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How to Sequence your Treatment Plan

sequence your treatment planOne of the biggest advantages of practicing the Dawson Academy Philosophy is being able to sequence treatment by starting with the end in mind.  This allows many of our patients to have the best treatment with the least amount of dentistry, delivered over a longer period of time, which helps patients financially and also allows them to take advantage of their dental benefits.

At the Dawson Academy we begin with a complete examination.  If any signs of instability or esthetic concerns are present, we take a CR bite record and facebow recording, a photographic series, and any necessary imaging.  Once the study casts are mounted in CR on an articulator, our 2D Functional Esthetic checklist and our 3D Treatment Planning checklist are completed.  By following this process, the dentist can sequence the treatment plan for the patient using the following stages.

Stage I

  • Eliminate pain or abscess
  • Address emergency concerns
  • Initial scaling and root planing
  • Caries control
  • Home care instruction

Stage II

  • Splint therapy
  • Equilibration
  • Referrals to specialist
  • Provisional restorations

Stage III

  • Restore mandibular anteriors
  • Restore maxillary anteriors
  • Restore posterior teeth
Once the patient is to the point of a stable occlusion with centric stops on all teeth (or an acceptable substitute), anterior guidance, no posterior interferences in working or balancing side excursions, and no interferences in protrusive, they are able to move to final restorations as quickly or slowly as they desire.

The key to sequencing treatment, as Dr. Dawson would say, is to “start with the end in mind.”  By completing the thorough exam, taking photographs, and having accurately mounted study models, you can use the 2D Functional Esthetic checklist and the 3D Treatment Planning checklist to develop a treatment plan that gives your patient the best treatment and allows you to sequence the treatment efficiently and effectively.

 

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Dr. Laura Wittenauer has her private practice in Newport Beach, California. A native of western Kansas, Dr. Laura attended Kansas State University where she received a Bachelor of Science degree in Pre-Dentistry. She then attended the University of Missouri-Kansas City School of Dentistry. After graduating she initially established her practice in Lawrence, Kansas for eighteen years. Dr. Laura and her family relocated to southern California to allow her husband to attend the University of Southern California School of Dentistry and complete a residency program in Endodontics. Dr. Laura’s practice focuses on helping patients achieve optimum oral health. The most rewarding aspect of her practice is taking care of special needs patients. She is active in many professional and civic organizations including the American Academy of Cosmetic Dentistry, California Dental Association of which she is a member of Board of Managers, Orange County Dental Society. She especially enjoys helping dentists learn at the Dawson Academy in St. Petersburg, Florida. She is a member of Pi Beta Phi sorority and served as Alumni Advisory Chairman. She also serves as a eucharistic minister and lector for her church. Dr. Laura and her husband of twenty-six years, Rick, have two children. They enjoy participating in activities with their children, attending USC sporting events, running and golf.