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Video Details
Altering Restorations after Cementation

Description:
There are some patients who approve their crowns or veneers, and once the restorations are seated at a later date change their minds. This presentation will address how to successfully manage the potential problem that arises when a patient requests altering their esthetic results.

Date Added:
9/27/2010

Author(s):

Ronald Goldstein, DDS Ronald Goldstein, DDS
Dr. Ronald Goldstein is currently Clinical Professor of Oral Rehabilitation at Georgia Regents University College of Dental Medicine in Augusta, Georgia, Adjunct Clinic...
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Questions & Comments
Ronald Goldstein - (2/10/2016 3:48 PM)

Irene, First does she need 8 veneers? And do you see how her smile can look better if you give her 8 veneers? Second, Are there any functional problems like bone loss or other periodontal disease? If the answers to the above questions are positive then my advice is to agree to work with her on phases: Phase 1...create a good and accurate trial smile so she can see how the new veneers will look in her mouth...and charge for this phase since the trial smile is reversable although you will be spending considerable time with the patient even changing it so make your fee accordingly Phase 2...If she accepts the trial smile, make both photos and a model of the trial smile in the mouth so you can duplicate it and then give her the fee to do the case. You will no doubt also be spending the extra time with her so your fee will have to be considerably higher than your normal fee and she should be aware of this. Otherwise it will not be worth your time and stress level in accepting the patient in your care. Phase 2...

Irene Euler-Kennedy - (2/9/2016 12:13 AM)

thank you Dr.Goldstein. I have a patient at the moment who had 2 porcelain veneers on the 2 central incisors. They were done by another dentist. She did not like them and in the end the dentist gave her back the money. Now , I have her. She has a history of anorexia, and in the past I always found these patients challenging. She now wants 8 PLV's and i have not quite decided whether i should go ahead or not. How would you handle this?? Regards Irene

Ronald Goldstein - (12/30/2010 12:01 PM)

Welcome, Richard....you can find the form as one of my digital handouts on my Xpert page at the bottom left side along with a list of all my materials/instruments used in my day to day activities.

RICHARD KRAWCZYK - (12/30/2010 10:53 AM)

I am a new dentist to DentalXP. Can you provide your crown consent form that was mentioned in this video. Thanks so much.

Ronald Goldstein - (11/20/2010 5:12 PM)

I have been working on updating Esthetics In Dentistry, a 3rd edition, with Steven Chu, Stephan Stappert, and Ernesto Lee...hopefully it will be out in 2012 so no time to write any other book for time being...but I will continue my practice manage tips on dentalxp and hope they will be of interest and assistance.

mohammad alahmad - (10/3/2010 6:42 AM)

of course Dr.Ronald
every day i have new lesson ,new experience,new mistakes, and new success
i want to read more about your experience in dentistry, if you have time to collect it in a book for new dentist or in DVD
Thank you very much
i like your words << Manage your difficult patients before they manage you >>
hope to see you soon in Syria or Saudi Arabia
by the way my clinic in the first floor but i htink i need to close the window by steal !!

Ronald Goldstein - (10/2/2010 11:57 AM)

Mohammad,
Next time get an office on a lower floor!! Seriously, I know just how you felt and I really think patients are getting much more pickier and focusing their troubles on their teeth and the cosmetic treatment they receive. Make sure you get your fee up front just as I recommend in my Change Your Smile consumer book.

mohammad alahmad - (10/1/2010 1:29 PM)

Thanks alot dr.R.Goldstein
actually i had one of them , she forced me by the way of her speach about my crown to change it !!
i did what she was want about the shape and shade but when i re-fix her previous crown as temporary crown until we finish the new one she told me : I think the colour was good but its better to be little little brightand dont make it widder in its shape "">> - i wished then to jump from the windo

thanks again

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