Re: [ACEsthetics] How would you handle these teeth?

Yeah.  Make no mistake that I would be presenting this to the patient while absolutely steering them to the 2 options I want them to choose from.  That is handled with the pros and cons.  :]  I think they want to know we are excited about these things.

Jeff

On Mar 22, 2013, at 10:22 AM, Rick Coker <riccoker@gmail.com> wrote:

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

www.DunwoodyDentistry.com
www.SleepDunwoody.com

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

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Dr. Rick Coker, DDS, FACE
Director, Academy of Comprehensive Esthetics
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