I’ve just posted on GDPUK about my son’s dental problems and a possible explanation of host mediated response.. link here
Sandy didn’t want me to say anything, he ‘s very sensitive about being branded as “different”. I explained to him that I wanted to encourage dentists to ask themselves “What else can this be” when confronted with a level of decay that cannot be easily explained. To dig deeper into the medical history. What else can this be?
There’s more to this than “sugar + bacteria = acid produced by bacteria”
Think holistically, think like Dr House!
Finally, the British legal system has decided that it is illegal for anyone who is not a dental professional to perform tooth-whitening procedures.
This week a private company in the UK has been fined £3500 for carrying out tooth whitening. Dentists all over Europe have been concerned about a loophole in the laws which basically allowed ANYONE to put potentially dangerous chemicals in people’s mouths, chemicals which can cause irreparable damage to teeth.
So, if you see a beauty salon offering tooth whitening, know that they are breaking a law which has been enforced to protect the general public. Good result.
We all have a story about why we’re doing what we’re doing. That story keeps us going when things go wrong; gets us to write another email, pick up the phone, write a blog post(!). Our stories are our touchstones. Most of us keep the stories private because they’re precious to us. Here’s my precious story.
I moved to France when I was pregnant with my 3rd baby. She was born prematurely and had to go to intensive care where it was touch and go for a few days. My schoolgirl french was no use when trying to communicate with the doctors and nurses; this made a horrifying experience even worse. My daughter is now a beautiful, healthy 8 year old but to this day, I am afraid of having to go to see a doctor that I can’t understand even though my french is now fluent.
And it works the other way too, doctors/dentists find it stressful trying to treat patients who don’t speak their language. I know, I worked in a dental surgery in France.
Living in France, I saw that there were fewer post-grad courses available for dentists to choose from than in the UK/USA. Why? Because they’re not available in French. Even going abroad to learn from a well-known specialist can be difficult. Larger conferences may have simultaneous translation, but how do you ask a question when you’re not confident of your english for example? Never mind that you might not understand the reply properly.
Now for the funny part!
I went to see a radiologist for a mammogram, he was chatting to me, asking about my work and he asked if I would be interested in bringing English-speaking radiology lecturers to France. I said I would if he’d help me because I don’t know anything about radiology. He went on to tell me that these days if he wants to take a course in radiology he has to go to the USA and he always worries that he might have misunderstood something. His English is good and he still worries.
Anyway, I stood up to go, put on my clothing and left his office, swearing that I would never have another topless business meeting again!
This story tells why I decided to start my business. I wanted to overcome that language barrier to learning, to understanding. I want to bring the best the world has to offer to Europe and I’ll get it delivered in your language, in your country.
(J Dent Res. 1970 Sep-Oct;49(5):1020-4. New thesis on the development of erosion and dental caries. Gabrovsek J.)
About 6 years ago my son’s teeth started falling apart. He was only 5 and he had decay in quite a few teeth and he’d had abscesses. When his dentist did a saliva test, his results were those of a child who eats sugar from morning to night. WHAT??
That couldn’t be right, I’m a dental assistant, his diet is just about perfect and I brush his teeth at night. None of us could explain it. If I’d been a “normal” (ie non dental) patient, everybody would have assumed that I was lying about his diet. Giving him a coke for breakfast? Mars bar for snack?
3 years later, he was diagnosed with Celiac disease (can’t digest gluten). He’s been on a gluten-free diet since and guess what….no dental problems. None.
Host-mediated response? Could that be the answer? Next time you have a patient with unexplained dental decay, would you consider further investigations into their health/immune system?
Anybody out there want to do some research into this? Get over the indoctrination of “sugar + bacteria = acid produced by bacteria” model.
With many thanks to the wonderful Andy Lane for this.
Well, I will definitely be disinfecting mine after reading an article in Dentinal Tubules. Of course, I had thought about doing it but just thought that leaving it looking free of debris and in the open air would ensure it was probably ok.
According to Dr Tejas Kothari, the brushhead has ideal conditions for nurturing all kinds of horrible bugs – existing bacteria from your mouth/food, wet and usually in a warm room. Should I mention that most people have their toothbrushes next to the toilet (when you flush the toilet there is a spray of water and bugs all around the bathroom). And then you put it in your mouth…
It’s really important if you have a compromised immune system to disinfect your toothbrush or if you’ve just had a mouth/throat infection.
We’re all fit and healthy but I’ll still be putting mine and the kids’ toothbrushes into a pot of Listerine, which will kill the bugs. If you’re a dental professional, join Dentinal Tubules (it’s free) and get access to the full article with references and loads of other great articles too.
In my last post I touched on the subject of coaching for dentists and I was slightly surprised to see this subject come up the following day on the UK dentists’ forum, GDPUK. A dentist was asking on the forum for his colleagues’ thoughts on who they thought was the best coach out of the two that I mentioned: Chris Barrow or Sheila Scott. The ensuing discussion on GDPUK centred around whether a coach should have relevant dental experience.
Personally, I think that if you are running a business you may need 2 coaches. One coach to help you figure out what you want from your life generally (your business would be just one part of this),and a professional coach to get your business going the way you want it to go.
How to choose?
Talk to them – most coaches will give you a free session at first. Talk to as many as you can and find one you feel comfortable with.
Qualifications – VITAL!! You want to know that they take their own education seriously, that they are up-to-date and that you can count on the advice they will be giving you.
Once you and your coach have identified which areas of your business needs to be worked on, does your coach have a good network of consultants who can help you? ie. if you want to improve your website or seo skills, do they have a recommendation? (hint: Mark Oborn if you’re a dentist)
Ask to speak to previous clients.
First: Start with your head!
Figure out which area of work needs improving -Some people may need to start with their attitude to their work. If you’re finding it a struggle to be happy with what you are doing then this could be where your continuing education needs to start. There are some great business coaches out there who can really help you turn things round. If you’re in the UK read Chris Barrow’s blog or subscribe to Sheila Scott’s newsletter and you’ll feel more empowered straight away.
Once you’ve got your head sorted out, then think about skills. Maybe do an audit? What is your RCT success rate over the last 5 years?? OR… here’s a thought, instead of signing up for yet another rct course hoping you might learn something so that you can actually start enjoying them, why not make progress with something that you ENJOY doing? If you’re really pleased with yourself for the occlusion work you’ve just done, you might not mind those rcts quite so much! Talking of occlusion: Andy Lane’s courses are the business , look at the photos – EVERYONE’S smiling!
Online courses or real-live people?