Direct and indirect composites in anterior
For any aesthetic treatment, the practitioner should encourage the patient to express his motivations and desires. The dentist must devote time to listen, understand and guide the demand. After a thorough analysis of existing problems, with clinical examination, x-rays and photos, a treatment may be proposed to the patient, who then might accept it or not. In case of refusal, it is important to understand its reasons and, if possible, to make another proposal in accordance with the patient’s expectations as long as they are realistic; the patient will have to understand and accept the limits of the second proposal. When agreement is reached, study models are needed and through the realization of diagnostic wax-up, dentist and laboratory can show the expected outcome to the patient. In the following case, we will see how we managed the treatment plan after the patient refused our first proposal.
Before starting any treatment we have to listen carefully at the patient’s expectations. If we have to make realistic compromises, the patient has to understand and accept the limits of the new treatment plan. In the case here presented, the patient knows the outcome won’t last for many years. Despite this, the patient is grateful and comes back to the clinic every 6 months to check her mouth.
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