2. PHASES OF TREATMENT PLANNING
1.Systemic phase
2.Preventive phase
3.Preparatory phase
4.Corrective phase
5.Maintenance phase
Treatment plan
3. 1.Systemic phase
• A patient with a medical disease background may require the condition to be
stabilized and then dental treatment to be carried out. In this respect the
patient may have to be referred to the physician or pediatrician as required.
• Keeping in mind the systemic condition, premedication ( as in antibiotic
prophylaxis, sedation) needs to be given to the child, again with the consent of
the pediatrician or physician
4. 2.Preventive phase
• Caries risk assessment for various preventive measures(fluoride application, pit
and fissure sealant, diet counselling)
5. 3.Preparatory phase
• Behavior management: The child's behavior shaping should start right from the
reception itself
• Oral prophylaxis: It presents a clear view of caries process which facilitates its
diagnosis. It also gives an idea whether the patient will cooperate.
• Caries control: Further progress of carious lesions should be controlled.
Sometimes multiple lesions may need to be temporized.
• Orthodontic consultation: Minor orthodontic correction should be carried out
before evaluating the space maintenance program.
• Oral surgery: Gross caries may necessitate the removal of teeth.
• Endodontic therapy: Sometimes, a tooth may need to be saved with
endodontic treatment.
6. 4.Corrective phase
• Restorative dentistry: Permanent fillings, stainless steel crowns would be
included under this phase
• Prosthetic rehabilitation: tooth replacement, jacket crowns etc.
• Early orthodontic intervention is to be carried out
7. 5.Maintenance phase
• Depending on the risk of the individual and his oral hygiene status, a 3-6 month
recall visit can be established.
