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Archive for the “Dentistry” Category

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Kool Smiles has responded to the new CBS television production, The Whistleblower.

Dr. Greenwald and Dr. Rai blew the whistle on Kool Smiles after they say they witnessed unnecessary dental procedures performed on children. CBS reached out to the company for a comment and they provided the following statements:

Statement from Kool Smiles:

“Our patients and their safety are our top priority and we will continue to work toward our mission of ensuring every child in America has a dental home. The settlement reached in December 2017 addressed treatment provided between 2009 and 2011, and was unrelated to the quality of dental care provided to patients. The company’s compliance and quality assurance programs lead the dental industry and we continue to implement ongoing measures to ensure every patient receives the best care.”

This past December, 2-year-old Zion Gastelum died four days after visiting the Kool Smiles office in Yuma, Arizona. Zion’s death occurred just days after the Whistleblower suit was settled. The case had been in litigation for almost a decade.

Watch the video clip above and then the entire expose on the CBS All Access site, if you missed the live broadcast.

Pretty sad commentary on the practice of corporate dentistry.

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Arizona Governor, Doug Ducey,  is demanding answers from the Arizona Dental Board after a television report on “fake” dentist anesthesiologist credentials.

Governor Doug Ducey is demanding immediate answers and action from Arizona’s Dental Board after an ABC15 investigation revealed a Valley dentist obtained a general anesthesia permit using documents multiple people and organizations said are fake and fraudulent.

In a letter sent Monday, Ducey directed the board’s executive director, Elaine Hugunin, to respond to his questions by close of business on Wednesday.

“The information and potential risk to his patients and the public over several years is alarming,” Ducey wrote.

RELATED: ABC15 uncovers major questions about Valley dentist’s anesthesia credentials

On July 6, ABC15 revealed that Dr. Pankaj Goyal is accused of using a series of fake degrees, forged signatures, and false documents to obtain a 1301 General Anesthesia Permit from the dental board. The permit is the highest level of anesthesia certification and authorizes Goyal to administer general anesthesia or deep sedation by any means.

Dr. Pankaj Goyal repeatedly refused to answer questions about his anesthesia credentials on the phone and in person.

In a statement, his attorney said allegations about his credentials are “meritless.”

ABC15 also learned Elaine Hugunin directly received multiple warnings from multiple people about Goyal’s credentials beginning in 2014. But she declined to provide information and documentation about what happened with those warnings and declined to answer questions about their vetting of Goyal.

This credentials issue should be fairly easy to resolve.

Now, whether Elaine Hugunin remains in her position – that is a question.

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‘I know we had sex.’ Wiretaps played at former Bellefonte dentist’s trial

The trial for the former owner of Bellefonte Family Dentistry and president of the Pennsylvania Dental Association accused of kidnapping and raping a patient of 17 years continued on Tuesday.

Wade Newman, 48, allegedly drove a sedated female patient to a root canal appointment he arranged at State Endodontics in October 2016. Spring Township police said Newman drove the woman back to her residence — although she asked to be driven back to her mother’s residence — after the procedure, which is where the rape allegedly occurred.

Newman is charged with four felonies — rape, criminal attempt at rape, sexual assault and kidnapping — and two misdemeanor counts of indecent assault.

The DNA evidence may prove decisive in this case.

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ADA Dental Radiographic Examination Recommendations

These dental radiograph recommendations were released on November 28.

In an effort to decrease radiation exposure to patients, the American Dental Association’s (ADA) Council on Scientific Affairs collaborated with the U.S. Food and Drug Administration to update the ADA’s recommendations for dental X-ray examinations. The recommendations were released recently.

The ADA’s “Dental Radiograph Examinations: Recommendations for Patient Selection and Limiting Radiation Exposure” are intended to be used in conjunction with dentists’ professional judgment to determine whether and when dental X-rays are needed. Dental X-rays help dentists evaluate and diagnose oral diseases and conditions, but the ADA recommends that dentists weigh the benefits of taking dental X-rays against the possible risk of exposing patients to the radiation from X-rays, the effects of which can accumulate from multiple sources over time.

“As doctors of oral health, dentists are in the best position to make decisions on whether to prescribe dental X-rays after an oral examination and with consideration of the patient’s health history. Prescribing dental X-rays should be an individualized process,” said ADA President Robert A. Faiella, D.M.D., M.M.Sc. Since 1989, the ADA has recommended the ALARA principle in relation to dental X-rays—that radiation exposure to patients is “as low as reasonably achievable.”

A downloadable copy of the recommendations can be obtained here.

So, what is new?

  • Removing a stronger recommendation for thyroid collar use for children, women of childbearing age and pregnant women. The strength of the recommendation is now the same for all patients.
  • A new section that was not in the 2004 document, which expands upon the 2006 CSA report, “The Use of Dental Radiographs: Update and Recommendations.”
  • New topics that were not covered in the 2006 CSA report such as receptor selection, handheld X-ray units, technique charts and radiation risk communication.
  • Changing the recommendation for shielding to be consistent with the National Council on Radiation Protection & Measurements.

All dentists should review the updated recommenations and, of course, utilize their best professional judgment for individualized care for their own patients.

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