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HEALTH<br />

How to decide on<br />

dental treatment<br />

Patients head to dental clinics to fix their<br />

teeth or to get advice on their teeth. more<br />

often than not, they have specific thoughts<br />

in mind. to us practitioners, some of these<br />

thoughts make sense, while others not so<br />

much. in close communities such as ours,<br />

word travels fast. Patients hear of different<br />

kinds of treatments carried out, what went<br />

wrong, timeframes, costs etc. they quote<br />

how this and that was done and how well it<br />

worked out for them, but not so much for<br />

others.<br />

Patients approach their dentist quoting<br />

and demanding specific treatment regimes.<br />

the dentist then examines and proposes<br />

different treatments. often, patients seek a<br />

second opinion either because the dentist<br />

disagrees with their proposal or because the<br />

patient wishes to verify the new proposal<br />

with another dentist. Proposals often vary<br />

from one dentist to another. Patients often<br />

insist and quote how well a treatment<br />

worked for her/his friend/family member and<br />

wish that for themselves.<br />

in maltese we have a saying; ‘mitt ragel<br />

mitt fehma’, meaning that a hundred people<br />

will give a hundred different opinions. this<br />

also applies to dentists but, luckily, most<br />

dentists should agree on at least two to<br />

three lines of treatment for that specific<br />

patient. obviously, patients cannot be seen<br />

by so many dentists to decide on what is<br />

best for them. General dental practitioners<br />

should be in a position to recognise whether<br />

the patient in their chair can and should be<br />

treated by them, or whether they should be<br />

referred to their more experienced and<br />

qualified colleagues.<br />

at times, general dental practitioners<br />

may also perform procedures done by<br />

specialists. ongoing dental education and<br />

professional development courses help<br />

expand our skills and experience al<strong>low</strong>ing us<br />

to take on and offer more treatment<br />

modalities.<br />

all this is very confusing! to top it up,<br />

prices for the same treatment also vary. this<br />

is due to a number of factors; experience,<br />

qualifications, materials used, set-up,<br />

guarantee given and most of all service<br />

offered. For example, patients often say: “but<br />

the other dentist said it can be done for this<br />

amount, and now you are saying it will cost<br />

more and must be done differently”. Believe<br />

it or not, this is often done by email or<br />

telephone. Patients call the clinic or send<br />

radiographs by email and say: “i need this<br />

and that, how much will it cost?”. they<br />

expect to get a concrete figure without even<br />

getting to the clinic, or even without taking a<br />

radiograph. this is very frustrating for a<br />

dentist who wishes to offer the best advice<br />

and perform the right book-standard<br />

treatment, assuring the patient that their<br />

treatment will last.<br />

Sometimes old-fashioned ways of<br />

treating patients, not referring to techniques<br />

but to good chair-side manners, are the<br />

better way to advise patients; to be honest<br />

to patients, to have peace of mind that the<br />

patient will walk out happy and would have<br />

received what was best for them not for the<br />

dentist or practice. it’s a fine line. don’t rush<br />

into things, get the information and make<br />

rational decisions with the help of a<br />

trustworthy dentist. ask your dentist!<br />

Dr Jean Paul<br />

Demajo,<br />

Dental and<br />

Implant<br />

Surgeon.<br />

48Sunday <strong>Circle</strong> ∫ JANUARY 2018

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