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Blogging while listening to CR Foundation's Dr. Paul Child in Macau, China
I'm sitting in Macua, China, listening to Dr. Paul Child of CR Foundation speak to the crowd during the second day of the World Dental Forum, sponsored by Modern Dental Laboratory. It's a great mix of dentists and lab personnel from all over the world.
Here are some of Dr. Child's thoughts as I listen to him during his 90-minute presentation...
There is no silver bullet for every patient. Any product that comes out and says that it can fix everything in every situation isn't true. His mantra (as well as that of CR Foundation) is "Clinical success is the final test."
CEREC and E4D are working very well, but there are still leaps and bounds that need to be done in intramural imaging/impressioning. There will always be impressions.
Digital radiography is superior to film in speed, but it is not superior in diagnostics. We still aren't able to really and truly diagnose incipient lesions. Today's digital radiography is a stepping stone, but we're still not there yet.
Do you really need all of these gadgets in your practice? No matter the technology you have in your practice, you always have to have good surgical skills to truly make it work.
If you're looking to upgrade something in your digital practice, update your electric handpiece. They are far superior to air-driven handpieces.
Quote: "What is an education but a conditioning of the mind to a society and a way of life? There are many kinds of education, and often education closes as many doors as it opens, for to believe implies disbelief. One accepts one kind of belief but closes the mind to all that is, or seems to be contradictory." -- Louis L'Amour
Evidence-based dentistry is great, but we need more research. What's the way I can study bone grafting material? Pull a healthy tooth. Is that ethical? No.
Top 10 types of calls to CR ... #1 is adhesives.
Is new better than old? Think about art glass, Dicor, Maeryland bridges, Wolceram, Durelon as a final cement, Mastique veneers, pour denture processing, and others. These could all be classified as failed dental products and/or techniques.
What is the standard of care? It's also "best practice." It's the benchmark against a doctor's actual work. If you place implants, you're held to the same standard of care as a board-certified oral surgeon. Never forget that. It doesn't mean you can't do it if you're a GP, but you are held to that standard of care.
A resin-based composite that is cariostatic would revolutionize the industry. We've challenged dental companies to come up with that, but it hasn't been done yet.
Insurance companies are now starting to accept reimbursement for implants rather than bridges. How often do you have to replace an implant? Every 20-30 years. It's about the money.
Cone beam is necessary. Expensive, but necessary. If you use cone beam correctly, the ROI is amazing. Cone beam works in my practice, because of volume. Patients will spread the word and drive other people to you.
You were blessed with skills, so be willing to give back and help others.
Labs feel the quality of preparations are going down. Why? Is it because we're relying more on resin cements? After all, we feel they will bond everything, right?
Lab techs no longer have the capability to call a dentist and say, "Your preps suck." We know that all the dentist will do is move on to the next lab. We have to work more as a team.
68 percent of adjacent teeth are nicked and not restored.
Diode lasers are great, safe, and have a lot of uses. I can also do plenty of things with an electrosurge.
When a dentist's face is advertising a product, is it that it's a great product or the company paid money to the dentist?
Will intraoral imaging replace VPS impressioning? Why did 3M ESPE spend so much on Brontes when the company is one of the leaders in impression materials? There will be a market for both.
The only things I do in my practice are the things that I legally have to do. Everything else I turn over to my assistants. They love working there because they know I trust them and let them do work they're capable of doing.
Is zirconia dead? I don't think so. Are there problems with chipping? Absolutely. Pressing works better than layering.
What's the most important factor in choosing an implant system? Proven success/longevity was number one and quality and simplicity were two and three. Research was #9 and cost was #10. Popularity of the brand was #15.
Cost is not a gauge of quality.
Mini implants work. Very little bone removal is needed.
Here are some of Dr. Child's thoughts as I listen to him during his 90-minute presentation...
There is no silver bullet for every patient. Any product that comes out and says that it can fix everything in every situation isn't true. His mantra (as well as that of CR Foundation) is "Clinical success is the final test."
CEREC and E4D are working very well, but there are still leaps and bounds that need to be done in intramural imaging/impressioning. There will always be impressions.
Digital radiography is superior to film in speed, but it is not superior in diagnostics. We still aren't able to really and truly diagnose incipient lesions. Today's digital radiography is a stepping stone, but we're still not there yet.
Do you really need all of these gadgets in your practice? No matter the technology you have in your practice, you always have to have good surgical skills to truly make it work.
If you're looking to upgrade something in your digital practice, update your electric handpiece. They are far superior to air-driven handpieces.
Quote: "What is an education but a conditioning of the mind to a society and a way of life? There are many kinds of education, and often education closes as many doors as it opens, for to believe implies disbelief. One accepts one kind of belief but closes the mind to all that is, or seems to be contradictory." -- Louis L'Amour
Evidence-based dentistry is great, but we need more research. What's the way I can study bone grafting material? Pull a healthy tooth. Is that ethical? No.
Top 10 types of calls to CR ... #1 is adhesives.
Is new better than old? Think about art glass, Dicor, Maeryland bridges, Wolceram, Durelon as a final cement, Mastique veneers, pour denture processing, and others. These could all be classified as failed dental products and/or techniques.
What is the standard of care? It's also "best practice." It's the benchmark against a doctor's actual work. If you place implants, you're held to the same standard of care as a board-certified oral surgeon. Never forget that. It doesn't mean you can't do it if you're a GP, but you are held to that standard of care.
A resin-based composite that is cariostatic would revolutionize the industry. We've challenged dental companies to come up with that, but it hasn't been done yet.
Insurance companies are now starting to accept reimbursement for implants rather than bridges. How often do you have to replace an implant? Every 20-30 years. It's about the money.
Cone beam is necessary. Expensive, but necessary. If you use cone beam correctly, the ROI is amazing. Cone beam works in my practice, because of volume. Patients will spread the word and drive other people to you.
You were blessed with skills, so be willing to give back and help others.
Labs feel the quality of preparations are going down. Why? Is it because we're relying more on resin cements? After all, we feel they will bond everything, right?
Lab techs no longer have the capability to call a dentist and say, "Your preps suck." We know that all the dentist will do is move on to the next lab. We have to work more as a team.
68 percent of adjacent teeth are nicked and not restored.
Diode lasers are great, safe, and have a lot of uses. I can also do plenty of things with an electrosurge.
When a dentist's face is advertising a product, is it that it's a great product or the company paid money to the dentist?
Will intraoral imaging replace VPS impressioning? Why did 3M ESPE spend so much on Brontes when the company is one of the leaders in impression materials? There will be a market for both.
The only things I do in my practice are the things that I legally have to do. Everything else I turn over to my assistants. They love working there because they know I trust them and let them do work they're capable of doing.
Is zirconia dead? I don't think so. Are there problems with chipping? Absolutely. Pressing works better than layering.
What's the most important factor in choosing an implant system? Proven success/longevity was number one and quality and simplicity were two and three. Research was #9 and cost was #10. Popularity of the brand was #15.
Cost is not a gauge of quality.
Mini implants work. Very little bone removal is needed.
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Comment by Vicki Cheeseman on October 14, 2010 at 8:59am -
Excellent blog that needs to be shared with everyone in the dental profession.
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