Sometimes, as we walk through a mossy, humid, unspoiled temperate rainforest, we can marvel at nature and it’s perfection. In those moments, it can be easy to think that preservation of nature from human development should be an absolute. However, at other times, perhaps as we wander the streets of San Gimignano, it can be […]

“Medical nihilism is the view that we should have little confidence in the effectiveness of medical interventions.” https://en.wikipedia.org/wiki/Nihilism When I graduated, I was well and truly versed that most dental problems were caused by dentists intervening. Patients who went to the dentist, we were told, ended up with less teeth. We got failed if the […]

Speed. Efficiency. Systemisation. I’ve tried them all. I’ve tried NLP. I’ve tried two choices. I’ve tried the huge written plan with brochures. I’ve tried the confident suggestion. However a few years ago, when I had a few patients that were unhappy with treatments that they did after a single consultation, and an economic downturn that […]

The patient? Or yourself? One of the most difficult parts of treatment planning is not understanding the patient. It is understanding yourself. Each of us is a great soup of biases, influences and needs. We might like a procedure. Or not. We might be comfortable financially and much later in our career. Or we might […]