Please activate JavaScript!
Please install Adobe Flash Player, click here for download

Dental Tribune Untited Kingdom Edition

ation. OK, the crown doesn’t fit, but doesn’t the fact that you are remaking it show you are com- mitted to quality. There are some dentists out there who would MAKE it fit, but not you. • When Mr’s Smith comes in for her 40th denture ease, just imag- ine what good experience this is to develop your patient manage- ment skills. And the same goes for the letter of complaint. This is a chance to grow as a person, to go to the next level. • When you are running 40 min- utes late, and the patients are sat chuntering in the waiting room, ask yourself why they are waiting so long. They are waiting because they want to see YOU. And in ten years, will it matter that you ran 40 minutes late? I don’t think it will somehow. The other thing to remember is that YOU are in charge of your life, nobody else. If something happens to you, you need to take responsibility for that, so that you can effectively deal with it. Don’t blame other people, you are above that. If someone says something andyougetangry,itisbecauseyou CHOSE anger. Nobody can make you feel angry. Unless they are holding a gun to your head, they have no more control over your emotions than they do the Pacific Ocean. So when you say “I get so angry when she does that”, I would ask would you want to give someone that power over you? So remember, stress is some- thing you do. Your body is getting stressed because sometimes it is trying to tell you something. It is trying to tell you to change. 10 years ago I nearly quit dentistry due to stress. But instead of chang- ing my job, I changed my focus. I stopped the little voice in my head and tried to find the positive and the humorous in the situation. And everyone will feel stressed at some time or another, and the above techniques will help…… but there is also something else you should look at doing. Another cause of stress is a feeling of loss of control. If you don’t have certainty in your sur- roundings, you will be breaking one of your fundamental human needs. If you don’t have control over your working environment you will likely not enjoy working there. If you don’t enjoy working at your practice, you will become stressed. I’ll repeat what I have already said. Often stress is life’s way of telling you that something needs to change. Most of what I say will be aimed at the prac- tice owner, but a lot can apply to associates and auxiliary staff as well. So the first thing to do is sit down and ask yourself the follow- ing questions: • If I could work in my ideal prac- tice, what would it look like? • How many days do I want to work? • What type of patients do I want to treat? • Are there any staff members who aren’t part of the team? Do any need to go? • Do I want to stay in the NHS, or should I convert? Is nGDS still an option? • How much money do I want to earn, and how much do I want to save?• Am I doing the type of den- tistry I want to do? How can you work in your ideal practice until you know what it looks like? You need a vision, ei- ther on paper or in your mind. And to many of you I would ask these questions? • Why aren’t you earning the money you want to earn? • Why aren’t you treating the pa- tients you want to treat? • Why haven’t you employed the staff that you feel are necessary for the job? • Why are you working in a prac- tice you don’t like? • Why are you doing dentistry you don’t enjoy? You need to take control, and you need systems, which is the very essence of why I started my website in the first place. Systems give you control, they give you focus. You need to know exactly what you want in all areas of your life, and you need to make a plan to accomplish these goals. And if you are stressed because you are treadmilling, stop. The treadmill is a choice, and you can slow it any time. Hell you can even step off if you choose to. It’s your choice. Your health is too important to let stress effect it. I know, because I’ve been there. DT About the author Stephen Hudson is a Dental Prac- tice owner working in Chesterfield. When he qualified in 1995, he soon realised that the way most dentists tr- teadmilled their dentistry was slowly killing them, and decided he needed to try and do something to reverse this trend. This was why he set up the website www.gdpresources.co.uk. 15FeatureMarch 5-11, 2012United Kingdom Edition Periodontal Disease How do you measure success? Dentomycin abridged prescribing information. Please refer to the Summary of Product Characteristics before using Dentomycin 2% w/w Periodontal Gel (minocycline as hydrochloride dihydrate). Presentation: a light yellow coloured gel containing minocycline as hydrochloride dihydrate equivalent to minocycline 2% w/w. Each disposable application contains minocycline HCI equivalent to 10mg minocycline in each 0.5g of gel. Uses: Moderate to severe chronic adult periodontitis as an adjunct to scaling and root planing in pockets of 5mm depth or greater. Dosage: Adults – Following scaling and root planing to pockets of at least 5mm depth. Gel should fill each pocket to overflow. Applications should be every 14 days for 3-4 applications (e.g. 0,2,4 and 6 weeks). This should not normally be repeated within 6 months of initial therapy. Use only one applicator per patient per visit which should be wiped with 70% ethanol between applications to each tooth. Avoid tooth brushing, flossing, mouth washing, eating or drinking for 2 hours after treatment. Elderly – As adults, caution in hepatic dysfunction or severe renal impairment. Children – contraindicated in children < 12 years. Not recommended in children > 12 years. Contraindications: Hypersensitivity to tetracyclines, complete renal failure, children under 12 years. Precautions: Closely observe treatment area. If swelling, papules, rubefaction etc. occur, discontinue therapy. Safety in pregnancy and lactation not established. Side-effects: Incidences are low and include local irritation and very rarely diarrhoea, upset stomach, mild dysphoria and hypersensitivity reactions. Storage: 2°-8°C. Legal category: POM. Presentation and cost: Disposable applicator in an aluminium foil pouch. Each carton contains 5 pouches. Carton £103.02+VAT. Licence No: PL 27880/0001 PA1321/1/1. Product Licence Holder: Henry Schein UK Holdings Limited, Medcare House, Centurion Close, Gillingham Business Park, Gillingham, Kent, ME8 0SB. Telephone 020 7224 1457 Fax 020 7224 1694 Distributed by: Blackwell Supplies a division of Henry Schein UK Holdings Ltd, Medcare House, Gillingham Business Park, Gillingham, Kent ME8 0SB Tel 020 7224 1457 Fax 020 7224 1694 Date of preparation: February 2011 *Registered Trademark BLA/DEN 18 Dentomycin offers: • 42% reduction in pocket depth after 12 weeks1 • broader spectrum of antibacterial action2 with greater all round activity than metronidazole or tetracycline • conditioning of the root surface3 and enhanced connective tissue attachment4 • improved healing through inhibition of degradative collagenases5 • effective treatment of chronic periodontitis which has been associated with cardiovascular diseases6-9 1. van Steenberghe D, Bercy P, Kohl J, et al. Subgingival minocycline hydrochloride ointment in moderate to severe chronic adult periodontitis: a randomized, double-blind, vehicle-controlled, multicenter study. J Periodontol 1993;64:637-44 2. Slots J and Rams TE. Antibiotics in periodontal therapy: advantages and disadvantages. J Clin Periodontol 1990;17:479-93 3. Rompen EH, Kohl J, Nusgens B, Lapiere CM, Kinetic aspects of gingival and periodontal ligament fibroblast attachment to surface-conditioned dentin. J Dent Res 1993;72:607-12 4. Rifkin BR, Vernillo AT, Golub LM. Blocking periodontal disease progression by inhibiting tissue-destructive enzymes: a potential therapeutic role for tetracyclines and their chemically-modified analogs. J Periodontol 1993;64:819-27 5. Somerman MJ, Foster RA, Vorsteg GM, et al. Effects of minocycline on fibroblast attachment and spreading. J Periodontal Res 1988;23:154-9 6. DeStefano F, Anda RF, Kahn HS, et al. Dental disease and risk of coronary heart disease and mortality. BMJ 1993;306:688-91 7. Joshipura KJ, Rimm EB, Douglass CW, et al. Poor oral health and coronary heart disease. J Dent Res 1996;75:1631-6 8. Mattila KJ. Dental infections as a risk factor for acute myocardial infarction. Eur Heart J 1993;14 Suppl K:51-3 9. Morrison HI, Ellison LF, Taylor GW. Periodontal disease and risk of fatal coronary heart and cerebrovascular diseases. J Cardiovasc Risk 1999;6:7-11 Information about adverse event reporting can be found at www.yellowcard.gov.uk Adverse events should also be reported to Blackwell Supplies,Medcare House, Gillingham, Kent ME8 0SB or by telephone: 01634 877525