Please find the treatment protocol we follow given below. Following this protocol gives excellent treatment results to patients.
1) Consultation - the normal case - file preparation is done. Notes are made concerning the general health of the patient as well as the existing dental conditions. There are various tooth numbering systems followed for recording conditions concerning individual teeth.
2) Medical history - the patient should be in a position to provide all details concerning the past medical & dental history and the details of the medications with their dosages which they are likely to be on. Information on drug / food allergies and any contrainidications concerning dental procedures (generally the patient's physician / surgeon gives instructions concerning these). Patients on anticoagulants have to alert their dentists about the same. The dosage of the anticoagulants are often rescheduled on the advise of the patient's physician, prior to invasive dental procedures.
In case of certain patients, a physician's assessment may be required. In case of patients with history of previous medical / surgical treatment (esp. cardiac, neurological, hepatic, renal conditions), a clearance for invasive dental procedures may be sought from the respective specialists who have treated the patient.
3) Investigations / Assessment procedures - After initial dental examination, one or more of the following investigation / assessment procedures are likely to be done:
1. Blood investigations - Blood routine, Blood sugar (Fasting & Post Prandial), Lipid Profile, Bleeding time, Clotting time, Prothrombin time
2. Xrays - IOPA (Digital) / OPG / Lateral Cephalogram / others
3. Computerized Tomography (CT) evaluation of the maxilla & mandible and the surrounding regions
4. Diagnostic casts of the upper and lower dentition
5. Pre-treatment photographs
6. Dental pulp vitality tests
4) Treatment planning & scheduling is done for the patient based on the clinical and radiological findings.
Costs of treatment procedures - costs of procedures and the various treatment alternatives available will be discussed with patients in detail during the treatment planning phase. However, variations in costs are likely in situations where deviation from the treatment plan turns necessary. For various reasons, it may not be possible to adhere to the original treatment plan. The patient will certainly be alerted about the deviation in treatment plan in such situations. Medications and other dental products necessary for the patient are likely to be dispensed for patients and costs clubbed with treatment procedures being carried out.
5) Consent for treatment - after the discussions on the treatment plan, the plan is finalized and a consent procured from the patient.
6) Treatment procedures - generally commence with a professional dental cleaning (scaling and oral prophylaxis). This may be done under antibiotic cover in case of chronic gingivitis and similar conditions. Extractions of those teeth which cannot be restored are done as the next step. Dental fillings, RCT, missing tooth replacement procedures (includes dental implants etc.) follow. Other specific procedures involving orthodontics and smile designing are carried out subsequently. The aim of the dental treatment should ideally be to clear all existing dental problems, rehabilitate the occlusion (bite) and at the end of all treatment, shift the patient into a maintenance mode in which the patient needs to come for routine checkup once in 3 or 6 months only.
7) Oral hygiene & maintenance instructions - are given by the doctors / trained staff. The instructions vary from person to person, depending on his/her oral and dental status.
8) Follow-up procedures - once the entire treatment procedures have been completed based on the treatment plan, the patient goes into a maintenance phase where the patient has to report to the clinic at 3 months / 6 months intervals or as suggested by the doctor. During these followup visits, dental cleaning is generally carried out as it is a very important maintenance procedure. Followup xrays are also likely to be made, based on requirements.