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December 6 - <strong>12</strong>, 20<strong>17</strong> www.TheTownCommon.com Page <br />

Health & Wellness<br />

By J. Peter St. Clair, DMD<br />

One of my dental hygienists<br />

recently informed me of a new<br />

series on the Investigation<br />

Discovery cable channel called<br />

“Deadly Dentists”. Apparently<br />

there are enough stories out there<br />

about dentists to make a series.<br />

I looked the series up online and<br />

despite my pre-conceived notion<br />

about what the content would be,<br />

the first episode is about a dentist<br />

who is killed by his wife’s boyfriend.<br />

I’ll probably stick to watching the<br />

Bruins and hope I am never in an<br />

episode.<br />

However, the title of the series<br />

did remind me about stories of<br />

people dying in the dental office<br />

and how important it is to be ready<br />

for medical emergencies. A couple<br />

years ago I remember a dentist<br />

who was charged in the death of<br />

a patient in Connecticut after 20<br />

extractions and implants placed<br />

in the same visit. The patient was<br />

sedated by a method many dentists<br />

(general and specialists) use called<br />

conscious sedation. It is a very safe<br />

method of sedation that usually<br />

combines a couple of different<br />

oral medications. Since respiration<br />

can be affected with conscious<br />

sedation, it is vital to measure<br />

Medicare open enrollment<br />

brings the scammers out in full<br />

force. This is the time of year<br />

(until Dec. 7) to decide whether<br />

to keep your current Medicare<br />

plan or make changes to it. Even<br />

though the deadline for making<br />

changes might have ended by the<br />

time you read this, scammers have<br />

all kinds of tricks up their sleeves:<br />

* They might try to tell you that<br />

open enrollment runs through the<br />

end of December.<br />

Brighter Smiles...<br />

oxygen saturation and have the<br />

proper equipment and plan in<br />

place in case of an emergency.<br />

It took a year for the charges to be<br />

filed against the dentist. Apparently,<br />

the Connecticut State Dental<br />

Commission initially found that<br />

the dentist was practicing within<br />

the standard of care and didn’t<br />

immediately revoke his license.<br />

The allegations now are that the<br />

dentist ignored warning signs of the<br />

patient and also ignored warnings<br />

from staff members to continue on<br />

with treatment.<br />

Most people cannot fathom<br />

having 20 teeth pulled and implants<br />

placed all at one visit. However, it is<br />

a relatively common procedure and<br />

the service is growing. So, in case<br />

you were wondering whether the<br />

dentist was doing too much at one<br />

time, the answer is that it depends<br />

who you are doing it on.<br />

“The commission also found<br />

that [the dentist] should not have<br />

attempted to perform so many<br />

procedures on [the patient] in<br />

one office visit given that her<br />

medical history included a heart<br />

attack six months before the visit,<br />

two strokes within the last two<br />

years and medication that could<br />

have affected her response to the<br />

sedation.”<br />

Do we assume the dentist knew<br />

about all these circumstances that<br />

made this patient a high risk to treat?<br />

Let’s assume the patient divulged all<br />

necessary medical information. It is<br />

up to the dentist to decide whether<br />

to treat or refer to a specialist that<br />

* Thieves might say that new<br />

cards will be coming with a new<br />

number (that part is true), but<br />

that you have to pay for the new<br />

card (that part is a lie). The card<br />

is free.<br />

* They might claim to be from<br />

Medicare and say that you won’t<br />

get your new card until you<br />

can verify the number on your<br />

existing card. They’ll expect you<br />

to read them all that information<br />

over the phone.<br />

* If you pay your premium with<br />

automatic Easy Pay, scammers<br />

might try to tell you that your<br />

banking information has to be<br />

entered into the system because of<br />

the new card, and that you need to<br />

give them your bank information<br />

Deadly Dentists<br />

Senior Scene<br />

Open Enrollment Scams<br />

can provide more options for<br />

sedation and monitoring of vitals.<br />

It is essential for the provider and<br />

the patient to go over medical<br />

history and concerns in detail. The<br />

best interest of the patient should<br />

be the forefront of that discussion.<br />

This same dentist also allegedly<br />

violated care standards a year<br />

before when another patient under<br />

conscious sedation to have teeth<br />

extracted inhaled a piece of gauze<br />

that was intended to prevent things<br />

from going down the throat. The<br />

patient was rushed to the hospital<br />

and recovered.<br />

Both of these situations are<br />

unfortunate. Many people were<br />

affected and one life was lost.<br />

While it is impossible to determine<br />

a definitive decision based on the<br />

information available, it will be<br />

important for the dentist to show<br />

proper planning and reaction to<br />

incidents.<br />

Medical histories are very<br />

important. Make sure to report<br />

The Town smile<br />

What say Commo<br />

about<br />

does your<br />

you?<br />

Whether you are missing teeth or are unhappy with the<br />

all information, including any<br />

ones you have, it may be time to explore your options.<br />

medications and supplements. And,<br />

if you are a medically compromised<br />

All Phases of Dental Care Including:<br />

person and need significant dental<br />

• Grinding/Clenching/TMJ Therapy<br />

surgery, consider a specialist.<br />

• Sleep Apnea/Snoring Treatment<br />

Dr. St. Clair maintains a private<br />

Learn More: www.stclairdmd.com<br />

dental practice in Rowley and<br />

Please call our office to schedule<br />

a comlimentary 30-minute consultation.<br />

Newburyport dedicated to healthcentered<br />

family dentistry. If there<br />

are certain topics you would like to<br />

see written about or questions you<br />

have please email them to him at<br />

151 Central Street, Rowley | 978-948-2030<br />

jpstclair@stclairdmd.com. You can<br />

view all previously written columns<br />

at www.stclairdmd.com.<br />

again. If you don’t, they might say,<br />

your payment won’t go through<br />

and you’ll be late and you might<br />

even have your Medicare cut off.<br />

If you get any phone calls with<br />

people telling you things like this,<br />

HANG UP. They are scammers,<br />

calling to get you to disclose your<br />

personal information.<br />

One other warning: Your<br />

caller ID is no longer accurate.<br />

Scammers have figured out how<br />

to make any number show up,<br />

even your local hospital or the<br />

Medicare office. They might be in<br />

a foreign country and make your<br />

caller ID look like they’re calling<br />

from next door. Beware, and be<br />

very careful..<br />

(c) 20<strong>17</strong> King Features Synd., Inc.<br />

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