Orthotown November 2013 - (Page 36)
case presentation // feature
by M. Alan Bagden, DMD
Introduction
The orthodontist is only as good as a patient will allow him
or her to be. This truism is all too often overlooked when evaluating patients. An orthodontist may possess superb diagnostic
and clinical skills, but if the patient cannot or will not comply
with directions, the case is destined for failure. Compliance
takes on many forms. Compliance can be how well a patient
keeps scheduled appointments, how respectful the patient is in
terms of limiting breakage and in notifying the office when
breakage occurs, attitude toward treatment, level of oral hygiene,
and how well the patient understands, executes and follows the
directions of the orthodontist.
As practitioners, we often need to evaluate which patients will
have the psychological commitment to see the case through to completion. Virtually all surgical patients would rather avoid surgery,
and tell us that they are committed to a non-surgical treatment plan,
but it is a minority of patients who are 100 percent compliant.
36
NOVEMBER 2013 // orthotown.com
The following case illustrates the importance of compliance
and how with active patient participation we can effectively realize our ideal treatment plan. This is a case where the patient had
sought non-surgical options for her orthodontic problems for a
number of years, but always received the same assessment - that
her case was only surgical in nature.
Case Presentation
Diagnosis
A 38-year-old female presented with 15-plus years of TM
joint issues, lateral tongue thrust and difficulty biting, eating
and chewing. She had four previous consultations that offered
her two possible solutions: she couldn't be treated, or she could
be treated, but required surgery, and treatment would take at
least 30 months. Despite initial advice, the patient continued to
look for a solution that wouldn't require surgery and would treat
her with cosmetic appliances in less than two years.
http://www.orthotown.com
Table of Contents for the Digital Edition of Orthotown November 2013
Orthotown.com Highlights
Wired for Success: Building Your Dream
New Members’ Thoughts on SL Brackets
Help! Any Good Resources Out There for Office Start-ups?
New Office Design – Thoughts?
Seven SEO Strategies to Accelerate New Patient Acquisition
Office Visit: To Serve Others
You Should Know: Boyd Industries
Product Profile: DEXIS
Implementing Strategy in Orthodontic Practice
Addressing the Issue of Compliance – Treating Severe TM Joint Pain Without Surgery
Ad Index
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