Doctors

How to Address a Patient who Had an Interrupted Treatment Plan

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An interesting article titled “Following up with a patient whose treatment has been interrupted” appears in the November 2014, JADA, and written by Michael H. Halasz. The article discusses a patient who received a complex treatment from a military dentist. The treatment started but because of deployment of a large number of troops in Iraq the treatment was interrupted so that the dentists could attend to other troops. The article addresses if the patient was abandoned during this time. The American Dental Association Principles of Ethics and Code of Professional Conduct states “Once a dentist has undertaken a course of treatment, the dentist should not discontinue that treatment without giving the patient adequate notice and the opportunity to obtain the services of another dentist. Care should be taken that the patient’s oral health is not jeopardized in the process.” The … Read more

The Ethics of a Dentist Leaving a Practice

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An interesting article written by William Walton, appears in JADA December 2014, titled “Addressing the ethics of leaving a dental practice.” In the article, a discussion of what a dentist should ethically do when they are at a current dental practice and are moving to a different dental practice. It is stated that the American Dental Association Principles of Ethics and Code of Professional Conduct provide guidance on what should be done in such a situation. It is suggested that once a dentist knows they are moving to a different practice they notify their patients of this and the departure date. Further, if a patient is in the midst of a treatment plan, then discussions should take place regarding if the treatment can be finished and if this is unlikely then other options for completing the treatment should be discussed. … Read more

Looking Forward in The Dental Market

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An interesting article appears in the November 2014 issue of The Journal of the American Dental Society by Marco Vujicic titled “The invisible hand and the market for dental care.” In the article the author opens by discussing Adam Smith’s invisible hand and that it is better than central planning and regulated prices. The author then discusses the supply and demand of dental services from 1993 to 2012. In the article, 3 distinct periods of dental care from 1993 to 2012 are described. The first period was from 1993 to 2002 when dental care was growing steadily at about 4% per year in real terms while the supply of dentists remained constant. In this period dental incomes increased. From 2002 to 2008, dental spending grew at about 2% per year while the supply of dentists remained roughly the same. In this … Read more

Dental Emergency: What You Need to Know to Handle the Situation

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It’s interesting how when it comes to an emergency, some people don’t find their oral health as important as the rest of their body. When anything in your mouth becomes broken or damaged, the implications can be quite serious, even if it seems like the situation can be easily managed at home. A tooth that breaks might not even hurt if no nerve endings have been exposed, so it feels like it’s something that can be dealt with at a later stage. But should you wait? Advances in dental technology means that even fairly major issues can be remedied if you act quickly. The simple fact of the matter is that any changes to your teeth, gums, or soft tissue inside your mouth should be examined by a dentist as soon as possible, and it’s not wise to delay. So … Read more

Improving Value: Prespectives from Oral Surgeons

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An interesting editorial appears in the 2014, issue of the Journal of Oral and Maxillofacial Surgery titled “The Value of Improving Value,” by James Hupp (pp. 843-845, issue 72). In this Dr. Hupp presents a formula for patient value Value = A(Q + PS)/C A = appropriateness, Q = quality, PS = patient satisfaction, and C = costs The author states “First, one can improve outcomes while keeping costs the same. Second, one can decrease costs while keeping outcomes the same. Or third, both outcomes and costs increase, but outcomes per unit of cost improve.” In the article the author discusses how in the past, value in health care was really just about cost cutting. Clinical outcomes were not really taken into account. Now that health care outcomes are being considered, physicians need to find ways to measure value using the … Read more