No clinician can exactly infer by having a first look at the case if he’ll be able to give the best treatment..I personally think that a clinician should go ahead and start with the treatment and if he gets stuck somewhere in between he can always turn to the specialist..I feel there is nothing wrong in trying out your hand on your patient..Either ways the clinician is getting to learn something and that should be his motive rather than being able to avoid paying the specialist..
i would strongly disagree. Do not initiate any treatment unless u r sure that u would be able to deliver the best. Remember u are treating the patient and not learning. In spite of ur best efforts things might go wrong and than the specialists can be called for.
If u r not sure better to refer.
especially in impactions, implants , ortho u have to be very careful.
I would advise everybody to do very through WRITTEN MICROPLANNING of the case. If u r doing a mesio angular impaction than draw on the OPG the contours of the root and the inferior alveolar canal.
On a piece of paper write down the steps,, the kind of incision, how much bone cutting u have to do, the expected time for the same, suturing, complications expected etc. etc etc.
The more the gory details the better. This will help u to get a clear idea whether u should handle the case or refer to a specialist.
Never take a chance. Remember the patient is buying treatment and is not paying u to learn dentistry on him.
Rergards,
Veeren
