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.