V Contents Introduction IX CHAPTER 1 - Why comprehensive diagnosis and treatment planning? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Patient perspective ........................................................................................1 Dentist perspective 3 Unidisciplinary dentistry 5 Case 1: “How about a quick fix?” 6 Case 2: “My big day is coming up soon!” 8 Case 3: “I never smile” 11 Multidisciplinary dentistry 14 Case 4: “I want implants!” 15 Case 5: “I don’t want to remove my teeth at night” 18 Interdisciplinary dentistry 22 Case 6: “Missing teeth” 23 Case 7: “I’d rather have a denture” 26 Summary 31 References 31 CHAPTER 2 - Comprehensive treatment planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33 Chief complaint ......................................................................................... 34 Oral examination ........................................................................................ 34 Diagnostic records 35 Developing a problem list and treatment plan 39 Case 8: “I want to improve my smile” 42 Summary 50 Keys to success 50 References 51 CHAPTER 3 - The critical role of orthodontics in restorative treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53 Keys to success 54 Case 9: “My teeth keep chipping” 55 Case 10: “I hate my smile” 58 Case 11: “Let’s keep those crowns on!” 66
VI BEYOND THE SINGLE TOOTH Case 12: “I don’t know how to smile” 69 Case 13: “I don’t like my crowns and gummy smile” 80 Keys to success 90 References 90 CHAPTER 4 - Managing worn dentition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93 Types of wear 94 Case 14: “I don’t show my teeth when I smile” 96 Keys to success 113 Summary 113 References .............................................................................................. 114 CHAPTER 5 - The endo-restorative interface 115 Risk assessment 116 Endodontic referral 117 The “big picture” 118 Case 15: “Recurrent decay on tooth 29” 121 Case 16: “Recurrent decay on tooth 31“ 125 Summary 131 References 131 CHAPTER 6 - Periodontal foundation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133 Communication key 134 Case 17: “To save or remove? 136 Case 18: “Don’t forget the foundation” 151 Summary 158 References ............................................................................................. 159 CHAPTER 7 - Smile design . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 161 Case 19: “I think I’m ready for veneers” 163 Case 20: “My bonding needs an upgrade” 177 Case 21: I want to close the gap between my teeth” 185 References 199
VII CHAPTER 8 - Team training and development . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 201 Dental assistant team 202 Dental hygiene team 206 Hygiene and comprehensive dentistry 210 Dental hygienists and comprehensive dentistry 210 Administrative team 220 Summary 222 References 222 Appendix - Patient intake forms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 223 Dental hygiene checklists ............................................................................... 228 Dental assistant/dentist checklists ....................................................................... 230 Acknowledgements 239 The Author 242