A patient’s medication schedule, stage of disease, and the need for caregiver support should be considered when determining optimal appointment times and lengths. PD medications are most effective 60-90 minutes after the medication has been taken.7,22 Delivering care during this window of time is ideal. Providers must appreciate that a patient diagnosed with PD may not be able to tolerate a long appointment and be prepared to deliver care in multiple shorter appointments.59 When considering the appointment length, providers must also consider patient difficulties associated with transportation, accessing buildings, and the need for caregiver support. It is important to discuss each of these factors with the patient (and caregiver if appropriate) to identify what length of appointment is reasonable for each individual situation. As the disease progresses, patient cooperation may decrease and the appointment length may need to be shortened.59 Due to the progressive nature of PD, it is advantageous to complete invasive procedures, such as dental restorations or extractions, during the initial stages of the disease.59 It is also ideal to schedule preventive care every 3 months to minimize periodontal disease and decay.7,31