Showing posts with label Dr. Milton Houpt. Show all posts
Showing posts with label Dr. Milton Houpt. Show all posts

Saturday, February 04, 2012

Pediatric Dentistry’s Revolving Door

We hear a lot about the “revolving” door in Washington, but seldom does anyone talk about the revolving door within agencies and professional organizations.  The same organizations that write the rules, regulations, tests, and guidelines that effect each of us in a more personal way. The same organizations that states and lawmakers trust to protect the public from harm. Chances of corruption are 100% when there are no checks and balances.

Their Publications and Studies

Looking are various websites including the American Academy of Pediatric Dentistry (AAPD), you find publication after publication, study after study, dating as far back as the early 1990’s to the present.  Just about all of them are, rewritten and republished studies that are merely mashups of their own previous written articles and studies.

Here is just one of hundreds of examples :

Journal of Dental Education – Vol. 68, Number 1

General Dentists’ Perceptions of Educational and Treatment Issues Affecting Access to Care for Children with Special Needs. 
Written by:
Paul Casamassimo, DDS, MS;
N. Sue Seale, DDS, MS;
Kelley Ruehs, DDS

Casamassimo PS. The great educational experiment: has
it worked?
Spec Care Dentist 1983;3:103-6.

Seale NS, Casamassimo PS. Access to dental care for
children: profiling the general practitioner who treats
young and low-income children.
J Am Dent Assoc

If you get to looking at all the professional opinions, publications, studies, and continuing education courses concerning pediatric dentistry, the same names are there over and over.

Thursday, December 15, 2011

FYI–There are more deaths than this and Dr. Milton Houpt is full of BS!

There is also an memo out there from the AAPD that was sent out to all members with a “script” on what to say…  I think it’s here on this blog someplace, look around.


Yahoo News

The parents of 17-year-old Jenny Olenick of Woodstock, Md., are the latest to sue a dentist for negligence in connection with a pediatric dental surgery death. Olenick died in April, according to ABC News, after suffering oxygen deprivation in the dental chair. The lawsuit charges the dentist and anesthesiologist with failure to resuscitate Olenick.

Prevalence of Dental Surgery Deaths

The pediatric dentistry chairman at New Jersey Dental School, Milton Houpt, told Tampa Bay Online last year that there are no national statistics on deaths in the dentist's chair. He says such deaths are rare, though, based on anecdotal evidence.

Media Reports of Pediatric Dental Deaths

These are some other recent deaths associated with pediatric dental procedures reported in the media:

* Tampa Bay Online said Corey Moore died at age 9 from a dental procedure performed in Tampa, Fla., in 2009.

* 5-year-old Dylan Stewart of Cedar Key, Fla., died in 2010, Tampa Bay Online said.

* ABC News reported that Ben Ellis, 14, died Dec. 8, the day after he had a wisdom tooth removed in Gilmer County, Ga.; he was found dead in his bed.

* Thirteen-year-old Marissa Kingery of Elyria, Ohio, died in January after undergoing dental surgery, the Plain Dealer reported. She fell into a coma and died two weeks after the procedure.

* A 4-year-old Stockton, Cal., boy, Jermaine Lee Harrison died in November during dental surgery. Because of pre-existing heart problems, his surgery was performed at Oakland Hospital, the Contra Costa Times said.

* In May 2010, 6-year-old Jacobi Hill died at Virginia Commonwealth University's dental clinic in Richmond, Va., ABC News reported.

* Raven Blanco, age 8, died under conscious sedation in a Virginia Beach, Va., dental office in 2007, according to WVEC.

Who May Administer Anesthesia in the Dental Office?

The American Academy of Pediatric Dentistry recommends that three staff be present when deep sedation occurs in a dental office. The anesthesia provider should be a licensed medical or dental practitioner with certification for providing anesthesia; he should monitor the patient's vital signs, airway patency, cardiovascular and neurological status and adequacy of ventilation.

When state law permits a registered nurse anesthetist or anesthesia assistant to provide anesthesia to dental patients, the dentist himself should be trained and licensed in the administration of anesthesia, according to AAPD guidelines. AAPD also says the operating dentist and clinical staff need to maintain current expertise in basic life support in case something goes wrong.

Deaths can also occur with local anesthesia. As of Oct. 2008, it was legal in 43 states for dental hygienists to administer local anesthesia, RDH Magazine reported, and 26 allow them to administer nitrous oxide.

Problems in Pediatric Dental Death Cases

Several problems have been identified in pediatric dental death cases. Dentists' offices may not have working defibrillators as in Raven Blanco's case. Dental personnel may not be trained in life support, despite AAPD guidelines. In Corey Moore's case, the decision to sedate him knowing he'd recently eaten may have contributed to his death. And underlying medical problems may be a factor as in Jermaine Lee Harrison's case.

KRCA reported in 2006 on one pediatric dental death in Sacramento the previous summer that was ruled a homicide. In that case, the dentist reportedly covered 3-year-old Rogelio Campos-Crespo's nose and mouth to calm him and left a 4-inch by 4-inch gauze pad in his mouth, smothering and gagging him.