Description:
This video will allow the viewer to observe the first
appointment the patient and dentist meet and the importance of
developing a mutual understanding of patient expectations and dentist methods of obtaining vital
information prior to accepting to perform the dental procedures. A series
of questions followed by an examination will allow a thorough assessment
and eliminate any misconceptions that many times occurs for first time patients
having total mouth extractions. The evaluation highlights will be demonstrated as it
actually happens from a list of questions fol-lowed by an esthetic
analysis, radiograph review, patients existing occlusal vertical dimension compared to rest vertical
dimension and final discussion with patient before committing to treatment. Please
join us for Part I.
Learning
Objectives:
- Implement making facial recordings to determine the esthetic &
functional spaces.
- Ask predetermined questions at the assessment to improve patient dentist
relationship.
- Understand and inform patient whether a fixed, hybrid or stud retention
prosthesis is optimal
- Educating patient at the exam and or consultation appointment can prevent
failures
- Determining the outcome before committing to treating any
patient.
Abstract:
The treatment options available for a patient with non-restorable dentition
with closed vertical occlusion combined with a moderate skeletal class 3
relationship are conventional complete dentures, implant-supported overdentures
(removable), fixed implant-supported complete dentures, and fixed metal-ceramic
implant-supported restorations.
Choosing the appropriate procedures whether bone trim, orthognathic surgery
and or implant therapy is crucial to plan before edentulating the patient. Also
of great importance is pre-determination of the final appearance based on
what the patient presents with and what can be accomplished under those
circum-stances. The decision process to restore a patient with implant fixed or
removable restorations should be determined by evaluating various parameters
such as:
- Overall patient general health
- Facial asymmetry
- Facial contour as either void or full
- Lip-line & lip support
- Quality and quantity of hard- and soft tissues
- The maxilla-mandibular relationship
- Oral hygiene traits
- Existing occlusal and skeletal relationship
- Patient understands and accepts all risk
- Patient financially able to have procedure performed
