Archive | Doctors

Comparing the differences in dental fillings

It’s something that we all wish to avoid but for most of us, dental fillings will become a way of life. For most people, it’s about keeping them to a minimum – even though they have become much easier to withstand than they may have been several years ago. Of course, as anyone who has studied the dentist industry will testify, there’s no one-size-fits-all solution here. It’s complicated to say the least and while one Cheltenham dentist may offer one procedure, a different patient may be provided with an alternative one depending on the circumstances. To highlight how many differences there are in relation to this, we have comprised the following breakdown of each of the main fillings. Silver fillings If you’ve been offered a silver filling, it may have been referred to as an amalgam. We should start with the disadvantages here; as they are probably the main point which springs to mind when you are considering this decision. Firstly, and it should really go without saying, they are silver in colour. Ultimately, they will stand out and won’t blend in like alternative fillings. They can also discolour quite easily, while on a lot of occasions your dentist may […]

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What are the ethical issues of terminating a patient?

An interesting article titled “The ethical issues of saying good-bye to a patient” appears in the July 2016 issue of JADA and written by Gary Herman. The article addresses the ethical issues that result from terminating a relationship with a patient. There are certain reasons for terminating a patient. This includes discharging a patient who is difficult or noncompliant, a patient who notifies you that he or she is choosing to go elsewhere, and a patient who just seems to disappear. A dentist of course is always concerned with treating a patient well. If you terminate a patient the practice goes against this goal. An article on risk management lists failure to recognize problem patients and failure to dismiss those patients properly as some of the biggest mistakes dentists make. The article states “When patients make unreasonable demands, have impossible expectations, or prevent you from meeting the standard of care, it is important to maintain control of your practice and terminate relationships with those patients from your practice, both for their benefit and yours.” The article states that it is essential to let a patient know you are discontinuing care. Dentists should follow up with a written notification detailing the reason for the termination and providing […]

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What Makes the Best Dentists?

There’s plenty of dentists to choose from and we know that finding the best one can be quite difficult. Dental health is not a matter that can be taken for granted and you need to know that your dentist will efficiently see to your needs. A good dentist will be concerned for his patients well being and will focus on it. A good dentist is also honest and won’t try and get you to buy all unnecessary dental treatments and products. After all he’s a dentist, not a salesman. You Should Feel Safe In Your Dentist’s Office: In a dentist office, it’s easy to feel vulnerable. Dentists see everything in your mouth, and regardless of what you’ve told them, they can tell how often you’re brushing, flossing and rinsing with mouthwash. When you have to undergo a procedure, from tooth extractions to implants, that feeling of vulnerability can escalate quickly. Does your dentist inspire trust and confidence from you? Do you feel safe, knowing they’ll take care of you? Any good dentist will work hard to provide an environment where you feel safe to drool from the Novocain, and where you completely trust them to perform the procedure thoroughly and correctly. […]

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It may be impossible to remove all bacteria from dental equipment

A few stories have appeared in articles in recent years where someone has gotten an infection at an oral surgeon or dentists office due to unsafe practices. See for example http://blog.teethremoval.com/unsafe-injection-practices-plaque-u-s-outpatient-facilities/. This has occurred when a lapse in following proper infection control practices has occurred. However, even when proper protocols are being followed at dental offices it may still be possible to come down with an infection (although rare). This is supported by a new study in the Journal Water Research titled “Efficacy of dental unit waterlines disinfectants on a polymicrobial biofilm.” The study reveals that disinfectants recommended by companies that manufacture dental unit water lines don’t actually shift all the bacteria in the lines, which means the water lines are never completely clean. The dental water lines are used by dentists to keep their dental equipment, which is always coming in contact with people’s mouths, clean. In the study by researchers from the Université de Poitiers in France they analyzed three disinfectants used by some European dentists to control biofilms in dental water lines: Calbenium®, Oxygenal 6® and Sterispray®. The researchers tested how well the disinfectants removed biofilms from dental water lines. If the disinfectants are not completely effective […]

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Should Patients Be Told Of Trainee Role in Their Surgery?

An interesting article titled “Should Patients Be Told of Resident Role in Their Surgery?” appears in the Journal of Oral and Maxillofacial Surgery written by James R. Hupp (2015, vol., 73, pp. 2071-2073). The article discusses how early July is the beginning of a new academic year in most hospital-based medical and dental residency programs. During this time many new doctors obtain clinical education. Hospital based dental residency programs often involved a lot of surgical procedures. The article questions if patients should be told of the residents potential role (and lack of experience) in their own surgery. The saying goes that one should try to avoid going to the emergency room or have surgery the first week of July or even all of July. The common thought is that the large amount of new trainees increases the chances of patient problems. In actuality, most first-year residents are given limited or no surgical responsibilities in the first few months of training. The author states “Most of us would want to know who will be in charge of our procedure and what role residents will play. Should this information always be shared with our patients? This is where informing the patient can enter a gray area.” Of course if one goes to a teaching hospital they may […]

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