Doctors

Is Creative Diagnosis on the Rise in Dentistry?

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A very interesting MyView column by the American Dental Association (ADA) is titled “Creative Diagnosis” by Jeffrey Camm, D.M.D. located over at http://www.ada.org/9151.aspx and published October 21, 2013. In the column the author touches on an issue he faces as a dentist where he has patients who have seen other dentists who were likely unethical in their treatment (and treating when it is not warranted) – a term he calls creative diagnosis. Of course one can ask, what is the motivation for creative diagnosis and one would answer money and staying afloat. Essentially the author describes several cases he has dealt with at his practice: A 16 year old patient who graduates from his pediatric practice and sees a new dentist who then says she has 16 cavities. The patient and her mother of course are upset and he reviews … Read more

How to Manage Pain Patients in Dental Practice

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An interesting article appears in J Can Dent Assoc 2012;78:c83 titled “Neuropathic Orofacial Pain Patients in Need of Dental Care,” written by Gary D. Klasser and Henry A. Gremillion. It was posted online on August 17, 2012, over at http://www.jcda.ca/article/c83. The abstract of the article states “Dental pain is a common complaint among the general population. Most pain is a result of traumatic injury or bacterial infection in pulpal and periapical tissues, and dental practitioners are successful at diagnosing these conditions and providing prompt relief. However, in some cases, patients continue to complain of persistent pain, which may be categorized as neuropathic. These people may avoid or neglect routine dental treatment or interventions to prevent precipitation, perpetuation or exacerbation of their pain condition, and practitioners may have to modify their procedures when managing the dental needs of this unique population.” … Read more

The American Dental Association: Is it Patient-Centered, Science-Based and Ethically-driven?

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Some time recently (within the past 6 months) the ADA (American Dental Association) has updated their about me page over at http://www.ada.org/aboutada.aspx. A new video appears and under it the text reads “This American Dental Association video tells our story and highlights how the ADA has always been a patient-centered, science-based and ethically-driven association. It captures the ADA’s spirit and what the ADA strives to be.” Viewing the video the words patient centered, science-based, and ethically-driven are repeated. The video also throws around the terms continuous learning, research and development, patents, and up to date. In one segment a dentist presumably says do no harm, always do good, treat people with fairness and honesty, and respect the doctor patient relationship. Unfortunately I disagree with the ADA’s assertion that they have always been patient-centered, science-based, and ethically-driven. As stated before on … Read more

New Website For Oral Surgeons Group: MyOMS.org

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A new website was launched last month by the Association of Oral and Maxillofacial Surgeons (AAOMS), a U.S. based oral and maxillofacial surgeons group, MyOMS.org. The press release for the website launch is located over at http://myoms.org/assets/uploads/documents/myoms.org_website_news_release.pdf and titled Web site Gives Patients New Insight into Oral and Maxillofacial Surgery. It was known several months ago that a new website was coming, see the post Upcoming Changes to JOMS and AAOMS in 2014. The website is described in the press release as easy to navigate and designed to allow the public access to vital information on conditions of the face, mouth, and jaw. The press release also describes how videos and illustrations explain many of the procedures offered. Furthermore, a Find a Surgeon feature allows patients to find oral surgeons near where they live or work. Reviewing the website, the design … Read more

Retractions and Corrections From Scientific Misconduct

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An interesting article appears in the Journal of Medical Ethics, January 2013, vol. 39, pp. 46-50, titled “Scientific retractions and corrections related to misconduct findings,” by David B Resnik and Gregg E Dinse. The authors explored 208 closed cases involving official findings of research misconduct published by the U.S. Office of Research Integrity from 1992 to 2011 in order to determine how often scientists mention in a retraction or correction notice that there was an ethical problem with the article. The issue of fraudulent articles appear in the scientific literature is a problem as many articles and the data within them can be falsified. See for example Industry Bias in Biomedical Science and The Right to Health and Information. The authors mention that typically when a retraction or correction is made to an article they are usually electronically linked to … Read more