Lino Calvani - Fundamentals of Treatment Planning

FUNDAMENTALS OF TREATMENT PLANNING

Library of Congress Cataloging-in-Publication Data

Names: Calvani, Lino, author.

Title: Fundamentals of treatment planning : guidelines on how to develop, plan, write and deliver a prosthodontics care project / Lino Calvani.

Description: Chicago : Quintessence Publishing Co, Inc, 2020. | Includes bibliographical references and index. | Summary: “This book helps dentists, prosthodontists, and students form and organize their thinking and formulate correct diagnoses and therapies that start with appropriate treatment planning”-- Provided by publisher.

Identifiers: LCCN 2020010451 (print) | LCCN 2020010452 (ebook) | ISBN 9780867157925 (hardcover) | ISBN 9781647240332 (ebook)

Subjects: MESH: Dental Prosthesis | Patient Care Planning | Prosthodontics--methods

Classification: LCC RK651 (print) | LCC RK651 (ebook) | NLM WU 500 | DDC 617.6/92--dc23

LC record available at https://lccn.loc.gov/2020010451

LC ebook record available at https://lccn.loc.gov/2020010452

©2020 Quintessence Publishing Co, Inc

Quintessence Publishing Co, Inc

411 N Raddant Road

Batavia, IL 60510

www.quintpub.com

All rights reserved. This book or any part thereof may not be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, or otherwise, without prior written permission of the publisher.

Editing: Quintessence Publishing Co Ltd, London, UK

Layout and Production: Quintessenz Verlags-GmbH, Berlin, Germany

Cover illustration: Lino Calvani

“Tristo Discipulo Qui Magister Non Superavit!”

“Bad is the student who won’t do better than his teacher!”

University La Sapienza, Rome, Italy (founded in 1303)

“Great spirits have always encountered violent opposition from mediocre minds. Imagination is more important than knowledge. Knowledge is limited; imagination encircles the world. Any fool can know, but the point is to understand.

I didn’t arrive at my understanding of the fundamental laws of the universe through my rational mind. I have no special talent; I am only passionately curious.

Time is relative and its unique value is given by what we do as it passes.

Only a life lived for others is a life worthwhile.”

Albert Einstein (1879–1955)

Dedication

As science teaches, the concepts expressed in this book were not written as a point of arrival of learning, but rather as a continuous progression of learning. This book is dedicated to all my beloved teachers who inspired me and who still enrich my life as I remind my students that knowledge always follows when you have passion and commitment.

Lino Calvani

Table of Contents

Foreword

Acknowledgments

Organization of the book and how to use it

Prosthodontists: Who we are and what we do

Literature

Chapter one Past, present, and future of treatment planning

The distant past

20th century to the present

‘Hyper-science’ and the future

References

Chapter two Treatment planning management

Some definitions and basic premises

Professionalism: four human factors

| 1. Proper communication and dialogue with the patient

| 2. Motivating patients

| 3. Patient management

| 4. Positive professional characteristics

Priorities

The ideal treatment plan

Compromise

Prosthodontic economics and patient treatment costs

| Affordability of the treatment plan

| The patient’s occupation

| Costs in the face of disease

| Transparency and politeness

Informed consent

| Consent

| Informed consent

| We are not obliged to treat all patients

| In case of emergency

| The use of the informed consent

| Essential aspects of the informed consent document

| Digital technology and informed consent documents

References

Chapter three Prosthodontic tools for treatment planning

How prosthodontists can help their patients

Aims and requirements of all prostheses

Current main prosthodontic tools

Fixed restorations

Removable partial dentures

Complete dentures

Removable overdentures

Full-arch implant-retained fixed prostheses

Bioinformatics and the digital prosthodontics paradigm shift

Computerized chairside and laboratory technologies

| Digital software treatment revolution

| In the clinic

| Digital treatment planning

| Cloud dentistry

| Computer-guided implant-positioning software and hardware

| 3D virtual articulators

| Facially driven dentistry

| Computerized laboratory technologies

Holographic prosthodontics

The day after tomorrow

References

Chapter four Data, findings, and dental semiotics

Data

Findings

| Symptoms

| Signs

| Simultaneous symptoms and signs

| Main symptoms and signs in dental medicine

Semiotics and dental semiotics

References

Chapter five The first visit – diagnostics

Approaching and meeting the patient

| Professionalism

| Attitude

| Kindness

| Empathy

Where we meet our patients for the first visit

How to communicate with patients during the first visit

Professional office techniques to gather information

| Emergency examination

| Screening examination

| Comprehensive examination

The first professional appraisal

The important basic information

Chief complaint

| The histories

Clinical examinations

| Radiographic examinations

References

Chapter six Diagnosis and prognosis

Diagnosis

| Differential diagnosis

Prognosis

| New predictive technologies

| Prosthodontic prognoses

References

Chapter seven Physical examination – Part I: extraoral examination

Clinician qualities

Steps of the physical examination

| Prepare the environment

| Make the patient feel at ease

| Check the evaluation questionnaire with the patient

Physical examination checklist

Physical inspection of the body, auscultation, and odor examination

| General appearance

| Body posture

| Movements and muscle coordination

| Nails, skin, and hair

| Breathing patterns

| Odors

| Speaking ability

| Speech peculiarities

| Understanding ability

| Vital statistics

Head and neck inspection – examination

| Face