A case is interdisciplinary when it requires treatment decisions that cross specialty boundaries — for example, when the decision to save or extract a tooth affects implant planning, when orthodontic tooth movement is needed before implant placement, or when medical conditions influence the surgical approach. If more than one type of specialist needs to be involved, it is an interdisciplinary case.

The process starts with a comprehensive evaluation including CBCT imaging. Dr. Ostovar and Dr. Gvozden review the case together, identify all treatment variables, and develop a sequenced plan. If outside specialists are involved, they receive the imaging and findings. The patient receives a unified plan with a clear timeline, not separate plans from different providers.

ADSC serves as the coordinating center. We gather diagnostic data, facilitate communication between all providers, and ensure the treatment sequence is logical and efficient. You deal with one office for scheduling and questions, even if multiple specialists contribute to your care.

The planning consultation itself is comparable to a standard specialty consultation. The value is that coordinated planning often reduces total treatment cost by eliminating unnecessary procedures, avoiding revisions, and sequencing treatment efficiently. A well-planned case is almost always less expensive in the long run than a poorly planned one.

Yes, and they should be. The decision to retreat a failing root canal versus extract and place an implant is directly influenced by the adjacent implant site plan. We evaluate both situations simultaneously to determine the approach that gives you the best long-term outcome for the entire area, not just one tooth in isolation.

Absolutely. Orthodontic tooth movement is sometimes needed before implant placement to open space, upright tipped teeth, or level the occlusal plane. While ADSC does not provide orthodontic treatment in-house, we coordinate closely with orthodontic specialists to integrate tooth movement into the overall treatment sequence.

For straightforward interdisciplinary cases, planning is completed within the initial consultation visit. Complex cases involving multiple outside specialists or digital surgical planning may require a one-to-two-week planning phase for data gathering and virtual treatment design. You are kept informed at every step.

A virtual wax-up is a digital design of the final teeth before any treatment begins. It shows how the finished case will look and function, and it guides implant positioning so the implants are placed where the teeth need to be — not just where the bone happens to be. This backward-planning approach produces more predictable esthetic and functional outcomes.

This is exactly the situation where interdisciplinary case planning adds the most value. Bring all your records, imaging, and treatment history. We will consolidate the information, evaluate where things stand, identify what still needs to be done, and create a unified plan going forward.

The consultation and diagnostic imaging are covered under standard insurance benefit codes. The planning itself is incorporated into the consultation — there is no separate "planning fee." Each treatment procedure that results from the plan is billed individually under its own benefit category.

Honest disagreement is healthy and leads to better outcomes. When specialists have different perspectives, they discuss the evidence, weigh the pros and cons of each approach, and present you with the options along with their respective reasoning. The final decision is always yours, made with full information.

Significantly. Diabetes, cardiovascular disease, bisphosphonate therapy, immunosuppression, bleeding disorders, and other systemic conditions all influence what can be done, how it is sequenced, and what medical clearances are needed. We coordinate with your physician to ensure your treatment plan is medically safe.

Almost always. Full-mouth reconstruction typically involves surgical procedures (extractions, bone grafting, implant placement), prosthetic design (full-arch bridges or dentures), and often endodontic treatment on teeth being retained. This is the prototypical interdisciplinary case, and the planning phase is critical to the outcome.

The sequence follows clinical logic: infection control first, then hard tissue procedures (bone grafting, extractions, implants), then soft tissue management, and finally prosthetic restoration. Orthodontics, if needed, is timed based on when tooth movement is most efficient relative to the surgical phases. The plan includes estimated timelines for each phase.

Yes. If you have received a multi-specialty treatment plan elsewhere and want an independent assessment, bring the records and proposed plan. We will review it, evaluate the case independently, and tell you whether we agree, disagree, or see additional options that were not considered.