Negotiation Tips for New Dentists

Dentistry does not have the luxury of spending an entire Saturday talking about treatment alternatives with one patient. Some strategic ideas would help in the negotiation between dentists and patients. In today’s world, many online links are available for patients, negotiating their amount on dental bills. Dentists must discuss their secrets of negotiation.

  • Use emotions while negotiating

Help patients understand your concerns with their ailment process by presenting your own emotions. When a patient refuses an important treatment, express concern for their health and well-being to help them understand the requirement of the treatment.

Have you ever faced difficulty in negotiating with your patients at an emotional level? Please share your way of negotiation with your patients, so that other dentists learn from your experience in our comment section below.

  • Must have clarification before gathering information

This strategy is very different from other dental teachings. Studying your patient’s radiographs and previous notes are crucial for undergoing any treatment. Find out answers to their dental issues before their first appointment. Use this information along with your preventive solutions to compromise.

How can you make the information more effective for your patients’ treatment? You should have a clarity about your patients’ history for offering them with best possible treatment.

  • Conflict should be healthy

If you ever disagree with your patient’s principles, it is important to express this with your patient rather than compromising. Most of the result oriented approach will be based on evidence-based dentistry. If patient disagrees, it’s always important to stick to your beliefs based on evidence-based dentistry and resolve conflict based on facts.

You must have met with some patients, where conflict of opinions have occurred. Share some experiences to help other dentists’ fellow in our comment section below.

  • Remember that loss is a tolerable risk

If your patient denies compromising, it’s always nice to help your patient find a better place suited for their procedure. Negotiations should be ethical with the right tools. It’s necessary to treat your patient with a proper standardisation. Have you ever helped your patient with a better place for their treatment?

Helping your patient is a noble cause.
If you are unable to provide them with best treatment, suggest the best dentist or clinic.

Check out our interesting videos on YouTube.

7 Benefits of getting featured in Dental Magazines

DentalReach Dental Magazines and other Dental Journal Comparison with the number of dentists in the world

 

Writing? That too an article, for Dental Magazines?

Meh! I don’t even write the content for my Dental Practise website (that my service provider is asking for)

Sounds familiar?

Are you the one who says such things when asked about writing content for your website or for dental magazines? If YES is your answer, please read along.

So, one of the amazing benefits of getting yourself featured in Dental Magazines is it helps you to show the world, What EXTRA you are doing at your workplace.

Enhances your identity as a practitioner and also makes helps boost your clientele in a longer run.

Here’s the reason why we as dentists, find it difficult to create content for Dental Magazines and even our Dental Practice Website:

1. Not consuming enough content

Researching while writing for a Dental Blog is important. This eliminates all the possibilities of wrong information being served to the readers.

If you are not consuming a lot of content, you won’t be able to find that inspiration to create content.

Furthermore, it also decreases your ability to work on creative ideas regarding the content on your website and the content strategy.

 

2. The human psyche

As human beings, we find it very easy when we are asked to communicate via speech. According to one study, we are scared to do something that leaves a permanent impact on something, at first. Such as creative writing.

We often need a push.

 

3. The art of writing and the skillset

Some of us think that we aren’t hardwired for writing and drafting articles for magazines and blog posts. And that is true, but it is not something that you can’t learn in the due course of time.

Writing for a magazine or a blog is a written form of the same content that you often speak DAILY.

Though, one must follow the usual rules about language such as grammar and other intricacies.

 

4. Platform

I meet a lot of people, and whenever I ask them to share their views about this whole publishing issue, this one seems to be their topmost concern.

THE PLATFORM?

What’s that ideal platform for dentists, where they can get their views? And that too, without dealing with a lot of hassle?

Well, there are many. A lot of publishing houses are eagerly looking for content. The real problem is, there isn’t enough GOOD QUALITY content for Dental Magazines, yet.

DentalReach is amongst one of the best Dental Magazines platform out there. We’re here for quite some time and we are here to stay.

Now that we are aware of some of the most common excuses, here is something to boost your morale.

 

Why Dentists must get their content featured in Dental Magazines?

Before that,

Did you know that there are over 93 Dental Journals and 197 Dental Magazines as of 2019?

DentalReach analysis on journals vs magazines in dentistry

So, why should you, “The Dentist of the Modern Age”, get yourself featured in DentalReach Magazine?

1. Exposure | Recognition

Writing and getting your articles published in Dental Journals often helps you to gain popularity and along with that it exposes you to newer paradigms.

Dentists are known for their game-changing excellence. Whether it is smile designing or implant surgeries, there is a lot to share with the community.

You can share your well-documented cases, in dental magazine and journals.

This will not only help expose you among a lot of youngsters but also, people will start looking up to you.

 

2. Self/Dental Office promotions – and getting more clients

Tell a Story, a story about your journey, about;

How you started, What’s your work regime, How you and your team takes care of your patients.

You see, if there is a STORY, there’ll be EYES reading it.

 

3. Helps you to remember, understand and gain a different perspective

Writing is an art, no doubt about it. But once you start writing for Dental Magazines, sooner or later you are going to realize that this is adventurous.

You see, there is no direct reward, but the feeling and inner joy of publishing your article or story can’t be explained in words.

 

4. Helps improve your CV

Publishing a scientific paper, not only helps you get an extra entry in your CV but also it empowers you academically.

You end up learning more. And this is where the real growth lies.

 

5. Meeting like-minded people

Meeting the like-minded people, when you really go out there helps you to build rapport.

As a social animal, we often feel the need to connect with like-minded people, to learn from each other. One greater advantage being in such company is you’re now a part of a group. The ramifications of a collective effort(s) of YOUR GROUP are endless in the field of Dentistry in 2019.

 

6. Opens a lot of Gateways

All of this, opens up a lot of opportunities for the Dentist so that they can do a lot better for the humankind.

Publishing your work in a Journal or Magazine, just opens a lot of Gateways.

Once you put yourself out there, it’ll be easier for you to get your work published in other Journals and Magazines too.

Ripple effect.

 

7. Greater Good – By contributing to Dental Magazines

Think of a world beyond you, beyond your ego. Share what you know, with the world out there, HELP them.

Sure, there will be no IMMEDIATE benefits but you are going to have some long term benefits.

Publishing your work in Dental Journals and Dental Magazines seems fun, for sure. But in actuality, it gets a little difficult. Because writing is just one bit of publishing.

Don’t worry nowadays almost all the publishing houses, even we at DentalReach have a fleet of editors, designers, and media experts to make sure that your work is presented well.

What is Medico-Dental Symbiosis?

Cooperation not competition

The past two decades have seen increased development in the field of medicine. With venturing years and at the end of the second decade, medical profession today stands as one of the most significant, respectful and promising professions with the hopes of common citizens at its epicentre. As a common man, the belief in longevity is more based on faith.

A doctor is a defined personality who is deemed successful when the patients put their faith in his profession and hence every white apron wearer stands as a brother in the profession as often the white apron often becomes the unified symbol for trust. In the dilematic world of medical profession, one of the debatable issues is sharing of the reputation. There has always been a fight or confusion among the practitioners about who is more reputed within the profession.

There has been a competition among the various branches of the profession to establish their authority over the faith and proclaim themselves as king of the profession. The rift has been severe between the degrees of MBBS, BDS and BPT these are the branches of the health care related to medical, dental and physiotherapist.

The other branches like AYUSH, Ayurvedic, Yoga, Unani, Siddha and Homeopathy also give a tough fight in this competition but judgement is made based on the severity of cases in the respective fields, for example, where ⁷the medical professionals deal with more life-threatening cases like cardiac surgeries and internal organ haemorrhages, the dental surgeons deal with lesser complications based on the cases. The dental speciality includes craniofacial trauma which is equally important and life threatening.

The medical profession is a vast profession which deal with various branches of medicine such as pathologies, surgeries cardiovascular trauma, gastro-intestinal disorders, respiratory syndromes, immunodeficiency diseases, labour and maternal health, neurosurgical complications, etc., hence the risk of  losing the patient permanently is more in the ratio aspect.

This field not only demands immense knowledge but also demands a sharp polishing of the skills to be practised. Severe complications during birth or surgeries may demand sudden intensive care for the patient and equally the chance of medical negligence also increases with increased responsibility. Medical professionals always update themselves with basic life support modules and emergency drugs expecting a medical complication or emergency anytime in the office.

Medical branches have not only taken care of healthcare as a whole but also act as a security guard towards its fraternity branches of healthcare. The support to medical professional is given by the branch of nursing which trains nurses and assistants to be the right hand of a practitioner.

Nursing not only acts as the right hand of the practitioner but also acts as the conduit between the medical and dental practitioners. A dental practitioner is equally trained as a medical professional excluding certain departments and culture. A dental practitioner not only limits himself to the matter concerning teeth but with advanced dentistry; a dental practitioner also trains himself in basic life support and head and neck surgeries, standing in the same operation theatre as a general surgeon.

With advancing dentistry both responsibility and risk factors increase for the practitioner. Knowledge about management of medical emergencies is necessary if precipitated on the dental chair. The knowledge of the complete human body does give access to the dentists to equally behave as a medical professional but the reason behind dentist being regarded as less important by society is that presents itself as a very safe practice.

Even though the medical and dental emergencies exist, a precaution is always the first line of treatment for such patients. Dentistry as a profession is a controlled healthcare profession, but it would not be wrong to say that it is one of the super specialities of medical profession involving the complications and pathologies arising specifically in the head and neck region. The importance of such practise is not vital because of a parallel healthcare branch of medical science, which is called or termed as ENT specialist takes care of any complication in medical atmosphere and the dentist is allowed to operate a safe practice.

Here is where medical and dental symbiosis occurs, our brothers in medicine not only provide us with important and updated information but also help in managing the complications arising from the practice of dentistry. The medico-dentico symbiosis is important because it establishes a professional harmony in society and helps patients to gain confidence in healthcare. Both branches aid each other technically and help in prospering of their respective professions. Apart from this medico-dentico symbiosis also helps in conducting surveys, counselling patients and eradicating diseases to promote general public health.

They come together as a motivator and establish a strong connection in spreading awareness. The advanced and upcoming branch of forensic odontology in dentistry is a fraternity of the medical branch of forensic science, specialised to deal only in terms of teeth and this branch has helped forensic experts of medical backgrounds to establish age, gender and finding the cause of the crime or disaster; a forensic odontologist always becomes a part of forensic team when it comes to disaster management protocols and investigations.

Other branches of healthcare like physiotherapists and AYUSH act as an alternative to allopathic medicine. In the end, it is the motto of the healthcare industry to maintain clean, hygienic and disease-free environments in society. The achievement of this goal is done by various approved medicines of healthcare researches.

The symbiosis of all these groups is important in society to fight advancing diseases. It cannot be ignored that the basic need to improve healthcare arises due to the dependency and adaptation of the diseases in the pathological world. The collective effort and work of all the professions help in exploring a disease and stress-free environment, preserving the professional harmony among all the branches of health and also help in updating, managing and spreading awareness in public health and preserving the principles of health education.

In the healthcare industry there should never be an ‘I’ but as a team, it should always be a ‘me’. The advantage of the symbiosis is there is increased confidence in the patient along with the awareness of various dental anomalies arising through or not via medical conditions. This symbiosis also helps in the designing of treatment plan for all the pathologies which may arise from a collective iatrogenic or non-iatrogenic effort of healthcare as a whole.

Scarce Government Funding In Dental Research In India

Mar 26, 2019
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The art and science of research has always been a see-saw affair as far as its progress is taken into consideration, especially in South East Asian countries, including India. The lack of expertise is not the only factor to be emphasised and stressed upon which has deciphered funding issues, but if we have a glance at the “Compendium of ICMR research papers (1919-2010) – A consolidation”, we can get a clear insight of the scenario.

As per the Compendium, it was heart pounding to find that research in the dental fraternity has not been given enough priority at all which is flashed from the paucity of ICMR published research works in dentistry

Surprisingly, one-third of dental schools in the world are in India, but our contribution to dental research is not even 1%. There have been numerous proposals and letters written in this regard to the Dental Council of India (DCI) as well as various universities running dental colleges in Indian states.

Uplifting the standard of dental research including several research activities in the Undergraduate, Postgraduate, Ph.D.; but unfortunately, the idea couldn’t be transformed from moth eaten pages to the practical world. The concerned authorities need to take initiative towards development of infrastructure for dental research, so that, India could catch up with the global standards of oral health & research.

Biggest lack of expertise can be exemplified by the fact that various journals are publishing exclusively for research work, short studies and evidence-based literature, fail to categorise Systematic Reviews and Meta-Analyses under the criterion of original research! One should understand that meta-analysis in the pyramid of various research methodologies lies at the top because it works on the principle of Randomised Control Trials (RCT) based studies, and these RCT are the best-acclaimed research methodologies existing in the field of literature.

Based on numerous studies that have been carried out so far in the regard to evaluate and assess the various obstacles and hindrances towards scarce funding in dental research, these reasons can be categorized as Financial and Training support related barriers and general barriers.

In order to outline the Financial and training support related barriers, basic clip arts include:

  • Lack of fund/grant seeking proforma
  • Refusal of various universities or individual colleges to grant funding aids to interested students and budding researchers.
  • Unable to publish the research work done
  • Lack of skills in critical analysis and methodology/conduct a study scientifically.
  • Articles lacking quality to be accepted in international or pubmed indexed journals

Similarly, the time-related barriers can be summarized as:

  • After time spent with clinical work, teaching and administration (for academic staffs) or clinical work and studies (for MDS & PhD students), there is no time left in work schedule to do research ideally.
  • Research works to be conducted should be directly proportional to interest and inversely proportional to time constraints.
  • Dental colleges should spare the staffs involved in research separately senior or junior scientists and research scholars
  • Compensating personal lives and hours due to constraints from research areas and modalities.

However, the section of General Barriers towards scarce funding in dental research includes:

  • Publishing results of research in academic journals is not important according to many researchers
  • The quality of scientific work and research is good, but it’s not accepted in International Journals; editors and editorial boards are unfair to Indian authors.
  • Working on unfair modifications and manipulations to avoid leading up with negative results.
  • Promoting research is not important to the maintenance of dentistry according to professors in India.

Enlisting the above problems, hindrances, obstacles leading to scarce funding for dental research in India has always been challenging for the growth of research fraternity in our country and finding a solution to it is still a question mark to the new horizon!

Esthetic-Multiple Diastema

Mar 21, 2019
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Multiple diastemas could be attributed to

  • Missing teeth
  • Periodontal condition
  • Unstable occlusion
  • Patient habits in turn exert excessive force on teeth

This one hour session addresses the treatment execution for a case of multiple anterior diastemas due to missing laterals by direct resin restorations. Use of illusion to manage such cases are explained in detail.

“Eduhub is the place where you get proven expertise to hone your skills, under the mentorship of the best dental professionals of India. Come, be a part of today’s leading dental community.”

For more information :

About the course :

World Oral Health Day 2019

Across the globe World Oral Health Day is celebrated every year to promote awareness about good oral health. In order to maintain good oral health world oral health day is one such special day celebrated globally so that people can take care of the health of mouth and teeth from children to adults.

Every year FDI World Dental Federation organises the day to raise awareness and run a year-long campaign about the issues of oral health and dental hygiene importance, so that health associations, public and governments altogether work to achieve healthier and happy lives.

History

FDI World Dental Federation first declared in 2007, World Oral Health Day is celebrated on 20th March every year, but officially celebrated in 2013 a year-long campaign for prevention of oral diseases and also raised awareness of oral health. A specific theme is featured since from 2013, a celebration of that particular day takes place.

Why World Oral Health Day is important!

World Oral Health Day offers the oral health community a platform to perform an action since 90% of the human population suffers from oral health-related issues. So, that it helps reduce the burden of overall disease and many can be avoided by wide range of health education, government agencies and support of social through funding for diagnosis, prevention and treatment programmes.

World Oral Health Day 2019 theme

Each year has its own theme and is used as a platform to create awareness among people about maintaining oral hygiene and dental health. The theme of World Oral Health Day 2019 “Say Ahh: Act on Mouth Health”, is a campaign call for good oral health, a concrete action. The Ahh phrase is commonly used by doctors and dentist during a routine check-up. FDI with this campaign calls on every individual to protect oral health a tangible action. The World Oral Health Day campaign provides a platform by leveraging coordinated efforts on various aspects to raise awareness.

Around the globe millions of people suffering from the oral disease which demands action on an individual, family community level. FDI is targeting and confident about action to take a serious toll on individual overall health and well being by curbing the prevalence of oral disease and also to make oral health a highest individual priority among everyone.

Say Ahh: Act on Mouth Health individually encourages and motivates by taking specific action to take the change of their own oral health by protecting their well being.  This campaign also aims and will position for protecting oral health, a key stakeholder in educating patients are oral health professionals on wider implications. In order to address oral disease, helping them recognise early detection and treatment is very important for best outcome since preventive care is always the best option. Integration through their campaign is aimed at policy makers for better oral health to secure commitments through policies to address various oral disease and also associated health complications.

Optimal oral health for all and commitment to ‘Act on Mouth Health’ World Oral Health Day supports stakeholders across the board to contribute together for results.

Ideas and activities to celebrate the World Oral Health Day

Emphasis on the importance of better oral health in our lives dentists, doctors and various other experts around the world are focusing to create awareness through spreading information about oral health among the public. In order to celebrate World Oral Health Day general public, dentists, doctors and students work with some ideas and activities.

Public seminars and workshops

College students organise public seminars about the importance of good oral health and also visit residential areas in their locality about the benefits of oral health education. Colleges or medical institutes can organise posters or banners about maintaining oral health, how to do it and showcase them in offices, public spaces, schools and colleges. Institutions can make content about the same topic and give prizes for best poster or banner.

Brushing techniques demonstrated

In order to demonstrate to children and families how to brush teeth and maintain oral health better by inviting staff from a local dental clinic.

Fun activities for kids

Fun activities like making clay stands for the toothbrushes, enacting a song, reciting tooth brushing songs, skits or drama of teeth to reveal the importance of brushing, etc. Schools could assemble students to educate them on the importance of brushing their teeth and maintaining good oral health.

Slogan and speech competitions

Schools and colleges may organise competitions through slogan and speech competition to spread the message of the importance of good oral health in a wide range.

 

Experiencing the White Coat

Compassion of the White Coat

The word is simple but the experience is difficult to understand. Wearing a white coat is privilege for medical professionals. It is a provision of keeping surroundings safe and secure. The White Coat is an award for itself; it beholds the nature of work. When wearing The White Coat, the experience is beyond one’s imagination. The White Coat provides a designation to perform for the wellness of people; also becomes hard to ignore when living every moment in The White Coat.

The White Coat represents a great amount of knowledge, status and sense of comfort for medical practitioners. There are multiple reasons to wear the coat with pride. Doctors wearing the white coat may be of senior consultants, surgeons, physicists and pathologists; they preserve the same culture of treating ill or infirm patients.

The White Coat augments the pride in the profession by representing simplicity of the world and helping people in need. Patients rely more on doctors to wear the white coat, and it means a lot for them. Though, the quality of experience has come after several years of mutilating self into various forms of knowledge and practice.

Every doctor plays an important role in a patient’s life, irrespective of their cultural and economic backgrounds.

Why patients prefer The White Coat?

According to studies, the attire of doctors influences patients to confidently open up with their problems.

It is difficult to wear the coat all around the day, and juggling between the ramifications of caring, treating life with only a single intention and purpose. Wearing the same outfit in a practice zone full of infections is dangerous to patients and to self. For these reasons, some of the doctors prefer not to wear the coat; or wear it only during the first half of the day.

Why is The White Coat so meaningful? Because you have worked hard for your credentials; you have earned the right to wear The White Coat proudly. With a distinguished name on a broach on the first pocket, a doctor will certainly be more dignified. These little differences in The White Coat create a big significance in the minds of the patients and well-wishers. Any patient would wait to address the doctor with genuine respect to communicate their queries.

Confidence and Proficiency

The lab coat not only puts together the medical profession but also provides confidence. Patients value the opinion of a doctor rather than a random person. It also projects professionalism and aptitude, all while giving you an easy outfit choice every morning. Though there is a different form of lab coats, mainly suited to the new nature of attire.

The view of patients of doctors is beyond imagination. Every patient feels differently with doctors depending on their gender, male and female lab coats are designed to provide a sense of professionalism fitting the structure of one’s body though both provide the same responsibility and nature of work.

In the same way, patients interact differently with doctors with dark hair or grey hair. Wearing a White Coat changes the perspective of the patients seeking the notice and support of a doctor. In case of an emergency, every doctor prefers the same form of treatment irrespective of the gender or age.

For the record, a doctor working an average of 59.6 hours/week, can no longer differentiate with wearing a coat but gives satisfaction of attaining stability on the practice by the age of 30. The doctor-patient relationship built by the form of a doctor’s attire with The White Coat forms a major connection with healthcare and the practice of medicine. Therefore, the relationship can form on one of the foundations of the contemporary roles of a doctor; to help, support, protect and treat ones with ailments.

A doctor’s point of view

Medical practices handle a lot of sensitive patient information every day. The patient also trusts the practice of a doctor with their lives. This plays the hard role to keep The White Coat by saving lives by any means possible. With the Hippocratic Oath to The White Coat, a doctor is responsible to help any type of patient, irrespective of their nature of work, or a law-breaker, offender or felon of any kind. Similarly, that person will also respect The White Coat on the doctor and open up to medicines; a doctor uses for the treatments. For a respectful job, a respectful uniform is necessary.

In many cases, patient’s preferences are primarily shaped by cultural norms. The culture of medicine has been the same for many years; these little events make it very powerful and hard to break like the code of wearing The White Coat.

The White Coat is remarkably great in the eyes of many; but in the coming years, the pattern of practice will change. Along with it the form and attires will also no longer be relatable to only saving someone from danger. Wearing The White Coat is the closest thing to wear the certificate of the hardship of becoming a doctor. With a lack of management, time and safety, the feelings become more logical. The White Coat comes with a load of responsibility.

Are dentists trapped between patient satisfaction and unnecessary prescriptions?

If you chase perfection, you often catch excellence.

William Fowble

Medical health care services are revamping rapidly with the latest scientific research and technology advancements. Patients are getting aware of dental treatments due to educational programs and are becoming more demanding. Some patients are coming to doctors by Google diagnosis and demand for various available treatments on Google. Antibiotics are common treatment in dentistry.

Antibiotic resistance complication is commonly seen and heard in dentistry during this era. There is ample evidence showing significant relationship between increases in antimicrobial resistance to bacteria isolated from areas with higher antibiotic utilisation compared with lower antibiotic utilisation areas.

Proper knowledge about dosage, indications and their side effects should be known before prescribing it to patients.

Every dentist dreams to make perfect anatomically correct restorations. Patients don’t always accept and appreciate dentist’s effort. Some patients even accept poorly done restorations, as long as they don’t affect them adversely.

That’s why patient’s satisfaction in dentistry is of utmost importance after every treatment. In a true sense, dentists are trapped between perfection and patient satisfaction.

Treatment success depends on dentist’s skills, patient cooperation and the adeptness of the dental technician or ceramist. A drawn balance between all these factors can provide amazing results; a missing component will offer limited outcome.

Not always will we get a cooperative appreciating patient and doing a job for an uncooperative customer can be a difficult and thankless task. In such situations, dentists apply all their knowledge, clinical skills as well as patient communication and management skills for an ideal result.

Every dentist is skilful after the precious time spent in dental school, careful patient handling and management is the key to success in situations like these.

Sometimes dentists have to perform out of box treatments at patient’s demands and satisfaction as in case of a decayed tooth which needs root canal treatment, patients do not wish to undergo root canal treatment instead demands a cement filling.

After explaining all the possibilities without root canal treatment, patient stick to their wish and dentists performs fillings to appease the patient. Care must be taken during such treatments, and doctors must ensure the patient fills a consent form before undergoing the procedure to avoid later any backlash from the patients.

Are dentists prescribing unnecessary prescriptions? Well, this is an individual centric problem. I don’t think that dentists are prescribing unnecessary prescriptions some might be but not all.

Some patients demand prescriptions to alleviate pain instead of treatment or addressing the root cause. Dental diseases are chiefly caused by microorganisms. Antibiotics are often used in endodontic cases; however, successful treatment can predominantly be achieved by mechanical and chemical cleaning of the canal.

Dentist is the most antibiotic prescribing medical practitioners. In dentistry, antibiotics are prescribed after tooth extractions, root canal treatments and while treating Periodontitis. Whether to prescribe routine antibiotics during root canal or not, is a debatable question. But what we are following is what we were taught in dental school, recent updates in dentistry, dental journals and articles.

Prescription of antibiotics during routine root canal treatment is unnecessary and doing this unnecessarily increases antibiotics resistance. One day, no antibiotic will work because of the resistance. Dental infections are due to most complex anaerobic bacteria to suppress their activity one has to prescribe antibiotics.

Antibiotic prescription is blind in dentistry because dental practitioners do not know which microorganisms are responsible for the infection, as samples from the root canal or periapical region are not routinely taken and analysed, also not economic for each and every case.

Based on clinical and bacterial epidemiological data, the microorganisms responsible for the infections are being suspected, and treatment is decided on a presumptive basis with broad‐spectrum antibiotics (Poveda Roda et al. 2007). There is clear guideline to prescribe antibiotics in dental conditions as given in the chart.

Pulp/Periapical condition Clinical and radiographic data Antibiotics as adjunct
Symptomatic irreversible pulpitis
  • Pain
  • No others symptoms and signs of infection
NO
Pulp necrosis NO
Acute apical periodontitis
  • Pain
  • Pain to percussion and biting
  • Widening of periodontal space
NO
Chronic apical abscess NO
Acute apical abscess with no systemic involvement
  • Localized fluctuant swellings
NO
Acute apical abscess in medically compromised patients
  • Localized fluctuant swellings
  • Patient with systemic disease causing impaired immunologic function
YES
Acute apical abscess with systemic involvement
  • Localized fluctuant swellings
  • Elevated body temperature (>38 °C)
  • Malaise
  • Lymphadenopathy
  • Trismus
YES
Progressive infections
  • Rapid onset of severe infection (less than 24 h)
  • Cellulitis or a spreading infection
  • Osteomyelitis
YES
Persistent infections
  • Chronic exudation, which is not resolved by regular intracanal procedures and medications
YES

 

 

References

  1. https://onlinelibrary.wiley.com/doi/full/10.1111/iej.12741
  2. Nabavizadeh MR, Sahebi S, Nadian I. Antibiotic Prescription for Endodontic Treatment: General Dentist Knowledge + Practice in Shiraz, Iran Endod J. 2011;6(2):54-9.
  3. https://www.aae.org/specialty/2016/08/19/antibiotics-a-risky-prescription/

National Dentist Day

Every year March 6th is observed as National Dentist Day, created to say thank you to all dentists celebrating for their contribution. There are various dental specialities and on this special occasion, it is better to know and recognise them. Dentists are often referred to as dental surgeons or family dentist. They are specialised in treating oral health; it is a comprehensive integrated approach in a field to overall health, and their contribution with responsibility includes:

  • Prevention of disease and promoting oral health
  • Diagnosing oral disease
  • Creating a plan of treatment to restore and master the oral health of patients

We must appreciate them not for just making teeth look good, but also keeping the overall health in a better way. Being a dentist can be a great asset for their tremendous service to the general public.

Activities to be performed on National Dentist Day

In order to celebrate National Dentist Day, spend few extra minutes brushing your teeth, flossing and rinsing with mouthwash. It is better to know the fact that your family dentist is smiling all through the way.

  • Schedule a dental appointment

It is a common thing to forget the fact that dental appointment is must for all. Although we visit the dentist twice in a year, it is necessary to schedule your appointment for a routine periodical check-up, cleaning, etc. It creates a feeling of accomplished satisfaction, and the dentist will be happy to render their service to see your smiling face all the way.

  • Gratitude note to the dentist

It is best to take a moment to write your family dentist a gratitude note for their pretty job. Always let them know how happy you are and appreciate their hard work. This makes them feel so special to you and that blooms their day. It is also good to let them know you brushed your teeth extra for them today and write a thank you note or say thank you for all that they do as a thankless job.

Celebrate National dentist day! Why?

  • They help us keep our oral health in a better way.

In case of a severe toothache, dentists render a great service to relieve the pain and help us get along in the daily activities with ease. They take care of our complete oral health by instructing the need for dental hygiene and its importance in our daily life. The overall goal of a dentist is to make us aware of oral hygiene and the importance of oral disease and its prevention; that’s really special about them to be considered and remembered on this day.

  • They help us to be free from fear during the dental procedure.

Many people are really scared to go to the dentist and undergo a dental procedure. The reason is the culture set up, which hinders him/her by going through the assumption of maybe dental procedures are terrible to experience. So, they don’t like to undergo procedures such as root canal treatment, extraction etc. In such scenario, though dentist task is so hard, they calm our fears and make us undergo treatment procedures by explaining and using skills with much compassion, love and grace as much as possible all through the process.

  • They support and help us to put our best face with the smile all the way.

People notice our smile in the first meet and dentists ensure our smiles are confident enough to face the outer world. Dentists mainly help us look good by taking care of cavities through periodical check-up and also encourage us to know about the importance of brushing and flossing our teeth. The overall result is that the dentist helps us to keep our teeth sparkling always for the best purpose.

 

Platelet Rich Plasma in Dentistry

BLOOD DERIVATIVES

  • Platelet Rich Plasma (PRP)
  • Platelet Rich Fibrin (PRF)
  • Advanced Platelet Rich Fibrin (A-PRF)
  • Injectable Platelet Rich Fibrin (I-PRF)

Introduction

PLATELET RICH PLASMA (PRP)

The regenerative growth factor found in platelets, which are the reparative EQUIPMENTS: the procedure should involve the use of all sterile instruments.

  1. Disposable Syringe To Collect Patients Blood
  2. Sterile Gauze Piece Or Swab
  3. Blood Collection Tubes
  4. Centrifugal Machine

PRP is an advanced treatment which has played a key role in wound healing and soft tissue regeneration, a well-known technique in maxillofacial procedures, sports medicine and cardiovascular surgery,

PRP is a minimally invasive procedure and now used with great success for aesthetic purposes due to cells in our body.

USES

  1. PRF when used in conjunction with bone grafts can offer several advantages including promoting wound healing, bone growth and maturation, graft stabilisation, wound sealing and homeostasis and improving the handling properties of graft material.
  2. PRF can also be used as a membrane.
  3. PRF can also be used to treat gingival recession.

INJECTABLE-PRF (I-PRF)
PRP has found its uses in regenerative dentistry as a supra-physiological concentrate of autologous growth factors, which is capable of stimulating tissue regeneration.

Despite this, many scientific papers have expressed concerns regarding the use of anti-coagulants, agents which are known to inhibit wound healing. In one study, a liquid formulation of injectable platelet rich fibrin (I-PRF) without the use of anti-coagulants was investigated.

This “super PRF” is produced with new type of tubes I-PRF specifically indicated for this preparation. The use of I-PRF in dentistry is in its early stages, but already the results in both oral surgery and regenerative medicine are very promising. Injection into the soft tissues usually increases vascularity and which will perhaps improve the biotype, injection into the bone graft particles (biomaterials) in order to coagulate and get a ‘solid’ which will be free of all movement granules. The graft clot interests lies in how to carve a bone graft and give it a compact form.

The protocol for I-PRF is a real scientific and clinical innovation and will allow many dental surgeons to improve their results in bone grafts.

Standard PRP and I-PRF (centrifuged at 700 rpm (60G) for 3min) were compared for growth factor release up to 10 days (8 donor samples). Furthermore, fibroblast biocompatibility at 24 h (live/dead assay); migration at 24h; proliferation at 1, 3, and 5 days, and expression of PDGF, TGF-S, and collagen1 at 3 and 7 days were investigated.

Advanced Platelet Rich Fibrin (A-PRF) is a new advanced form of PRF that can help heal wounds anywhere in the body and also those sites involved in oral surgery, using the patient’s own blood . Unlike in Platelet Rich Plasma (PRP), A-PRF doesn’t contain additives. In addition to that, A- PRF is very rich in platelets, leukocyte cells (growth factor cells) and contains enriching fibrin – the most key ingredient responsible for initiating the healing of wound, with added antibacterial properties.

A-PRF is more advanced than PRP due to having 20 times more leukocytes cells. It can be used inside of extraction sockets and around the dental implants to fast-track the process of bone and gum formation. It allows the implant to heal at an accelerated rate.

When a wound is detected in the body, the healing process is initiated by rushing different cells to the wound. One of the main cell types is platelets. Platelets circulating in our blood are the cells which bind together when they recognize damaged blood vessels.

When you get a cut or a wound, the platelets bind together at the site causing a blood clot which stops us from bleeding. This stimulates stem cells that help create new tissues. This overall process allows the body to heal faster and more efficiently.

CLINICAL APPLICATIONS OF PRP / PRF

  1. DENTAL

BONE REGENERATION

  • Sinus lift grafting
  • Ridge augmentation
  • Repair of bone defects created by removal of teeth or small cyst
  • Ridge preservation techniques
  • Periodontal defects
  • Closure of cleft lip and palate defects
  • Repair of oro-antral fistulas
  • Craniofacial reconstruction

SOFT TISSUE REGENERATION

  • Periosteal and connective tissue flaps
  • Free connective tissue and gingival grafts
  • Root coverage procedures
  • Controling soft tissue healing and tissue maturity
  1. NON DENTAL
  • Acne Scars Removal
  • Hair Growth

PRP WITH IMPLANTS

Fontana et al. found a higher amount of peri-implant bone volume after inserting PRP and laminar test implants into rat tibial sites. Fuerst et al.

Defined platelet rich in growth factors (PRGF), as the supernatant from washed; thrombin-activated, allogenic, platelet-rich plasma obtained after centrifugation and used this solution with implants with success to increase in BIC.

Few studies also advocated the benefits of topical application with implants before insertion, and saw effects in early healing. On the other hand, Weibrich et al. failed to see any benefit on BIC from PRP in their trial in rabbits. In a recent study titanium non-coated AIO grit-blasted and acid etched,and 18 magnetron-sputtered calcium phosphate (CaP) coated titanium ( femoral condyles in six goats. PRP was used as a test modality, as some implants were dipped in PRP before insertion and other implants were placed into sites where PRP-gel had been previously inserted.

Results and conclusions were that CaP coated implants rendered higher values for BIC than the rough implants used as control. No additive value for PRP was found except at an early healing stage.

PERI-IMPLANT DEFECTS AND PRP

A general extensive literature overview on marginal defects around implants has been presented by Boticelli (2006), Yamada et al. found similar results of tissue engineered bone and autologous bone after grafting and installation of implants in two stages. BIC values for implants were comparable between the sides in that study. Kim et al.used freeze-dried bone and dentin-like material as filler material with and without PRP and found better results with respect to BIC with the addition of PRP.

Sanchez et al. failed to see more than a low effect of PRP combined with demineralized freeze-dried bone in 3-walls defects in the mandible of dogs. In another study by Casati et al. a buccal dehiscence implant defect model was used in dogs and the defects were randomly filled with PRP or blood as control. No effects on regeneration of that type of defect could be seen.

Conclusion

PRP therapy has evolved a long way from just use in Dermal / Cosmetology procedures to innovative uses in Dentistry. While lot of Studies, Research is underway uses & efficacy of PRP is expected to increase manifolds in the field of Dentistry.

 

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