5 Huge Mistakes You Don't Want to Make with Your Dentistry Patients
5 Huge Mistakes You Don't Want to Make with
Your Dentistry Patients
5. Fail to administer proper regional nerve block
– Regional nerve blocks are the staple for providing optimal analgesia during and after a procedure. They also allow us to maintain a safe plane of anesthesia.
4. Neglect to thoroughly probe and treat periodontal pockets in attached gingiva
– Root planing and curettage when done properly, will often times result in decreased pocket depth, preventing progression to bone
3. Allow the patient to reach a deep anesthetic plane
– Often patients have a palpebral reflex and physiologic parameters near waking thanks mostly to regional nerve blocks and in part to analgesic CRI's
2. Extract teeth without surgical flaps.
– The most important part of a dental procedure is eliminating diseased soft tissue and bone that are a result of periodontal bone destruction surrounding teeth. Periodontal flaps expose the tissue beneath to allow removal of this tissue, which immediately eliminates further sepsis and pain.
Please see the video below for an example of both
Mistake #2 this Case and Mistake #1
1. Neglect to take full mouth radiographs
– The majority of periodontal changes are what can't be detected visually. Profound bone loss and pain can be present even in a patient that has little visible calculus or gingivitis.