Chrysalis Dental Practice Charity Work

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Dr Minesh Patel is a principal of two multi surgery practices in Watford and Bedford for 27 years. He is passionate about charity work and uses his many year’s experiences in dentistry to help improve the lives of those in need. Dr Minesh Patel current charity work involves working at Dental Clinic at Clinic Nepal in Meghauli. Here is an account of Dr Minesh Patel experience at Clinic Nepal in Meghauli.

Although inspire gave us a broad idea of the number of patients to be seen in one day, they were still unsure. This, therefore, made us unconfident of how much dental materials and equipment to bring.

Ram Krishna was superb with all his explanations of the setup and history of Clinic Nepal. He was friendly and also extremely helpful to us, especially on the first day where he acted as an interpreter.

During our week of volunteering at Clinic Nepal, we stayed in the ideally situated Cushion Cottage, which was indeed very spacious. It was a godsend to have the generators come on when the electricity cut out.Sahadev, is a fine cook as he was able to cater for all our needs during the week. He was very obliging and the volume of food provided was more than enough. The food he prepared was so tasty aspect especially the dhal.

During the week, Manesh, a local Megauli volunteer to assist us with the communications between the dentists and patients. He had a very funny and bubbly personality, and he helped to make the clinics fun. He spoke good English and was therefore very good at interpreting as well. Manesh helped to organise other activities for us in the evenings after we had finished the clinic. He was able to organise an elephant safari in a forest near the edge of Chitwan National Park, together with a close acquaintance of his, called Prem. I would strongly recommend Manesh to assist any other volunteers. Sarswati was also a good nurse and was helpful with the communication problems.

On the first day, we started working at 9.00 and it was initially a slow start, but by 10.00 we were in full flow. By the end of the day, we had treated 30 patients. The treatments that Kalpana and I carried out ranged from simple fillings to complex extractions.

We saw many patients who didn’t want their cariously exposed teeth to be extracted. We were also in a dilemma because the local charge for a route canal was up to 700 rupees. We knew that the villagers couldn’t afford this, but they still did not want extractions.In these cases, we made it clear to the patients as to what their situation was and, as an alternative, placed a crushed Endomethozone tablet mixed with Corsodyl in their mouths as a lining, then filled it up with a Gloss Ionomer Cement (GIC).

However, it was frustrating when a patient came to us with anterior activities, as we were placing GIC in the front teeth when composite would have been much better and more aesthetically pleasing.

We used a chair as the dental chair and asked the nurse to support the head of the patient. I strongly recommend a high quality LED head light.

The main problem with GIC was that it set very very quickly, as the temperatures were reaching up to 40 degrees centigrade. This meant that we had to make the GIC extremely runny so placing it in the cavity was difficult.

Isolation and maintaining a dry field was also a challenge so I would bring butterfly sponges and saliva cheek pads next time to resolve this. We could also research self-bonding resin and self-curing composites with matrices.

On the second day, we had to turn away approximately 20 patients due to the high volume of patients that were already waiting. As the week went on, we were finding that the volume of patients kept on increasing, as word had spread to other villages. We were also finding that more patients were presenting with multiple cavities and extractions. This took more time and as a result, we were not able to get through all of the patients.

After the first day, we did have to ban patients, friends and other people from coming into the operating room and gazing at the treatment in progress.

I organised a teaching session to all the staff on the last day.I taught them with the aid of diagrams and notes about dental diseases, signs and symptoms as well as simple non-intrusive treatment.

I also wanted to educate them about oral cancer – I wish I had brought photos of the early signs of cancer. I will send them posters so they cam put these up on the walls of the clinic operating room.

The posters I want to send will cover the following topics:
  • Oral cancer
  • Toothbrushing and flossing technique
  • Dietary advice
  • Simple restorations -how they are carried out

On the 25.07.12 our last full both Kalpana and I were prepared to work late into the night to help as many people as possible. The clinic gave us unconditional support throughout out final day.

Jayna and Riya have been teaching in a kindergarten and I know that they have thoroughly enjoyed this. In the afternoons they became our nurses and this help was invaluable as it allowed us to see more patients. They have really suffered in the 35-degree heat of the operating room but both have been so determined in the cause.

By the end of the last day, we had really worked hard and totally exhausted.

We started from 9am to 7pm with a 30 minutes break for lunch. Both Kalpana and I saw 71 patients between us on the last day. The system worked really well, but we still had to turn away 30 patients and more were ringing in. Most patients were waiting 1-3 hours, and most had travelled quite far to see us. Some patients had walked up to 2.5 hours to see us or travelled on a local bus for up to 1 hour.

The support in the surgery from Manesh and Saraswati was excellent and invaluable. We had to say no to patients who requested teeth cleaning and stain removing.

We have left many disposable including gloves, masks and swabs.

We also left many new mirrors and probes. We gave out many free samples of toothpastes and tooth brushes.

These people are poor yet so happy .Dental health to them is not a priority as just having food is more important.

Many people with missing teeth did not have dentures. There was a significant evidence that most is the adult patients showed significant tooth wear. Buccal abrasion cavities were also very prevalent.

Patients showed from very gross scale to no scale. In general, there was systemic staining In the 3 and a half days we were there we saw 193 patients.

Carried out 121 fillings and 129 extractions.

Find out more about Dr Minesh Patel dentist and Chrysalis Dental Practice here. Connect with Dr Minesh Patel Bedford here. Visit the Dr Minesh Patel website here.

 

 

 

Dr Minesh Patel Dentist Career Achievements

Here summary of Dr Minesh Patel Career Achievements.

Dr Patel qualified from Cardiff in 1986. As student elective he observed Professor Linkow in New York. After an SHO post in oral-maxillofacial surgery, he entered general practice. He has also attended numerous year courses in Implants. Dr Minesh Patel gained his MFGDP in 1996, the Diploma in Implant dentistry in 2005 and his MSc in Implantology in 2006.

Dr Patel is a principal of two multi surgery practices in Watford and Bedford for 27 years. He also has a special interest in sinus ridge augmentation and the rehabilitation of compromised dentitions. He has also instilled a culture of constant learning in the practice and all his dental associate colleagues are on postgraduate programmes to Master’s level.

He has also travelled extensively in both USA and Europe for his implantology education. He was a past lecturer for an implant company in Harley Street, the Association of Dental Implantology and has been and is currently a foundation trainer for 18 years for the Health Education East of England.

Dr Patel holds a primary qualification in Dental Law and a PG Cert in Education both from Bedfordshire University. He is also an accredited Mentor for the Association of Dental Implantology.

Dr Patel has been awarded as course director for Implantology at Warwick University. He is also the Surgical Module lead for Block grafting, Sinus grafting and Soft Tissue grafting for the Masters students.

Dr Patel is an examiner for the Diploma in Implant Dentistry at the Royal college of General Dental Practitioners, Royal College of Surgeons of England.

Dr Patel has also attended advanced courses in Reconstructive Dentistry, Crown and Bridgework, Endodontic Treatment and Outside the practice Dr Patel plays competitive league cricket and tennis. He also enjoys snowboarding, salsa dancing and travelling.

Dr Minesh Patel recently gained a Masters Degree in Restorative and Aesthetic dentistry from the elite Manchester University. He gained the difficult to achieve merit pass and the highest achiever prize.

Minesh was also bestowed the highly prestigious award for the highest mark in a complex clinical case in the whole year. The entries comprised of 60 expert dentists throughout the world in the field of Restorative dentistry. This award was given by the dean of Manchester dental school.

Find out more about Dr Minesh Patel dentist and Chrysalis Dental Practice here. Connect with Dr Minesh Patel Bedford here. Visit the Dr Minesh Patel website here.

 

Periodontal Treatment Information

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Dr Patel is a dentist at Chrysalis dental practice in Watford and Bedford. Before every major treatment, Dr Patel likes to make sure all his patients have a clear idea of the treatment they are having. Here some information about Periodontal Treatment. 

DIAGNOSIS

Your Dentist has made a diagnosis that you have periodontal disease and has made a recommendation that you require periodontal treatment. This document is designed to outline this treatment its risks, expected outcomes, alternatives and your responsibilities.

TREATMENT

Periodontal therapy includes conservative treatment, surgical treatment and periodontal maintenance. The treatment plan recommended to an individual patient may involve some or all of these types of periodontal treatment

CONSERVATIVE TREATMENT

 

may adversely affect gum healing and may limit the successful outcome of surgery. It is important that patients abide by the specific prescriptions and instructions given by the dentist or his/her staff after surgery. It is important at this stage to remind you prior to your dentist carrying out any advanced treatment that you understand you have been given the option of seeing a periodontal specialist which you have declined.

THE EXPECTED BENEFITS OF TREATMENT

It is expected that periodontal treatment will control periodontal disease to prevent potential loss of teeth in the future. It should also reduce or eliminate symptoms of the disease such as bad breath and bleeding of the gums when brushing and flossing. In addition, treatment may make oral hygiene techniques more effective and enable professionals to better clean the patient’s teeth.

Involves comprehensive instruction in oral hygiene techniques, periodontal charting involving measurement of pocket depths and other clinical features and the use of hand and sonic instruments that are placed between the gum and tooth surfaces These special instruments are used to remove bacterial bio film and infected gum tissue that accumulates over time on the root surfaces of teeth and in periodontal pockets. This treatment is also referred to as scaling and sub gingival debridement and may be carried out over several visits by your Periodontist, a Hygienist or both. In addition, administering local anaesthetic, antibiotics or antiseptics may form part of this treatment

SURGICALTREATMENT

Involves administering local anaesthetic prior to cutting and opening up the gum to permit better access to the roots and to the eroded bone. Inflamed and infected gum tissue will be removed, and the root surfaces will be thoroughly cleaned. Bone irregularities may be reshaped and bone regenerative material may be placed around teeth. The gum will then be sutured back into position, and a periodontal bandage or dressing may be placed. The administering of antibiotics and antiseptics may form part of this treatment.  Unforeseen conditions may call for a modification or change from the anticipated surgical plan. These may include, but are not limited to, (I) extraction of hopeless teeth to enhance healing of adjacent teeth, (2) the removal of a hopeless root of a multi-rooted tooth so as to preserve the tooth, or (3) termination of the procedure prior to the completion of all of the surgery originally outlined

Periodontal surgical treatment also involves the patient returning for follow-up visits to check on healing. Smoking or alcohol intake

 

THE PRINCIPAL RISKS AND POTENTIAL COMPLICATIONS

A small number of patients do not respond successfully to periodontal treatment. Due to individual patient differences there remains some risk of treatment failure, relapse, additional treatment or even worsening of the present condition, including loss of certain teeth, despite the best of care.

There is no method that will accurately predict or evaluate how an individual’s gum and bone will heal. There may be a need for a second procedure if the initial results are not satisfactory. In addition, the success of periodontal procedures can be affected by medical conditions, dietary and nutritional problems, smoking, alcohol consumption, clenching and grinding of teeth, inadequate oral hygiene, and medications. It is the patient’s responsibility to disclose prior drug reactions, allergies, diseases, symptoms, habits, or conditions which might in any way relate to periodontal treatment

If you elect not to have local anaesthetic during conservative periodontal treatment some discomfort (mild to moderate depending on your individual pain threshold) may be experienced. If local anaesthetic is used no discomfort should be experienced. However, care will be required for up to 4 hours following the procedure not to inadvertently cause damage to the numb area (either hot/cold or biting the lip). Some discomfort of the gum tissues is common following treatmentThis is usually of very short term and controlled at worst with normal over-the-counter pain relievers. Increased sensitivity of the root surfaces to hot and cold is also common (this will resolve in most cases if the oral hygiene instruction you will be given is followed carefully). Rarely, an abscess may occur in the gum following treatment and our practice will treat this if it occurs promptly.

Complications may also result from periodontal surgery, drugs, or anaesthetics.The exact duration of any complications cannot be determined, and they may be irreversible. These complications include, but are not limited to; post-surgical infection, bleeding, swelling and pain, fecial discoloration, transient but on occasion permanent numbness of the jaw, lip, tongue, teeth, chin or gum, jaw joint injuries or associated muscle spasm, transient but on occasion permanent increased tooth looseness, tooth sensitivity to hot, cold, sweet or acidic foods.

 

PERIODONTAL MAINTENANCEAND SELF CARE

The outcome of periodontal treatment is highly dependent on the levels of your home oral hygiene program and on long term professional periodontal maintenance. Natural teeth and their artificial replacements should be maintained daily in a clean, hygienic mannentou will need to brush your teeth as instructed and also be required to clean between your teeth (floss and inter dental brushes are most commonly used) daily.

PERIODONTAL MAINTENANCE

Involves examination and assessment of the teeth and periodontal tissues, re- instruction in oral hygiene techniques and removal of plaque and calculus from teeth. Maintenance also may include adjustment of prosthetic appliances. Further treatment (in additionto ongoing periodontal maintenance) may be recommended at these visits if required. Periodontal maintenance may be carried out by a Periodontist, a Hygienist, a Dentist or a combination of these.

It is also important to continue to see a Dentist. Existing restorative dentistry can be an important factor in the success of failure of periodontal therapy. From time to time, the Periodontist may make recommendations for the placement of restorations, the replacement or modification of existing restorations, the joining together of two or more of my teeth, the extraction of one or more teeth, the performance of root canal therapy, or the movement of one, several, or all of my teeth. Failure to follow such recommendations could lead to ill effects, which would become the patient’s sole responsibility.

NO WARRANTY OR GUARANTEE

We give no guarantee, warranty or assurance that the proposed treatment will be successful. In most cases, the treatment should provide benefit in reducing the cause of periodontal disease and should produce healing which will help the patient keep teeth. Due to individual patient differences, however, a dentist cannot predict certainty of success.There is a risk of failure, relapse, additional treatment, or even worsening of the present condition, including the possible loss of certain teeth, despite the best of care

PATIENT CONSENT

I have been fully informed of the nature of periodontal therapy, the procedure/procedures to be utilized, the risks and benefits of periodontal therapy the alternative treatments available, and the necessity for follow- up and self-care. I have had an opportunity to ask any questions I may have in connection with the treatment

After thorough deliberation, I hereby Consent/Do not consent to the performance of periodontal therapy as presented to me during consultation and in the treatment plan presentation as described in this document

Find out more about Dr Minesh Patel and his practice here, Visit Dr Minesh Patel  SoundCloud page here and Read articles featuring Dr Minesh Patel here 

Welcome to Dr Minesh Patel New Blog

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Dr Patel is a principal of Chrysalis dental practice in Watford and Bedford, Dr Patel holds a primary qualification in Dental Law and a PG Cert in Education both from Bedfordshire University. He is also an accredited Mentor for the Association of Dental Implantology.Dr Patel has been awarded as course director for Implantology at Warwick University. He is also the Surgical Module lead for Block grafting, Sinus grafting and Soft Tissue grafting for the Master’s students.

Here some new and upcoming  gadgets, techniques, and research that could change your tooth care forever

 Toothscan is a futuristic, smart device let you monitor and analyse the health of your teeth at home. The toothbrush-like gadget uses spectroscopy technology, projecting a light beam onto the surface of your teeth and receiving the light reflected back. Special software then measures and interprets the reflections, diagnosing areas that need attention.

 A new EAER device from Reminova could mean an end to drills, injections and fillings. The device rebuilds the tooth by boosting its ability to repair itself naturally by accelerating the process of calcium and phosphate minerals re-entering the tooth and “re-mineralising” it.

3D printing is quickly becoming a practical manufacturing process. There are all sorts of things that can be 3D printed, from working cars to spectacle frames. But researchers in Iran are developing a technique that could mean you get your new crown in minutes instead of days or weeks.The technique is called rapid prototyping and combines medical imaging with computer-aided design. Using this your dentist will be able to build a perfect replica of your tooth out of biocompatible composite material. It will probably be a few years before you see the technology in action. 

  New research is being looked into the regrowth of human teeth. Scientists hope that by finding the right biological triggers, humans may one day be able to grow new teeth to replace rotten or worn out ones. Teeth have already been grown in petri dishes, with students at the University of Texas managing to grow parts of teeth in their laboratories. The prospect of making teeth regrow where an old one is missing relies on triggering cells still in the mouth to regrow teeth. First, scientists will have to find the genes and proteins that regulate the tooth growth process. Perhaps by 2040 you’ll be able to visit your dentist for regrowth treatment. Until then there’s always dental implants.

Find out more about Dr Minesh Patel and his practice here, Visit Dr Minesh Patel about.me page here and Read more  Dr Minesh Patel blogs here