to the treatment planning situation.
If we have these three first paradigms
that bring us to the independence stage,
there is a fourth paradigm that is called,
“Think Win-win"
the fifth paradigm,
“Seek to understand, then to be understood”,
and the sixth paradigm, “Synergize”.
That will get you to the level of interdependence.
These four, five and six habits
we don't discuss in this content.
And we start out with our first paradigm,
“Be proactive”
What does that mean for treatment planning?
It means that we create a mission statement.
You can discuss that for a long time,
but then you come to probably,
a mission statement that is very reasonable
to establish and satisfy the patient's needs
for esthetics and function under healthy conditions.
These sentences have
Now, if I have this mission statement,
I go to the second, to the topic of this lecture,
namely, “Begin with the end in mind”.
What does that mean in treatment planning?
It means that I ask the question,
how does this patient's dentition look like
when treatment is finished and she leaves the office?
So, in other words, I hope that she will be smiling
and at full function under healthy conditions.
Now in this instance here,
you have an edentulous patient,
and we could say that there are basically two options
of how this patient will look like.
Either they are going to be two locators,
placed under a full denture.
And that is, then, of course,
the end of the treatment.
And this will substantially improve the chewing function
of this particular patient.
But not everybody wants to have removable dentures.
Some people may want to have a fixed reconstruction.
And here, I have here a case
that starts out with a mutilated dentition
where about everything is wrong that can be wrong.
You see, there is periodontal disease,
you see the caries,
you see loss of function.
You see that this molar has completely lost its attachment,
and you have already a dentureless area.
If we now think about how he wants to look like,
we have to remind ourselves
that this patient is a very affluent patient
who wants absolutely a fixed reconstruction.
Because, if we now take out all the teeth
that are really jeopardized in their health,
like all these front teeth,
we end up with almost an edentulous jaw in the maxilla.
So, immediately, we are going to look at
the anatomical structures
in order to have an idea of where we can place our implants.
We will use six implants here in the maxilla,
and we will use two to begin with in the mandible.
But then, we need do other,
So here, you have all the implants placed,
and now you have the fixed reconstruction.
So you see, the end was completely different,
even though the starting point was very similar.
So, in the end, we have two fixed bridges in the maxilla,
and we have three fixed bridges in the mandible.
And, we have these three in the mandible
because of the bending of the mandible
when maximal opening it.