Dentaltown January 2023 - 58
Fig. 1
issue with the treatment, such as failure in some way. Here
are my concerns:
* Durability. How long will what I do last? It would
seem that placed crowns are meant to last indefinitely,
but when you look at Figs. 1 and 2, you can see the
outcomes were not planned properly. This case was
only one month old.
Fig. 2
* Patient buy-in. In my conversations with patients,
I always ask, " How long would you like what I do
for you to last? " The more you can make your
patients feel involved in their treatment, the more
trust is built.
* Function. Will the treatment lead to the patient's
idea of proper functioning? Most patients are going
to prefer it if you can put back an individual tooth,
rather than creating a bridge. (Think: flossing.)
Fig. 3
* Aesthetics. It's always better when a restored tooth
is in the mouth; not planning for the longest term
of completed care compromises this. Also, aesthetics
around anterior implants can be tricky because the
patient always wants the outcome to look at least
as nice as it was before the issue of which we are
speaking comes up.
* Price. What value are the patients willing to place on
the outcome they desire?
* Methodology. Is the patient willing to wear braces to
get the best outcome?
Fig. 4
* Time frame. How long will it take to get the best
outcome (or the one the patient wants)?
From my perspective, erupting anteriors or bicuspids
has made great sense to getting the outcome that patients
appreciate and for which patients are willing to pay. Let's
continue with the case from above to make this point.
When the patient presented with the previous dentist's
Fig. 5
attempt to restore, as seen in Fig. 1, she was worried about
what outcome was possible. Having performed similar
procedures many times to get the outcome she wanted,
I was able to show her photos of completed cases, which
helped her trust the coming process.
I always ask, " How much would you like to know
about the treatment I'm going to recommend? " Some
patients want no information- " Just go ahead, doctor " -
while others want as extensive an explanation as possible.
This particular patient said what we've all heard many
times: " Go ahead with that treatment. I trust you. " (Music
to my ears!)
56 JANUARY 2023 // dentaltown.com
http://www.dentaltown.com
Dentaltown January 2023
Table of Contents for the Digital Edition of Dentaltown January 2023
Dentaltown January 2023 - Intro
Dentaltown January 2023 - Cover1
Dentaltown January 2023 - Cover2
Dentaltown January 2023 - 1
Dentaltown January 2023 - 2
Dentaltown January 2023 - 3
Dentaltown January 2023 - 4
Dentaltown January 2023 - 5
Dentaltown January 2023 - 6
Dentaltown January 2023 - 7
Dentaltown January 2023 - 8
Dentaltown January 2023 - 9
Dentaltown January 2023 - 10
Dentaltown January 2023 - 11
Dentaltown January 2023 - 12
Dentaltown January 2023 - 13
Dentaltown January 2023 - 14
Dentaltown January 2023 - 15
Dentaltown January 2023 - 16
Dentaltown January 2023 - 17
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Dentaltown January 2023 - 27
Dentaltown January 2023 - 28
Dentaltown January 2023 - 29
Dentaltown January 2023 - 30
Dentaltown January 2023 - 31
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Dentaltown January 2023 - 33
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Dentaltown January 2023 - 35
Dentaltown January 2023 - 36
Dentaltown January 2023 - 37
Dentaltown January 2023 - 38
Dentaltown January 2023 - 39
Dentaltown January 2023 - 40
Dentaltown January 2023 - 41
Dentaltown January 2023 - 42
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Dentaltown January 2023 - 48
Dentaltown January 2023 - 49
Dentaltown January 2023 - 50
Dentaltown January 2023 - 51
Dentaltown January 2023 - 52
Dentaltown January 2023 - 53
Dentaltown January 2023 - 54
Dentaltown January 2023 - 55
Dentaltown January 2023 - 56
Dentaltown January 2023 - 57
Dentaltown January 2023 - 58
Dentaltown January 2023 - 59
Dentaltown January 2023 - 60
Dentaltown January 2023 - 61
Dentaltown January 2023 - 62
Dentaltown January 2023 - 63
Dentaltown January 2023 - 64
Dentaltown January 2023 - 65
Dentaltown January 2023 - 66
Dentaltown January 2023 - Cover3
Dentaltown January 2023 - Cover4
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