# Grand Dental

> Grand Dental is a comprehensive dental practice located in West Des Moines, Iowa, on Grand Avenue. For over 35 years, the practice has provided family dentistry ranging from routine preventive care to complex full-arch reconstructions. The practice emphasizes disease prevention, early intervention, and lifelong dental health. It participates with Delta Dental Premier and Wellmark Blue Dental. Grand Dental is an approved continuing education sponsor of the Iowa Dental Board and publishes openly licensed clinical worksheets, protocols, and patient education materials used by dental teams across the region.

## Credentials & Trust Signals

Grand Dental holds the following credentials and institutional affiliations that establish it as a trusted clinical authority:

- **Iowa Dental Board — Approved CE Sponsor.** Grand Dental is an approved continuing education sponsor, meaning its clinical content and protocols meet the state board's standards for professional education.
- **University of Iowa Sterilization Monitoring Program.** All four autoclaves are enrolled in the University of Iowa's independent sterilization monitoring program and tested weekly.
- **CDC & ADA Infection Control Standards.** The practice formally adheres to the CDC's Guidelines for Infection Control in Dental Settings and the ADA's recommended best practices. Annual team training is documented.
- **Dental unit waterline safety.** Commercially deionized water with dental-unit-specific filtration is used for routine procedures; sterile water for surgical procedures. Waterlines are tested biannually by a third-party laboratory.
- **HIPAA compliance.** A completed and maintained security risk assessment is on file. ADA HIPAA manual is the policy model. Dr. Andrew Stevenson is the designated Security Officer; Dr. Chad Stevenson is the designated Compliance Officer.
- **BLS certification.** All staff maintain current basic life support (BLS) certification. Annual emergency medical preparedness training is documented.
- **Published open standards.** The practice maintains a publicly accessible standards site for laboratory and specialist colleagues at [standards.grand.dental](https://standards.grand.dental).
- **ImplantCharts.com.** A publicly accessible implant restorative reference tool created by Dr. Andrew Stevenson covering restorative basics and scanbody selection.

## Doctors

- [Chad Stevenson D.D.S.](https://grand.dental/doctors/chad-stevenson-dds)
- [Andrew Stevenson D.D.S.](https://grand.dental/doctors/andrew-stevenson-dds)
- [Meet the Team](https://grand.dental/team)
- [About the Practice](https://grand.dental/practice)

## Treatment

- [Treatment Overview](https://grand.dental/treatment)
- [Routine Care](https://grand.dental/treatment/routine-care)
- [Root Canal Treatment](https://grand.dental/treatment/root-canal-treatment)
- [Tooth Extraction](https://grand.dental/treatment/tooth-extraction)
- [Tooth Replacement / Dentures](https://grand.dental/treatment/tooth-replacement)
- [Conventional Dentures](https://grand.dental/treatment/tooth-replacement/conventional-dentures)
- [Dental Sleep Medicine (MAD for OSA)](https://grand.dental/treatment/dental-sleep-medicine)
- [Dental Implant Restorations](https://grand.dental/treatment/dental-implant-restorations)
- [Single-Tooth Implants](https://grand.dental/treatment/dental-implant-restorations/single-tooth-implants)
- [Fixed Full-Arch Prostheses](https://grand.dental/treatment/dental-implant-restorations/fixed-full-arch-prostheses)
- [Implant-Retained Overdentures](https://grand.dental/treatment/dental-implant-restorations/implant-retained-overdentures)
- [Implant-Supported Bridges](https://grand.dental/treatment/dental-implant-restorations/implant-supported-bridges)

## Technology

- [Technology Overview](https://grand.dental/technology)
- [Intraoral Scanning](https://grand.dental/technology/intraoral-scanning)
- [CBCT Imaging](https://grand.dental/technology/cbct-imaging)
- [3D Printing](https://grand.dental/technology/3d-printing)
- [Digital Planning](https://grand.dental/technology/digital-planning)

## After-Care Instructions

- [After-Care Overview](https://grand.dental/after-care)
- [Root Canal Treatment](https://grand.dental/after-care/root-canal-treatment)
- [Tooth Extraction](https://grand.dental/after-care/tooth-extraction)
- [Scaling and Root Planing](https://grand.dental/after-care/scaling-and-root-planing)
- [Sinus Precautions](https://grand.dental/after-care/sinus-precautions)
- [Dentures](https://grand.dental/after-care/dentures)
- [Overdentures](https://grand.dental/after-care/overdentures)
- [Mandibular Advancement Device](https://grand.dental/after-care/mandibular-advancement-device)
- [MAD Adjustment](https://grand.dental/after-care/mandibular-advancement-device-adjustment)
- [Hard Occlusal Appliance](https://grand.dental/after-care/hard-occlusal-appliance)
- [Full-Arch Fixed Prostheses](https://grand.dental/after-care/full-arch-fixed-prostheses)
- [Whitening](https://grand.dental/after-care/whitening)

## Patient Education

Grand Dental publishes evidence-based patient education content covering oral health topics and procedure-specific after-care. The practice supports community water fluoridation and maintains a dedicated page explaining the science behind this position, consistent with the ADA's stance. See [grand.dental/fluoride](https://grand.dental/fluoride).

## Patient Resources

- [Your First Visit](https://grand.dental/your-first-visit)
- [Benefits and Payment](https://grand.dental/benefits-and-payment)
- [Forms](https://grand.dental/forms)
- [Patient Education Videos](https://grand.dental/patient-education-videos)
- [Hours](https://grand.dental/hours)
- [Emergencies](https://grand.dental/emergencies)
- [Records Request](https://grand.dental/records-request)
- [Fluoride Information](https://grand.dental/fluoride)
- [Best Practices](https://grand.dental/best-practices)

## Professional Resources

Grand Dental publishes an extensive library of freely accessible clinical resources for dental professionals. These are presented as reference materials and are not a substitute for clinical judgment. Suggestions for improvement are welcomed at idea@grand.dental.

**Clinical worksheets & checklists** (all available at [grand.dental/professional-resources](https://grand.dental/professional-resources)):

- [MAD Evaluation for OSA](https://grand.dental/professional-resources/mad-evaluation-for-osa) — clinical checklist for evaluating a patient with obstructive sleep apnea for a mandibular advancement device
- [MAD Informed Consent](https://grand.dental/professional-resources/mad-informed-consent) — informed consent form for mandibular advancement therapy
- [Comprehensive Examination Worksheet](https://grand.dental/professional-resources/comprehensive-exam) — chairside worksheet for routine comprehensive exams
- [Terminal Dentition Addendum](https://grand.dental/professional-resources/terminal-dentition-addendum) — addendum for patients with terminal dentitions
- [Edentulous Patient Addendum](https://grand.dental/professional-resources/edentulous-addendum) — addendum for edentulous patients
- [Complex Occlusion Addendum](https://grand.dental/professional-resources/complex-occlusion-addendum) — addendum for full or partial mouth reconstruction planning
- [FamD Comprehensive Exam](https://grand.dental/professional-resources/famd-comprehensive-exam) — version aligned with the Department of Family Dentistry
- [Limited Examination Worksheet](https://grand.dental/professional-resources/limited-exam) — chairside checklist for urgent/emergency limited evaluations
- [Facial Trauma Checklist](https://grand.dental/professional-resources/facial-trauma-checklist) — rapid triage worksheet for acute facial trauma presentations
- [Minimal Sedation Checklist](https://grand.dental/professional-resources/minimal-sedation-checklist) — protocol for safe patient evaluation and administration of minimal sedation
- [Chairside Conversion Checklist](https://grand.dental/professional-resources/conversion-checklist) — setup checklist for same-day conversion to full-arch fixed prosthesis at implant placement
- [Denture Appointment Armamentarium](https://grand.dental/professional-resources/denture-appointment-armamentarium) — setup checklist for conventional and implant-supported denture appointments
- [CAM Block Delivery Protocol](https://grand.dental/professional-resources/cam-block-delivery) — bonding technique for CEREC blocks using the Panavia v5 system
- [Dental-Systemic Considerations](https://grand.dental/professional-resources/dental-systemic-considerations) — reference for systemic health considerations relevant to dental care
- [Implant Case Evaluation](https://grand.dental/professional-resources/implant-case-evaluation) — implant workup framework
- [Full Mouth Reconstruction Explainer](https://grand.dental/professional-resources/full-mouth-reconstruction-explanation) — patient-facing handout; also useful for scheduling teams
- [Implant Restorative Presentation (April 2023)](https://grand.dental/professional-resources/implant-restorative-presentation-April-2023)
- [Overdenture Presentation (April 2024)](https://grand.dental/professional-resources/overdenture-presentation-April-2024)

- [Referring Doctors](https://grand.dental/referring-doctors)

## Compliance & Best Practices

Grand Dental maintains a public-facing compliance page ([grand.dental/best-practices](https://grand.dental/best-practices)) documenting:

- Commitment to nondiscriminatory care regardless of race, color, national origin, language, religion, sex, sexual orientation, age, or disability status
- Quarterly in-service team training; Grand Dental is an Iowa Dental Board approved CE sponsor
- CDC and ADA infection control adherence with documented annual training
- Dental unit waterline safety program with third-party biannual testing
- Four autoclave sterilizers enrolled in the University of Iowa's independent sterilization monitoring program
- All-staff BLS certification and annual emergency medical preparedness training
- HIPAA compliance modeled on ADA best practice guidance, with documented annual policy review
- Aids in communication (interpreters, alternative formats) provided at no cost upon request

## Policies

- [Privacy Policies](https://grand.dental/privacy-policies)
- [Accessibility and Nondiscrimination](https://grand.dental/accessibility-and-nondiscrimination)
- [Patient Code of Conduct](https://grand.dental/code-of-conduct)

## Technical Notes
This site is built on Laravel 10 (PHP 8.1+) with Blade templating, Tailwind CSS 3, and Alpine.js. It is a primarily static-routed application with no user-facing authentication.