Acidic Foods Are a Major Cause of Tooth Decay

 

AGD Focuses on Tooth Erosion from Acidic Foods

At the Academy of General Dentistry’s upcoming annual meeting, speaker Dr. David Bartlett will discuss how to minimize tooth erosion caused by acid. He suggests patients consume acidic food and drink (soda, juice, fruit, yogurt, etc.) quickly and during mealtimes.

The focus is not on the patient’s diet, but simply on exposure to acid. Dr. Bartlett also suggests patients wait at least 20 minutes to brush teeth after eating acidic foods.

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Orthodontist Sued for Missing a Cancerous Lesion

Should Orthodontists Be Held Liable for Missing a Cancerous Lesion?

Lawsuits can strike fear in the hearts of dentists – not only for the costs involved, but for the damage they inflict on a dentist’s reputation that has taken a lifetime to build.

Where does liability end and common sense begin?

Recently the NY state court found that orthodontist Dr. Michael Donato was not negligent in the death of former patient Stephanie Hare. Ms. Hare’s family held Dr. Donato responsible for Stephanie’s death due to failing to detect a cancerous lesion during a December 2003 visit.

In April 2004, a lump was detected on her tongue by Dr. Donato, who ultimately referred her to an oral surgeon. But by then, the cancer was in its advanced stages. She died seven months later.

The family was seeking a $2.3 million award from Dr. Donato for pain and suffering.

The case pivoted around whether jurors would believe the cancerous lesion was present on Dec. 19, 2003 when Ms. Hare’s family said she complained of soreness to Dr. Donato; whether Dr. Donato should have found the lesion during a routine orthodontist examination; and whether he followed standard dental care during the exam.

“Stephanie’s death was not anybody’s fault,” Dr. Donato’s lawyer, Douglas Fitzmorris, told jurors in his summation. “Stephanie died of cancer. Dr. Donato is not to blame. The whole specter of this lesion being missed by Dr. Donato is not what happened. There was no deviation from accepted practice.”

And the jury agreed with Fitzmorris’ assessment of the case.

Should an orthodontist be held liable if he misses a cancerous legion? What if the patient’s complaints sound like issues stemming from braces and not cancer?

For more on this story, see Staten Island Advance.

General Dentists Offer a Variety of Orthodontic Options to Patients

orthodonic options Recently the American Association of Orthodontists (AAO) reported that over one million adults are wearing braces. New technologies have widened the options for braces and made them attractive to dental patients of all ages.

No longer do patients fear having a “mouth full of metal.”

We conducted a survey that asked dentists what type of orthodontic options they now offer at their practice.

This was their response –

  • Conventional braces — 22%
  • Ceramic braces — 19%
  • Lingual braces — 6%
  • Invisalign® — 22%
  • Inspice ICE® — 4%
  • ClearCorrect® — 10%
  • Simpli 5® — 6%
  • Smart Moves® — 4%
  • RW II® — 3%
  • Red White & Blue® — 4%

“I have done orthodontics as a GP for 24 years.” (General dentist)

“Patients value the option of avoiding bands and brackets.” (Urban dentist)

“I prefer fixed orthodontia, as it is easier to keep the patient compliant.” (North Carolina dentist)

“Pre-treating arch discrepancies including posterior cross bites with removable orthopedic appliances allow you to finalize many cases with Invisalign®.” (California dentist)

Your Tongue Piercing Could Kill You, Cautions IDA

Tongue and Lip Jewelry Provides Avenue for Potentially Deadly Infections

The Irish Dental Association (IDA) warns that lip and tongue piercings can lead to serious health problems, potentially even death. With no regulations governing body piercings, young people getting pierced run the risk of contracting hepatitis or other blood-borne diseases from Lip Piercing unhygienic piercing needles. The risk is especially high for people with heart murmurs, as the piercing provides an avenue for bacteria to enter the bloodstream , which could possibly lead to infective endocarditis, a potentially fatal heart condition.

Additionally, oral piercings can lead to dental problems. Though a pierced tongue or a lip piercing may appeal to a young person, they should realize the risks: infections can occur, gums can recede, and the metal jewelry can abrade the tooth enamel, even chipping or cracking the tooth. “If you get an oral piercing, you must accept that you will damage your oral health, and, in many cases, what damage you do will be irreversible,” cautions Dr. Kevin O’Boyle of the IDA. (That’s the Irish Dental Association, not the dental marketing company Internet Dental Alliance.)

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What Makes a Dentist go Bad?

when dentists go badIn recent news, dentist Davinder Singh Jamus failed to effectively sedate a patient as he filed down her teeth at the Kensington Dental Spa clinic in West London, causing her to scream out in agony.

His response was to tell her that, “Nobody screams in my surgery,” while botching her veneer job.

On March 21, the UK General Dental Council listened to story upon story from angry former patients of Dr. Jamus.

When one of the former patients complained about the quality of her dental care, he allegedly told her she had been “very ambitious and naughty.” Apparently he tried to intimidate her into silence by advising that if she tried to take it further he “could guarantee she would lose.”

Jamus is also accused of allegedly fitting one patient with dental crowns to two teeth, instead of providing veneers as agreed, and failing to give another patient enough time to consider treatment before asking for consent while not admitting he had perforated her root canal.

Is this a bad misuse of his position as a medical professional, or an example of a poorly trained dentist?

NHS in the UK saw a 4.4% rise in annual complaints about GP services and dentistry to in 2009 -2010. There are twice as many claims on British dentists as there are on British doctors for poorly done treatment, fraud or excessive fees.

Other complaints are for badly done root canals or broken crowns and bridges.

Some believe the rise in complaints in the UK is due to the rise in the costs of procedures during rough economic times. Davinder Singh Jamus seems to be the exception — not the rule — when it comes to quality dental care.

What are your thoughts on bad dentistry?

For more on the Jamus dental story, see: The Daily Mail.

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