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When You Don’t Yet Know How to Comprehensively Treatment Plan


When you don't yet know how to treatment plan
When you are still going through the Dawson curriculum, do you wait to treat or do you try anything immediately?

This is an important question for anyone still learning occlusion and smile design. When you look at the totality of what we're training you to do, there are still a lot of patients who need preliminary mouth preparation to get healthy. There’s still periodontal and biological work to be done, like fillings and build ups.  There are also going to be patients that don't have tremendous functional problems.

Here is what I did with patients with functional problems while I was still learning:

I tried to recognize the patients that I wasn't yet ready to treat. And if I wasn't ready to treat them, I was honest with them about that. I would say, "Look, I'm training hard to learn how to solve this problem. In the meantime, we're going to clean your teeth and keep your gums healthy. And I'm going to keep your teeth free of decay. And I'm going to make this splint and keep you from doing more damage. I'm going to hold you together until I'm ready."

This plan built a nice little reservoir of patients that, when I felt ready, I could perform a work-up, complete exam and consult. The first ten years of my practice, I was fixing existing patients. I didn't need any new patients. There were a bunch of them that were ready for me.

It may seem like I’m telling you to hold off on production by telling you to wait on treating these patients now.  

I want you to think about what it would cost if you treated even one of those patients and weren't ready. It would cost you stomach lining, money, time, and re-makes.  You aren’t holding off treating them altogether, either. When we talk about case sequencing, we teach that you get mouths healthy biologically, then functionally, and finally do the prosthetics. So start with getting your patients’ mouths healthy biologically.

The best thing is to know your skill sets. Balance your confidence level with your competence level.

As you go through the curriculum, I think you'll be very surprised at how quickly you will be able to handle cases that you can't even imagine handling now. 

Photo Credit: coofdy via Compfight cc

            dental occlusion        

John C. Cranham, DDS has an esthetic oriented practice in Chesapeake, Virginia. An honors graduate of the Medical College of Virginia in 1988, Dr. Cranham maintains a strong relationship with his alma mater as an Associate Clinical Professor. He is an internationally recognized speaker on the Esthetic Principles of Dentistry, Contemporary Occlusal Concepts, Treatment Planning, Restoration Selection, Digital Photography, Laboratory Communication, and Happiness and Fulfillment in dentistry. As a published author, Dr. Cranham has a strong commitment to developing sound educational programs that exceed the needs of today’s dental professional. He is an active member of numerous professional organizations including the American Dental Association, The American Academy of Cosmetic Dentistry, The American Academy of Fixed Prosthodontics, and The American Equilibration Society. Dr. Cranham is co-chair of Advanstar Dental Media’s CE Advisory Board (Advanstar is the publisher of Dental Products Report). Dr. Cranham is the Clinical Director of The Dawson Academy where he is involved with many of the lecture and hands-on courses within the curriculum. As an active educator, he has provided over 650 days of continuing education for dental professionals throughout the world.