So, Are You Going to Be a Victim Or Seek a Solution?

Dentistry in transition! At face value this is a rather positive impact statement, given the general opinion held by the populace at large. However one must admit there are certain phrases, which our thought processes will not allow our brains to compute. It is like the parent being ambivalent about their kid’s promotion to a higher grade, yet being well aware Johnny’s skills are realistically one or two grades behind. There is the standard form letter, which accompanies this report card. “It would be psychologically damaging to the kid if we had a ten year old sitting with eight year olds.” That is a fact of life, of which there is little we can do outside of cry victim.

I accept that. However the term profound anesthesia is a dental term, referred to in any edition of Dr. Malamed’s handbook on local anesthesia or any other similar textbook. It is as explicit as the term pregnant. One is either pregnant or not. My question obviously then is, why do we hear the explanation, “were it not for the dream team, O.J. would not be playing golf today”. There is an assumption that being completely numb, is like picking a lotto ticket or a good lawyer. To put it bluntly, a hypothesis consists either of a suggested explanation for a phenomenon or of a reasoned proposal suggesting a possible correlation between multiple phenomena (Wiki).

For a dentist to truly eliminate residual sensation or even the slightest evidence of pain to the patient requires a pharmacological intervention which is achieved by reversing the polarity charges across the nerve sheath and by so doing, will block sodium transport. In a nutshell that is how the dentist freezes you. There is no magic; smoke, mirrors or even cartridge warmers. In fact, nothing other than the skill and the years of training and understanding certain biochemical interactions and of course the anatomy of one’s mouth. Some dentists can also arrive at the end result, (namely your comfort), by using other techniques to block sodium transport in either one specific area or to one or all quadrants of the mouth. This can be achieved at one sitting.

For those patients who still suffer through a dental appointment, you should seek out one of the many thousand of dentists who have mastered that technique. Remember you are either pregnant or not. The same rule applies for being frozen. Now to be fare, the patient can be confused and equate pain with pressure. Pain is felt along the nerve, it is persistent and very recognizable. On the other hand pressure is transient. Its can quickly disappear as it appeared. Pressure will not follow you home and the slight soreness will disappear even without medication in most cases. However, one must accept that we are dealing with variables. Anatomical variables compounded by the ever presence of Murphy’s Law can and does throw a spanner in the works. There will be those challenging days in any dental operatory.

Ah! Think of the beauty and the protection for our teeth. Never has our world been so versatile as it is today. Times were when people conversed, it was common practice to place their fingers to cover their teeth or an attempt to conceal mal odor. Dentists have collectively deleted that era with their skills of art knowledge of gum disease. Especially at this time of the year where folks get together to celebrate, it is the confident radiance of wide smiles across the room as though they were saying, “look at the work my dentist did”. These smiles are as fashionable today as it is to tote around a 450 ml of Evian water. Let us not change that trend. The patient must be frozen. Not only soft tissue.

However what continues to be unexplainable is the ever-increasing incidences of trauma resulting from achieving profound anesthesia. This is the conflict that one has to deal with when they hear the term “Dentistry in transition”. As one popular dentist explained this scenario to me, “It is this expanding team based reconstructive approach which mandates the use of convergence technologies in order to ensure timely and accurate continuing education. His final tip was to concentrate on moving records, not patients.”

If this terminology is aimed at a trend towards cosmetic dentistry and away from the traditional drill and fill, it does not negate the increasing failure to achieve profound anesthesia and the accompanying problems of physical trauma. It should never be a question of how much pain is the patient willing to endure to finally toss the bed-side glass with their dentures to have a permanent set of implants. Pain should never be a bargaining factor. Of course there is a price to be paid, but the patient has already made that decision, whether it be Whitening, Bonding, Porcelain veneers or crowns. The objective should be the same as it was in dental school when you delivered your first ever injection to a fellow student and he/she reciprocated. You made sure you did not cause pain to your buddy and that you did indeed freeze your fellow student. If this situation has changed and failures seem to be on the increase, what has changed? Is it the converging technologies and the accompanying stress of entering un-chartered waters? Why is this? The ability to achieve anesthesia should not be relevant.

At any addictive or compulsive behavior centers, your first bit of advice one receives is that you are on your way to recovery simply by admitting there is a problem. If this problem is on the rise it may be completely out of your hands, however it still has an impact on your daily activity and unfortunately in dentistry, the denial to communicate will continue to fray that weak spot on the line and one day it will snap.

Andy Warhol is credited with the following: “An artist is somebody who produces things that people don’t need to have”. Dentists are frequently referred as being artist. Earlier I referred to the beautiful smiles by which we are surrounded today. However there is no need to have to go through hell to acquire this. The action potential of local anesthetics and other agents are the domain of bio-chemistry and pharmacodynamics. While respecting the inevitable convergence of technologies in dental offices in this dynamic profession and life styles, Be kind, take your time. “It sure was good while it lasted”. Now it’s time to pay the piper. It’s all over but the crying. Too late to do anything but moan about it now.” (Chris Kristofferson.)

What to Consider Before Breast Augmentation

Breast augmentation is becoming increasingly popular in the U.S. With advances in modern medicine and new techniques emerging daily, it is no wonder why this surgery is the most commonly performed cosmetic procedure. There are many different reasons why women choose to have breast implants, whether it be for self improvement of cosmetic reasons or to correct improper development due to cancer or other trauma. Whatever the reason may be, patients should consider all aspects of the procedure before following through.

Choosing the Surgeon

Once one has decided to undergo surgery, the most important decision to make is the surgeon chosen. Research has to be done in order to select a certified, reliable surgeon. Make sure the doctor chosen is board certified and experienced. Inquire about previous patients and ensure that past recommendations are consistent and good. In order to have a pleasant surgery experience, the patient must have trust in the surgeon and assured that she is in good hands.

Considering which Anesthesia to Use

The decision of which anesthesia to use should be discussed between the patient and the surgeon. There are many different types of anesthesia to use including general anesthesia, conscious sedation, or local anesthesia. General anesthesia is most commonly used and puts the patient in a unconscious and unaware state. With conscious sedation, the patient is not unconscious but is in a sleep-like state. Local anesthesia numbs the chest area and is usually combined with a sedative in order to keep the patient calm and relaxed. If there are any allergies to any kind of anesthesia or medicines, then the doctor should be informed by the patient.

Recovery Period

Recovery time depends on the type of breast augmentation done and on the patient herself.Care has to be taken not to tear or disturb the sutures after surgery is complete. The patient can usually return to her normal activities within a week but there is some limitation on movement. However, sometimes recovery can take months. The recovery time should be planned out according to the patients’ schedule to allow for a safe and pleasant surgery experience.

Any kind of surgery is a major decision and patients have a lot to consider before taking the final step. Proper research and some education are required to make an informed decision. It is important to be aware of the risks, results and outcomes of breast augmentation. Taking these steps help ensure that the patients’ surgery will be successful and satisfaction will be obtained.

Cat Trauma and Burns – What You Should Do When Your Cat is Having These Problems

If your cat has fallen from a height or is struck by a car, the most important thing to do is to prevent him from going into shock or to minimize the effects of shock. Cover him lightly, keep him warm, talk to him in low tones and a soothing manner, and do not rush.

Lift him as carefully as possible as not to worsen any damage, place him in a small container and take him to the veterinarian immediately. Only a veterinarian can treat such injuries, and often anesthesia is required.

Although you might want to try to splint a broken limb, bear in mind that most cats do not tolerate being handled when they are in pain and your best efforts will probably be greeted by teeth flashing and claws striking. You may well cause even more damage.

What about burns? Your cat could suffer serious injury if he jumps on a hot stove or tips over a pan of boiling water. If it is a superficial burn or scald, the affected area turns red and could blister slightly.

If the burn is more serious, the skin turns white and the hairs are easily removed when pulled. To treat minor burns, immediately apply cold water or ice to the affected area for about 20 minutes.

If the burn is serious, you will need to take him to the veterinarian for further treatment. You can help prevent these accidents by keeping pans away from the edge of the stove and by covering gas and electric rings with fireproof lids.

Kitchens can be the heart of the home, and very much your cat’s domain. To treat minor burns, immediately apply ice to the area. If the burn is more serious, you need to take your cat to the veterinarian. Always remember, prevention is better than cure.

Your cat will not always land on his feet, and may suffer a fracture from a bad landing. Never try to splint his leg yourself or you could both be hurt.

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