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So for the OMFS residents out there, what are the occurance rate of air embolism via high speed handpiece for surgical extraction?
The point is that some GP's are too cheap to buy those.Dentoman said:Well if you use the handpiece that is specifically desgined for surgical procedures, you won't have to worry about emphysema happening because that handpiece has air coming out away from the operative field.
check it out:http://www.palisadesdental-llc.com/products.asp
But they're perfectly willing to fork over malpractice premiums after the settlements. For being as smart as we are, dentists can be a pretty dumb lot sometimes.toofache32 said:The point is that some GP's are too cheap to buy those.
Exodontia said:So for the OMFS residents out there, what are the occurance rate of air embolism via high speed handpiece for surgical extraction?
LarryBobDDS said:I've always used the Stryker for a surgical handpiece, but I've also worked with 3 or 4 faculty who claim if you turn the air down all the way, they have, in 500 years of practice, never had a problem, blah blah blah....
Extraction said:I hear this works great at LSU-NO since they practice OMFS under water and don't have to irrigate to prevent the bone from burning up.
You kid, but I know several people who have taken them on mission trips. Of course, they aren't being used to remove impacted thirds...LarryBobDDS said:I hear a dremmel works wonders
That's why TX sings show tunes to his patients while treating them...drhobie7 said:I've been wondering about this. Does the air that comes out of a dental handpiece have enough pressure to force itself along and dissect fascial planes? I always see the Hall drilll used when a drill is needed. It's pretty frickin loud. That'd scare the crap outta me if I was a Pt.
Refer to my xrays posted earlier in this thread.drhobie7 said:I've been wondering about this. Does the air that comes out of a dental handpiece have enough pressure to force itself along and dissect fascial planes?
But they're perfectly willing to fork over malpractice premiums after the settlements. For being as smart as we are, dentists can be a pretty dumb lot sometimes.
tell me about it. i have been fighting with my employer for over a month now trying to get the surg hand pieces. i finally had enough and told them that i will not be doing any more surg extractions until i have the right equipment.
Can anyone find any good articles on this topic?
tell me about it. i have been fighting with my employer for over a month now trying to get the surg hand pieces. i finally had enough and told them that i will not be doing any more surg extractions until i have the right equipment.
Can anyone find any good articles on this topic?
By the way, your "employer" cannot force you to commit malpractice, just because they sign your checks. The lawyers will come after YOU and not your employer. And "...but I told my boss but he wouldn't listen...." is not a valid excuse.
Aren't subcutaneous air emphysema( if they happen during exos ) usually insignificant, nonfatal, and self-resolve without any major interventions?
I *know* that surgical exos are best done under surgical handpieces but I know so many GPs who even treat impactions using regular handpieces. I even work in one of their offices right now. When I asked them about using surgical handpieces, they were all like "what? What's the point?" From my experiences, only oral surgeons use surgical units for exos.
Not absolutely true. In one office I'm currently at, last year, an ex-patient started a lawsuit that named the dentist that treated him AND the owner dentist, who doesn't clinically practice dentistry there. I don't know why this occurred but I don't think the lawsuit was for anything serious, as the treating dentist settled for $10k. No word yet regarding the actions from the owner.
Your chances of being sued for crown, bridge, and rct work ( due to a prick dentist saying all sorts of bad things about your work, even if it is clinically acceptable if not ideal, so he can re-do the treatment and charge the patient ) is significantly higher than seeing even one case of air emphysema from a lifetime of surgical exos under a regular handpiece.
Look at the bright side. When you're sued out of the profession and the boards strips your license, at least you'll be able to stop complaining about how awful your career as a dentist has been.
My friend, I think your posts are pushing the boundaries just too much.
On the topic of getting sued, just a few nights ago, I did an awful lower 3rd molar exo. I did this exo together with another dentist. We ended up incising distally and then superiorly up and thru the pterygomandibular raphe( or so it seemed. Sometimes it's hard to tell with all that soft tissue impaction ). Even though the other dentist is partly to blame, the patient was completely assigned to me, and I ended up writing the chart and with production credit.
I wouldn't be too surprised if the patient returns for this followup with paresthesia and sues me for $300k. On top of my 250k+ student loans and personal financial problems, I'm practically SOL.