IRRADIATION AND DENTAL IMPLANTS

I

In - ains wnto are nvot on firmed correctl. Confr pointm ~enteealy in the.mrn. ingso ouhav tme re-ach

day to cause you and your staff undue stress and frustration. An article in the October i'ssue of Dental EcOzOmis deti fis 13 of these stress bombs and ofer4sggestons for wa you can do to prevent them. -Not schedln efecivel and efficiently. Use visual cues, Such as highlights slashesan asterisks, on the appointment worksheet to schedule patients precisely and hep office staff communicate well. -Not preblocking the schedule. Prebock primary care procedures, staff meetings, holidays, conventions and meetings and vacations. Also prebock flex time fo:r unexpected~time out of the office. -Ask the patient,I'When would you like to come in?" Give patilents two choices for appointments and let them choose. - Not having coverage. for absent employees. Cnact former employees or a local temprary agency for on-call backup coverage. Maintain written instructions for each position to make it easy for someone to fill in. -Cacelain ndcags

Take a firm, profssional stand with patients about keeping appointments. Commuicate the. imLlportance of keeping appointments and the clnclcopiaionstha could ar'ise if they cancel. - Patents who forget theilr premedication. Make confirmation 1640 JADA, Vol. 128, December 1997

pu~nsn Dytfl-

socaino01o't, sn UetrsorMCCan e h eot~qxnisi~

Ters on b leave a message, askteptet btenI n 9)cide to call you back. -Emerec ains ceueyugrtmtZyaso

-Doctor or staff'p:hone calls

htwr eog~t

Return all calls dring luc r a teq0attyi0rt~ at hend of thday, sot 0~i~si~ I0O niot interfere6 witf patient time. bd egtadsoahcn - New patients who are un~sched- tents-canIaffectacol'toiuled for a cmltex inio. ty, the researchers belieetat Creata prcessfor yo n or the alcohol cotn ro nested staff o intoducenew paients mouthinsescan cause mild to moeaesmtosoloo into yorprc icetat benefit thDrcie an h ain. txct inciden and can~be lif-treaenng -, Looking for lost charts. Pull The researchers calultd all the charts the day before so the legal and toxic amounits Of any lost chrscan be founid or temporary Charts can be Created. several mouthrinises.Te foun tha a 33-pound cild who - nadquateltraind fronrik 7.2ouces of Imouhrnse desk personnel. Have aclear jo des'criptioni and 'provide form~al Contiig26-.9 pdern alcohol traini'ng fori this staff member. ingests 1L9 percent alcohol, -Mooy ordifficult team mem- whihisptntal lethl Onetenth oftha amount can probers. Deal with any situtiAons after hours.an remlind staff to duce a toxic reaction. treat patients cheerfully. (Den1t Symnptoms Of alcohol toxicity in chlide include decrease inEcon 1997;87( 10]:50-6) hibitions, trouble stadngo ALCOHOL TFOXICITY IN CHBILDREUN WHO DRINK

MOUTHRW4SI

Moutrines cntaningalchol

wlig

idepoi

n

ri

tabity Moeseious signs are unconsciousness, coma, unresponsieneSs.and conivullsiOns. (PediAtr Dent 1997;19.404-8)

ingepsted by young children, according to a stud published in the SeptmberOctoerP issue of Peditri Dentistry. The researchers reviewved th IIn an article published in the literature on alcohol toxict in septme/ctober 'issue of The can be fatal if

II 41 ORTHODONTICS WITH FIXED APPLIANCES

By Frans P.G.M. van der

Linden, Carol Stream, IlL, Quintessence, 1997,567 pages, $120.00, ISBN 18509704400 Ohis book is an excellent contribution for the specialty of orthodontics. It is a sequel to a previously published text by the same author. This book presents essential insights required to successfully use fixed appliances in the treatment of certain types of malocclusions. The study of successful orthodontic treatment can be done by examining the results of treated malocclusions. The most valuable information on clinical success and failure in orthodontics can be provided by longitudinal examinations of past active orthodontic treatment. This is diffi-

cult in orthodontic practice because it involves bringing patients back to the practice regularly for a long period of time. This book is based on the evaluation of long-term records from the author's practice. The followup time for these patients varied between 10 and 25 years after cessation of active orthodontic treatment. The author emphasizes successful and nonsuccessful orthodontic treatment approaches. Failures in treatment provide valuable clinical lessons for the practitioner. Clinical failures have been described in this book to provide the didactic value of unsuccessful cases. This renowned author has created a book that provides a comprehensive resource of the important theoretical and practical aspects of clinical orthodontics. The book is an excellent resource for teaching and self-learning because it provides the reader with an illustrated description of or-

thodontic treatment. An excellent description of the rationale for clinical decisions is presented. The book provides a good critique of commonly used clinical approaches, as well as their limitations and sources of error. In summary, this 567-page, soft-cover book with more than abundant high-quality ilustrations is a comprehensive and clear presentation of different aspects of treatment with fixed appliances. A must-read for students and clinicians usig fixed appliances. Reviewed by: Pramod K Sinha, D.D.S., Assistant Professor, Department of Orthodontics, The University of Oklahoma, Oklahoma City BOOKS RECEIVED IN THE DEPARTIMENT OF LIBRARY SERVICES

- The Anthropology of Modern Human Teeth: Dental Morphology and Its Variation in Recent Human Populations, by G.R.

JADA, Vol. 128, December 1997 1641