Developing the Esthetic Treatment Plan: The Esthetic Interview
GOAL: To identify the patient’s reasons for
seeking treatment.
KEY questions for the patient:
1. What is your chief esthetic concern?
2. Do you have a specific idea of how you would like your teeth
to look?
- The more specific the answer, the more predictable treatment
will be.
- The less specific the answer, the less likelihood the patient
will be satisfied.
3. Do you feel that the change in your smile will
help a specific area of your life?
- Listen for the unrealistic answer,
such as: “I’m having difficulties
in my marriage
and I think if I looked better, my marriage would
improve.”
- The more realistic the expectation, the more predictable
treatment outcome will be.
The more unrealistic the expectation,
the more likely it is
that the patient will be dissatisfied.
4. How white would
you like your teeth to be after restoration? (use a shade
guide)
If the patient wants his teeth “as white as possible”,
check his color perception.
a. Using a shade guide, ask the patient to choose the shade he thinks his teeth
are now.
b. Ask which shade the patient would like them to be.
c. Compare these shades to the patients’ teeth.
d. The closer the shade chosen is to the current shade, the more predictable
treatment will be.
e. If a large variation exists between the shade chosen and the current shade,
discuss color perception with the patient.
5.
Bleaching:
a. Have you ever bleached your teeth?
b. Are you considering bleaching your teeth?
c. Are you opposed to bleaching your teeth?
Treatment KEY: Any bleaching should be completed four weeks
before shade selection for all restorative procedures.
THE ESTHETIC INTERVIEW
1. What is your chief concern about the appearance
of your teeth?
2.
Do you have a specific idea of how you would like your teeth to
look?
3. Do you feel changing your smile would help a particular area
of your life?
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