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Logging Your Implant Experiences

Ashley Watson • September 29, 2020

Make logging your implant procedures fun!

If you have undergone any formal implant-specific training, you will know how important it is to log every procedure you carry out in order to access it at a later date for either CPD, medico-legal or clinical reasons.


It may be that a restoration needs replacing and you want to know exactly what materials & components you used or the porcelains that the lab used at that time.  Very often we have patients with failing restorations at our clinics and the patients haven't got a clue about what they have in their mouths, and it can be labour intensive trying to find out what has been used.


From a medico-legal aspect, if you can't show that you have the experience, you are on thin ice, so logging all your training and implant procedures is a great way to protect yourself.


We all feel the extra burden of compliance so why not make it as simple as you can by using a database and easy method of input, and take control of the data you are producing.  This way you will make yourself less liable to data loss than placing your valuable procedural data in the hands of a third party.


Now I have to be careful here because if you are handling data then you also have the responsibility of looking after it, so make sure you are up to date with your information compliance, and register yourself as an individual with the Information Commissioner's Office.  Remember to only save as much data as you need and no more, because the last thing you want is for your boss to think you are going to steal their goodwill, and more information is not necessarily helpful or legal.


 I used to use a database online supplied by a well-respected implant association, recommended by a friend.  It was a great way to record the implants I had used and how they had been placed.  This was way before GDPR and the association's realisation that it required some administrative costs.  Unfortunately the database relied on a subscription and was withdrawn suddenly by the association, leading to the loss of my online data.  This brings me to my next point; keep multiple records in different formats.  Lucky for me I recorded all the data in a custom screen within my practice management software, and in a written log with all the implant stickers physically stored.  I wasn't yet at the stage where I was providing my patients with an implant passport but this would have set me apart from everyone else back then, and still does even now.


Now you have so many options, but I chose to design a simple database that I could access on my phone and the web, allowing me to input data wherever I am.  The database designer allows you to choose what fields you think are important, and even include photography from the camera on your phone, or x-rays downloaded from your PC, so that you don't have to tap in lengthy serial numbers or specifications if you don't want to!  The information is input through a form that you can customise and easily teach a member of staff to use if you want to leverage your time.


Once all the data has been input, you can choose to sort it in any way you wish or create a report, to demonstrate your experience or audit.  You can even output a report for individual patients that can be emailed to them as a passport or to the practice for their records.


So it is important to note that there are certain people who benefit from this information:

  1. Patients
  2. Practice
  3. You


Giving these people access to this data not only keeps you safe legally, but seriously shows you care about the information you are gathering from the important procedures you are doing.


Another neat way of logging events is to create a form that emails you, your practice and the patient when it is submitted.

You can create a link to the form on your desktop, phone or website, that allows you to access it at any time as long as you have an internet connection and when the form is submitted you get a summary email that you can file wherever you need to.  I like to do this for my CPD and X-Ray reporting as well, and will go into more detail on further blogs on custom screens, websites and e-forms.


If you are on our mentee program you can use the forms yourself to keep on top of things.



Please do tell me what you are doing and whether you think my systems could be improved.

ID Blog

By Ashley Watson September 27, 2021
There are plenty of things you can do without power, and I don’t mean just handing out antibiotics because the guidelines have been relaxed to meet the need of the current government failings! My trip to Ghana with 30 undergraduates taught me this. Prepare yourself for action: 1. Buy a head torch and a really good hand torch that your nurse can hold 2. Stock up on cotton swabs 3. Make sure you have a go to temporary filling material that is sedative where possible 4. Don’t back yourself into any corners you can’t retreat from When your dental unit stops working the most annoying thing to fail is not the chair or the handpiece, its not even the suction, because even if you get the last wheeze of air from your compressor, if you can’t see what you are doing it is useless. I found that a head-torch or better still your loupes with a light are a dentist’s best friend in these situations. Because head torches were designed for making a cup of tea in a tent, if your nurse can hold a good quality hand torch as well this helps. Moisture control need not be an issue if you have enough sterile swabs and cotton rolls and you are a master in the art without suction. Saliva is easily soaked up or spat into a spittoon and in the worst scenario where a patient is bleeding, pressure and a reassuring manner can slow even the most persistent sites. It’s unlikely that you are going to be worrying about keeping patients waiting so you have all the time in the world to look after the patient in the chair. Whenever you work, you will have an end goal in mind, but remember your training and don’t cut away all your options too early in the preparation. It’s much easier to put on a temporary crown with two interproximal slices rather than just the occlusal reduction, so rethink your protocols, and build in some provision for temporisation at every stage. Even if you are in the middle of an extraction you don’t have to finish if you have an emergency power outage. I often think dentists make a mistake spending hours trying to find a root tip or chasing a brittle, dilacerated monster. If you give up after a maximum of 20 minutes, the patient rarely gets as much pain healing if you leave them alone, than if you successfully retrieved the root. After six weeks the gum would have healed over so a grateful surgeon can go in retrieve the last bit and will have some tissue to raise a flap and cover it all up again afterwards. So, in summary, when an extraction doesn’t go your way; drain any infection, remove all the irritating sharp supragingival dentine and then give up! I have had to escort a patient from the chair midway through an implant procedure and dump them on the gilded streets of London because of a fire alarm and evacuation, but thanks to a neat flap and plenty of swabs this wasn’t a problem. Keeping calm in the weirdest situations can almost be amusing for you and the patients. The patient in the chair will appreciate that you are doing your best in difficult times, and the patients waiting will understand as long as they are kept informed. The most important thing is that you have a plan which will keep you calm and the patients will feel reassured they are in the right place. Don’t be too quick to send everyone home either, you’ll be surprised how much you can do for someone in pain even without power, and it won’t be long before the power comes back on!
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