today EOS Congress Venice 2015

Doctorsaretaughttodiagnoseand treat health problems. Within these margins, most clinicians fulfill this rolewiththeirpatientsverysuccess- fully. However, the traditional role of the doctor is carried out within a broader, historical, political and so- cialcontextwherethediagnosisand treatment of system failures are as importantastheclinicalinteractions with individual patients. A doctor’s ability to improve health outcomes in an increasingly complex milieu willalwaysbechallenged.Therefore, the doctor must be willing to un- derstand and influence this wider framework.Suchunderstandingcan be achieved by engaging in the emergingscienceofqualityimprove- ment,wheretheapproachtoimprove quality and assess this attitude has brought us, in spite of contradictions and paradoxes. A paradox is a statement that apparently contradicts itself and yet might be true. Most logical pa- radoxes are known to be invalid arguments, but are still valuable in promoting critical thinking. More commonly, the word paradox often refers to statements that are un- expected or ironic, such as “the paradox that standing is more tiring than walking.” Examples of a paradoxical effect orreactionmightbewhen:(1)people with unrelenting or ominous dis- abilitiesreportexperiencinggoodor excellent quality of life, but to many outsideobservers,theseindividuals seem to live an undesirable daily existence; (2) the effects of a certain drug are opposite to what is nor- mally expected, such as allergy or even anaphylaxis; (3) pain-relief medication causes increased rather than decreased pain; (4) a surgical procedure produces a scar, such as a keloid rather than perfect incision closure; and (5) an orthodontist ex- pectshisorhertreatmenttoproduce a certain reaction or tooth move- ment, but the resultant outcome is contrary to what is expected, for example relapse or resorption. Paradoxical effects are the aber- rant, abnormal consequences of treatment rather than the normal, expected results, or rather the paradoxes of quality of treatment. They are the “scars” of medicine, dentistry and orthodontics. Can they be predicted? Does it mean that the treatment was improper? Sometimes yes, but most times no. It is up to the clinician to diagnose properly and even then, poor re- sults can occur in spite of good judgment, proper treatment and excellent diagnosis. Unfortunately, our profession is not an exact sci- ence, which is not an excuse, but a fact! Editorial Note: This text was first pub- lished in the 01/2015 issue of the Ortho Tribune US Edition. 3D SCAN NITINOL© RETAINER CUSTOMIZED SET-UP LINGUAL MTM INDIRECT BONDING CLEAR ALIGNER DIGITAL PRECISION ONE SCAN – PLENTY OF OPTIONS VERY EFFICIENT RE-USEABLE INVISIBLE PREDICTABLEUNBREAKABLE ® INDIRECT BOND LINGUAL BOND SET-UP BOND CA DIGITAL GmbH Postal address Willettstrasse 10 40822 Mettmann Germany phone +49 2104 80041 00 fax +49 2104 8337 123 info@ca-digit.com www.ca-digit.com powered by AD The paradox of quality treatment By Dennis J.Tartakow,DMD,MEd,EdD,PhD news 03EOS Venice 2015 Dennis J.Tartakow phone +4921048004100 fax +4921048337123

today EOS Congress Venice 2015

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