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Medical Forum / General / Dentistry / April 2009Dear Doctors: how could I....
How to question sterilization procedures ? Dear Doctors: Wifey and I go to the same dentist. Last thursday she had her teeth cleaned and ended up with 2 pea sized not spreading inflammations around 1 tooth. A pus button on top. First time ever. Very painful. We went back and got a prescription for antibiotic and anti inflammatory. I am no expert but such an unusual response tells me there is something wrong with the sterilization controls. But, I am just a patient there. Any advise? We like this doctor and would keep coming back. Thank you. > How to question sterilization procedures ? > Dear Doctors: [quoted text clipped - 8 lines] > patient there. > Any advise? We like this doctor and would keep coming back. Thank you. You might ask about his sterilization procedures. The dentist should be willing to discuss your concerns. The infection may have nothing to do with the sterility of the doctors instruments. In the presence of periodontal disease, it is certainly possible to innoculate some bacterial-laden debris or tartar into the tissues, leading to infection. In any case, a discussion with the dentist is in order. Steve  SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 On Mar 25, 8:02 am, Mark & Steven Bornfeld <bornfeldm...@dentaltwins.com> wrote: > har...@xmail.net wrote: > > How to question sterilization procedures ? <snips> <snips> <snips> <snips> > > patient there. > > Any advise? We like this doctor and would keep coming back. Thank you. [quoted text clipped - 13 lines] > Brooklyn, NY > 718-258-5001 Thank you, Dr. S Bornfeld. Much appreciated. Will report back if something interesting happens. By the way, my neighbours want to know the outcome of this because they are looking for a dentist. Harry >I am no expert but such an unusual response Right, and who said it was unusual ? >tells me there is >something wrong with the sterilization controls Assumes facts not in evidence. Hi Dr Nunya, Wifey and myself never experienced this before. Very unusual for us. I have not asked and probably never will ask for evidence of sterilization records showing proper sterilization procedures. Mainly due to Murphy's law being easily applicable. >> I am no expert but such an unusual response > [quoted text clipped - 4 lines] > > Assumes facts not in evidence. On Mar 25, 2:29 am, har...@xmail.net wrote: > How to question sterilization procedures ? > Dear Doctors: [quoted text clipped - 8 lines] > patient there. > Any advise? We like this doctor and would keep coming back. Thank you. Personally, I have never seen such a nosocomial infection that you describe. I have seen patients get a case of Recurrent Intraoral Herpes or Aphthous Stomatitis either in the area of injection or along the nerve tract. If the missus has severe pyorrhea, then perhaps it got stirred up during the cleaning or perhaps it is only a coincidence. Come to think of it, even in the old days, when some dentists, carrying a mouth-mirror in their shirt pockets used the same mirror between patients without sterilization, there were no cross- infections. > On Mar 25, 2:29 am, har...@xmail.net wrote: >> How to question sterilization procedures ? [quoted text clipped - 19 lines] > mirror between patients without sterilization, there were no cross- > infections. Many years ago I bought a Lladro figure of a dentist. He had not only a mirror in his pocket, but an extraction forcep as well. Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 On Mar 26, 1:54 pm, Mark & Steven Bornfeld <bornfeldm...@dentaltwins.com> wrote: > > On Mar 25, 2:29 am, har...@xmail.net wrote: > >> How to question sterilization procedures ? [quoted text clipped - 29 lines] > Brooklyn, NY > 718-258-5001 Hey, I had the same Lladro figure. It went with the house and the retirement plan. > On Mar 26, 1:54 pm, Mark & Steven Bornfeld > <bornfeldm...@dentaltwins.com> wrote: [quoted text clipped - 32 lines] > Hey, I had the same Lladro figure. It went with the house and the > retirement plan. Trophy wife? SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 On Mar 26, 3:23 pm, Mark & Steven Bornfeld <bornfeldm...@dentaltwins.com> wrote: > > On Mar 26, 1:54 pm, Mark & Steven Bornfeld > > <bornfeldm...@dentaltwins.com> wrote: [quoted text clipped - 39 lines] > Brooklyn, NY > 718-258-5001 No. Still pickin' up the pieces though. Never thought that I'd be one of those 50%. > On Mar 26, 3:23 pm, Mark & Steven Bornfeld > <bornfeldm...@dentaltwins.com> wrote: [quoted text clipped - 40 lines] > No. Still pickin' up the pieces though. Never thought that I'd be one > of those 50%. sorry. I married late--if I hadn't I'd have only screwed it up, for sure. Is it up to 50%? Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 >Many years ago I bought a Lladro figure of a dentist. He had not only a >mirror in his pocket, but an extraction forcep as well. > >Steve I got the MD figurine because he looked like our Anatomy proffessor. Didn't much care for the dentist figurine. >How to question sterilization procedures ? >Dear Doctors: [quoted text clipped - 8 lines] >patient there. >Any advise? We like this doctor and would keep coming back. Thank you. If there is deep narrow pocket, it is possible for the area at the top to heal sealing in the infection that was naturally draining. Dear Doctors, Everything is hanky dory now. Thank you for showing your side of issues like this one. Wifey got the infection under control and next day had a cavity filled, on a different tooth. However, in her own words: " I'd rather lose all my teeth than going thru this again ". Being consistent here, I think we have a fantastic dentist ( and dental technician ), but probably will use the higienist services of independent dental higienist, the ones that have their own business. Thanks and all the best. Harry. > How to question sterilization procedures ? > Dear Doctors: > Wifey and I go to the same dentist. Last thursday she had her <snips > SignatureUsing Opera's revolutionary e-mail client: http://www.opera.com/mail/ That brings up a question for me....... Regarding independent practice of dental hygienists and denturists and their acceptance by the general public. My State does not allow either, so it is not discussed to often. How do patients view these practitioners? As a dentist, I may be too close to the forest to see anything but trees. Amatus > Dear Doctors, > Everything is hanky dory now. [quoted text clipped - 14 lines] >> Wifey and I go to the same dentist. Last thursday she had her > <snips > >That brings up a question for me....... > [quoted text clipped - 6 lines] > >Amatus Independent hygienists don't seem to have been all that popular in CO where it is legal. Over many years there have not been many practices set up. I was aware that not many practices were created, but that is probably due to the high overhead to open any type of medical/dental facility and the lower average hourly billing for a hygiene only practice. I rather wonder how the general public sees the independent practice of and RDH or a Denturist. Signature/ Amatus / > >>That brings up a question for me....... [quoted text clipped - 14 lines] > where it is legal. Over many years there have not been many practices > set up. >I was aware that not many practices were created, but that is probably due >to the high overhead to open any type of medical/dental facility and the >lower average hourly billing for a hygiene only practice. > >I rather wonder how the general public sees the independent practice of and >RDH or a Denturist. I'm not aware of any studies on that. Certainly there is a segment that will seek treatment from illegal denturists. There is also a segment who seeks treatment from form unlicensed dentists. > I'm not aware of any studies on that. Certainly there is a segment > that will seek treatment from illegal denturists. There is also a > segment who seeks treatment from form unlicensed dentists. We have an illegal dentist or denturist splashed all over the news in our area about once a year. I would not be surprised to discover that there are dozens of them operating out of garages, cars, and spare bedrooms all over Palm Beach County. It seems to be a cultural thing as much as it is an economic thing. Simply put, immigrants from south America bring their "dentists" from home. They have always used these folks, they can afford their services, and many of them have no other options. Then times here in the US get hard, they get even harder for immigrants (both the legal and the illegal type). Things are especially bad for the illegals because they have no unemployment benefits to fall back on. The gaggle than hangs out near our local Home Depots hoping for an hour or two of work is getting larger and more desperate looking. Vaughn |
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