WTF...and I mean it.

[user name]

Got a call from a Doctor. New patient shows up with a cement retained implant supported crown. Crown wiggles. The implant was placed, and restored at a large well known dental college at an upper Midwest University. First step...call the University and check the patients record to see what was placed. They know the implant, but no record of what abutment was used. Doctor was hoping to be able to just order a new screw.

Doctor was busy so sent the patient to a surgeon to have access hole cut and recover the screw. No barrier was placed to protect the screw head before the crown was cemented. Screw got obliterated.

Patient doesn't think he should have to pay for a new abutment/crown.

And WE'RE unskilled.

 

[Doris A]

Got a call from a Doctor. New patient shows up with a cement retained implant supported crown. Crown wiggles. The implant was placed, and restored at a large well known dental college at an upper Midwest University. First step...call the University and check the patients record to see what was placed. They know the implant, but no record of what abutment was used. Doctor was hoping to be able to just order a new screw.

Doctor was busy so sent the patient to a surgeon to have access hole cut and recover the screw. No barrier was placed to protect the screw head before the crown was cemented. Screw got obliterated.

Patient doesn't think he should have to pay for a new abutment/crown.

And WE'RE unskilled.

When they graduate from Dental school some are at the top of the class and some are at the very bottom
but, they ALL have DDS behind their name....

 

[user name]

When they graduate from Dental school some are at the top of the class and some are at the very bottom
but, they ALL have DDS behind their name....

But...this was done AT the school.

 

[Doris A]

But...this was done AT the school.

Some of those at the bottom of the class become Professors...

 

[JMN]

They should require dentists to take some kind of test to assure minimum standards of knowledge. Y'know like that CDT test. Or something....



(Before anyone pulls out the frying pans and longarms, many standards are a joke. I know well there are people who can pass a standardized driving test, but it's not the test that they can't do. It's the daily actuation of knowledge, not the one time proof of possesion of the knowledge that matters)

 

[doug]

How long had the crown/abutment been in place? How far is it to the school for the patient to go back and get her work redone for free? The new dentist dumping the patient on the surgeon seems to indicate a lack of concern or he knows he's in over his head. Now the patient has to pay for two visits and no one wins. You're gonna get a call to fix a hole, reglaze a crown and "Can you give me a break on this, it's someone else's patient, I'm just trying to help."
Oh yeah, the whole implant, abutment and crown are gonna come out because someone forgot to pre-plan and placed an implant free-hand where there wasn't enough bone to support it. No good deed and all that.

 

[grantoz]

breath just breath.

 

[TheLabGuy]

I think this brings up a bigger concern that some of us have been screaming about for years...The lack of the surgeons to include placement, implant selection, tissue level vs. bone level when it comes to the FINAL AESTHETIC RESTORATION. Most surgeons never require a surgical implant template for placement, and the sad part, the General Dentists look to the surgeons as the 'go to' folks when it comes to implants. Also, most surgeons will arrogantly state to lab techs..."I don't care about placement"..."if it's in good bone, then i get osseointegration and that's my only goal".

I go back to my Pankey days and it was literally beat into our foreheads (Al Hodges remembers)...AESTHETICS, AESTHETICS, AESTHETICS. When you do a full mouth rehab, or a single crown, AESTHETICS is number one. Therefore, when you tx plan a large case or single case, put all the teeth where they look the best...then from there, decide whether endo, perio, ortho, etc... are needed. I wish Surgeons were taught this way...but so many aren't!!!!

 

[JMN]

I think this brings up a bigger concern that some of us have been screaming about for years...The lack of the surgeons to include placement, implant selection, tissue level vs. bone level when it comes to the FINAL AESTHETIC RESTORATION. Most surgeons never require a surgical implant template for placement, and the sad part, the General Dentists look to the surgeons as the 'go to' folks when it comes to implants. Also, most surgeons will arrogantly state to lab techs..."I don't care about placement"..."if it's in good bone, then i get osseointegration and that's my only goal".

I go back to my Pankey days and it was literally beat into our foreheads (Al Hodges remembers)...AESTHETICS, AESTHETICS, AESTHETICS. When you do a full mouth rehab, or a single crown, AESTHETICS is number one. Therefore, when you tx plan a large case or single case, put all the teeth where they look the best...then from there, decide whether endo, perio, ortho, etc... are needed. I wish Surgeons were taught this way...but so many aren't!!!!

Many seem to have discovered long ago that they get paid to put it in, not to make it stay, or useful. Fails to integrate 6 months later? Still got paid...

 

[PDC]

I think this brings up a bigger concern that some of us have been screaming about for years...The lack of the surgeons to include placement, implant selection, tissue level vs. bone level when it comes to the FINAL AESTHETIC RESTORATION. Most surgeons never require a surgical implant template for placement, and the sad part, the General Dentists look to the surgeons as the 'go to' folks when it comes to implants. Also, most surgeons will arrogantly state to lab techs..."I don't care about placement"..."if it's in good bone, then i get osseointegration and that's my only goal".

I go back to my Pankey days and it was literally beat into our foreheads (Al Hodges remembers)...AESTHETICS, AESTHETICS, AESTHETICS. When you do a full mouth rehab, or a single crown, AESTHETICS is number one. Therefore, when you tx plan a large case or single case, put all the teeth where they look the best...then from there, decide whether endo, perio, ortho, etc... are needed. I wish Surgeons were taught this way...but so many aren't!!!!

I agree. I don't know if you've ever seen the tv series "Botched", but there's enough bad dentistry for another series.
all on its own.
The plastic surgery profession isn't that different from what we see happening in dentistry.
An increasing number of doctors are closing their traditional medical practices and opening cosmetic surgery centers. These physicians learn the basics of plastic surgery through weekend courses, shadowing other doctors and even online webinars. Eye surgeons, ENT doctors, dermatologists...they can all be a "plastic surgeon ".

Same thing in the dental profession. Periodontist, general dentist, oral surgeon, prosthodontist, etc.
Who's gonna get those revenues first?

 

[kcdt]

Some of those at the bottom of the class become Professors...

You got that right

 

[Xydorf]

Got a call from a Doctor. New patient shows up with a cement retained implant supported crown. Crown wiggles. The implant was placed, and restored at a large well known dental college at an upper Midwest University. First step...call the University and check the patients record to see what was placed. They know the implant, but no record of what abutment was used. Doctor was hoping to be able to just order a new screw.

Doctor was busy so sent the patient to a surgeon to have access hole cut and recover the screw. No barrier was placed to protect the screw head before the crown was cemented. Screw got obliterated.

Patient doesn't think he should have to pay for a new abutment/crown.

And WE'RE unskilled.

Solution: have an endodontist loosen the screw. They have microscopes. Works like a charm

 

[grantoz]

all these posts support the fact that general dentists are doing more training themselves so they dont have to use the specialist because most dont have a holistic view of the complete treatment plan . hell they are flat out even talking to each other. i saw one patient that went to 5 specialist for all on 4 treatment and everytime they made her wait hours in the waiting room or didnt return a call she changed practices she finally got the treatment done upper and lower at a malo style clinic with well trained general dentist she is very happy all done in 3 weeks her friend who stayed with her over night even got her full upper done a few weeks later because of the service. it was all done properly just without the bs. all i hear from the specialist is have you got any referals and they wonder why.

 

[JMN]

all these posts support the fact that general dentists are doing more training themselves so they dont have to use the specialist because most dont have a holistic view of the complete treatment plan . hell they are flat out even talking to each other. i saw one patient that went to 5 specialist for all on 4 treatment and everytime they made her wait hours in the waiting room or didnt return a call she changed practices she finally got the treatment done upper and lower at a malo style clinic with well trained general dentist she is very happy all done in 3 weeks her friend who stayed with her over night even got her full upper done a few weeks later because of the service. it was all done properly just without the bs. all i hear from the specialist is have you got any referals and they wonder why.

That's stunning and sad. At least the patient had the desire and will to keep going until she found satisfaction.

Sadder still is that she could have, like some we've all seen, ended up with a terrible situation from the undertrained practitioners that kept putting her off.

I am aware of a non-US implant clinic that for a few thousand the Dr owning the place will let a US licensed GP come 'practice' and learn implants on his patients. Poor people, who cannot pursue legal action against someone from another country.

This is not a profession that should run like a hair dresser school where the worst thing to worry about is overdyed hair or an accidental inverse mohawk. Incorrectly placed implants, aside from being difficult restoratively, can and have killed not just nerves, but the patient.

 

[CoolHandLuke]

WTF...and I mean it.

Anybody want a peanut?

 

[JMN]

Anybody want a peanut?

Inconceivable.

 

[CoolHandLuke]

hyou keep husing that hword. hi do no think hit means, hwat hyou think hit means.

 

[JMN]

hyou keep husing that hword. hi do no think hit means, hwat hyou think hit means.

My name is Iniogo Montoya, you programmed the DL44 plant that produced the blaster that killed my father Guido. Prepare to die.

 

[Jen Corneille]

Get used to disappointment....

 

[rkm rdt]

Inverse Mohawk?