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Master, College of Conscious Sedation American Dental Society of Anesthesiology
Advanced Systemic Health Care through the Mouth
All your dental treatment needs met in one location
Michael A. Starkey, DDS MS and The Team
This is a photo from which Old Market Restaurant? It is of a Wyoming Cattle Drive in the dead of winter.
There are Six Phases to Successful Dental Treatment
Here they are in order of treatment
Phase I - The systemic condition the patient; that is to say the health issues of the patient that can affect dental treatment must first be addressed and brought under control. For example a diabetic patient that is not in control. Or perhaps the problem in the mouth reflects a medical problem. How many? A lot!
Phase II-The Emergent Phase; this is where the dentist deals with oral cavity problems that are acute in nature for the most part; such as pain swelling, infection. This is where infected teeth are extracted or root canal work is performed, gum abscesses (boils) may need to be opened and drained (decompression procedure) and deep decays are managed.
Phase III - This is the surgical phase. After Re evaluation of patient and new diagnoses and treatment plan is created. When patient's infections and pain and acute problems are taken care of and medical condition is good then dental surgery is performed in this phase. This is when bone grafting might be done, dental implants, extractions of teeth that are irrational to treat. Gum surgery may be at this point.
Phase IV This is the long term restorative phase. Here would be crowns, inlays, onlays, final dentures, or ceramic teeth over dental implants. It can also include fillings if the fillings are optimum size.
Phase V- This is the Elective Phase. If patient wants to have teeth whitened or bonded or veneers, or some times braces. Or orthognathic surgery. These are treatments that while might enhance smile and function they are considered optional. So a denture is considered functional but implants and fixed bridge might be considered optional.
The Maintenance Phase Treatment Plan is a critical part of your treatment.
I tell patients if they cannot commit to the long term care which may involve coming in to see the hygienist every three months for what seems like for ever then it is often a waste of time and money to have work done that would save teeth or place expensive dental implants because the work will fail.