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Tuesday, February 5, 2013

Re: [ACEsthetics] new patient today

Be sure your game plan is well-written and he has ownership of repairs prn.  This is a tremendously litigious society.
 
Steve Markus
The Centre for Dentistry at Haddon
209 White Horse Pike
Haddon Heights, NJ 08035
www.SmileSouthJersey.com
856 SMILE S J
 
Sent: Tuesday, February 05, 2013 9:52 AM
Subject: Re: [ACEsthetics] new patient today
 
Ken, it is not a failure if he decides not to treat his problems of bite or even perio.  Just do a nice bridge and move on.

Dave

David Hamel DDS
1200 Broadway
Marysville, KS 66508
785-562-5529 O
785-562-8115 C
KDA Past President 2010
 
 
 
 


 
On Feb 5, 2013, at 8:46 AM, Ken siegel wrote:

That is exactly what I said and what we were planning but we might still be responsible to finish it at the end if he elects to not treat HIS problems
Kenneth Siegel, D.M.D.
Dental Excellence of Blue Bell
706 Dekalb Pike
Blue Bell, Pa 19422
610-272-0828
610-272-4319 fax
215-498-5991 mobile
 
From: Rick Coker <riccoker@gmail.com>
Reply-To: Rick Coker <riccoker@gmail.com>
Date: Tuesday, February 5, 2013 9:14 AM
To: Ken Siegel <kensiegel@onlymyemail.com>
Cc: Steve Markus <smarkus147545@comcast.net>, gnr <ACEsthetics@googlegroups.com>
Subject: Re: [ACEsthetics] new patient today
 
QUIT THINKING LIKE A DENTIST!  "Mr. Jones, I want to fix this with a temporary bridge so you won't have esthetic problems at work or your active love life, but it is only a temp until I can study your issues."
 
The teeth are already prepped, and you have to evaluate the periodontal condition, the bite and all sorts of issues, right?
 
Rick


On Tue, Feb 5, 2013 at 8:10 AM, Ken siegel <kensiegel@onlymyemail.com> wrote:
I agree but after I cut off the bridge and put on a temp aren't I committed to restoring it, even if he doesn't want to move forward on a full mouth?
Kenneth Siegel, D.M.D.
Dental Excellence of Blue Bell
706 Dekalb Pike
Blue Bell, Pa 19422
 
From: Rick Coker <riccoker@gmail.com>
Reply-To: Rick Coker <riccoker@gmail.com>
Date: Tuesday, February 5, 2013 8:52 AM
To: Ken Siegel <kensiegel@onlymyemail.com>
Cc: Steve Markus <smarkus147545@comcast.net>, gnr <ACEsthetics@googlegroups.com>

Subject: Re: [ACEsthetics] new patient today
 
It is a great question, Ken, and one that all of us seem to struggle with.
 
My general outline for something like this would probably be:
1. Solve his immediate problem with a nice temporary bridge, as good as I can do. But tell him you won't do the final until his jaw problems are solved, but then you have to do some study in order to determine what sort of "fix" that might require.
2. After his examination, we would explain that he needs to wear some sort of orthotic appliance, some way to help ease the symptoms he is experiencing. You could use an NM orthotic, an NTI, a Kois appliance- just get him comfortable.
3. After seeing him for a few months and getting him comfortable with both your office and his bite, you take his models and show him the wear and tear he has experienced. I would say something like this: "Putting a new bridge here is like putting ONE new tire on your car- it really won't last too long or do what you want." This is a rebuild job and after he trusts you, he can begin to evaluate his options.
 
Today, with some of the new materials we have, you can do a full mouth treatment in stages, open the bite and place long lasting temps (fixed orthotics) and get the job done, if that is the way he wants to go, or you can just do a new Lava bridge and tell him good luck!
 
My contention is that he knows he has a lot that needs to be done, but wants to feel comfortable with who can treat his case.
 
Rick


On Tue, Feb 5, 2013 at 7:42 AM, Ken siegel <kensiegel@onlymyemail.com> wrote:
But.  What do you do for the immediate problem?
Kenneth Siegel, D.M.D.
Dental Excellence of Blue Bell
706 Dekalb Pike
Blue Bell, Pa 19422
 
From: Rick Coker <riccoker@gmail.com>
Reply-To: Rick Coker <riccoker@gmail.com>
Date: Tuesday, February 5, 2013 8:35 AM
To: Steve Markus <smarkus147545@comcast.net>
Cc: Ken Siegel <kensiegel@onlymyemail.com>, gnr <ACEsthetics@googlegroups.com>

Subject: Re: [ACEsthetics] new patient today
 
Folks, this is a great analogy, and great analogies don't grow on trees. I will be using this! Makes so much intuitive sense!
 
Good job, Steve.
 
Rick


On Mon, Feb 4, 2013 at 8:08 PM, Steve Markus <smarkus147545@comcast.net> wrote:
Are you into classic cars?  Just doing the bridge, without looking at everything else would be like trying to restore a classic car one quarter panel at a time.  Just off the top of my head.  For a woman: trying to do the bridge would be like buying a sleeve for the bridal gown this year, the trail next year, etc.  Let them connect the dots.
 
Steve Markus
The Centre for Dentistry at Haddon
209 White Horse Pike
Haddon Heights, NJ 08035
www.SmileSouthJersey.com
856 SMILE S J
 
From: Ken siegel
Sent: Monday, February 04, 2013 11:03 AM
To: gnr
Subject: [ACEsthetics] new patient today
 
So we had a consult this morning for someone new to the area that had porcelain break off of his front bridge.  We took photos and showed it to him on the BAM (big ass monitor) like Mac and Joleen tought us.  I spent maybe 5 minutes with him but my TC spent time showing him his photos and discussing what we all see.  Has some TMD symptoms so also showed him Curtis's presentation on TMJ.  He had no idea how bad things are so seems motivated.  So my question is, how do you get him to want to do his whole mouth when he was just concerned about the broken bridge.  He had no idea how much was going on until he saw the photos.
Kenneth Siegel, D.M.D.
Dental Excellence of Blue Bell
706 Dekalb Pike
Blue Bell, Pa 19422
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Dr. Rick Coker, DDS, FACE
Director, Academy of Comprehensive Esthetics
www.tyler-smiles.com, www.tylersleep.com
http://www.google.com/profiles/riccoker.
903-581-1777
 
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Director, Academy of Comprehensive Esthetics
www.tyler-smiles.com, www.tylersleep.com
http://www.google.com/profiles/riccoker.
903-581-1777
 
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Dr. Rick Coker, DDS, FACE
Director, Academy of Comprehensive Esthetics
www.tyler-smiles.com, www.tylersleep.com
http://www.google.com/profiles/riccoker.
903-581-1777
 
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