{"id":231,"date":"2012-07-16T19:18:41","date_gmt":"2012-07-16T19:18:41","guid":{"rendered":"http:\/\/www.socaldentalsedation.com\/blog\/?p=231"},"modified":"2012-07-16T19:18:41","modified_gmt":"2012-07-16T19:18:41","slug":"abc-diane-sawyer-death-greed-at-the-dentist-american-children-at-risk","status":"publish","type":"post","link":"http:\/\/www.socaldentalsedation.com\/blog\/anesthesia\/abc-diane-sawyer-death-greed-at-the-dentist-american-children-at-risk\/","title":{"rendered":"ABC Diane Sawyer: Death, Greed at the Dentist: American Children at Risk."},"content":{"rendered":"

Recently Diane Sawyer has released this news report, it is a decent report but also very misleading.\u00a0 Here is the link the to news report: http:\/\/abcnews.go.com\/Blotter\/death-greed-dentist-american-children-risk\/<\/a> \u00a0Not to make enemies of the media, but sometimes they can be very ridiculous, and they don’t represent the full facts and both sides of the situation.\u00a0 Dr. Punwani, the AAPD representative and head of pediatric dentistry at UIC, was grilled for 4 hours asking the same questions over in different ways until they get an answer suitable for “broadcast” to capture the attention of the viewers.\u00a0 After all that, they only produced only a 10 sec blip of the interview.\u00a0 They would refuse to report what kind of training the dentist have that consumers should be looking for to provide safe and adequate anesthesia to children who are uncooperative to the dentistry.\u00a0 At the same time they produced a report are few months ago: http:\/\/www.insideedition.com\/news\/8092\/inside-edition-investigates-the-use-of-papoose-boards-by-dentists.aspx<\/a>\u00a0 So basically, there are no longer a treatment method for uncooperative children?!\u00a0 Since both methods are vilified by the media there is a no win situation for treating young uncooperative children.\u00a0 Do they report that caries are on the rise for children?\u00a0 Children are at risk for dental infections that can potentially cause meningitis, or Ludwig angina which both are deadly.\u00a0 The truth is, there are a few bad apples in the mix ruining it for the rest.\u00a0 Yes there are some inadequately trained dentist, and yes the trained practitioners can make mistakes because they are human, and yes even physicians, lawyers, dentists, politicians, journalists are ALL human and there are always bad apples somewhere in the mix.\u00a0 If someone is perfect, I should be on my knees worshiping them and I am not worthy.<\/p>\n

Here is American Association of Pediatric Dentist response to the story that ABC will refuse to report : http:\/\/www.aapd.org\/aapd_responds_to_abc_news_story_on_drbicuspidcom\/<\/a>\u00a0 .\u00a0 Here’s the other response to the papoose board, http:\/\/www.aapd.org\/aapd_update_on_inside_edition_story\/?F_All=y<\/a>.\u00a0 As a Dentist Anesthesiologist, I still support these methods of treating children as long as the dentist is properly trained in those methods and follow the AAPD guidelines.<\/p>\n

There are also good news on some oral medication Chloral Hydrate.\u00a0 It has been discontinued as a oral suspension for oral sedation use.\u00a0http:\/\/www.ashp.org\/DrugShortages\/NotAvailable\/bulletin.aspx?id=902<\/a> I know some people may disagree, but having done some research for Dr. Yagiela, I have to agree with Dr. Yagiela Chloral Hydrate is a dangerous drug and have a very small window of therapeutic value.\u00a0 Yeah, it can be used safely, but in most circumstances its hard to use it right.\u00a0 There has been case studies where the drug can last 48 hours, and a lot of problem arises on the recovery phase.\u00a0 The drug can have the patient lapse back into the deep sedation state which can cause airway issues.\u00a0 Majority of the deaths surrounding dentistry with oral sedation, Chloral Hydrate was used.\u00a0 Right now I would recommend the use of Midazolam, and Vistaril, Nitrous Oxide, as single agent or combination for oral conscious sedation.<\/p>\n","protected":false},"excerpt":{"rendered":"

Recently Diane Sawyer has released this news report, it is a decent report but also very misleading.\u00a0 Here is the link the to news report: http:\/\/abcnews.go.com\/Blotter\/death-greed-dentist-american-children-risk\/ \u00a0Not to make enemies of the media, but sometimes they can be very ridiculous, … Continue reading →<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[3,7],"tags":[42,10,11,13,14,15,39],"_links":{"self":[{"href":"http:\/\/www.socaldentalsedation.com\/blog\/wp-json\/wp\/v2\/posts\/231"}],"collection":[{"href":"http:\/\/www.socaldentalsedation.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.socaldentalsedation.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.socaldentalsedation.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.socaldentalsedation.com\/blog\/wp-json\/wp\/v2\/comments?post=231"}],"version-history":[{"count":0,"href":"http:\/\/www.socaldentalsedation.com\/blog\/wp-json\/wp\/v2\/posts\/231\/revisions"}],"wp:attachment":[{"href":"http:\/\/www.socaldentalsedation.com\/blog\/wp-json\/wp\/v2\/media?parent=231"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.socaldentalsedation.com\/blog\/wp-json\/wp\/v2\/categories?post=231"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.socaldentalsedation.com\/blog\/wp-json\/wp\/v2\/tags?post=231"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}