Tuesday, July 14, 2020

No Way to Select a Physician or a Dentist

It is quite common to select a physician or dentist by checking reviews.

In MY OPINION that is an unwise way to select people to take care of you.

Why??????

Many Doctors and Dentists hire a service to write good reviews for them. Or many put their patients on the spot and request  positive review prior to leaving the office.

More commonly, a 'good dentist' is a dentist that accepts your insurance and doesn't hurt giving Novocain.

The BEST WAY to select a dentist is to use OBJECT MEANS to your evaluation such as the following:

1. The BEST clinical dentists are those that use a rubber dam when they place a bonded posterior resin. Unfortunately only 5% of dentists use a dam ....the BEST 5 %.

2. The best clinical dentists have thousands and thousands of world class continuing education

3. The Best dentists will have many examples of their work to show other patients.

4. Better dentists post cases on dental forums for constructive criticism.

5. Better dentists TEACH at a dental school or to local dentists.

It is a good idea to use Yelp or Google to find a great restaurant. It doesn't work so well to find great people to take care of you.

Tuesday, July 7, 2020

Do No Harm

The most traumatic treatment that can be performed on a live tooth is the preparation of the tooth for a crown;  Preparing a tooth for a crown in a young patient 20-40 is the most detrimental. I have not placed a crown on a live tooth for a 20,20 or 40 year old in almost 25 YEARS.

If a crown is placed on a vital tooth in a young patient, the chance that the tooth lasts an entire life is very low while the probability of an implant is high. In my practice, the placement of a crown is the dental treatment of last resort, regardless of the age of the patient.

Notice what happened to the tooth when the mercury amalgam was removed. The entire cusp fell off because of expansion and contraction of the metal.

No healthy  tooth structure was removed to restore either tooth. One or both of these teeth would have been crowns or onlays in other dental practices.

Do no harm.