Supervised neglect?

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I think it's very important to have a feedback loop, where you're constantly thinking about what you've done and how you could be doing it better. I think that's the single best piece of advice: constantly think about how you could be doing things better and questioning yourself.
Elon Musk

But what has he achieved?
I made this for my FDs and yours, please support them through Peer review groups. Some blogs may be a starting point for discussion. We can improve their working environment, reduce their stress, and enjoy their dentistry as I have, long enough to look after my teeth.

8/8/2020

Supervised neglect?

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Have a look at these x-rays and what do you see. These will be very useful in a few years time. See below for the reason.

These are the x-ray films I took years ago, they are data, and I've been collecting data for over 14 years. The way I look at these radiographs will soon change, they will come to my workstation with a directive on what to do.
I hope it doesn't say to take out the lower-left seven. In my experience in root-filled teeth, they break, and the patient leaves in pain. The non-clinical phrase "if it ain't broke, don't fix it" was the patient's opinion when I first saw him. He was probably lucky as I was intending to add a bonded amalgam core and a crown.

From my notes, you can see I did nothing for the sinus on the upper left six. Unfortunately, the radiograph was at the old film variety and has since deteriorated. Should I crown the UL6? My feeling is he may get a recurrence of the sinus which hasn't reappeared in ten years. Sometimes the best thing we can do for patients is nothing at all, but it takes a bit of experience to do it.

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After a while, when using an ultrasonic scaler, my mind drifts off. Sometimes I even wonder what I am doing, and why? In March 2016 Mrs Collins isolated premolar supporting her CoCr -/p was M2 and bleeding. Desperate measures were required, so I sent her a YouTube video form the excellent group Perio Courses. In July 2020 she still has no bleeding, no mobility, and a lower denture she likes-even more unusual. She was the tipping point for my teeth4life APP.
The blog is not Peer-reviewed; it's observational. I hope my blogs and my "friends" blogs will help. I did not enjoy dentistry until I got interested and made it a hobby. As the saying goes, "if you make work your hobby, you will never work again".
I retire October 1st 2020 and will continue with my hobby. Write something yourself. No photos of what you have done this week, but something you did years ago. email me.

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Supervised neglect?

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