Treatment planning is not complete until the patient makes a final decision about accepting treatment. However, follow-through by the treatment coordinator is necessary throughout your patient’s treatment. Any proposed changes to your treatment plan must involve your treatment coordinator. In fact, if your proposed changes affect your fee, then be certain to have the new case fee verified with the patient by the treatment coordinator prior to your beginning the altered treatment procedures.

How esthetic procedures differ from ordinary dental procedures should be explained. The patient must understand that esthetic dentistry may be time-consuming and, unlike routine procedures, does not always produce immediate results. Differences such as time involved for extra try-ins, treatment plans that require chairside carving and shaping of temporaries, staining of porcelain at chairside, and the dentist’s time and expertise should all be discussed. The patient must be convinced and satisfied that any additional time necessary for better esthetic results is worth the investment.

Dentists should be aware that patients are often completely unfamiliar with esthetic dentistry and are reluctant or unable to ask the important and relevant questions about the procedures. The limitations of esthetic dentistry should also be explained to the patient. While esthetic treatment can produce dramatic improvements, it cannot do everything. If compromise is necessary, say so. It becomes the dentist’s responsibility, therefore, to see that all doubts and questions are cleared away during the final case presentation. You must be careful not to impose your own esthetic notions on the patient. Superior knowledge and training make dentists the arbiter of what is practical and workable; they do not give him or her any precedence in matters of esthetic preference.
Esthetic treatment demands personal communication between patient and dentist that must continue throughout treatment. Be an acute observer, a precise listener, and an understanding interpreter. Always remember that good communication can make it possible to change an insecure frown into an assured smile.

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