[Optimizing complicated treatments in dental medicine indirectly through the coordination center. Current challenges]

Patient care and processing of the many tasks surrounding a 'multi disciplinary patient' give problems which are difficult to attend, even in well organised practices. Activities, medical and other, are seen as tasks which are standardised as much as possible. The follow up is delegated to a co-ordination centre. Special developed software supports the co-ordinator(s). There are four stages: 1. introduction of the patient and his team, 2. organisation of the preliminary examinations, 3. the treatment planning involving the organisation of a team conference, the work out of the different treatment proposals and support of the patient while choosing the treatment plan of his choice and 4. the implementation of the treatment plan. Throughout the whole procedure care is taken to have a maximal involvement of the general practitioner. The concept allows him to keep his difficult, yet challenging, patients.