Description
Historically, the treatment plan was primarily dictated by
information provided by study casts which were mounted
on a sophisticated articulator in centric relation. The
treatment plan was simply based on restorative space,
anterior tooth coupling, and resistance and retention form
of the final preparations with no focus on placing the teeth
in the correct position in the face. Practitioners did not have
access to advanced periodontal, orthodontic, orthognathic
surgery, and plastic surgery tools that are currently available.
With the advent and common usage of these new treatment
modalities, the historical method of diagnosis and treatment
planning is no longer adequately serving our profession.
It is the purpose of this presentation to provide a
systematic approach to diagnosis and treatment planning
for the complex interdisciplinary dental patient with a
common language that may be used by the orthodontist,
periodontist, and oral and maxillofacial surgeon, as well as
the restorative dentist. The four Global Diagnoses which
dictate all interdisciplinary treatment planning will be
defined. A set of questions will then be presented which
will aid the interdisciplinary team in the diagnosis and
treatment planning of the complex dental patient.
LEARNING OBJECTIVES:
- Describe 4 Global Diagnoses and “5 CORE Questions” with their corresponding treatment options.
- Complete a Global Diagnosis form which will lead to a comprehensive diagnosis.
- Communicate with the interdisciplinary team.
Contributors
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Dr. William Robbins
J. William Robbins DDS, MA, maintains a fulltime private practice and is Adjunct Clinical Professor in the Department of Comprehensive Dentistry at the University of Texas Health Science Center at San Antonio Dental School. He graduated from the University of Tennessee Dental School in 1973. He co-authored a textbook, “Fundamentals of Operative Dentistry — A contemporary Approach” and recently co-authored a new textbook, “Global Diagnosis – A New Vision of Dental Diagnosis and Treatment Planning”. He is past president of the American Board of General Dentistry, the Academy of Operative Dentistry, the Southwest Academy of Restorative Dentistry, and the American Academy of Restorative Dentistry.