References

Fuller E, Steele J, Watt R, Nuttall N. Oral health and function – a report from the Adult Dental Health Survey 2009.: The Health and Social Care Information Centre; 2011
Percival K. The current landscape in dentistry. British Society of General Dental Surgery (BSGDS). 2015; 20-21
Wright SP, Hayden J, Lynd JA, Walker-Finch K, Willett J, Ucer C Factors affecting the complexity of dental implant restoration – what is the current evidence and guidance?. Br Dent J. 2016; 221:615-622
Clinical Effectiveness Committee RCS England. Restorative dentistry index of treatment need: complexity assessment. 2001. http://www.rcseng.ac.uk/fds/publications-clinical-guidelines/clinical_guidelines/documents/complexityassessment.pdf (cited November 2015)
Edirippulige S, Armfield NR, Smith AC. A qualitative study of the careers and professional practices of graduates from an e-health postgraduate programme. J Telemed Telecare. 2012; 18:455-459
Leles C, Martins R, Silva E, Nunes M. Discriminant analysis of patients' reasons for choosing or refusing treatments for partial edentulism. J Oral Rehab. 2009; 36:909-915
Al-Omiri MK, Karasneh J. Relationship between oral health-related quality of life, satisfaction, and personality in patients with prosthetic rehabilitations. J Prosthodont. 2010; 19:2-9
Carlsson GE. Facts and fallacies: an evidence base for complete dentures. Dent Update. 2006; 33:134-142
Berg E. Acceptance of full dentures. Int Dental J. 1993; 43:299-306
Čelebić A. Treatment outcomes with removable partial dentures: a comparison between patient and prosthodontist assessments. Int J Prosthodont. 2001; 14
Sivaramakrishnan G, Sridharan K. Comparison of implant supported mandibular overdentures and conventional dentures on quality of life: a systematic review and meta-analysis of randomized controlled studies. Aust Dent J. 2016; 61:482-488
Emami E, Heydecke G, Rompré PH, De Grandmont P, Feine JS. Impact of implant support for mandibular dentures on satisfaction, oral and general health-related quality of life: a meta-analysis of randomized-controlled trials. Clin Oral Implants Res. 2009; 20:533-544
Liu B, Shen M, Xiong J, Yuan Y, Wu X, Gao X Synergistic effects of betel quid chewing, tobacco use (in the form of cigarette smoking), and alcohol consumption on the risk of malignant transformation of oral submucous fibrosis (OSF): a case-control study in Hunan Province, China. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015; 120:337-345
Sahni S, Kiel DP. Smoking, alcohol, and bone health, 2nd edn. In: Holick MF, Nieves JW (eds). London: Springer; 2015
The Role of the Prosthodontist in Treatment of the Patient Recovering from Drug or Alcohol Addiction (13/03/2016). http://minnesota.mdnews.com/articles/localarticle?id=42499
What is included in each NHS dental band charge? (cited 24 November 2015). http://www.nhs.uk/chq/Pages/nhs-dental-band-charges.aspx?CategoryID=74&SubCategoryID=742
Käyser A. Shortened dental arches and oral function. J Oral Rehab. 1981; 8:457-462
Käyser A. Shortened dental arch: a therapeutic concept in reduced dentitions and certain high-risk groups. Int J Periodont Rest Dent. 1989; 9
Armellini D, Von Fraunhofer JA. The shortened dental arch: a review of the literature. J Prosthet Dent. 2004; 92:531-535

That first all important meeting with your patient!

From Volume 44, Issue 8, September 2017 | Pages 742-752

Authors

Sivakumar Jayachandran

MDS, BDS, AFHEA

Specialty Dentist and PhD Student, Prosthetic Dentistry, School of Dentistry, University of Birmingham, 5 Mill Pool Way, Edgbaston, Birmingham B5 7EG, UK

Articles by Sivakumar Jayachandran

A Damien Walmsley

PhD, MSc, BDS, FDS RCPS,

Professor of Restorative Dentistry, School of Dentistry, The University of Birmingham, St Chad's Queensway, Birmingham, B4 6NN, UK

Articles by A Damien Walmsley

Email A Damien Walmsley

Abstract

Abstract: Understanding patient desires during prosthodontic management in the general practice setting may be challenging. Careful recognition of the clues from the patient in the initial few appointments will ease the subsequent treatment for both the dentist and the patient. This article discusses treatment choices in dentistry and how to tailor them to individual patients.

CPD/Clinical Relevance: Potential difficult clinical situations can be managed effectively if identified at the earlier stages of meeting with a patient. Therefore, initial consultation appointments are important as a prognostic tool in prosthodontics/restorative treatment planning.

Article

Diagnosis and treatment planning in dentistry is a partnership starting with the patient leading the oral history. By the end of the consultation, an autonomous patient makes his/her own choice based on the clinician examination and consultation, given risk, benefits, outcomes and consequences. A dental clinician with a clear understanding of the motivations and expectations of the patient will maintain a robust dentist/patient relationship in the future treatment. This may be regardless of the technical success of the treatment. This understanding will commence in the first few appointments and will continue throughout the treatment. However, in general practice, while we focus on the dental centric problems, we may miss the bigger picture. This article is an attempt to put some thoughts around the first discussions with the patient, as it is well known that first impressions count. As a general article, it is not the aim to discuss systems that dentists work within but to provide some examples of how to balance patient and dentist expectations. In view of the different approaches to treatment planning, the aim of this article is to provide indicators on how to manage the patients' expectations alongside the dental competencies related to the management of partially dentate patients. Although the article has a bias to prosthodontic treatment, the take home messages will be the same for any patient/dentist consultation.

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