The History of Dental Pain Management: The Progress That Has Been Made

This is a guest article by Dr. Justin Clemens. Within the past 30 – 40 years, it has become increasingly popular to sedate patients to have dental work completed. Although this seems like a long time, in the sense of medicine and dentistry, it really isn’t. This is where the true melding point of medicine and dentistry occurred. Let’s take a little trip in time to see where we began in dentistry to help us better understand where we are now in terms of pain management. The most recent of what we would call “modern dentists” were more like “tooth mechanics”. They were simply drill and fill or just yank it out with no numbing at all. This was until the advent of cocaine in the late 1800s. It is from cocaine that we derive all of our synthetic local anesthetics with … Read more

Can a Dentist Lose Their Skills Over Time?

An interesting article titled “Keeping skills current” appears in the May 2015 issue of JADA by Don J. Ilkka. The article discusses the ethics of what a pediatric dentist should do who used to perform sedation on his patients over 20 years ago, but now wants to do so again. For the around 20 year gap the pediatric dentist had an anesthesiologist in his office to monitor the sedation. The article discusses how there are many issues at work here. This includes if the dentist can legally perform the sedation and if he is qualified to do so or needs any additional training. Furthermore, there is a question about whether the staff of the dentist is qualified to support him. Working without an anesthesiologist may cause the dentist to perform less cases a day. The article states “As the dentist you describe … Read more

Dental Phobia – Therapy Treatments for Anxiety and Phobia

Overcoming a fear of the dentist, or odontophobia, is incredibly important if you want to maintain your oral hygiene and avoid having serious health problems in the future. You may be pleased to learn that fear of the dentist is actually surprisingly common – affecting 20% of the population worldwide. Most people’s fear of the dentist doesn’t stop them from visiting the dentist when problems arise but it does stop them when going in for regular check-ups – which increases the likelihood of actual problems occurring.  For some though dental phobia is so severe that they will not visit the dentist under any circumstances – and will often result to extreme measures to fix their own dental issues. In either case various techniques and therapies can be used to overcome dental phobia. Visiting the dentist regularly is the best way … Read more

Preserving Research Funding in Dentistry

An interesting article titled “The vital role of research funding in preserving the oral health of the public and the dental profession,” appears as a guest editorial in the June 2015, issue of JADA and written by Maxine Feinber and et. al. The article discusses how it is critical that investments in dental, oral, and craniofacial research continue in the United States to help improve the nations oral health. The article states “…oral diseases persist on a scale that is poorly understood and wholly unacceptable… 3.9 billion people had oral conditions, with untreated dental caries in permanent teeth the most prevalent disease, affecting 35% of the world’s population….1 in 5 Americans is afflicted with dental caries…” The article says that around 4% of health care spending in the U.S. is for dental services. Even so we know little about oral disease and … Read more

Are Dentists Not Busy Enough?

An interesting article titled “Solving dentistry’s ‘busyness’ problem” appears in the August 2015 edition of JADA and written by Marko Vujicic. The author states that nationally (U.S.) around 1 in 3 dentists say they are not busy enough. This differs by state and whether or not the dentist accepts Medicaid. The author states that the number of working age adults who have seen a dentist within 12 months has been declining over the past 10 years. In addition, inflation adjusted dental spending has been flat for several years. So the demand for dentistry is declining. The author also states that the number of dentists has increased over the last 10 years. So decreasing demand and increasing supply creates a problem for dentistry. Even so the author feels that dentist utilization by seniors will increase over the coming years and dentist utilization … Read more