A dentist, a dental chair, dental instruments, a dental lab technician, denture materials, sterilization — all these elements are vital in proper dental care. But in the case of this "Street Dental Service", it seems they don't hold much weight.
Now, this particular procedure shares two key aspects with standard dental treatment: it involves a patient, and an acrylic tooth is used to fill in for a missing one. However, the risks here are quite alarming.
Did the practitioner actually consider the consequences of his actions? Here are some concerning points:
- He conducts an intraoral procedure without gloves. This is a significant oversight, as the lack of proper barrier methods can lead to the transmission of infections, including potentially life-threatening conditions such as oral candidiasis and other bacterial infections, especially among immunocompromised patients [1].
- Using unsterilized pliers and wires inside a patient's mouth? That's just asking for trouble. Studies highlight that dental tools that are not properly sterilized can harbor pathogens, increasing the risk of post-operative infections [4].
- He casually cuts excess wire with a wire cutter right in the patient's mouth. What if that sharp piece of wire gets aspirated? The risk of aspiration or ingestion of foreign objects during dental procedures can lead to severe complications, including airway obstruction [3].
- He uses cold cure acrylic resin (the pink stuff mixed in a bowl) directly in the mouth. Placing this material on oral tissues can be damaging due to the heat produced during the setting process, which can cause thermal injury to the mucosa. Additionally, the fumes released during the curing process can be irritating to the respiratory tract [2].
- After applying the material, he tries to carve out excess bits while it's still partially set. A lot of that cold cure material remains stuck on adjacent teeth and oral tissues, which can lead to further complications, including gingival irritation and periodontal issues [5].
- Sharp wire projections poking tissues over time and the rough surface of the acrylic can lead to irritation. Ill-fitting dentures are no joke! They can cause chronic discomfort and even lead to the development of oral lesions that may transform into potentially malignant disorders [2].
- Improper tooth alignment over time could lead to TMJ (temporomandibular joint) disorders, which can result in chronic pain and dysfunction, severely affecting the patient's quality of life [3].
Eventually, this patient might return to a dentist or a general practitioner with complaints of tissue overgrowth or a burning sensation in the mouth. Such symptoms could signal something serious, like oral cancer, which has been linked to poor oral hygiene practices and the presence of potentially malignant disorders [1].
The sad part? The only thing this patient seems to care about is aesthetics, smiling blissfully unaware of the potential dangers.
For safe and professional dental consultations, consider reaching out to Healz.ai for expert advice.
References:
- Aarya Haridasan Nair, Tejal Patel, Anoop Remesan Nair, Nitin Anand Krishnan, Deepak Balasubramanian, Subramania Iyer, Krishnakumar Thankappan. Oral Management of Patients Undergoing Head and Neck Cancer Treatment.. PubMed. 2024.
- Pratima Kumari, Priyanka Debta, Anshuman Dixit. Oral Potentially Malignant Disorders: Etiology, Pathogenesis, and Transformation Into Oral Cancer.. PubMed. 2022.
- Praveena Raman. Communication, Counseling and Compassionate Care: The least explored and challenging Palliative Care approaches among Primary Care Physicians - Clinical Case series of Oral Potentially malignant disorders in Tamil Nadu.. PubMed. 2021.
- Alessandro Villa, Sunday O Akintoye. Dental Management of Patients Who Have Undergone Oral Cancer Therapy.. PubMed. 2018.
- Sashi Kiran Sanapala Venkat Naga, Poosarla Chandra Shekar, Kiran Kumar Kattappagari, Kantheti Lalith Prakash Chandra, Gontu Sridhar Reddy, Baddam Venkat Ramana Reddy. Expression of cluster differentiation-44 stem cell marker in grades of oral epithelial dysplasia: A preliminary study.. PubMed. 2019.