Designing a Smile for a Case of Severe Attrition
I have often made the analogy that SUCCESS is similar to a linked CHAIN, where the links of the chain represent the conceptual and technical criteria that must be properly considered and orchestrated to result in a restoration that will withstand the test of time. Experience has taught me that each case has a weakest link and that the ultimate strength of any chain rests on that weakest link. Our challenge is to identify and manage this critical link to the best of our abilities.
Some of these links are what we as dentists bring to bear; our knowledge, skills, ability to properly manage the laboratory phase, and ultimately our dedication to details. The remaining links are contributed by the patient; their physiology, psychology and commitment to treatment, particularly when that treatment is extensive in scope.
The present case involves many critical technical links that resulted from the patient’s resistance to act on treatment options early on when problems initially presented. That chain-link, the patient’s psychology, is not wholly controllable by a healthcare provider.
The patient in this case presentation has been under my care for 20 years and is a wonderful gentleman in every regard, except for his reluctance to accept treatment earlier rather than later. The patient has consented to the use of the case and the content presented in this case.
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Until next time!
CDA Oasis Team