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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Conclusions<br />
• Small percentage never satisfied,<br />
even with highest quality<br />
• Comprehensive interview can help<br />
identify patients with high expectations<br />
• Low clinical quality related to reduced<br />
patient satisfaction<br />
5 Step <strong>Dent</strong>ure<br />
Troubleshooting<br />
1. Differential Diagnosis<br />
2. Look for Normal<br />
3. Patient Demonstrates Problem<br />
4. Never Adjust without Indicating Media **<br />
5. Patient Rates Improvement<br />
Principal 1<br />
Establish a Differential Diagnosis<br />
• Form a list <strong>of</strong> possible causes<br />
• Try to prove problem is not caused by<br />
“X” by eliminating possible causes<br />
• Expect resolution within 10-14 days<br />
• If no resolution, eliminate something<br />
else<br />
Principle 1: Differential Diagnosis<br />
• Prioritize from common to rare<br />
• Eliminate common etiologies first,<br />
because:<br />
Common things<br />
occur commonly<br />
Rare entities occur<br />
rarely<br />
Differential Diagnosis:<br />
CD or RPD Pain<br />
Principles <strong>of</strong> Diagnosis<br />
Occlusion<br />
Remount, Articulating<br />
Paper, Adjust<br />
<strong>Dent</strong>ure Base<br />
PIP, Adjust<br />
Vertical Dimension<br />
Infection<br />
Systemic Disease<br />
Allergy<br />
Time to Adapt,<br />
Reset Teeth<br />
Tests, Referrals,<br />
Medications<br />
Patch Tests, Referrals,<br />
Change Materials<br />
Attempt to<br />
eliminate<br />
problem.<br />
Re-evaluate<br />
results in<br />
10-14 days<br />
• Don’t t limit list too early in diagnosis<br />
• Keep an open mind<br />
• Revisit possible causes<br />
5
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