The Dawson Academy Blog

Dental Articles on Occlusion, Centric Relation, Restorative Dentistry & More

Dawson Quick Tip: How to Increase Case Acceptance with Photography

In this addition of increasing case acceptance, I want to talk about digital photography. You've been hearing me say this over and over if you've been listening to this section along the way: I don't think there's any way that we can completely convey to a patient what is going on in their mouth unless we have a crystal clear picture of what is happening.

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A Brief Review of a Healthy Temporomandibular Joint (TMJ)

Inspiration for this article:

Recently we received the following comment on the blog article, "The Importance of Load Testing" by Dr. Leonard Hess. 

Comment:

I am a past attendee of the Pankey and Dawson curriculums ( long ago in the 1980's) and am flabbergasted that you still preach this anachronistic content which has long been disproven in the evidence based literature and debunked in dental education. I am a dental educator and long ago stopped teaching that every patient had to be in centric relation, that the TMJ bore the main load of occlusion and that anterior guidance and posterior interferences had a significant relationship to TMD. I see patients with harmful irreversible changes caused by excessive and unnecessary equilibration, and TMD patients grossly overtreated with unneeded prosthetics, orthodontics and orthognathic surgery. I am hoping that you will post this and respond. Although I have great respect for Dr. Dawson as a pioneer in dentistry the Dawson Academy needs to greatly modify its curriculum content to come into the 21st century. !

Sincerely,
Harold F. Menchel DMD

You can find responses by both Dr. Hess and Dr. Dawson to Dr. Menchel's comments at the bottom of that article. Below is my response.


As dental educators, it is our duty to seek a total understanding of the foundational concepts and the associated clinical relevancy in order to teach our students and positively impact patients.  Dr. Dawson’s very concept of complete dentistry, and what is taught by the Dawson Academy, is to identify any signs or symptoms that impede anatomic and functional harmonyIt is our goal to provide the least invasive, most conservative treatment to help our patients achieve optimal health that is maintainably comfortable and beautiful.  This we agree upon. 

The “anachronistic content” you describe stems from an incomplete understanding of the anatomy and function of the masticatory system as well as the erroneous application of that misinformation.  Much controversy and clinically skewed research stems from a lack of a common classification system for joint position, occlusion and temporomandibular disorder (TMD) diagnostic criteria. Sadly, such has perpetuated our profession and the opportunity to clarify is welcomed.

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Dawson Quick Tips: Immediate Non-Occlusal Load Temporaries

So my quick tip is about immediate non-occlusal load temporaries for implant restorations.

I love doing INOL temporaries.

I just think it's a great value for patients, but what I found was that there's a lot of chair time involved in doing these. I've done many of them in my office and the patient would come over from the surgeon's office, implant was placed that morning. They come to me. I have my stent ready. I fabricate the INOL temporary and it looked great, but it took me an hour or an hour and a half to do it. And there's a lot of bleeding involved, and tissue involvement that just becomes very frustrating to work with when you are trying to deal with a temporary material.

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Quick Tip: How to Increase Case Acceptance for Cases of Missing Teeth

In this edition of Increasing Case Acceptance, I want to talk about patients with missing teeth. We all have them. We all have patients in our practice that are missing a molar, and time goes by as the patients wonder whether they should do anything about it. And as you observe the patient over the years, the teeth start shifting in. The upper tooth or the lower tooth start shifting in the space and things start getting off.

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Dawson Quick Tip: One Easy Way to Be a Better Leader


Are you ever frustrated with the results that you're getting in your practice? Wishing that they were better than they are? 

Or do you have situations where you're having a communication with a patient, a team member, or even a family member?

Well if so, I want to encourage you to ask yourself the leadership question in those situations.

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Quick Tip: How to Increase Acceptance for Elective Esthetic Dentistry

In this edition of Increasing Case Acceptance, we want to focus on elective esthetic dentistry. There really isn't anything more fun than talking to patients about things that involve improving their smile. The mistake that we make as dentists is we focus too much on the procedure in the beginning of giving them options of what we're going to do to them, specifically to make them look better.

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How to Get Case Acceptance for Treating Periodontal Disease

When talking about periodontal disease and increasing case acceptance with that part of your practice, this really should be a very simple thing for us to do. Sadly, periodontal disease still goes grossly undertreated in this country and in many of our practices.

So again, what I want you to think about through the lens of optimum oral health, what are some of the terms that we can be talking with patients about to get them to understand?

  1. I would use words like the silent taker of teeth
  2. Talk about their breath
  3. Talk about the drain with the infection affecting their systemic health.
Here again, utilizing the trick of showing them some part of their mouth that's normal and some part of their mouth that is departing from normal really helps that.

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