Dr. Skerpan examines the details of teeth and gums, but she also takes into con- sideration the greater picture necessary for preventing further dental disease
and maintaining a balanced-functioning mouth. The teeth and gums do not
stand alone apart from the body.
Admittedly, abnormalities and problems should be addressed at the smaller
levels. However, the teeth and gums only work and remain healthy within the
greater context of the structures and dental environment around them. A com- prehensive dental examination should include the details, as well as the sur-
rounding dental structures.
......Dr. Skerpan considers the detail in the oral cavity along with the occlusion,
surrounding oral tissues, general oral-facial structures and the patient's
general health when determining any plan of dental treatment. Sometimes it is possible to anticipate a future problem from the existing oral condition.
Sometimes the prior dental history can be inferred from the present dental
For all patients, Dr. Skerpan considers the dynamic factors in establishing
and maintaining a comfortable harmonious stabilized dental-environment.
Her experience, training and time taken to thoroughly evaluate each individ- ual are important in determining each individual's treatment plan. However, she believes education of and communication with each patient (regarding
their concerns, wants and needs) leads to better patient understanding and
compliance--which ultimately leads to a better dental outcome.
The end goal is not just about "teeth and gums", but about achieving and
maintaining a longer-term optimum oral-health and dental-function!!
Finally then, the patient can present more confidently in life with an
improved overall health along with their smile.
The oral cavity is dynamically interrelated with the whole
head and neck area, the muscles, salivary glands, the bite,
jaw and joints (TMJs). The teeth and gums may develop their own local problems which may be treated at the
smallest levels--e. g. decay, infection, missing teeth, gum
problems. But not all local problems are caused locally
because there is a larger picture involved. Since the teeth
and gums must work in harmony with all the other sur-
rounding structures, problems may be indirectly caused
by dysfunctional relationships with the other structures.
Dynamics and forces change if any of the interrelated
working parts (e. g. the teeth) are changed or disrupted.
Eventually the whole harmony, balance and stability can
become "thrown off" when the individual structures can no longer efficiently work together. Resulting symptoms,
with or without pain, may not manifest until later when
damage has already occurred and restoration is harder to
achieve (see VIDEO @ "DR SKERPAN & SERVICES").
Let's not forget that it is through the oral-cavity that the
body even get's its nutrition (never mind the oral-cavity
being responsible for facial-support and the aesthetics of
a smile). In addition, the oral-cavity may reflect the body's
general health---diabetes, heart disease and medications'
side-effects are to name just three. Likewise, chronic
disease prevention must include oral-health because the
risks to a person's body-health are intimately connected
w e b site by--c l s k e r p a n