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Editor's Corner Nov 2009
Published: Nov 1, 2009
We Have All Been ThereI recently received an e-mail
from a colleague entitled, “Ever Have a Day Like This?” There were about thirty names of local
dentists that this went to. I thought it might be one of those jokes where some
guy got his head stuck in the fence and a rottweiler was licking his face, but
there was no attachment and the only thing in the body of the e-mail was, “Today
is one of those days? Hope yours is better!”
After thinking about this for a
while, I became concerned so I sent a reply asking if everything was ok. The
response I received explained everything! It turns out that the porcelain broke
off of a six-month-old 8-unit bridge on number 8. Yikes, that is not a good
day!
Certainly, we have all had those
days in this amazing profession of ours. This incident brings several things to
mind.
First of all, this fine
practitioner now has the arduous task of cutting the bridge off, impressing,
making a provisional bridge, another lab fee, and delivering the new bridge.
The chair time alone is very expensive. We dentists tend to stand behind our
work and treat patients, as we would want to be treated if the shoe were on the
other foot. We’ve all been there and it is no fun. It is even worse if the
patient thinks the failure was somehow your fault. If this were a heart surgery
that required a second surgery later, I doubt that there would be any freebies
on that.
Secondly, we as a profession
should realize that the larger and more complicated a restoration is, there is
more chance for failure. I’m sure I’ve done large bridges that have more
opportunity for flexing and other things that make a long-term prognosis
difficult to predict but failed to explain this to a patient before the
treatment was performed and for the most part been lucky. A patient who knows
this can happen is less likely to be upset if they knew there was a possibility
of failure. Not to say that patient dissatisfaction was a factor in this case,
but depending upon the patient, it easily could be a problem. We as dentists
have the tools, procedures, and skill to do a very good job of restoring
esthetics and function in even the most compromised mouths. I can think of no
other body part that can be replaced where function and appearance is so
lifelike. We need to make sure that we take the time to explain to patients
that just as their natural dentition can fail, so can any restoration, no
matter how well it is planned and fabricated.
Lastly, I see this e-mail from
the colleague as reaching out to the only group that can possibly understand
the frustrations and complexities of what we do as dentists. Dentists all have
these issues at one time or another. Discussing problems, concerns,
frustrations, and even successes with our fellow dentists is healthy and
reassuring. I feel for those of us who isolate ourselves in our own practices
and totally internalize the myriad of issues that we face on a daily basis.
Reach out and communicate! |
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