Dentaltown April 2013 - (Page 78)

case presentation feature by Timothy Burke, DMD A combination of Invisalign and veneers rounds out the treatment of this cosmetic case. We have all had new patients that call and, when asked what type of appointment they would like, say they are due for a cleaning. In fact they might actually need one, but because they don’t know what else to ask for, it’s where they start. They may already be aware of dental problems-periodontal disease, broken or decayed teeth, or the need for orthodontic treatment, but assume that we will find these problems and ask them about it. Sometimes it is just a way to get a second opinion or, they might know they dislike something about their smile, but are not even sure what it is. They want to come in for bleaching or veneers because that’s what they are familiar with. They’ve seen the advertising. Likewise, we get calls about Invisalign because they don’t want to spend years in brackets, not even realizing that short-term orthodontics even exist. In reality, they are often open to other options, but are unaware of what is available. When dealing with cosmetic treatment, broaching the subject is more delicate than telling patients they need a crown to repair a broken tooth, or endo for an abscess. Most people get that, and they often know what we’re going to tell them when they walk in. Pointing out fault with a patient’s appearance, however, can have disastrous consequences if not handled properly. Even when they are aware of shortcomings with their smile, they may want to keep it that way, because it’s a sign of individuality. Even if they are 78 APRIL 2013 » aware, and don’t like what they see, they may not wish to hear about it from someone else. Broaching the subject can present a dilemma for the entire staff. A range of non-threatening questions serves to open the conversation and allows patients to express their feelings. Inquiries regarding spaces catching food, rotated teeth that are difficult to floss, or asking about chips and fractures that result from parafunction or bad habits often allow them to open up, giving you permission to discuss ways to resolve their problems. Our job is to look into the crystal ball and figure out which one is sitting in our chair, and proceed accordingly. Sometimes, though, our life is made easier. Patients come in who already know they have a problem, that there is a variety of options, have some idea what they are and want to hear everything we have to say. Case Presentation This patient had recently moved to the area and was seen for a recall, during which she mentioned that she was not happy with the appearance of her smile and was considering veneers to fill in the spaces. The dental history was otherwise uneventful – regular hygiene visits and a few posterior restorations. As a recent graduate from nursing school who had started her first job, she had done some research online, and was moderately knowledgeable as to what each option involved.

Table of Contents for the Digital Edition of Dentaltown April 2013 Highlights
Howard Speaks: What Winners Do and Losers Don’t
Professional Courtesy: Three Cheers for IT
Continuing Education Update
Dentaltown Research: Lasers
“Funny Feeling” on Lower Right Jaw
Missing Laterals, Bonded Maryland Bridges, Ribbond or Something Else?
Corporate Profile: Henry Schein
New Products
Office Visit: A Giant in Dentistry
Do-it-Yourself Finance, Part V: Insurance
Two Techniques to Make a Bite Record for a Full-arch Case
Team Strength: What Drives Your Team to Do More?
Living by the Golden Dozen
Diagnosing Aesthetic Disharmonies
Cosmetic Case Presentation
Using Tetric EvoCeram Bulk Fill to Easily and Predictably Place Direct Posterior Restorations
Continuing Education: Utilizing Laser Procedures for Restorative Access
Product Profile: Imaging Sciences International’s i-CAT FLX
In This Issue: Preparing for the Future
Perio Reports
Ad Index
Profile in Oral Health: The RDH’s Approach to Periodontal Therapy: Past, Present and Future
Perio Maintenance
Dentally Incorrect
Dentaltown Special Supplement
Product Profile: Zimmer Dental
Full Lower – Converted to Immediate Load
Immediate Placement #19 and 20 with BSB
American Academy of Implant Dentistry 62nd Annual Meeting Preview
Raising Your Denture Patient to a Higher Standard
Back to the Future – Extractions and Small Diameter Implants for Overdentures
Continuing Education: Top Implantology Breakthroughs for the GP: Part 2

Dentaltown April 2013