Little David
Dent Today. 2015 May;34(5):104, 106-7.
Although patients frequently request enhanced aesthetics, additional considerations--including tooth structure and gingival condition, function, form, and communication--also contribute to treatment planning and successful outcomes. While some patients may only desire and require aesthetic alterations, others may require treatments that are more complicated (eg, surgery) in order to achieve their desired results. Thorough assessment and communication between the dentist and patient, as well as among all members of the dental team, prior to and throughout treatment planning, ensures that any problems, conditions, or complications are addressed before or alongside aesthetic concerns. Using visual tools when communicating with patients can help clinicians avoid unrealistic expectations while improving patient satisfaction. They can also help maximize dental team communication and ensure that all components, from the diagnostic wax-up to the final restorations, are completed predictably. By addressing patients' conditions and functionality first, and then actively listening to their aesthetic desires, clinicians are better equipped to create functional restorations that realistically meet their patients' aesthetic expectations.
尽管患者常常要求改善美观效果，但其他一些因素，包括牙齿结构、牙龈状况、功能、形态以及沟通交流等，也对治疗方案的制定和治疗的成功结果有影响。虽然有些患者可能只期望并需要进行美学方面的改变，但其他患者可能需要更复杂的治疗（如手术）才能达到他们期望的效果。在治疗计划制定之前及整个过程中，牙医与患者以及牙科团队的所有成员之间进行全面评估和沟通，可确保在关注美观问题之前或同时解决任何问题、状况或并发症。与患者沟通时使用视觉工具有助于临床医生避免患者产生不切实际的期望，同时提高患者满意度。这些工具还能促进牙科团队的沟通，并确保从诊断性排牙到最终修复体的所有环节都能顺利完成。通过首先解决患者的病情和功能问题，然后积极倾听他们的美学需求，临床医生就能更好地制作出既能切实满足患者美学期望又具有功能的修复体。
