
Case of the Month – Nuno Inácio
Nuno Inácio Age- 40 Country – Portugal Description of the Clinical Case The patient arrived at the clinic with his
We have to collect information from studies conducted by researchers, by universities all over the world and draw conclusions based on true evidence, not on simple opinions or just on each person’s individual experience. We must be true and report what we do well and what we do badly, without fear of comparing our results with those of our peers, with those who do the same as us, who occupy their time with the same scientific, medical, academic or surgical occupation.
The scientific evidence is not always the same and is in line with commercial evidence. Commercial evidence is the one that works better when presented to patients, and is not always the best option and the most obvious from a scientific point of view. We are currently crossing a desert, where there is a decrease in available resources and, with this, the struggle for survival legitimizes all kinds of actions. We’re in the “anything goes” era:
Just as when we, doctors and researchers, do when we collect scientific information, we have to know how to apply a process of validation of content and sources. In other words, we have to understand whether what is said in a scientific article is true, useful, reproducible and has reliable sources.
It should be a serious process with mutual and bilateral accountability.
On the part of the doctor, he should:
– Respect the patient and maintain a cordial and comfortable environment with the patient during treatment.
– Have the necessary qualifications to do what he says he is capable of
– Ensure the seriousness and quality of his sources, his bases, the places where he learned and collected his knowledge.
– Protect the patient by choosing the best quality products and the most predictable and studied techniques.
– Do not experiment with patients, except in properly prepared studies, in research centers and after the respective ethics committees have given their positive opinion and “green light” to these experiments.
– Inform the patient as much as possible about the proposed treatment, explaining the advantages, disadvantages, dangers, possible complications, duration and longevity and their guarantees.
On the patient’s part, he should be responsible for:
– Respect the doctor and maintain a cordial and comfortable environment with the doctor during treatment.
– Collect information about the chosen doctor and understand and investigate his qualifications and curriculum. We can’t take the risk of comparing professionals. Sometimes it can even be offensive to compare different professionals and fees when doctors are totally different in experience, curriculum, materials and facilities used during treatment.
– Ask the doctor to show similar clinical cases, with images, photos and X-rays of situations that can be used during the patient’s treatment.
– If possible, collect information from patients already treated with similar techniques, protecting their personal data.
– The patient will be able to find out about his or her treatment options in order to take a more active and informed role with the doctor. There should be a sharing of responsibility at the time the treatment plan is chosen.
Expectations on the part of the doctor:
The doctor has to manage his expectations in a clinical and scientific context, ensuring that his techniques and knowledge will be sufficient in all clinical cases to treat the patient. But that doesn’t always happen. So, the professional is obliged to:
Expectations on the part of the patient:
The seriousness of the whole process is based on the science of the doctor-patient relationship.
See you next time!
Master in Science (MSc) in Oral and Maxillofacial Surgery at Eastman Dental Institute – University College of London
Associated Member of the British Association Of Oral Surgery (n.º 2277)
Associated member of the Portuguese Society of Oral Surgery
Private Practice in Oral Surgery and Implantology in Lisbon
Implantology and Advanced Surgery in Corpse – University of Barcelona
Rehabilitation of Atrophic Jaws with Accreditation in Zygomatic Implants – INEPO – São Paulo
Permanent member of the S.I.N. – Implant System – as a speaker for Portugal and Europe, with more than 1000 hours of training given, Oral Surgery and Implantology
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