Abstract
The program for the first staged approach is applied in place of the ideal therapeutic plan for patients with serious periodontitis or abnormal discrepancies. The patient's state of affairs concerning the difficulties and long term treatment must also be considered. In such cases, it is necessary to set the first staged goal without modification of the ideal therapeutic plan. The first staged goal without modification of the ideal therapeutic plan. The first stage is aimed at preventing the spread of serious disease through adequate documentation. While observing the results of the treatment, an additional second staged treatment is implemented and, after that, the final ideal comprehensive treatment can be achieved. In the following case, the steps that were used to obtain positive results in the first staged approach are explained in this paper.