[Treatment planning for patients with periodontal disease]

The planning and execution of dental treatment in patients suffering from (severe) periodontal disease has to be carried out thoroughly and systematically. Based on a proper diagnosis and prognosis (problem analysis), a temporary treatment plan (problem solution) will be formulated. The initial (periodontal) treatment is concluded with a reevaluation. After this new diagnosis, and if necessary adjustment of the original goal of the treatment plan, a definite treatment plan can be effected. Also in this plan, the therapy must be carried out in separate phases with evaluations in between. Primarily, the periodontal therapy must be finalized, after which the definite restorative-prosthetic treatment can be carried out. A good cooperation between the dentist, dental hygienist and patient is of prime importance to achieve a permanent result. The principles of periodontal treatment planning are discussed in this contribution.