YOUR HOME: HOW SWEET FOR YOUR PRACTICE?
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Economic pressures have resulted in an increased demand for surgical treatment under general anaesthesia on an outpatient basis. Previous studies have reported a high incidence of severe morbidity associated with general anaesthesia in both general dentistry and oral surgery. This is particularly marked with dento-alveolar procedures. The ready availability of relatively inexpensive monitoring equipment together with upgraded standards recently announced by various authorities necessitates that all practitioners review their current practices in the areas of sedation and general anaesthesia. In addition to the ultimate importance of patient care and safety, the increased incidence of litigation leaves no latitude for complacency. This paper details a relatively simple, cost-effective general anaesthetic technique suitable for outpatient oral surgical procedures in the dental surgery in which all relevant recommendations at the time of writing were observed or exceeded. Associated morbidity was considerably less than previously reported, with a high degree of patient satisfaction.
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Results from a series of Federal reports indicate a continuing up-turn in dental economics in New York State through the early 1990s. A review of dental practices at the state and county level document these developments.
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The improving economics of dental practice is demonstrated with a variety of practitioner and federal agency sources. The potential for favorable orthodontic dental practice is considered.