Multidisciplinary Approach to Dental and Periodontal Problems
Traditionally, periodontal treatment has been delivered using an interdisciplinary model of therapy, with general dentists and specialists providing their respective aspects of care to the same patient per a comprehensive plan of therapy (Figures 68-1 to 68-22). This system has worked well because the patient benefits from the best mix of talent from a “team” of dentists. For periodontal aspects of such care to be most effective, it is critical that the primary provider, often the general practitioner, have a thorough understanding of the signs, symptoms, risk factors, and pathophysiology of disease processes and their related local and systemic risk factors. Additionally, they must also possess a thorough understanding of the available treatment options and their related indications, contraindications, benefits, and liabilities to effectively formulate a proper treatment plan. The dentist then decides whether he or she has the requisite knowledge, expertise, and experience to meet the patient’s needs or whether to refer the patient to a specialist for care at a more advanced level. Conversely, when a single provider (general dentist or specialist) delivers all aspects of the patient’s care, rather than a team of dentists, it is best described as multidisciplinary treatment as opposed to the term interdisciplinary treatment.