Subject: Re: [ACEsthetics] How would you handle these teeth?
From: Rick Coker <riccoker@gmail.com>
Date: Fri, March 22, 2013 10:22 am
To: "DMD Jeff L. Rodgers" <drrodgers@drrodgers.com>
Cc: Deb Shoemaker <drdebshoemaker@att.net>, Ace
<acesthetics@googlegroups.com>
You received this message because you are subscribed to the Google Groups "ACEsthetics" group.
To unsubscribe from this group and stop receiving emails from it, send an email to acesthetics+unsubscribe@googlegroups.com.
To post to this group, send email to acesthetics@googlegroups.com.
Visit this group at http://groups.google.com/group/acesthetics?hl=en.
For more options, visit https://groups.google.com/groups/opt_out.
You received this message because you are subscribed to the Google Groups "ACEsthetics" group.
To unsubscribe from this group and stop receiving emails from it, send an email to acesthetics+unsubscribe@googlegroups.com.
To post to this group, send email to acesthetics@googlegroups.com.
Visit this group at http://groups.google.com/group/acesthetics?hl=en.
For more options, visit https://groups.google.com/groups/opt_out.
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
You received this message because you are subscribed to the Google Groups "ACEsthetics" group.
To unsubscribe from this group and stop receiving emails from it, send an email to acesthetics+unsubscribe@googlegroups.com.
To post to this group, send email to acesthetics@googlegroups.com.
Visit this group at http://groups.google.com/group/acesthetics?hl=en.
For more options, visit https://groups.google.com/groups/opt_out.
[ACEsthetics] How would you handle these teeth?
Rick & Jeff ... At times I've done presentations both these ways plus probably a few that I choose to forget. MY BIGGEST PROBLEM with most of my adult new patient is their periodontal health. If I can't get them to commit to getting that in order, I don't feel it necessary to be presenting much restorative. I will have my PCC/TC explain what we can do to address their chief complaint, if possible to "go around" the perio, but before we get into talking much in the way of cosmetic changes or restorative involving more than palliative treatment, we have to see that they are trying to get healthy. If they aren't, then I pursue a different tack.
I find that treatment planning for me can be very difficult, because I start questioning each track that I start down.
I'm looking for advice to handle this, but sometimes what I read doesn't appear to be applicable to my demographics. I know that people are people no matter where & I've found that education and financial level does not always correlate with acceptance of or value for dentistry.
JMHO ... Terry
J Terry Frey, DDS
Advanced Dental Care
623 N State St/PO Box 1008
North Vernon, IN 47265
(Ofc)812-346-6884
(Cell)812-592-4057
-------- Original Message ---------- --
You know, I have done that in the past, adopted a sort of objectivity attitude, but the last few years I have begun to think that this is a sort of abdication of my own accumulated experienced and what might in another universe be called wisdom. Call it the "Dutch Uncle" way of thinking, perhaps.
I will lay out the things you mention briefly, but will suggest that if the patient was my wife or sister, there would only be two choices that I would entertain. I like Kent Smith's thinking here, to always have two choices, instead of the multiple ones that my disordered mind can come up with! (I truly believe I could devise approximately a hundred different treatment options for any single issue!). This forces me to make a value judgement as to what is best, what would really work, what I would want- that sort of thing.
I just don't think we can afford uninvolvement, we have to have some skin in the game, some emotional investment in saying that : "Here's your problem, and here is how I would fix it if it was me". Not too much involvement, but just a bit.
Rick
On Fri, Mar 22, 2013 at 9:12 AM, Jeff Rodgers <drrodgers@drrodgers.com> wrote:
I would tell them the pros and cons of these 4 options….
1. Do nothing
2. Ext and partial denture (adding that I do not recommend)
3. Endo, crown lengthening, buildups and crowns
4. Implants
Then ask them which way they want to go and I would go that way.
Jeff
Jeff L. Rodgers, DMD, PC
Atlanta, GA
On Mar 20, 2013, at 11:17 AM, Deb Shoemaker <drdebshoemaker@att.net> wrote:
I just removed gold crowns 18, 19 and a 40-year old decaying amalgam #20. The PAx shows what I have left. I have a few ideas on the final treatment options, but I want other opinions in case I am missing something. Any thoughts other than extract and place implants? Predictability and longevity of restoration is key here. Would any of you even try to save these teeth?
Thanks,
Deb
--
Subscribe to:
Post Comments (Atom)
0 comments:
Post a Comment