113. Dr. Neil Griseto - Should You Ever Tell Patients No?
Mar 21, 2022
auto_awesome
Dr. Neil Griseto discusses challenging patient types in dentistry, advising when to say no to cases and refer patients. The podcast covers patient assessments, building rapport, navigating patient personalities, ethical standards, and the importance of honesty in patient care.
Assessing patients' ridge height and palate form is crucial for successful dentures.
Stability and support are essential factors in denture functionality and mastication forces.
Building trust, understanding patient personalities, and setting realistic expectations are key in dental care.
Deep dives
Evaluation of Denture Patients
When evaluating patients for a denture, various factors are assessed, including ridge height and width, tissue quality, and form of the palate. House's palatal or throat form is crucial for success, although assessing it functionally can be challenging. The tongue's position in the mandible is also a key predictor of successful outcomes for dentures, with the ability to be trained in certain cases.
Support, Stability, and Retention in Dentures
Assessing support, stability, and retention in dentures is essential for treatment success. Stability, defined as resistance to displacement parallel to the occlusal plane, is crucial in denture functionality. Adequate support comes from firm tissues and good bone foundations, crucial for managing mastication forces. Identifying these factors helps determine whether improving the denture is feasible.
Patient Rapport and Expectation Setting
Building rapport with patients and understanding their expectations are vital in dental treatment. Establishing trust and communication can enhance the patient's experience and treatment outcomes. Setting realistic expectations and gauging patient personalities are essential for successful treatment planning.
Challenges with Patient Behavioral Evaluation
Behavioral and personality evaluation in patients present challenges for dentists. Recognizing different patient types, including exacting, philosophical, and indifferent personalities, can impact treatment success. Addressing patient expectations, understanding their needs, and building rapport play a significant role in effective dental care.
Handling Patient Dissatisfaction and Professional Limitations
Being honest with patients about treatment limitations and acknowledging personal skill sets is crucial. Learning to say 'no' when a denture improvement isn't feasible is important for patient well-being. Prioritizing patient satisfaction, self-assessment, and continuous learning contribute to ethical and effective dental practice.
In this ep you'll learn all about the types of patients that can get you into trouble. You'll learn about the interworkings of a philsophical, exacting, indifferent and hysterical patient. You'll learn which types of patients can make your job easy and which types can turn your life into a nightmare. Dr. Griseto will discuss the types of cases you should just say no to and when you should refer.
Dr. Neil Griseto graduated from the Dublin Dental University Hospital at University of Dublin, Trinity College in 2006. Following graduation, he worked in Ireland and Australia as a general practitioner until 2016 when he commenced his postgraduate training in prosthodontics at the University of Texas Health Science Center San Antonio. He graduated in 2019 and commenced as an instructor at HSDM.
Dr. Griseto is currently the Interim Director of the Advanced Graduate Education Program in Implantology and lectures locally, nationally, and internationally on the topics of prosthodontics, implantology and digital dentistry.
Dr. Griseto is a Diplomate of the American Board of Prosthodontics and a Fellow of the American College of Prosthodontists.
Dr. Griseto is primarily working towards defining and managing the transitional and terminal dentition, exploring mandibular kinematics, and the completely digital workflow for complex rehabilitative and restorative needs. His interests also include esthetics research, implant crestal module design, implant biomechanics, fit analysis, and occlusion research.
Get the Snipd podcast app
Unlock the knowledge in podcasts with the podcast player of the future.
AI-powered podcast player
Listen to all your favourite podcasts with AI-powered features
Discover highlights
Listen to the best highlights from the podcasts you love and dive into the full episode
Save any moment
Hear something you like? Tap your headphones to save it with AI-generated key takeaways
Share & Export
Send highlights to Twitter, WhatsApp or export them to Notion, Readwise & more
AI-powered podcast player
Listen to all your favourite podcasts with AI-powered features
Discover highlights
Listen to the best highlights from the podcasts you love and dive into the full episode