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First of all, we need to know what are our patient’s wants, what are their needs? Second, what is our skill level? Are we proficient enough or able to do this type of work without just giving blank promises to patients; and third, is this something that I could do on my own or should I involve other specialists in this process to get the best outcome possible; and fourth, I think a very important key factor to evaluate is, what are the psychological and economic consequences or factors that are involved when dealing with cases that are pretty complex. You know, you are not just dealing with one tooth, you are really changing the position of the smile, you are changing the way the person looks, so it is critical that we take those into consideration.