Things To Consider If You Are A Beginner In Implantology!

 

Things To Consider If You Are A Beginner In Implantology!

1. Know Implantology First Before Proceeding

I had seen so many young emerging dentist putting implants haphazardly without knowing much about Implantology. My sincere advice to them is to please go through proper protocol and learning before jumping into it. It is not only procedure but it is a science and we need to learn & understand it thoroughly if we want to achieve long term success.

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2. Choose Proper Mentor or Courses

From whom you learnt Implantology is more important. Irrespective of systems and methods your mentor plays a crucial role in your learning curves. Today so many young dentists doing courses without much experience. Please choose your proper mentor who had done so many cases who can surely guide you about failures also. Don’t choose courses which are nearer to you or cheaper only.

 

3. Consider Implantology equal combination of Prosthesis and Implant together as a single outcome

So many people only consider placing implant is a win game. Actually once after experience of 10 years of implantology I can surely say that placing prosthetically driven implant is really challenging. So learn more about complex rather than focusing on only placing implant.

 

4. Do proper Exercise before placing implant

Surgical Implant placement is not the only thing, even everyone can do it. The only concerned thing is to see proper bone height, width, quality of bone, systemic conditions, angulations, inter arch distance, prosthetic outcome, overall dental hygiene, bad habits etc.
Do proper exercise and you should have proper map on paper before putting implant.

 

5. Never Do Implant without CBCT or at least OPG

IOPA or OPG shows only bi-dimensional image and Implantology is 3D Science. So always make habits of CBCT before putting implants. If you don’t have CBCT Centre in your city than please make sure to take diagnostic casts and articulate them, if possible make RPD with marker in tooth and then go for OPG and place implant where u planned. Surgical Guide which is prosthetically driven can help you in guiding.

 

6. System is not that much important but Good system saves u in many places

System is not that much important as good skilled persons can place any implant of any system in a patient with a good success rate. 
But in initial phase good systems will help you a lot even though you made mistakes in angulations,  placements etc.
Choose a system which has many prosthetic options and according to availability, their success stories, easiness, their frequent supply and proper person in your city to help you out.

 

7. Don’t Jump in Implantology without proper planning and protocol

Any case of implants should be done as a protocol.Starting from IOPA, OPG, CBCT, Preoperative Cast, Articulation, Proper history of Patient, System, Inter-arch Distance, Proper Blood Investigations, Pre-operative antibiotics, Physician concern if required, routing follow ups in healing phase with x rays, Transfer copings , trials and then final fixation.

8. Don’t Let your patient be judgmental in decision making in any steps of Implantology

So many times your patient will demand for immediate placement, immediate loading, less number of implants etc but don’t let them decisive. Take decisions only on your planning even if they have hurry let them decide but be firm on your planning.

 

9. Don’t be hurry on giving treatment Estimate on day one

Always make a habit of analyzing case with necessary history, intra-oral examinations, investigations, articulated upper and lower casts and all necessary prosthetic options like angulated or castable abutments, any screw retained or hybrid prosthesis etc…
You can also discuss with you lab person before proceedings.
So many times dentists give quotations on day one without knowing much and later they put themselves in troubles and they don’t earn much at the end. Don’t be hurry, take your own time to analyze everything and give quotation after all necessary planning.

 

10. Do surgeries with all armamentarium.

You should have all necessary equipments and material s on hand at the time of surgery. Bone grafts, membranes, exapnders, condensers etc please arrange before surgery. I had seen so many dentists search for all these during the surgery. These will reflect lack of your ability to work and patient will easily notice this too.

 

11. Teamwork

Teamwork is like your weak part can be corrected by a stronger substitute. Call any prosthodontist or periodontist if you want few procedures to be associated and give fantastic results.  Make a small group of interested people and do work together, they can guide in treatment planning and also in placement. Discuss regularly regarding Implantology and you will get wonderful knowledge and confidence.

 

12. Last but not least COST

After knowing this much you must be understood how much headache is in implantology. Don’t do it in less charge. Initially if you want to learn place few implants at less profit but don’t do charity. After few cases analyze what you are expending on cases and then charge accordingly with proper profits.

Friends, so many factors still missing, but I tried to add as much as I can.

*Implantology is future of Dentistry and this branch can easily make you millionaire provided you learn it properly and apply it with all your master skills.*

For any help you can contact me on jakhsnil@gmail.com

Source : DentistFriend

Indemnity Insurance: Is Your Dental Practice Insured?

 

Indemnity Insurance: Is Your Dental Practice Insured?

In this blog post, I am going to discuss an essential topic that every doctor should be aware of. More often we read cases in the newspapers where a patient died or suffered negatively due to doctor’s negligence or patients or their relatives sued hospitals or doctors for their unprofessional conduct. These issues are very sensitive, due to some malpractices or negligence of doctors and also because some hospitals are trying to get more money by recommending unnecessary medical tests and treatments, people started looking at doctor’s community with distrust. It is found that there has been a rise in the patient’s awareness and the judiciary authorities are more consumer-friendly now and have been asking doctors or hospitals to compensate their mistakes.

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According to a 2013 survey by Dr.Ashish Jha of Harvard School of Public Health, India recorded 5.2 million medico-legal cases in a year, for an incorrect prescription, wrong timing, and errors in surgery, incorrect drug, and dosage. Therefore, to protect doctors from the above financial risk, a special financial cover known as Professional Indemnity Insurance (PII) is introduced.

 

What is Professional Indemnity Insurance?

Doctors are the professionals who face the risk of financial liability while practicing their profession. The amount they can be sued can be very high. Therefore they need a special financial cover to protect themselves financially when they are sued for unprofessional conduct, negligence or mistakes during treatments.

In short, Professional Indemnity Insurance (PII) is an insurance policy specially meant for professionals like doctors, lawyers, Charted Accountants etc to cover liability falling on them as a result of errors, negligence, mistakes committed by them while rendering their professional service.

 

What does PII policy cover?

The policy covers all sums which the insured Doctor becomes legally liable to pay as damages to the third party in respect of any error or negligence committed while rendering professional service. Professional Indemnity Policy covers against following:

1. Professional Negligence

2. Unintentional breach of copyright or confidentiality

3. Loss of documents or data

4. Claim investigation costs

5. Offense & insult

6. Loss of goods or money

What PII does not cover?

1. Intentional damage

2. Claims and circumstances known before issuance of the policy

3. Act of Terrorism or war

4. Contractual liability

5. Insolvency of the insured

 

 

Which insurance companies provide PII for Doctors in India?

Insurance companies like United India Insurance, The New India Assurance Co. Pvt. Ltd., Reliance General Insurance, ICICI Lombard GIC Ltd, offer PII policy coverage for Doctors in India.

How to select the sum assured?

In professional Indemnity Policy, the sum insured is referred to as Limit of Indemnity. This limit is fixed per accident and per policy period which is called Any One Accident (AOA) limit and Any One Year (AOY) limit respectively.

The AOA limit, which is the maximum amount payable by the doctor for each accident, should be fixed depending upon the nature of treatment and the worst possible damage that could happen to the patient.

 

How to claim?

In case you feel that any event will likely to give rise to a liability claim, you should inform your insurance company immediately.

In case you receive any legal notice or summons, it should be sent to the insurance company. The company has the authority to arrange defense on your behalf.

The maximum amount payable will also include defense cost which will be included in AOA limit selected. The AOY limit will get reduced by the amount of claim paid for any one accident. Any number of such claims should not exceed the AOY limit.

How much does it cost?

Normally the premium for PII is 0.30% to 1 % of the amount insured. So if you wish to get a professional indemnity insurance for sum insured of 5 Lakh; then your premium may range from Rs.450 to 5000 The premiums may vary from company to company as well as depending on the doctor’s specialty, seniority, practice, equipment used etc. majorly. It will be a year policy, every year the doctor has to enter into a fresh agreement.

 

What if you don’t have a PII cover?

Indian patients treat doctors as next to God, but now the situation is changing. The fact is that Doctors are also humans who can commit mistakes during treatment. Hence it completely makes sense to have professional indemnity insurance to secure your dental/ medical practice.

Source : DentistFriend

Dental Practice Management: Grow and Let Others Grow!

 

Dental Practice Management: Grow and Let Others Grow!

Dear All,

It is in almost every group or discussion forum, there is a discussion of fellow dentist criticizing/badmouthing the other in front of patients or ridiculing his/her work or charges. Unfortunately, in our profession, unlike hotel management students, we do not undergo a grooming school, and our work behavior is based on what we learnt in the clinic we did our observer ship. All of a sudden, from doctors we become businessman from the 1st day of our clinic opening. Though, not any expert or fault free, after 8 years of practice, I feel mature enough to share my thoughts to fresher who are about to start or recently got into practice.

How much does it cost to become a dentist in india to know visit our dental portal DentistFriend.

1. Stay Focused:

Your practice doesn’t grow 1% by bringing down someone else’s name nor would the other practice go down even 0.5% with your fruitless efforts. Concentrate on your work.

 

2. Filter Unnecessary Talks:

Patients would love to share their bad experiences with previous dentist. Curtail those talks and stick to basics of chief complaint, followed by diagnosis and treatment plan.

 

3. Use Alternate Terminology:

Instead of telling the patient, “Bahot bekaar filling ki hai aapki” “Filling you are having is hopeless” modify your talks like, “There are some issues with the filling and hopefully I will be able to address them better.”

 

4. Learn From Those Who Run Referral Practice:

Your oral surgeon doesn’t tell the patient that you have messed up a 3rd molar extraction. He simply does it and sends the patients. He is even ready to bear the complications which you might have made. Treat patients from other clinics in a similar way.

 

5. Keep Your Charges Justified:

Sky has no limit, but ground has. Keep your charges for every procedure in a justified manner. Keeping them too low cannot kill your competitor. Moreover, you lose growth and clinical expansion.

 

6. Don’t Be Overawed:

Meeting dentists from metros, don’t be influenced by their lifestyle of Mercs and BMWs. It is just a part. You never know what they went through to achieve this, including legal battles and strokes. But they have the best lawyers and best hospitals to keep them running. So run a healthy practice and have patience.

 

7. Stay Connected:

Meet your colleagues to share knowledge not grudges or discuss charges.

8. Do Not Out Rightly Reject Fellow Dentist’s Treatment Plan:

Everyone has his own way of thinking. If the other feels, his way would provide relief and long term solution, respect it. Be a doctor, not judge. Tell the patient, “I would or I can do it this way, please make a decision and chose your treating doctor.”

 

9. Stay Alive:

Don’t leave your hobbies. Cricket, music or dance or whatever, for me photography as a recent hobby, relaxes you so much that you, by default, stays away from unnecessary stuff. Don’t leave them, rather inculcate one.

 

10.Take Care Of Yourself:

Dentistry is a killer. It will break your back and neck. Let it not break your heart by going green with jealousy.

 

As always, keep smiling!

Source : DentistFriend

Diabetes and Yeast Infections - 5 Things Every Diabetic Should Know

 

As a result of high blood sugar levels and immune system dysfunction, diabetics are prone to more frequent and more serious infections than non-diabetic persons. Among these infections, yeast ranks among the most common and in fact sometimes leads to the diagnosis of diabetes.

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Is this dangerous? Is there anything a person can do about the situation?

Here are 5 things every diabetic should know about yeast infections:

1. Vaginal yeast infections - don't skip this one men - there are some things here you need to know, too. Yeast thrive in a warm, moist environment, especially when there's plenty of food, i.e. excess sugar. There are always a few yeast in the neighborhood, but other "good" germs normally crowd them out. In diabetes, the yeast may grow in abundance and become like crabgrass: once it takes hold, it's hard to eliminate. If you have never been diagnosed with diabetes but have been getting more than your share of yeast infections, or have had trouble being cured of a yeast infection, consult your doctor - you may be diabetic.

Usually yeast is not a sexually transmitted disease, but in a diabetic it can be, especially if both partners are diabetic. Other STDs may be more easily transmitted as well if fragile tissues are already irritated from a yeast infection. Women who are suffering from vaginal itching and burning are also less likely to be interested in intercourse. Because the symptoms of yeast infections, urine infections, and STDs overlap women sometimes mistake one for the other.

If you are diabetic and suffering from prolonged or recurrent yeast infections you should talk to your doctor. You may need to control your blood sugars more effectively. You may need a prolonged course of anti-yeast medication. You may need a combination of oral and topical medications. You may need to be checked for another type of infection that mimics yeast.

2. Thrush (oral yeast infection). Yeast infection in the mouth is common in diabetics who don't have their blood sugars well controlled, especially in patients with dentures. Thrush has a variety of presentations. Often it appears as white spots that coat the inside of the cheeks or the tongue. Sometimes the mouth looks raw or irritated. Other people complain of a change in taste or sore feeling even though the tissues appear normal. Oral thrush indicates a need for better sugar control, better oral hygiene, or both. It may require oral medication, topical medication, or both, and may occur at the same time as a yeast infection elsewhere in the body.

3. Intertrigo (yeast infections in warm skin folds). Intertrigo is especially common in men and women who have folds of overlapping skin that remain moist. Common areas include the axilla (armpit), groin, under the breast, and under the belly. Intertrigo appears as a red or pink rash, usually flat (not bumpy), that is often moist, and may have an unpleasant odor or itching. Again the cure lies in controlling blood sugars, keeping the area dry, and medication. Topical creams such as Lotrimin or Lamisil are effective. If itching is prominent, OTC hydrocortisone may be added. Wearing a cotton T-shirt or underwear helps keep the area dry.

4. Antibiotic-related yeast infections. Diabetics who take antibiotics for respiratory or other infections are at high risk of developing any of the above conditions. The antibiotics kill off many normal germs (normal flora), and allow yeast to take hold. A yeast infection may show up while a patient is taking the antibiotic or up to a few weeks later. Those who take daily antibiotics for conditions such as acne or rosacea are especially at risk. The key to prevention is minimizing antibiotic exposure. Don't request an antibiotic for a cold you've only had a few days. If you must continue an antibiotic for some reason, you may need to take a prolonged course of anti-yeast medication as well. One approach for diabetics who tend to get yeast infections is to begin a yeast medication prophylactically as soon as an antibiotic is begun. Ask your doctor what the best plan is for you.

5. Steroid-related yeast infections. It's not uncommon for a diabetic patient to suffer a separate condition (such as arthritis or asthma) for which steroid medications are prescribed. Steroids alone predispose to yeast infections, but doubly so in a diabetic, since they may raise blood sugar levels. Steroid pills, IVs, injections, and inhalers all predispose to yeast infections. If you use a steroid inhaler, make sure you follow the directions about rinsing your mouth afterward. If you receive an injection in your knee for arthritis, be aware that elevated blood sugar readings and thrush may follow. For persons taking steroids on a prolonged basis, daily yeast medication may be required.

It's rare that a yeast infection would be more serious than the situations described above. If you're diabetic and having trouble with recurrent or prolonged infections, ask your doctor if there are any special measures you should take. If your blood sugar isn't controlled, develop a plan with your physician to take control of the situation.

  Source:  EzineArticles 

Myths & Facts About Doctors

 

Myths & Facts About Doctors

Myth 1: "Only medical profession is a noble profession"

 

Fact: Every profession, whether of a teacher, soldier, tailor or shopkeeper, is noble, if done with sincerity and integrity. A careless doctor can kill one, a careless  driver can kill dozens, a careless engineer can kill hundreds..

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Myth 2: "As it is a service to humanity, doctors should not run after money."

 

Fact: Money is an important measure of success. Running after it is not good for anybody, but earning more money by doing more work is not a moral crime. And all who advising doctors, themselves running after money, aren't they?

 

Myth 3: "Most of the time, doctors do not understand the disease and write unnecessary and costly drugs and advise tests and treat on a trial basis."

 

Fact: First of all, the doctor patient relationship is based on trust, if you do not trust your doctor, go to another one. Medical science is a lifelong learning process, and all treatment, to some extent is based on trial and error. The same medicine, which works for one patient may not work on another. 

 

Second, the responsibility of providing quality drugs at affordable prices lies not with the doctor, but with the state authorities, just like providing for better roads, unadulterated quality food and dairy products, uninterrupted power and water supply etc and etc. Like cloths, cars and mobile phones, costly drugs are generally better than cheap ones. However, if the government makes it mandatory to write generics, it should ensure quality and the consequence of poor/non efficacy should not be blamed on doctors.

 

Third, tests are done for patient’s own safety. Just like wearing a helmet or seat belt, investigations increase the safety. Most of the doctors in india are trained to work on clinical hunch and common sense and not rely too much on tests, and advise much less tests than what is actually written in the book or done in the developed world.

 

Myth 4: "Treatment costs are increasing irrationally."

 

Fact: As compared to western world, treatment costs in India are still very low, and many foreigners are coming here for this reason. And it would be worthwhile to think about any other service or product with as rapid advancement in technology and equipment as medical science, whose cost is not increasing

 

Myth 5: "Doctors are next to God."

 

Fact: Doctors are as human as can be. They also get tired, fall sick, have family commitments, get upset and stressed sometimes and can suffer from all the frailties of a human being. If anyone wanted to be treated by God then they can visit the temple.

Source : DentistFriend