While I understand your reasons for the question, the issue is more about duty of care rather than statistical significance. It is also a question of surgical standards â€“ what are you morally willing to accept.
In regards to the first point, you have a professional duty of care to carry out proper and ethical standards of dentistry to the best of your ability. Enough said.
In regards to standards, the question to ask is: â€œWhat would I want done to me, my spouse (in a happy marriage), my spouse (in an unhappy marriage â€“ ie the answer might be the reverse of the previous one), my children, my best friends and family?â€
Placing an implant is an elective surgical technique. Medico-legally you have to be able to defend your position. Emergency surgery can be done successfully in â€œcleanâ€ or unclean conditions (as opposed to â€œsterileâ€) â€“ eg war or trauma situations. But does this mean you can justify not doing sterile surgery if the procedure is elective and done in a clinic or hospital situation?
In your situation, time and cost can be passed onto the patient. You simply increase your cost to cover the necessary. The patient can always be asked: â€œWould you rather I put in your implant the best possible way with sterile conditions, or would you rather me charge you 10% less and take a few short cuts? Statistically the results are the same â€“ but if you want the last option then please sign a waiver that you will not hold me responsible if there is an infection problem?â€
Lastly is your moral position. Do you want to be in the position of asking yourself (not just in regards to implants, but rather anything your do in regards to dental procedures): â€œWhat if I had done it this way â€“ would I have avoided that problem that occurred, could I have done it better?â€ Dentistry is a lonely profession â€“ at the end of the day, everything you do is up to you and is your personal responsibility. You have to set your own standard of care that you provide. I can assure you (after over 40 years in the profession) that providing the best care you can do is very rewarding. I am not convinced that the same sense of satisfaction and pride is gained if you are not doing what you know should be done. As you will eventually find out; you will end up with the type of practice you deserve (ie high quality or low quality).
Great answer, applicable to all fields of Dentistry. I Agree 100% with you.
Say not what you would do for your wife but with your mistress
When I took the surgical perio course at UMD they used aseptic protocol
Perhaps the structure enhances attention to detail and performance aside from sterility.
But good technique obviously a given.
Prof dr sumati phulphagar
Yes !taking utmost care is always top priority it pays tremendously! In all respects , and makes u feel happy
With this same line of reasoning I should use ABX on all endo cases pre/post op. , ABX on all my "heart and joint" patients that clearly no longer need it.... etc etc the list of comparisons is infinite.
The science tells us one thing, lets rest assured that it's true instead of substituting our own reality.