A DENTIST’S DILEMMA FOR HIS YOUNG PATIENT WHO WANTED DENTURES
In Part 1 of this series I responded to a dentist’s dilemma about carrying out treatment requested by his young patient and committing her to dentures. It is not uncommon within our professional environment to face this or other similar situations that challenge our moral and ethical compasses. In this segment I explore how these might affect our professional conviction, …and whether this may be limited by an inexperience?
August 12, 2017
A DENTIST’S DILEMMA FOR HIS YOUNG PATIENT WHO WANTED DENTURES
One dentist had a dilemma about his young patient who had numerous decayed teeth, and who asked him to remove all of her teeth (including some healthy teeth) and get dentures. The dentist refused and posted his dilemma to the wider professional dental community. Below is the dentist’s post on a professional platform:
After engaging many dentists around Australia, I was asked to comment and provide my view on this.
July 12, 2017
Is our society so blinded by religious and political activism that we forget one of the most fundamental values that we all beleived already defined us as a nation …equal rights?
May 7, 2017
What are the most important factors for Quad Zygomas?
February 24, 2017
In the world of cosmetic and rehabilitative dentistry, the worst ‘Befores’ are often followed by the best ‘Afters’ because of the psychological impact of the contrast. In other words, when the situation is bad, any kind of an improvement is an improvement.
But to achieve visual aesthetics without the contrast of the situation at the start, and at the same time achieving ideal function and stomatognathic health involves more than just performing routine procedures. It involves thinking outside the square.
November 2, 2016
There are various methods to make immediate All-On-4 implant-supported fixed bridges. The nature of the treatment often precludes the ability to fit the FINAL bridge immediately after surgery. This is due to a number of factors, including:
August 23, 2016
August 5, 2016
If my first professional visit to Japan was synonymous with the famous Bullet Train, whilst similarly first class as a testament to my hosts and entourage, this one more closely resembled an overnight sleeper train …stopping all stations!
I visited four cities in as many days, shuffling between airport, bullet trains stations and private cars, conducted three lectures in Tokyo, Nagoya and Osaka, and visited numerous high profile clinicians, …all that in humid 35 degree heat. But it was not as onerous as it sounds. I had the pleasure of meeting some very interesting people, and forged relationships that will likely be a basis to the establishment of a sub-economy in Oral Rehabilitation with Dental Implants. Let me explain …
You’ve Got To Be In It to Win It!
May 27, 2016
I have been running surgical residency programs for 9 years, and had visitors from many parts of the world with the special privilege of hosting some of the world’s most renowned dental implant experts, but never before have I looked forward to an event as much as I did to this month’s conference at my training centre. Weird as this might sound, it was Deb’s Syrian Chicken that got me excited. She finally succumbed to my nagging and agreed to cater our event, so I knew it was going to be special.
May 3, 2016
One of the common dilemmas in dentistry is knowing when to “pull the plug” on conservative treatment and re-think how to address an ongoing cycle of dental problems.
One of my first bosses as a graduate dentist was treating his friend for many years and recentl faced this dilemma. Not knowing …read more
January 29, 2016
The common meaning of the word Specialist is “a person who concentrates primarily on a particular subject or activity; a person highly skilled in a specific and restricted field.” In other words a specialist is expected to have expertise in a specific area, and this can be facilitated through training, focus and experience, as well as through individual skills and talents. However, in dentistry, a “Specialist” does not carry its common meaning, – instead it means a Registered Specialist. As such, clinicians who may indeed fall under the common definition of a “specialist” which the public understands, are actually prohibited from advertising themselves as such.
December 14, 2015
All-On-4 dental implants must be placed in ideal positions in order to optimise aesthetics, ease of cleaning and comfort.
When there is poor or inadequate jaw bone present the situation is such that surgeons are often forced to place implants wherever they find some bone, which means that the positioning of …read more
December 3, 2015
Meticulous, systematic, minimalist, and bullet-trains, …that’s Japan. So why would an invitation to speak be any different: fly-in Wednesday, do two lectures, visit a couple of clinics and fly out Thursday, …oh, and on 3 weeks notice, …plenty of time, right!?
November 12, 2015
With the advancements made in dental medicine and oral surgery, dental implants have become not only an increasingly viable option, but a preferred solution for patients seeking a more permanent and aesthetically pleasing alternative to loose dentures. However, there are situations where conventional dental implants simply will not work, such as cases with advanced jawbone atrophy caused by long-term denture wearing or from severe infections in the past, cancer or even the common gum disease that can also destroy the jawbone over time.
November 8, 2015
When Geistlich Pharma AG invited me to do a roadshow in China, I thought this was going to be just “another day in the office”. What I didn’t expect was a cultural and culinary experience that would leave a lasting impression.
October 31, 2015
A recent dental graduate recently posted a complex case on dental Product Review. He faced a dilemma of how to plan a young 35 years old woman, who had numerous missing teeth and a Class III skeletal discrepancy. Here is an image of this dentist’s post, and me reply below:
October 26, 2015
After years of teaching English in China, it wasn’t hard for Yi Yu to acclimate to her new home when she relocated close to her family in Australia in 1995. Life was pleasant until five years ago when Yi Yu’s speech began to progressively slow down. Her daughter, Min, was alarmed and took her mother for medical testing. The doctors diagnosed that she had suffered a mini-stroke, which negatively impacted her speech. She lost her ability to communicate clearly, which became even more problematic when she couldn’t explain to her family why she was regularly refusing food.
September 3, 2015
There are numerous registrable and recognised dental specialist titles such as endodontists, paediatric dentists, orthodontists, oral & maxillofacial surgeons, prosthodontists, periodontists, among other specialties. These specialists practice in a niche area of dentistry in which they were trained. However, most of those various areas of dental practice are also part of the training that general dentists receive, and the question often arises amongst my colleagues when to refer?
June 12, 2015
Last night I reviewed one of my patients who I treated with the Zygoma-Plus technique, a method that I developed, borrowing from the traditional Zygomatic Implants and sinus grafting techniques, with some critical modifications. I presented this technique at the India International Dental Conference.
The patient is a successful businessman/entrepreneur, with a busy life and completely time-deprived. He lost his upper teeth in 2008 and received dental implants from his periodontist, who planned to maintain the natural lower teeth at the time with gum treatment. The upper implants were done using a traditional 2-stage approach,whereby the implants were fitted with locator abutments, and supported a removable clip-on denture.