The document outlines the key components and goals of a treatment plan, including: 1. A treatment plan is created after diagnosis and prognosis to establish a blueprint for case management including all procedures needed for oral health. 2. The goals are to reconstruct a healthy dentition that meets functional and aesthetic needs, considering long term needs like prosthetics and implants. 3. The master plan coordinates all short and long term goals to create a well-functioning dentition in a healthy environment.

1. Good Afternoon
Folks
Good Afternoon
Folks!1

2. Treatment Plan
Dr.Abhishek Gaur
BDS, MDS, (Ph. D)
Department of Periodontist
R. R. Dental College & Hospital
Umrada, Udaipur (RAJ.)

3. Introduction
• Treatment Plan is a blueprint for case management.
• Treatment is planned after diagnosis & prognosis
established.
• Includes all procedures required for establishment &
maintenance of oral health.

4. Treatment Plan
is
Based On :
1. Diagnosis
2. Disease severity
3. Desirable therapeutic end

5. Long Term
Goals
Short Term
Goals
Goals of Treatment Plan

6. Reconstruction of a healthy dentition that fulfils all
functional and esthetic requirements.
Long term planning involves consideration of prosthetic
reconstruction, which may require implant therapy.
Also the need for orthodontic treatment should be evaluated.
Goals of Treatment PlanGoals of Treatment Plan

7. Master Plan
for
Treatment Plan
Master Plan
for
Treatment Plan

8. Master Plan for Treatment Plan
The aim of the treatment plan is total
treatment, i.e., the coordination of
all the short- and long-term goals for
the purpose of creating a well
functioning dentition in a healthy
periodontal environment.

9. • Need for emergency treatment (pain, acute infections).
• Teeth that will require removal.
• Periodontal pocket therapy techniques (surgical or nonsurgical).
• Endodontic therapy.
• The need for occlusal correction, including orthodontic therapy.
• The use of implant therapy.
• The need for caries removal and the placement of temporary and
final restorations.
• Prosthetic replacements that may be needed and which teeth will
be abutments if a fixed prosthesis is used.
• Decisions regarding esthetic considerations in periodontal therapy.
It Includes all procedures required for
the establishment & maintenance of
oral Health & involves the decisions :

10. Extracting
or
Preserving
a Tooth ?
Extracting
or
Preserving
a Tooth ?

12. “Treatment is directed to establishing and maintaining the
health of the periodontium throughout the mouth rather
than attempting spectacular efforts to “tighten loose teeth.”
Carranza’s Clinical Periodontology, 11th Edition
• Therefore attempts to save questionable teeth may jeopardize
adjacent teeth and may lead to the loss of bone needed for
implant therapy.
• Teeth on the borderline of a hopeless prognosis do not
contribute to the overall usefulness of the dentition.
• Such teeth become sources of recurrent problem to the patient.

13. A tooth should be extracted
under the following
conditions :
1. It is so mobile that function becomes painful.
2. It can cause acute abscesses during therapy.
3. There is no use for it in the overall treatment plan.
A tooth should be extracted
under the following
conditions :

14. A tooth can be retained under the
following conditions :
1.It maintains posterior stops and may be functional after
implant placement in adjacent areas.
2.When the implant is restored, these teeth can be extracted.
3.In the anterior esthetic zone, a tooth can be retained
during periodontal therapy and removed when treatment is
completed and a permanent restorative procedure can be
performed.

15. Phases
Of
Periodontal Therapy
Phases
Of
Periodontal Therapy

19. Patients must understand the purpose of the
maintenance program, and the dentist must
emphasise that preservation of the teeth
depends on maintenance therapy.

20. • Inadequate plaque control.
• Incomplete sub-gingival plaque removal.
• Bacteria are present in the gingival tissues in
chronic and aggressive periodontitis cases.
• Bacteria transmitted between spouses and other
family members.
• Microscopic nature of the dentogingival unit
healing after periodontal treatment
Rationale for Maintenance Therapy

21. To prevent the progression and
recurrence of periodontal disease
in patients who have previously
been treated for gingivitis and
periodontitis

22. Merin’s Classification
for
Recall Intervals