By Prim. Dr. Tome Tasevski

Today, I would like to share some of my everyday cases with you. Please look carefully at the pictures here below, but please DO NOT turn your eyes from it!

 

YES, my dear readers, this is what we face in our everyday practice. We look at these images and we ask ourselves how this can be, how is it possible people to neglect their oral condition so much.

But, back to the topic. Namely, I had a case from the above ones several months ago and I posted it to one dental forum. It was the first stage of the treatment I’ve done to the patient i.e. in one visit I extracted all of the teeth from his upper jaw, leveled the bone, placed him an implant and cut off the huge hypertrophic gingiva. After ten days I did the same at his lower jaw. What do you think the comments were? As usual, there are some which will support you and others which will accuse you, but there are two comments I remember. The one was that if I was in Germany they will ‘take my license out’ and the second was ‘dental genocide’. So, let us clear something here:

Either you are in Germany, USA, Turkey, Cambodia or Tajikistan etc. we, as dentists, always do a preliminary examination and consultation with the patient. At this examination, we must always inform the patient about his best options, offer him several types of treatment methods, some conservative, some radical, dentures, implants etc., whatever treatment possible to help him. The patient is the one, that will choose, agree and will go with it or leave it and go for a second opinion. If the patient accepts the treatment, then the responsibility is always ours, wherever we are from. We must do our job at the best way possible. The Hippocratic oath is everywhere the same.

What if the patient does not want to accept the conservative treatment as deep periodontal scaling, laser, piezo etc., treatments that are more time consuming? What will YOU do? You will leave your patient as he was on the pictures above? No, YOU will go with the radical approach. Why? First, because you can predict the prognosis of the remained teeth, second you do not want to leave your patient like that because you are able to help him/her, and third and most important the patient wants and accepts the treatment.

The treatment of choice at the above pictures was immediate extraction and implantation. Treatment that, for most of my patients, is most preferable. Why? Simply, as they say, because in one visit YOU are done! One visit, once injectioned, once extractions, once implant placement, once stitches, once pain, once pills, and all in the same cost! By my experience and by their testimonials the treatment is great, it is with very high rate of success – up to 97%, the patient is in great shape after the treatment, low bleeding, low pain, low swelling, even some of them do not take the pills prescribed and are coming for check up chewing gums.

Now, look carefully the patient pictures after 1 month:

And look the end after 4 moths:

 

 

YES, now, the patient has all his teeth, his gingiva is with great color and size, his oral cavity is clean and most important the patient is now with great confidence, he smiles and is HAPPY!

So, does the ‘dental genocide’ worth it? Well, do not ask me, ask the patients with their oral condition like the pictures you saw at the beginning of the text. They will explain everything to you, in the best way possible, after the treatment!