About Mark Bornfeld DDS Expertise I can respond to all questions dealing with the practice of dentistry, from both the dentist`s and patient`s perspective. I am knowledgeable about all dental disciplines, from cosmetic dentistry to surgery, from restorative dentistry to root canal treatment. I have strong opinions about controversial issues in dental practice, including those topics which directly impact on the reputation of the profession in the eyes of both the lay public and our health profession colleagues.
Experience
Past/Present Clients Editor, Queens County Academy of General Dentistry newsletter; contributor to Dentistry.com 29 years practicing general dentistry partnered with brother Steve as one-half of the DentalTwins®
Question My grandson was evaluated by 2 dentists. One said will put him on a papoose, pull 6 teeth and have more dental work later. Another says will give him General Anesthesia, pull 4, cap 8 and be done with everything. He is 3 ys. old with alot of health problems, GERD, ASTHMA, and mom still gives him a bottle with only water at night. What do you suggest? Concerened Grannie
Answer Dear granny,
Although I concede that in some situations the use of patient restraints such as a papoose board is unavoidable, I believe that it is somewhat barbaric, and has the potential to create deep and persistent psychological scars.
If your grandson cannot be relied upon to cooperate with his proposed treatment (not an uncommon situation at 3 years of age), the use of sedation is a more humane approach. The staging of the treatment is another thing altogether and is discretionary, although the management of established dental disease is best done in a timely fashion. However, the fundamental means of behavioral management is the key consideration here, and sedation is preferable to restraints unless your grandson's medical profile precludes it.
Hope this helps...
Mark Bornfeld DDS
www.dentaltwins.com
Brooklyn, NY
