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Issues & People

From the trenches: How to “dodge the bullet” and make the right diagnosis?

This case was submitted by Dr. Ron Kellen  This situation occurred about 20 years ago. My office was in a plaza, on the second floor, requiring 26 steps to access it, with no elevator. At about 2 PM on a weekday, a 60-year-old male patient presented in our office as an emergency case with a terrible toothache. He pointed to his broken 35. On his medical questionnaire, he indicated that he had a little bit of high blood pressure and that he sometimes would get out of breath. He was taking medication once a day for blood pressure, but he ...

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View from the Chairside: how do you gauge a successful new patient emergency visit?

By Dr. Joel Antel Dr. John O’Keefe, CDA Director of Knowledge Networks, sat down with Dr. Joel Antel, to discuss what he considers to be a successful new patient emergency visit. Dr. Joel Antel is a general dentist in Winnipeg Manitoba. He graduated from the University of Manitoba, Faculty of Dentistry in 1979. Dr. Antel has written, consulted and lectured on practice management/patient communications and is the chair of the Manitoba Dental Association Communication Committee. Read the full transcript of the interview (PDF) Listen to audio interview Overall Indications Address the patient’s reason for the emergency visit. Establish a strong relationship ...

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New CDA Position Statement on Dental Patients with Total Joint Replacement

In June 2013, CDA adopted a new position statement on dental patients with total joint replacement. The Committee on Clinical and Scientific Affairs (CCSA) reviewed clinical evidence, including a thorough systematic review of the literature conducted by the American Dental Association (ADA) and the American Academy of Orthopedic Surgeons (AAOS) which was conducted in 2011. Preamble The issue of whether patients with orthopedic implants, primarily total hip and knee replacements, are prone to implant infection from routine dental procedures via hematogenous seeding of the implant from dental-procedure-related bacteremia has been a controversial topic for dentists, physicians and patients alike. Background ...

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View from the Chairside: Sharing my experience on Oasis Discussions

By Dr. Matt Gilchrist Dr. Matt Gilchrist is a general dentist in Charlottetown, PE. He graduated from Dalhousie University, Faculty of Dentistry, in 2008 and holds a Bachelor of Science degree from St. Francis Xavier University (2004).  Dr. Gilchrist resides in Stratford, PE with his wife and newborn daughter. Posting my clinical case presentation on the JCDA Oasis Discussions website has been more valuable than I could have ever imagined.  Last week I posted a case regarding wear/erosion on a deciduous tooth and the responses have been overwhelming.  The exact etiology was unclear to my local colleagues and I; although we had ...

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View from the Chairside: October, Healthy Workplace Month

By Dr. Lesia Waschuk Dr. Waschuk is a Toronto dentist with a certificate in creative writing and an interest in narrative medicine, which is the discipline and practice of writing about illness and recovery and the health care encounter from both the provider’s and the patient’s point of view. In this space, Lesia will be writing about wellness and sharing articles and links to resources on health-related topics.   Did you know that October 10 is World Mental Health Day? And that October is Healthy Workplace Month? The slogan for this national initiative is Workplace Wellness Fosters Healthy Minds. The tagline for week 2 is ...

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View from the Chairside: Post-op solution for a maxillary sinus exposure after an extraction

By Dr. Elliott Gnidec Dr. Elliott Gnidec is a practicing dentist in Woodstock (ON). He graduated in 1986 from the University of Western Ontario (UWO) and holds a Master’s degree in Biochemistry also from the University of Western Ontario. Currently, Dr. Gnidec is Adjunct Clinical Professor in Restorative Dentistry at the Schulich School of Medicine and Dentistry at UWO, is the Treasurer for the Oxford County Dental Society, Member of Continuing Education Committee for the Oxford County Dental Society, and the Liason between Schulich School of Medicine and Dentistry and JCDA/Oasis. Here is a case that I recently encountered. A pulpotomy was performed on ...

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Practice leader: how do you build a good team?

This summary is based on the article published in Dental Economics: Leading the practice team to success (August 2013) Many excellent dentists struggle with their responsibilities as leaders, especially in the area of team management. Contending with reality The team is usually made up of front desk coordinators who usually have no formal training and of dental assistants and hygienists who have clinical training, but typically have no training in the practice management aspects of their jobs. Even when dentists hire office managers, they may lack formal training or experience relevant to dental practice operations. This is the reality for ...

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Marketing: where to begin?

This summary is based on the article published in Dental Economics: Marketing-where to begin? (August 2013) Many factors determine whether a business can be successful in a particular area, such as demographics, socioeconomic status, major employers, competition, insurance participation, and demand for services. As any other dentist, you want to grow your practice and feel the need to apply some “fertilizer” in the form of marketing, but you don’t know which fertilizer to use. I recommend that you start with some very deliberate internal marketing fertilizer: Customer Service. Here are some wonderful internal marketing methods that are cheap and effective: Recognition ...

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