KDA Today

KDA Today

For Immediate Release

Date: Apr 24th, 2014
Contact: Dr. John Thompson

I Only Have A Loose Screw!

You are on vacation, it is Saturday and you get a call from your friend and longtime patient that the tissue integrated prosthetic (TIP) you placed almost thirty years ago has come loose.  For those not practicing that long ago, it is one of those antique contraptions using the old non hexed Brånemark cylinder implants to support a fixed lower denture.  To make matters worse, it is February and he is on a sunbaked Caribbean Island where everyone seems to be happy and it is not predicated on having money or in many cases, electricity.

But wait, it gets worse!  He is in the villa directly above yours and wants to know, "What are you going to do about it?"  Not a problem!  You are Dr. Karl Lange and you have on hand your Mag light, a steak knife, a safety pin and a small screwdriver for repairing your glasses, a certain recipe for success in a situation such as this.  Your friend/patient, Mike, is now sitting in a kitchen chair in your, what is now, villa office and he correctly identifies the implant position where the screw is loose and the gum is very sore.  One hour later you have picked out the composite plug over the screw with the trusty steak knife with the bent tip, plucked out three very ripe cotton balls with your safety pin and accessed the loose screw.  All of this is accomplished under the watchful eye and helpful comments of your next door neighbor who is there to document this event.  As the operation began to unfold and the magnitude of the problem began to manifest, I reminded Karl, "He is your patient, but if it were me..."

It became apparent that multiple implant screws or bolts were broken in the prosthesis and we were in over our heads when the head of the first screw was spinning freely.  Our best hope now was a dentist on the island that understood antique implants.  While that seemed a long shot, a call to an artist friend who also happened to be a retired dental hygienist (1-800-KAY) provided one name and phone number for Dr. Trevor Connor.  Fortunately, the only mistake Dr. Connor made was answering his phone and agreeing to see Mike, and us, at his Anguilla office on Sunday morning after church services.

Your Worst Nightmare!

The first thing I told Dr. Connor as we entered the back door to his pristine office, "This could be your worst nightmare.  You have an emergency patient on a Sunday morning, accompanied by his regular dentist, as well as another dentist, both of whom have opinions on everything, often conflicting."  I have to report that Dr. Trevor Connor seemed unphased by my remark and he did not see any humor in it, either.  Trevor had never seen this loosely presented implant contraption before, but he fully grasped the situation and knew he was going to remove the prosthetic.  His primary dental assistant had been called into the office to help find long abandoned “tools”.  Kamarla, was now at his side, and while her husband and daughter, along with Trevor's beautiful wife, Josie, waited, he began.  Two and a half hours later under the instruction of Dr. Lange and with drawings provided by me, an unperturbed Dr. Connor had removed the prosthesis that had four bolts broken off in the implant bodies. While our patient was now pain free, he was significantly compromised functionally and certainly esthetically.  At this point, I changed Mike’s name to Rupert to protect his identity and preserve a pretense of HIPAA compliance.

Rupert (aka Mike) now had a decision to make.  He could fly back to a cold and snowy Kentucky in the states and have the prosthesis replaced or restored, or he could remain in a third world tropical paradise and continue to work with Dr. Connor.  Trevor Connor is a native Anguillian and a 1987 and '89 Howard University Dental school graduate with advanced training in both Orthodontics and Implantology who decided to bring his talents back to the people of this truly wonderful and, only now, economically developing 35-square-mile island.  His primary dental practice office is in Charlotte Amalie, US Virgin Islands with a satellite practice in Tortola, British Virgin Islands and his Saturday practice and home on Anguilla, British West Indies.  Commuting is facilitated by the fact that Trevor is an accomplished pilot and has his own twin-engine Beechcraft Baron Aircraft to commute between multiple island offices.  Trevor told Rupert (aka Mike) that if he would take a shuttle flight to his office in the Virgin Islands he would have him stay as a guest in his adjacent apartment, provide him soup and then fly him back to Anguilla at the end of the week. Dr. Connor could provide for the surgical recovery of the broken bolts and then repair or replace the prosthesis.  Karl and I looked at each other and immediately agreed that this was a "no brainer" and that Trevor should take control of this situation NOW and not later!  Rupert (aka Mike) was in good hands and Dr. Lange's records would provide all the information required for replacing the ancient Brånemark parts required by Dr. Connor's New Jersey dental laboratory technician.

What was Dr. Trevor Connors fee for that Sunday emergency?  He refused a fee, saying it was a professional courtesy and a three-hour continuing education course.  I would have to say that this whole event is a reminder of the professional camaraderie I enjoyed as a practicing dentist.  In spite of knowing better, there still remains in me, an underlying subliminal cultural bias that says those who practice in differing modes may be somewhat less a dentist than my expectation.

No longer a practicing dentist, I have become an observer dentist and I see this cultural bias, even in our local dental societies, as a prejudice based on geography, urban-rural, gender-age or practice management mode. Indeed, the finest oral surgery practice I have ever seen provides extensive service for a Medicaid population in Appalachia.  Quality of service is not determined because it is delivered by a solo practice or a large group practice and a dental practice spread across three Caribbean islands is as fine as any practice in the United States. The common denominator of quality is a dentist’s commitment to patients, a love of the profession and involvement with continuing education, whether by on-site attendance or long-distance learning.

You are a very lucky person if you get the opportunity or can make the opportunity to practice this profession where you and your spouse can say, "This is where our heart is".  You are doubly blessed if you can provide a service that makes your fellow man happier, you are in love with what you do and you can make a living at it.  Today I am going to be a starving artist, here on Anguilla, and if I am not having a good day, just shoot me!

Press Releases

Click on any title below to read the press release. The release will open up in a new browser window with no menus or images, so that you may print or copy the press release without extraneous graphics.

Apr 24th, 2017Reflections on our 2017 KDA Legislative Day
Apr 24th, 2017And The Winner Is
Apr 24th, 2017The Daunting Task of Changing Someone Elses Bad Habits
Apr 24th, 2017A Memorable Legislative Day
Apr 3rd, 2017Take advantage of great Q2 price reductions!
Feb 16th, 2017Trends in Dentistrythe More Things Change, the More they Stay the Same
Feb 16th, 2017Still Much to Do and Many Changes on the Horizon
Feb 16th, 2017Celebrate the Best in Everyone!
Feb 16th, 2017A Look Ahead
Feb 16th, 2017KDA Editor Wins Prestigious William J Gies Award Editorial Award
Feb 2nd, 2017Association Glove Program: 2017 First Quarter Specials
Dec 20th, 2016Whats in Your Water?!
Dec 20th, 2016Political Slogans and Other Words to Live By
Dec 20th, 2016I Used To Be a Libra
Dec 20th, 2016Membership is the Key to Our Future and the Responsibility of All: Our Own Members are Our Best Recruitment Tool
Oct 24th, 2016Happy Trails from the Mountains of Eastern Kentucky
Oct 24th, 2016Our KDA Foundation is Small, but We CAN Make a Difference
Oct 24th, 2016You Cant Always Get What You Want
Oct 24th, 2016Kentucky Dental Foundation Board Members Work to Establish Goals and Priorities to Ensure a Bright Future
Oct 10th, 2016October is Breast Cancer Awareness Month: Simple Steps Women Can Take to Reduce the Odds of Developing Breast Cancer
Sep 12th, 2016Does Frankfort Need a Better Understanding of our Medicaid Population?
Sep 12th, 2016Lets Move!
Sep 12th, 2016Bonus Points May Not Be Enough
Sep 12th, 2016Understanding the Aging Phenomenon/The Aging Tsunami: Demographic Imperative
Sep 12th, 2016Aging and Frailty Basics
Sep 12th, 2016Polypharmacy: A Geriatric Syndrome with Serious Implications for Oral Health
Jun 14th, 2016Half Way through 2016 and Still a year to Go...
Jun 14th, 2016What Can I Tell You?
Jun 14th, 2016Pigs in Space
Jun 14th, 2016Women Rising: The Unseen Barriers
Apr 15th, 2016Survivor Stories: How to Endure the Rank of New Dentist and Live to tell about it
Apr 15th, 2016Love Never Fails
Apr 15th, 2016A Grateful Heart
Apr 15th, 2016Dentistry is Our Life's Work - Be passionate!
Feb 12th, 2016My New Years Resolution
Feb 12th, 2016Be PROACTIVE and Rededicate Yourself to Membership in our Tripartite Organization
Feb 12th, 2016# the future is not what it used to be
Feb 12th, 2016NOW is the time to belong to the KDA!
Dec 28th, 2015Downtown Fun. If You Dont Believe Us, Come See!
Dec 28th, 2015Measuring the Burdon of Ethics
Dec 28th, 2015Meet the Bevins
Dec 28th, 2015Highlights of the 2015 ADA House of Delegates
Dec 28th, 2015You Can Keep Our Momentum Moving Forward
Nov 23rd, 2015Delta Dental of Kentucky Hints at a Large Statewide Project in the Works for 2016 at the Kentucky Oral Health Summit
Oct 27th, 2015Scary Good Web Design Tips From Officite
Oct 15th, 2015Medicaid Work Group Update
Oct 15th, 2015Just the Facts: Kentucky Meeting Changes Create Confusion
Oct 15th, 2015Our New Mission will require the Efforts of All
Oct 15th, 2015Still Crazy after Just One Year
Oct 15th, 2015Womens Forum Enjoys Perfect Weather, Perfect Setting and Engaging Dialogue!
Oct 15th, 2015Oral Health Literacy as a Primary Goal and Not an Afterthought
Aug 14th, 2015A Plan for Our Future, and a New Mission StatementHelping Member Dentists Succeed and Serve
Aug 14th, 2015First, Do No Harm?
Aug 14th, 2015Can You Hear Me, Now?
Aug 14th, 2015Calling ALL Members and Non-Members: We Need Organized Dentistry!
Jun 23rd, 2015Weve got a Plan!
Jun 23rd, 2015Irrelevance
Jun 23rd, 2015My Introduction: A Smidge of Trepidation, Overwhelmingly Full of Pride and Anticipation
Jun 23rd, 2015Part II: The KDAs Dental Access Summit A Report
Jun 23rd, 2015Our new KDA Mission: Helping Member Dentists Succeed and Serve
Jun 18th, 2015Medicare Part D: Q&A - American Dental Association - May 29, 2015
Apr 28th, 2015KDAS Dental Access Summit Saturday, January 31, 2015 Report to KDA Part I
Apr 28th, 2015The View from No Mans Land
Apr 28th, 2015Ask not What Your KDA Can Do for you
Apr 28th, 2015Thank You for the Opportunity
Feb 20th, 2015Think Big!
Feb 20th, 2015Its all about the membership in 2015!
Feb 20th, 2015For the Record
Feb 20th, 2015Into the Belly of the Beast
Dec 29th, 2014When Is the Right Time?
Dec 29th, 2014Who Wouldnt Want to Be a Part of This?
Dec 29th, 2014Things are Moving Faster than Fast!
Oct 24th, 2014Dental Insurance Direct Deposit Through A Virtual Credit Card; What Does It Cost Me?
Oct 21st, 2014Who Can I Hire for $100 a Month?
Oct 21st, 2014Last Call
Oct 21st, 2014Im here to Help
Oct 21st, 2014Get passionate! This is Our Profession!
Oct 21st, 2014Postscript for an Editors Passing
Oct 21st, 2014and he did what?!: Giving a Professional Second Opinion
Aug 21st, 2014KENTUCKY HEALTH NOW: The GOALS of our GOVERNOR
Aug 21st, 2014Synergy
Aug 21st, 2014Nobody Goes Into Dentistry Because They Love Molars!
Aug 21st, 2014Your KDA is Working Hard for You!
Jun 16th, 2014Think Big. Think Positively. Think Proactively.
Jun 16th, 2014Denigration
Jun 16th, 2014YOU HAD TO BE THERE!
Jun 16th, 2014New Friendships and Lasting Connections Creating a Stronger Interest in Organized Dentistry
Jun 16th, 2014New Friendships and Lasting Connections Creating a Stronger Interest in Organized Dentistry
Apr 24th, 2014The Dentists Guide to Social Media Marketing
Apr 24th, 2014I am the KDA! You are the KDA! WE are the KDA!
Apr 24th, 2014Dare to Dream!
Apr 24th, 2014I Only Have A Loose Screw!
Feb 20th, 2014Go Tell It on the Mountains
Feb 20th, 2014UofL Brightening the Smiles of Children
Feb 20th, 2014UKCDs First Regional Dental Program: The First Ten Years
Feb 20th, 2014Medicaid: An Example of Missing the Goals for Oral Health in Kentucky
Feb 20th, 2014Where Do We Go From Here?
Dec 23rd, 2013Letting the Secret Out
Dec 23rd, 2013It Is What They Left Behind
Dec 23rd, 2013Dr. John Thompson Awarded Distinguished Editor Award
Dec 23rd, 2013Teamwork Creates Champions: the Kentucky Meeting: March 13-16, 2014
Dec 23rd, 2013Listen to Interviews with our Speakers!
Dec 23rd, 2013Welcome Dental Students and New Dentists!
Dec 23rd, 20132014 Kentucky Meeting Details
Oct 17th, 2013I Still Like Maps!
Oct 17th, 2013Ground Game
Oct 17th, 2013Kentucky Department of Insurance, HB 497 and Non-covered Services
Oct 17th, 2013Dr. Janet Faraci Lees Legacy
Oct 17th, 2013Dr. Janet Faraci Lee Leadership Development Award
Aug 12th, 2013The Affordable Care Act: What does it mean for Our Members?
Aug 12th, 2013All Membership Is Local
Aug 12th, 2013White Crosses
Aug 12th, 2013KDA MembershipWhere Do We Go from Here?
Aug 12th, 2013Thoughts from a New Dentist: the Top Three Reasons that I am Involved with Organized Dentistry
Aug 12th, 2013How can KDAIS Benefit You, as a KDA member?
Aug 12th, 2013Beyond the Website: Marketing on the Modern Web
Aug 12th, 2013Delinquent Accounts.Collections..YUCK!
Aug 12th, 2013Every Patient Matters. So Does Every Transaction.
Jun 13th, 2013The Foundation of the Kentucky Dental Association: Positioned to Make a Powerful Statement
Jun 13th, 2013Something I Wish I Didn't Know!
Jun 13th, 2013Preaching to the Choir
Apr 15th, 2013Participate in Your KDPAC! Contribute and Deliver
Apr 15th, 2013The Pediatric Dental Benefit: Must Offer, May Purchase
Apr 15th, 2013Exchange What?
Apr 15th, 2013So Long, Farewell, Auf Wiedersehen, Adieu
Apr 15th, 2013United We Stand, Divided We Fall
Feb 12th, 2013The Tip of the Iceberg: Actions by the Kentucky Department for Medicaid Services Which May Sink KMAP
Feb 12th, 2013Living Is What You Do When Life Gets In the Way
Feb 12th, 2013A Profession in Flux
Feb 12th, 2013Its a Dentist Thing
Oct 19th, 2012Membership Matters
Oct 19th, 2012House Bill 1 and What It Means to You
Oct 19th, 2012Self-Regulation
Aug 21st, 2012Sarrell Dental: Beyond the Operatory
Aug 21st, 2012The Perception of Dentistry
Jun 18th, 2012I Had an Uncle…
Jun 18th, 2012What Part of the “Affordable Care Act” Has Been Affordable?
Jun 18th, 2012Leadership or Politics?
Apr 6th, 2012Many Thanks for a Great and Memorable Year
Apr 6th, 2012What a Year, so far!
Apr 6th, 2012The "New Old" Still have Teeth
Feb 21st, 2012All for One and One for All!
Feb 21st, 2012Happy New Normal
Dec 19th, 2011The Wide World of Sports
Dec 19th, 2011Access to Care?
Oct 28th, 2011To the KDA Executive Board and the entire KDA
Oct 28th, 2011Report of the Sixth District Trustee
Oct 18th, 2011Word-of-Mouth on Steroids!
Oct 18th, 2011Managed Care and Dentistry in Kentucky: a Dentist’s Dilemma
Oct 18th, 2011Why We Shouldn't Lose Sight of Our Purpose...
Aug 4th, 2011CAPWIZ: Legislative Advocacy Made Easy
Aug 4th, 2011OMG, what is EBD?
Aug 4th, 2011Mentor a Young Dentist and Change a Life
Jun 13th, 2011I Might Soon Be Coming to a Town Near You...
Jun 13th, 2011Outside Our Line
Apr 18th, 2011On Your Side, Not Your List
Apr 18th, 2011Blindsided
Apr 18th, 2011I Pledge to Be your Humble Servant…
Apr 18th, 2011Let Me Ask For a Minute of Your Time
Feb 17th, 2011Dr. Andy Elliott for President-elect of the American Dental Association
Feb 4th, 2011A Little Planning Really Helps
Feb 4th, 2011Adjusting Attitudes
Jan 4th, 2011Dental Management of Patients Taking Antiplatelet Medications
Nov 30th, 2010Dental Education Found Worthy
Nov 30th, 2010Delegates Report from the 2010 American Dental Association House of Delegates, Orlando, Florida
Nov 30th, 2010Holiday Greetings to All
Oct 25th, 2010Delegates Report from the 2010 American Dental Association House of Delegates, Orlando, Florida
Oct 7th, 2010What Happens in Alaska, doesn’t Stay in Alaska
Oct 7th, 2010We Need To Do a Better Job of Communicating
Oct 7th, 2010What If …?
Oct 7th, 2010I’m in a Hurry!
Oct 7th, 2010Who Will Speak for Me?
Aug 6th, 2010Kentucky's Dental Practice Act: The Passing of an Old Friend
Aug 6th, 2010The Times They Are Changing
Jun 10th, 2010How a Star was Born
Jun 10th, 2010I Need Your Help…
Apr 20th, 2010KDA and Louisville Water Company Share 150th Birthday and Public Health Vision
Apr 20th, 2010President's Message MA 2010
Apr 20th, 2010Getting It Right!
Feb 25th, 2010Please Join Us for an Exciting, Event-Filled Year Ahead!
Feb 25th, 2010What is a Legacy?
Dec 14th, 2009There is Hope: Suicide Awareness and Prevention in Kentucky
Dec 14th, 2009Challenging the Myth of the Suicide-Prone Dentist
Dec 14th, 2009Holiday Reflections…
Nov 6th, 2009Don’t Balance Health Care Books by Shortchanging Physicians
Nov 6th, 2009Break your Right Arm and Suddenly You have Time to Study Economics.
Jun 26th, 2009Making the World a Better Place, One Village at a Time!
Apr 13th, 2009Breaking Glass
Feb 20th, 2009At the Heart of any Worthy Project is a Committed Volunteer