There is nothing wrong with patients who are limited in the amount of money they can invest in their dental treatment. In fact, this may make up the majority of your patients. However, proceed cautiously with the budget-conscious patient who has extremely high esthetic expectations. Rather than having a dissatisfied patient, you are much better off explaining that because they may not be able to afford the ideal or recommended treatment due to the great amount of time, cost, etc. involved, they need to compromise.
“Wrinkle Patient”
These patients are afraid of looking old. They expect esthetic dentistry to make them look young again, expecting you to get rid of their wrinkles by “plumping out” the restorations. Unfortunately, your dentistry may not be able to accomplish this esthetically, which can make for patient dissatisfaction.
The other type of patient in this category is the reverse—the one who claims that after your esthetic treatment, wrinkles appeared. This is one of the situations where the before full-face photograph is essential. It is advised that these photographs be taken with and without makeup. Ask the patient to remove all makeup, thus allowing you to more accurately see facial characteristics, which will help you in your diagnosis and treatment. Then point out every wrinkle and/or other facial deformities that are not likely to change. However, be quick to point out to this type patient that you work with an excellent team which includes a plastic surgeon, and that, following your dental treatment, the plastic surgeon may be able to improve that condition. Follow this suggestion with a recommendation for a consultation with a plastic or oral surgeon during your diagnostic stage—never after your treatment is complete. Make sure to document the recommendation so that you will not be taking responsibility for something you cannot control.
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