Читать книгу Fundamentals of Fixed Prosthodontics - James C. Kessler - Страница 111

In cases in which the choice between a fixed partial denture and a removable partial denture is not clear cut, two or more treatment options should be presented to the patient along with their advantages and disadvantages. The dentist is in the best position to evaluate the physical and biologic factors present, while the patient’s feelings should carry considerable weight on matters of esthetics and finances.

Both dentist and patient must agree on the definitive treatment plan. If the patient understands and is willing to accept the risks associated with the dentist’s second-choice treatment, it is prudent to make a notation to that effect and have it signed by the patient. If the restorative dentist is convinced that a particular type of treatment desired by the patient is absolutely wrong for a given situation, an attempt should be made to educate the patient by explaining the reasons behind this opinion. If the patient remains unconvinced, the patient should be referred to someone else. Life is too short for the aggravation that may otherwise follow.