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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.
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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.
Picture
​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    The blog is not Peer-reviewed; it's observational.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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  • Home
    • RESOURCES >
      • APPLE
      • AUDIO BOOKS
      • FUTURE LEARN
      • YouTube
      • books
      • Peer Review & CPD
      • CLINICAL SUPPORT
      • MORAL SUPPORT
      • PRACTICE SUPPORT
    • CPD >
      • general CPD record
      • record CPD dental health service
    • CONTRIBUTERS >
      • TONY
      • KIRK
    • TERMS AND CONDITIONS >
      • COPYRIGHT INFORMATION
      • PRIVACY POLICY
  • PREVENTION
    • Oral Cancer
    • Gingivitis and Periodontitis
    • Erosion and Wear
    • CQC, GDC, MENTAL HEALTH
  • MID
    • examination
    • remineralisation
    • non-invasive
    • minimally invasive
    • filling materials
    • Periodontology MID
    • A new perspective
    • conclusions
    • more/ references
    • CAD CAM
    • SILVER DIAMINE FLUORIDE
    • 3D PRINTING >
      • 3D-DENTAL PLATFORM
    • CEREC BLOG
  • eHealth APP
    • APP HELP
    • REGISTRATION HELP >
      • PROFILE HELP
      • THERAPY VIDEO DOWNLOADS
      • TEXT HELP/MORE
    • PAYMENT UPDATE
    • DENTIST FEEDBACK
    • DCP FEEDBACK
    • PRACTICE MANAGER >
      • APP PITCHES,
    • MARKETING, RECEPTION VIDEOS >
      • MORE DOWNLOADS
      • MARKETING TEMPLATES
      • OHI VIDEOS
      • SOCIAL MEDIA VIDEOS
    • PROMOTED VIDEOS
    • FAQ
  • BLOG
    • ETHICS >
      • ETHICS BLOG
    • LDC v GDC v BDA
    • Events >
      • blog info
  • FUTURE?
    • Oral Cancer Screening
    • FD SUPPORT
    • DENFLIX
    • TELEDENTISTRY >
      • AMTA resource
      • AMTA TedTalk
      • COMPANIES
      • LEGAL TELEDENTISTRY
    • MID VIDEO COURSES
  • MY DENTAL HISTORY