Merry Christmas And Happy New Year

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Season’s Greetings. Bokeh photography.

Dear readers,

I wish you a very Merry Christmas and Happy New Year. I will be on a holiday during the Christmas and New Year and I have allowed myself to take a break from blogging for couple of weeks (lets see if I can do it!).

Thank you for this year! Thank you for reading my posts, sharing them and returning back for more – some of you have even taken time to comment them. I am very grateful for all this and hope you will keep on finding posts from my blog that will interest you. The next blog post will be posted after New Year.

Until then, take care and see you soon!

All the best,

Dental Revelations

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Enter to Win Jordan Clean Fresh Electric Toothbrush 

Enter a competition for a chance to win Jordan Clean Fresh electric toothbrush.

Dental Revelations is giving away brand new electric toothbrush by Jordan. Plus spare brusheads. If you want to enter the draw, follow the instructions below.

  1. Visit and like facebook page of Dental Revelations Blog
  2. Like the competition post there

That’s it. Simple isn’t it? 

Important note: The Draw will take place only if Dental Revelations Blog’s facebook page has more than 2017 likes by the end of the year 2016. To enter the competition you are not asked to share the competition post – it is up to you to share the news of this great opportunity. The Facebook does not play any role in this competition.

Please note that the toothbrush comes with the European plug-in so you might need an adapter if you live outside Europe. It can be attached to shaver sockets though. Plus you are able to connect the toothbrush to the computer with USB cable for charging.

The draw will be held in the first week of 2017 by scrolling up&down the list of the individuals that have liked (including the ones who have liked the page prior the competition) the Dental Revelations Blog page, then blindfoldedly placing a finger on top of one individual. The winner will be contacted via Facebook messenger (so keep an eye on all the folders in your messenger) for contact details. The winner will be published on the Dental Revelations Blog’s facebook page by full first name and first initial of the surename.

Dental Revelations is not liable for any possible damage that might occur in transit of the toothbrush.

More about the Jordan Clean Fresh here.

Should I Work Tomorrow?

When a dental professional cuts a finger, it’s not plain sailing.

Oh how I hate my profession everytime I cut my finger! This time I was slicing a crusty bread and the crust was slightly too hard for the knife. As a result the knife slipped into my index finger, rather deep. But I made a compression bandage and the cut is pretty neat at the moment.

The big question for all the dental professionals is, should one do clinical work with cut like this on a hand?

Guest Bloggers Welcome

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Fancy writing as a guest author? Fire away!

Dental Revelations is looking for authors with a twisted sense of (dental) humour. You could be professional or a patient as long as you rock. There are no limits on the subject as long as the script has something to do with oral health or dentistry.

Send scripts with author bio via email or the contact form below. Dental Revelations reserves a right to amend the scripts (grammar, spelling etc).

Happy writing!

Years of Malpractice – How Is It Possible?

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Where there is smoke, there is fire. Dentists negligent behaviour should be act upon.

Ever wondered how it is possible that the dentists who are not practicing dentistry up to the standards get caught only after years of practicing the profession? Well you have come to the right place to find out.

Is It the Patients’ Fault?

Nope. Absolutely not.

The patients cannot tell the difference between a good and bad dentist when it comes to the skills of a dentist. Or if the procedures have been done as they should and if they are necessary in the first place. Or if the instruments entering their mouth have been properly cleaned (take a look at my previous post about this).

An average patient can only judge the dentist by the looks of him and the practice, and by the dentist’s chairside manners. The rest is build on a trust of receiving good and adequate care. But every once in a while this trust is broken and the dentist ends up in the headlines.

But please remember that not all the dentists ending up to the headlines are rogue dentists as I have written previously.

Collegiality Gone Bad

Collegiality between the dentists means respect to one another’s abilities to work towards the same purpose. Helping patients. But collegiality has an ugly side as well. It is an unwritten code between the dentists which means one should not interfere or especially under any circumstances critizise a fellow dentist’s work. It is a code one should not break. The hygienists are expected to play by the same rules.

Now, this creates a problem. When a dentist is underperforming, the colleagues hear this from the hygienists and nurses. They see see it from the teeth of the patients who come too see them instead of their regular dentist (e.g. for emergency visit or whilst the regular dentist is on a holiday). They know there is a problem but very rarely they raise questions.

Instead the patient is kept under an illusion that the regular dentist has made the right decisions by distorting the truth.

Distorted truth:

“This decay is in such a difficult area to notice.”

The truth:

“This massive decay is so big that even my half-blind grandmother would find it.”

Distorted truth:

“Your dentist has marked it as an early decay, something to be kept an eye on… it has now grown bigger and needs a filling.”

The truth:

“Your dentist needs to have his eyes checked. This decay should have been filled ages ago. If you are lucky enough, you avoid the root canal treatment.”

Conclusion

It should be every dentist’s duty to report problems in colleague’s way of practicing dentistry. The Code of Ethics by ADA state the following:

Dentists should be aware that jurisdictional laws vary in their definitions of abuse and neglect, in their reporting requirements and the extent to which immunity is granted to good faith reporters. The variances may raise potential legal and other risks that should be considered, while keeping in mind the duty to put the welfare of the patient first. Therefore a dentist’s ethical obligation to identify and report suspected cases of abuse and neglect can vary from one jurisdiction to another

In my opinion, you don’t pull out the biggest guns if you suspect negligent behaviour from your colleague. The dentist in question should be given adequate time to correct the problem e.g. by revising.

The privilege of dentists to be accorded professional status rests primarily in the knowledge, skill and experience with which they serve their patients and society. All dentists, therefore, have the obligation of keeping their knowledge and skill current.

If nothing changes, more severe means should take place. This includes giving warnings and as a last resort filing a complaint to the relevant authorities.

Naturally, if the negligence is severe, one should not hesitate to contact authorities urgently.

The bible of dentistry aka ADA’s Code of Ethics 2016 in full.

If you fancy further reading on the subject, here’s a true story by yours truly.

Shared from WordPress

I simply must share a fellow blogger’s, Back To The Tap, post on Fluoride. It’s always a pleasure to read posts from a talented blogger. Hope you enjoy it too (the subject is also important).

Fluoride in water: Nature’s toothpaste or communist conspiracy? – http://wp.me/p7QijM-2T

Omg!

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I just went through ten minutes of blogging nightmare. I use both WordPress mobile application and desktop browser to write and edit my posts. Last night I noticed that for some reason the mobile app stopped updating the draft posts written on PC. I used the force stop for the WordPress app but it made no difference whatsoever.

Today I finished my newest post Are Your Tools Clean? on my PC. It went live somewhat six hours ago, but I have a habit of reading my posts on a browser after I have posted them and test the links once more. I did this just half an hour ago with my smart phone’s browser. I noticed that one of the links didn’t work so I changed it in the WordPress app and pressed update. A big mistake!

I didn’t read the post through – I just quickly went for the malfunctioning link and repaired it. When I returned to the browser to see the post again, it was gone! I got this horrible sinking feeling that I had done something really stupid. You see, I didn’t remember the mobile app got stuck last night. It was still stuck. And the mobile app had a very unfinished version of the new post so when I pressed update, it updated to this version of the post which was still under a draft status.

So whilst balancing between rewriting the post and jumping off the cliff I remembered seeing a word revision over the preview/publish buttons. And voilà! I found my precious post and returned it back to it’s place! Phew! I’m way too old for this kind of excitement.

Are Your Dentist’s Tools Clean?

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It is extremely unlikely that you get HIV from a dentist appointment.

Fox6Now.com: Tomah VA dentist accused of using improperly cleaned tools resigns

I shouldn’t read news as I always have something to say about them. This news above reminded me about working in the UK and how the instruments were cleaned there.

This Thomas VA dentist is not the only dentist that is underperforming in the instrument cleaning. There are dentists who have read this news and have wiped sweat from their foreheads and thanked their lucky stars it wasn’t their name on the headlines. Honestly!

Let me tell you how things were done in six of the practices I used to work in the UK. I will first go through the correct way of cleaning the instruments.

This I How It Should Be Done

1. Disinfect the contaminated instruments preferably in a washer disinfector like Miele Dental Disinfector

With this washer disinfector the cleaning job is half done. You just put used instruments within 4 hours of using them to the washing cycle and you get disinfected instruments in less than an hour (no need to soak them in anything prior the cycle).

No scrubbing is needed which will minimise the accidents of nurses cutting themselves.

2. Dry the instruments thoroughly. Use pressurised air on all the hard-to-reach areas like matrix retainers, sonic scaler tips, forceps.

3. Place the instruments that  don’t need to be sterile on the metallic tray to be autoclaved. Put the instruments that need to be sterile in pouches and close the pouches.

4. Put all the instruments in an up-to-date vacuum autoclave and run the cycle. Once they are cooked, put them in cupboards or drawers to be picked to the surgeries.

Simple and pathogen-free tools.

This Is How It Should Not Be Done

None of the surgeries I worked at in the UK had washer disinfector. Instead there was a dish brush and Hibiscrub. Yes, you read it correctly. Hibiscrub was used like washing up liquid on dish brush and the instruments were washed over a sink in the surgery. But this was done only up until health and safety regulations stated that using dish brush was a health hazard – there was too big risk of an injury from sharp instruments.

Once the instruments were brushed with Hibiscrub and rinsed with water, the instruments were placed on metallic trays (no drying) and put in the Instaclave, the simplest of the simplest model (non-vacuum). If there were surgical instruments, they were either put on the pouches and put on trays without closing the pouch. The pouch was closed after the cycle in the Instaclave. Sometimes the surgical instruments were put on the trays without pouches and once they had gone through the cycle, the nurse put them in the pouches that were taken straight from the package. This of course meant that the pouch was non-sterile as it had not gone through the cycle in the autoclave. Non-sterile pouch equals non-sterile instrument – no matter if the instrument has gone through the cycle.

So needless to say that many things went wrong. And let me clarify that all the above was done in the surgery. Every surgery had their own autoclave – just about five feet away from the patient.

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This was the typical setup in the dental surgery in the UK for cleaning tools used on patient

The Question: Did I Do It Too?

Well, as much as I think that you live by the rules of the country you are in, I did not follow this questionable way of cleaning instruments. I did inventory on surgery’s storage room and found a container with a lid. I asked the practice manager to order me instrument disinfection liquid. I had to do some convincing before the liquid was ordered – understandably of course as no-one else was using one. So why should I?

So all my instruments were brushed with dish brush under running water and then placed into this container which had disinfection liquid in it. The instruments were kept in there for the recommended time, rinsed with water, dried and then put in the Instaclave.

Not perfect, but enough for me to have a clean conscience.


If you liked this post, you might also like:

It’s ok to swallow, it’s only water… Or is it?

Testing Oral-b Smart Phone Holder, Take 2

 

Oral-b smart phone holder should be attached to the mirror

 

“Whoomp (there it is)” was ringing in my head when I was thinking about the title for this post. But I decided to use the same title as on my previous post for you to be able to follow the subject.

So there it is! The smart phone holder attached to the mirror. And so well it is attached that it feels like it is glued to the mirror. When I tried to pull it off to test how well it is attached, the mirror almost came off.

Conclusion

The smart phone holder should be attached to the mirror to avoid your smart phone plunging towards the floor.

Irrelevant to the usability of the apparatus, I must say that as an aesthete I think the holder is too bulky. But hey that’s just me.


You might be interested in these posts as well:

Testing Oral-b Smart Phone Holder, Take 1
Oral-B Gum & Enamel Repair Original Toothpaste Review
RDA Value in Toothpastes – Any Relevance?

Testing Oral-b Smart Phone Holder, Take 1

I’m afraid it’s not good news folks. As you can see from the photo above this is where the holder landed in the middle of the night. Not good but the good thing is that the holder did not have mobile phone attached to it.

If you haven’t read my previous post, click here so you know the full story.

Let me show you what I did yesterday before the first test drive. I used alcohol prep pads (photo below) that are normally used on skin before blood tests or vaccinations. I used them to wipe clean the bathroom tiles (photo 2nd below) from the spot where the smart phone holder was to be attached with the suction cup.

As you can see the tiles are smooth so I did not expect problems in the attachment. But as I wrote last time I did have my doubts and therefore I did not use my own smart phone but my husbands – ha ha! He did not have a clue about the slight scepticism I had. Plus he was so mesmerised with the mobile application that he didn’t think he should be worried about his smart phone (he brushed over 3 mins!).

As a side note, the Oral-b app was slightly confusing. Me and my husband both were staring (my husband with the brush head in mouth ready to go) at the smart phone’s screen and wondering when he should begin brushing. Maybe there should be a countdown like

3-2-1-GO!

to make it clearer?

Now, I’m not going to give up. I will give it a go once more. This time I’ll attach the holder to the mirror and I’ll report it soon. Wish me luck!


You might be interested in these posts as well:

Testing Oral-b Smart Phone Holder, Take 2
Oral-B Gum & Enamel Repair Original Toothpaste Review
RDA Value in Toothpastes – Any Relevance?