Patient data collection and elaboration: a comprehensive and modern approach?

“You can go for a treatment option B, even if it has a poorer prognosis than option A”.

 The thinking about treatment planning is changing.

 The extraoral (i.e. esthetic analysis (DSD)) and intraoral records (i.e. dental, periodontal, radiographical, functional, and mucosal analysis) needs still to be taken and are still important parameters for being able to make a correct treatment plan. Using the AI to get these parameters will be a helpful tool and will in the future speed up the collection of the data.

But today additional thoughts need to be taken into consideration. It starts with the life circle of the patient. Where is the patient currently in his personal life circle? It is obviously that your treatment planning depends a lot about the age of the patient. Until today, there are clear concepts that you should not place a dental implant in young adults before they have reached the age of 20 years. Is it today still the right timepoints?

In the last 30 years the evidence-based-dentistry evolved tremendously and treatment planning can only be done according to the current literature. Unfortunately,  it became obvious that there are problems which are involved in the creation of evidence today. How is the knowledge created (Industry support; Publication bias; Missing clinical relevance)?

Therefore, there are recommendations that the present trend to quantitative science with randomized controlled studies by creating only facts and statistical analysis should be mitigated to qualitative research projects i.e. case series and expert interviews (Sellars S. How evidence-based is dentistry anyway? From evidence-based dentistry to evidence-based practice. Br Dent J. 2020;229:12-14).

In addition, the development of new research projects needs to concentrate more and more on patient reported outcome measures (PROMS).

 Secondary,  it seems that the transfer of knowledge from the scientist to the clinician is a difficult way and for any clinician it becomes more and more complex to filter the relevant literature for the correct treatment planning. In addition, it is also important that the clinician at the end is able to transfer his knowledge to the daily clinical work.

“A Phased Approach to Interdisciplinary Dental Treatment: Building on existing Guidelines”

In 2020, the European Federation of Periodontology (EFP) published groundbreaking clinical guidelines for the treatment of periodontitis and peri-implantitis. These guidelines represented a pivotal shift for clinicians dedicated to delivering excellence in periodontal therapy. But the challenge doesn’t stop there—what if we could apply the same structured, phased approach not just to periodontal disease, but to the wide range of interdisciplinary needs our patients present with?

This lecture will explore exactly that: a rational, efficient method to organize treatment planning, applicable not only to severely compromised patients but to everyday clinical scenarios. Imagine a systematic approach that any clinician can follow—a clear, structured flow that reduces errors, improves outcomes, and makes interdisciplinary care more manageable.That’s the ultimate goal: a versatile framework for better patient care, built on the foundation of rigorous, step-by-step processes.

 Join us as we take a deep dive into this methodology and learn how to incorporate it seamlessly into your practice, ensuring better results and a more predictable path to success for your patients.”

“Prognostic evaluation: criteria for saving teeth”

Have you ever found yourself in a situation where you had to decide if keeping a tooth or not? Ever had a perfectly executed root canal treatment, and the patient would not heal? Well, the lecture focuses on the rational to decide if, how and when saving a tooth, and on some important information about the general health of the patient and the ability to heal Apical Periodontitis. The main aspects that will be discussed are the assessment of restorability and the restoring plan, both should be carried out before starting the endodontic treatment

Prof. Simone Grandini

“Current Approaches in the Interdisciplinary Treatment Planning of Prosthetic and Orthodontic Patients”

Orthodontic treatment is indicated to reposition natural teeth in the majority of partially edentulous patients requiring prosthetics and osseointegrated implants. Orthodontics is important to correct the sagittal, vertical and transverse positions of the teeth, to improve masticatory function, to create the necessary space for restoring the M-D dimension of the crowns, improve the periodontal condition, and to obtain a satisfactory and natural looking esthetic outcome. Osseointegrated implants, as well as non-integrated mini-implants or temporary anchorage devices (TADs), can be used as anchorage. This lecture will illustrate the variables that should be taken into consideration when a combined orthodontic-periodontic-implant-prosthetic treatment is necessary. Several clinical cases will help demonstrate the decision-making process.

Dr. Stefano Gracis

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