medical care

Medical Responsibility

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An interesting article by  Ronald Hamowy titled “Medical Responsibility” appears in the Fall 2012 issue of the The Journal of Law, Medicine & Ethics. While I don’t agree with the all the points addressed in the article some of the points are worth mentioning.  Ronald says “That we are part of some organic body and that we are interconnected so that we “belong” to and are responsible for each other is basically antithetical to our notion of the sovereignty of the individual. Nothing is more elemental to the nature of man than that he be in control over the decisions that affect him. And no decisions are more central to his existence than the medical care he receives. This extends to being able to determine the type and degree of medical care he opts for and to choose among those … Read more

Third Molars (aka Wisdom Teeth): Kandasamy vs White and Proffit

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Like usual there are often heated exchanges over the management of wisdom teeth (third molars). Back in November 2011, in the American Journal of Orthodontics and Dentofacial Orthopedics (vol. 140, issue 5)  there was an exchange regarding two previous articles that had appeared and consequent exchange (White RP Jr, Proffit WR. Evaluation and management of asymptomatic third molars: lack of symptoms does not equate to lack of pathology. Am J Orthod Dentofacial Orthop 2011;140:10-6; and Kandasamy S. Evaluation and management of asymptomatic third molars: watchful monitoring is a low-risk alternative to extraction. Am J Orthod Dentofacial Orthop 2011;140:11-7) The articles in question I am referring to here are “Third molars” by Raymond P. White, Jr, and William R. Proffit in the American Journal of Orthodontics and Dentofacial Orthopedics (vol. 140, issue 5, pages 600-601) and Author’s response by Sanjivan Kandasamy … Read more

How Jaws Shrink With Age and Does This Affect Wisdom Teeth Crowding?

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A recent article titled “A 40 years follow-up of dental arch dimensions and incisor irregularity in adults.” by Nokolasos, Tsiopas, Maria Nilner, Lars Bondemark, and Krister Bjerklin, appearing the The European Journal of Orthodontics Advance Access published October 19, 2011, explores how the jaw is affected over a 40 year time period. The study started in 1949 with 22 males and 13 females (35 total) and after 40 years in 1989, 18 of these participants were still able to participate. Three dental stone study casts were made for the 18 participants who completed the 40 years of the study. The authors state: “The present study showed that the occlusion, overbite, and overjet was stable, but dentoalveolar changes occur in the adult dentition. In the anterior part of the dentition, decreases in arch length and width lead to anterior crowding. There was also an … Read more

Urge Congress To Make Health Care a Service, Not a Business!

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For everyone living in the United States I encourage you to: URGE CONGRESS TO MAKE HEALTH CARE A SERVICE AND NOT A BUSINESS. Here is the link to to write to Congress to https://writerep.house.gov/writerep/welcome.shtml The last I heard Congress had a dismal 9% approval rating. Here is also the  link to find your Senator http://www.senate.gov/general/contact_information/senators_cfm.cfm So why should you write to Congress? Well here is what other dental professionals are saying about my website. “I know this is a bit wordy, but our professional reputation may have become tainted because of a few who have reached national notoriety in a negative light. I don’t know how prevalent such unethical practices are, but we should all remember that patients don’t get mad at one doctor or one office, they paint the whole profession. It’s up to all of us to keep that reputation … Read more