Secrets of Successful Dent 1 - Removable Prosthodontics
Secrets of Successful Dent 1 - Removable Prosthodontics
Secrets of Successful Dent 1 - Removable Prosthodontics
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Matching Expectations<br />
Iatrosedative Interview<br />
• Critical for success<br />
• If patient & dentist don’t expect the<br />
same result - failure<br />
• Helps determine need for referral<br />
• 1. Recognize & acknowledge problem<br />
• 2. Explore & identify problem<br />
• 3. Interpret & explain problem<br />
• 4. Offer a solution<br />
Iatrosedative Interview<br />
Iatrosedative Interview<br />
• 1. Recognize & acknowledge problem<br />
•Patient: “My problem is .... I’d like.... They’re<br />
too...”<br />
•<strong>Dent</strong>ist: “So your dentures feel..., I can see they<br />
are... That must be difficult ...”<br />
• 2. Explore & identify problem<br />
•<strong>Dent</strong>ist:<br />
•History - “You say the dentures loosen only<br />
when you are chewing on the left side?”<br />
•Exam - Visual intraoral check. Look for<br />
variations from normal in denture & tissue. Use<br />
indicating media. Have patient demonstrate the<br />
problem. Palpate.<br />
Iatrosedative Interview<br />
• 3. Interpret & explain problem<br />
•“It appears that the denture teeth may be too far<br />
away from your bone. There is not much bone to<br />
support them. Look here in the mirror... “<br />
•“The denture will always be looser than normal<br />
unless...”<br />
Iatrosedative Interview<br />
• 4. Offer a solution<br />
• <strong>Dent</strong>ist:<br />
• “So to review, you have 3 things you want changed..<br />
• You don’t want these 2 things changed...<br />
• I can change/improve ... but not....because...<br />
• Do you understand...Do you have any questions<br />
• What would you like to do? “<br />
4
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