Phase Therapy Objectives & Procedures

Learning Outcomes 1. Understand the components of Phase Therapy 2. Determine appropriate sequencing of care for clients presenting with a variety of oral health problems 3. Explain the rationale for developing an integrated treatment plan

Phases of Treatment Emphasis placed on total care Comprehensive plans must integrate periodontal & non-periodontal treatment All aspects of plan reviewed with client “Choices” Four sequential phases Guide overall case delivery

Phase I Therapy Objectives: – Reduce or eliminate all risk & etiologic factors Procedures: – Treatment for acute problems – Oral self care management – Dental caries management – Periodontal debridement

Phase I Therapy Procedures: – Occlusal therapy – Minor ortho correction – Preventive management – fluoride, nutrition counselling, mouth protector – Re-evaluation of initial therapy

Phase II Therapy – Periodontal Surgery Objectives: – Improve access for debridement – Regeneration of tissues – Reduce effects of disease – Improve esthetics Procedures: – Periodontal surgery, implant placement – Crown lengthening, ridge augmentation

Phase III Therapy – Restorative/Prosthetic Care Objectives: – Eliminate plaque retentive sites – Improve overall client comfort – Improve esthetics Procedures: – Final placement of restorations – Fixed & removable prosthetics – Evaluation of tissues in response to care

Phase IV – Maintenance Care Objectives: – Prevent recurrence of disease activity Procedures: – Evaluate client’s response to overall care provided – Assess home care compliance – Treatment depends on condition of tissues when assessed

Phase Therapy – Conclusion Clients proceed through each phase as required Many clients may not have a need for Phase II or III therapy Following initial therapy, an interval is determined

Phase Therapy - Conclusion Integrated Phase therapy requires a team approach Client must assume responsibility for home care and attending scheduled appointments Cooperative interaction between all players a must!

Perhaps Phase Therapy Would have Helped! Little long in the tooth!