There are four basic kinds of practices, with many variations of these four themes.
Level I – Elemental Dentistry
The level I dental practice is characterized by seeing many patients, and the focus is crisis management. Patients come in with an apparent need, and only want to have the problem fixed. There is little or no time for relationships. This type of practice is structured like an emergency room, and is concerned with affordability, takes all kinds of insurance, and joins as many PPO’s and HMO’s as necessary to provide sources to maintain a high volume of patients.
Level II – Mechanical Dentistry
In this type of practice, there is always inadequate time for relationship building with the patients. This practice does “smile makeover” or whatever is hot in the marketplace. The level II dentist is similar to the level I dentist with the exception that the level II dentist looks to do more crown and bridge, implants, and veneers. The focus is still disease treatment. I started as a level II dentist. I have dedicated myself to advanced training in TMJ, occlusal bite therapy and advanced crowns, implants, and dentures. I developed a vision for my practice to provide comprehensive optimal care.
Level III — Biologic Dentistry
The biologic dentist is as concerned about the cause of disease as the repair of the defects. This dentist focuses on the creation of health, rather than simply treating effects. A vision or picture of health is seen by the dentist, which becomes the foundation of the entire practice. Also, a big part of this practice is an all-encompassing preventive program. The following characterizes a level III practice.
1.) Individualized patient interaction and value clarification prior to treatment
2.) Master plan for each and every patient
3.) Quality is the constant and time a variable
The level III practice does value clarification, not manipulation. It is outcome oriented, not event driven. Focus is on the creation of health, rather than the treatment of disease. Level III is about health, and is: Co-discovery, Co-planning, Co-development of health and treatment, and Co-operation – essence of a win-win relationship.
Level IV – Whole Person Dentistry
The dentist plans dental treatment to fit the patient’s values, lifestyle and quality of life. Level IV dentistry is a logical extension or development process of a level III practice. Level IV dentistry is biologically sound, technically excellent – esthetic and functional complete mouth rehabilitation. It includes: complex periodontal treatment, complex orthodontics, complex endodontics, mucostatic partial dentures, osseointegrated implants, sophisticated occlusal therapy, complex maxillofacial surgery, and complex prosthodontics.
The dentist, team and patient work together to “create something different” and that difference is biological health. I am committed to improving our practice to provide Level IV, whole person dentistry.