AS SEEN IN

In  the  Foxhole  Together:    How  to  Have  the  Most  Successful  Client  Relationships

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Fohey:

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LMT interviews Terry Fohey, CDT, who has brought the concept of collaboration to a whole new level at NuCraft Dental Arts in Bogart, GA. | Maribeth Marsico, Senior Editor

 

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Real-­Life  Cases  from  the  Foxhole  The key components of Terry Fohey’s foxhole philosophy—a shared knowledge base and shared vision—ensure that even the most challenging case is a success story. Here’s a look at some of his most memorable cases that illustrate the power of total collaboration.

CASE DETAILS: This patient, in her 20s, had worn away 40% of her upper teeth. Having recently attended Dr. Pascual Magne’s course

on bonded porcelain veneers, Fohey recom-mended eight bonded veneers to Dr. Cassidy.

“We’ve always been taught not to have more than 2mm of unsupported porcelain on a metal framework, but Dr. Magne’s research has found that rule doesn’t apply when you’re bonding to enamel,” says Fohey. “I truly believed it was the way to go.”

Fohey and Dr. Cassidy dis-cussed the case at one of their study club meetings, along with a few other members who had also attended Dr. Magne’s course. Dr. Cassidy was skeptical and concerned that the veneers would fail

and crowns would have to ultimately be placed anyway.

“But I had faith in Terry, and knew he would get down in that foxhole with me and together, the two of us would make it work. Eight years later, those veneers look just as good as the day we put them in,” says Dr. Cassidy. “When we have a challenging case like this, we diminish our risk by having that awesome shared knowledge base. When I met Terry, I noticed right o! the bat he had an openness to learn anything. That’s when we started our educational journey and really became partners in the deal.”

DENTIST: Dr. Jimmy Cassidy, Macon, GA

CASE DETAILS: An 18-year-old woman crashed into a pine tree while on her ATV. She su!ered multiple broken bones in her face, knocked out some teeth and fractured others. She was airlifted to a hospital in Huntsville; an oral surgeon pieced her jaw together

and, after healing, she was referred to Dr. Kimbrough for reconstruction.

While implants were the "rst option, there was too much damage to the bone to ensure their success. However, the patient was adamantly opposed to a removable appliance.

Accommodating the patient’s desire for a "xed restoration was challeng-ing because she had also lost part of her ridge in the accident. But the team devised a plan that allowed for a six-unit bridge, with Fohey using pink porcelain to simulate the missing area of her gums. The team members fabricated multiple diagnos-tic provisionals, getting the patient’s feedback each time on the look of the pink tissue and the teeth because they

were determined to give the young patient the smile she envisioned.

The result was a natural-looking, "xed restoration that so pleased the patient she ended up going to dental assisting school because it was such a good experience.

“This case really was the result of teamwork between the dentist, the lab and the patient. When they all come together on the same page, everything goes better,” says Dr. Kimbrough. “Early in my career, I realized I couldn’t do the type of den-tistry I wanted to do without a true partnership with my laboratory. My relationship with Terry has been one of the best things that ever happened to my practice.”

DENTIST: Dr. Denton Kimbrough, Huntsville, AL

Continued  on  page  33

BEFORE

BEFORE

AFTER

AFTER

LAB MANAGEMENT TODAY FEATURE

CASE DETAILS: A woman with a cleft palate had been through multiple surgeries and had been wearing a !ipper for over 30 years. She was tired of worry-ing it would fall out and desper-ately wanted a "xed appliance; however, she had been told it couldn’t be done.

Although most cleft palate cases are treated with a remov-able prosthetic that seals out the defect in the palate, Fohey and Dr. Loden were determined to give her a "xed restoration. Studying photographs and models, they discussed a multitude of options and opted for a two-unit appliance—canti-levered o# a single-tooth crown prep—with pink porcelain built up to cover the area of the

palate that was still partially open. They both went into the case knowing it wouldn’t be a straightforward approach and would require a lot of back and forth for try-ins. The result? A beautiful, stable restoration that has changed the patient’s life.

“This was exquisite lab work. But I could never have just sent this case o# to a lab and said, ‘make this,’” says Dr. Loden. “Terry and I were constantly on the phone, sending photos and models back and forth. Our relationship-based approach is the only way this case could have worked. Because our business models are the same, we both see the value in main-taining the art of the dentist-technician relationship.”

Real-­Life  Cases  from  the  Foxhole

Continued  from  page  31

DENTIST: Dr. Michael Loden, Warner Robins, GA

Following completion of a course on bonded porcelain restora-tions at the Interdisciplinary Dental Education Academy (IDEA), Terry Fohey (center) poses with course instructors Michel Magne, BS, MDT (left), and Pascal Magne, DMD, PhD.

BEFORE BEFORE WITH FLIPPER AFTER AFTER, INTRAORAL