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How to Phase Treatment for Success

When phasing treatment we've got our three phases.

  1. First of all, we want to get everything biologically stable.
  2. Also then, we want to stabilize the occlusion.
  3. And then we move forward to our final restorations.

Transcript continued below...


It's incredibly important that we create a stable, biological background. So a lot of cases fail because we don't get the perio or the caries taken care of. So we really want to make sure that that's taken care of first.

Once we've done that, then we want to get our occlusion stable.

Now, a lot of the time treatment might be quite complicated, and there may be a lot of restorations to place. One of my favorite things to do is the sooner that I can get centric relation equal to maximum intercuspation, then the sooner I can start to phase that treatment and take my time to do it. So sometimes we can do that in provisional restoration.

Sometimes we might do it in composite or transitional restorations. So, often, we'll make our provisional stents, place the temporary restorations, equilibrate them. And now, I can take that case apart one step at time, maybe the lower anteriors, then the upper anteriors, and then the posterior teeth. And doing that is going to give us enormous ability to be very, very precise and predictable on our outcomes as we move towards those final restorations.

Digital and Comprehensive Treatment Plan Case Study

Registered Member of American Academy of Cosmetic Dentistry (AACD); British Academy of Cosmetic Dentistry (BACD); British Dental Association (BDA) and Association of Dental Implantology (ADI). Liverpool born, Ian qualified from Liverpool University in 1985 and has also achieved masters level in Aesthetic Dentistry with Aesthetic Advantage based in New York University. A world renowned expert in the field of Aesthetic Dentistry, Ian now devotes some of his time to work as an instructor in Aesthetic Advantage in New York, Virginia and Palm Beach, Florida. He also works closely with the Dawson Centre for Advanced Occlusal Study in St Petersberg, Florida and has studied with Dr Frank Spear at the Seattle Institute for Advanced Dental Education. He has a special interest in Aesthetic and Restorative Dentistry and has gained over 20 years experience in General Practice.