UCL Eastman Dental Institute and Private Practice, London, UK.
Br Dent J. 2023 Aug;235(3):190-196. doi: 10.1038/s41415-023-6116-y.
Providing restorative dental care for patients with tooth wear can, at times, seem complex and demanding. The key to this process lies in a systematic approach that breaks down the component parts. In this chapter, the importance of a comprehensive assessment at the outset will be highlighted. This should include identification of the patient's chief complaint, taking a thorough history, completing the clinical examination, undertaking any special tests and arriving at clinical diagnoses. Together, this information will influence the treatment planning process, identify appropriate treatment concepts and options available and the individual stages that may be involved. The process should be both holistic and thorough to enable the patient and clinician to build a clear pathway and vision. In parallel, and with patient input throughout, it is essential to manage patient expectations as best as possible whilst remaining pragmatic and honest about treatment outcomes, longevity of restorations and the risks of failure.
为有牙齿磨损的患者提供修复牙科护理有时似乎很复杂且要求很高。这个过程的关键在于一种系统的方法，将各个部分分解开来。在本章中，将强调在一开始进行全面评估的重要性。这应包括确定患者的主要诉求，详细了解病史，完成临床检查，进行任何特殊检查并得出临床诊断。所有这些信息将共同影响治疗计划过程，确定合适的治疗概念和可用的治疗方案，以及可能涉及的各个阶段。该过程应该是整体的和彻底的，以使患者和临床医生能够建立清晰的治疗路径和愿景。同时，在整个过程中，从患者的角度出发，管理患者的期望是非常重要的，同时要尽可能务实和诚实地对待治疗效果、修复体的耐久性以及治疗失败的风险。
