LaplanaBologna: Advanced dentistry prioritizes good communication with the patient

Juan Miguel Koury, endodontic specialist, member of the LaplanaBologna clinic, shares how technological advances and kindness to patients make a difference and add up to provide excellent results

Dentist-patient communication is key to understanding the procedures, both to be performed and already performed. At @LaplanaBologna, Advanced Dental Aesthetics, the techniques and treatments of choice are fully explained to all patients. A good example in endodontics is the laser photobiomodulation procedure, which reduces unpleasant symptoms after root canal treatment.

Endodontics today is effective and friendly

We spoke to expand and specify details of interest with the dentist, specialist in endodontics and university professor, Juan Miguel Koury, member of the LaplanaBologna team, a clinic that uses cutting-edge technology and observes confirmed and proven cutting-edge protocols: “The scientific evidence “It has shown that this laser therapy offers excellent results for the control of postoperative pain, and we have begun to apply it to all our patients,” he explains at the outset.

What is endodontics, and what is its role in dentistry?

Endodontics is a dental specialty that focuses on the treatment of the internal tissues of the tooth, specifically the dental pulp. Our main objective is basically to save teeth that may be damaged or affected by deep cavities, infections or trauma, preventing conditions from developing in the tissues surrounding the tooth, preventing unnecessary extraction and, most importantly, maintaining functionality and health of the patient, Koury points out.

Why is fluid communication between the dentist and the patient crucial during endodontic treatment?

Communication can make a big difference in how the patient perceives pain and of course, it can help us reduce anxiety during the consultation. Patients who come to consultation with a history of pain need to be listened to, the sensation of pain is extremely personal and the explanation of the symptoms is very valuable to achieve a correct diagnosis. Personally, I like to dedicate the time necessary to listen to my patients and clearly explain each step of the procedure before performing it, regardless of the time we take answering any questions that may arise. Providing information about the sensations you may experience and answering any questions that may arise will help us reduce fear and discomfort during the consultation.

Dr. Juan Miguel Koury
Dr. Juan Miguel Koury


What are some strategies you use to ensure patients understand the procedures and feel comfortable?

The most important thing is to use clear, accessible language when explaining the diagnosis and treatment plan. Detailing a root canal treatment without using images is practically impossible, that is why I always explain with the support of x-rays, images extracted from the previous tomography, clinical photographs of the tooth to be treated and sometimes, I can draw a sketch of the procedure to be performed to visually show What are we going to do or what treatment options exist. At this stage is when some questions arise that we answer little by little so that the entire procedure is clear before starting. While I realize that not all patients want a lengthy explanation, I always try to take the time to discuss their specific concerns so that they feel fully informed and comfortable.

What role does empathy and active listening play in the dentist-patient relationship in the context of endodontics?

Our patients are the most important thing to us, we are here to serve them, and we must convey that idea. For this, empathy is essential. Each patient has different levels of previous dental experience, fears, expectations, and stories from their friends and family. The idea is to better understand your concerns and adapt my approach to address your individual needs. Listening to the patient helps me establish a real and meaningful connection, which improves collaboration and overall satisfaction with the treatment, highlights the specialist and professor.

What happens after a root canal treatment?

Before the patient arrives at the consultation to perform the root canal treatment, an exhaustive review of their case, their clinical photographs and their tomography scans has been previously carried out, to then discuss and evaluate it with the different specialists who are part of the professional team. in the LaplanaBologna group. That is, the patient comes to the consultation with an established treatment plan, we already schedule not only the root canal treatment, but also how and when that tooth will be restored. Performing a root canal treatment without a clear plan of how that tooth is going to be restored is setting the treatment up for failure.

What is the most important thing you would like to convey to patients who have received root canal treatment?

Go to your follow-up appointments at least once a year and have not only a clinical evaluation and x-rays (which is what is commonly done in other clinics), but also a cone-beam CT scan. Every day we see many root canals that have been carried out inadequately and unfortunately, not all treatments that fail cause discomfort or pain. In fact, it is very common to hear our patients say that the tooth that we must portray does not bother them, but almost nothing bothers them. It escapes in a good CT scan and if it has failed, we must re-portray it or look for other treatment alternatives. That’s why we always reevaluate cases once a year, in the same way we diagnosed them, with a CT scan.

There is a lot of talk these days on social media about root canal treatments not working. What can you tell us about that?

If you are referring to poorly performed root canal treatments, you are right, certainly if they are poorly performed, they will not work. On the contrary, if the aseptic chain is followed, working with the proper instruments and equipment, disinfecting the root canal system in the correct way, and sealing and restoring it in the appropriate manner, root canal treatment is a highly successful procedure in almost 100% of the cases, and this allows you to keep your tooth in your mouth, maintaining your chewing function and your oral health. Performing proper root canal treatment is not impossible, but it requires education, training, equipment, good planning, and experience.

So what’s all the fuss about root canal treatments?

All dentists learn to perform root canal treatments in their undergraduate studies, we prepare them at the university to solve simple cases, of very low complexity; The problem begins when the clinician does not know his limitations. Every day we see and evaluate failures of root canal treatments, with very poor procedures, that do not meet the minimum conditions for them to have been restored, and in the majority of these situations, the treatments have been performed by dentists who have not been prepared to perform these procedures, and the patients were not aware of that. To say that root canal treatments do not work is a mistake, there is long-standing evidence that shows that it is a highly successful procedure, as long as it is done correctly. Think about it this way, if you need glasses, you go to an ophthalmology specialist, if you have a heart problem, you go to a cardiology specialist, if you require a root canal, do yourself a favor and come see an eye specialist. endodontics.

…Thank you very much for having received us

Please, thanks to you for being here and as I tell all my patients, “a pleasure to have treated you,” concluded Dr. Juan Miguel Koury.

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