Phase Therapy

1
Phase Therapy

• Objectives Procedures

2
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

3
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

4
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

5
Phase I Therapy

• Procedures
• Occlusal therapy
• Minor ortho correction
• Preventive management fluoride, nutrition
  counselling, mouth protector
• Re-evaluation of initial therapy

6
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

7
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

8
Phase IV Maintenance Care

• Objectives
• Prevent recurrence of disease activity
• Procedures
• Evaluate clients response to overall care
  provided
• Assess home care compliance
• Treatment depends on condition of tissues when
  assessed

9
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

10
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!

11
Perhaps Phase Therapy Would have Helped!

• Little long in the tooth!