – $1,500 |
| Phase 2 | Extractions (teeth 11, 12, 15, 18, 28) and fitting of immediate upper denture | Weeks 2-3 | $2,000 – $4,000 |
| Phase 3 | Healing period with follow-up appointments. Denture adjustments as needed. | Weeks 4-12 | Included in Phase 2 |
| Phase 4 | Permanent upper denture or implant-supported prosthetic. Restorative work on remaining teeth. | Month 3-6 | $1,500 – $15,000 (depends on prosthetic type) |
| Phase 5 | Ongoing maintenance, regular check-ups, preventive care | Ongoing | Per schedule |
Funding and Coverage
| Program | Coverage Details | Status |
|---|---|---|
| Alberta Low-Income Health Benefits | Basic dental, extractions, dentures | Currently enrolled |
| AISH Dental Benefits | Comprehensive dental for eligible recipients | Eligibility under review |
| University of Calgary Dental Clinic | Reduced-cost supervised treatment | Available option |
| Alex Community Health Centre | Sliding-scale dental services | Available option |
Patient Dental History Summary — Prepared June 8, 2026
This document is confidential and prepared for dental treatment planning purposes.
WestNet N.A. — Medical Division