Dr. István Markó - introductory interview / Part 2
In the previous blogpost, we discussed the nature of the consultation, which dental areas you consider to be of paramount importance, so we also got to aesthetic dentistry and dentures. Let's continue the interview on this.
Dr. István Markó: The decision between the above is always determined by the amount of missing tooth material and the load on the given part. Newer filling materials can be used for many years. In the case of a root-treated tooth or an extremely large cavity (eg repeatedly filled tooth, fracture of the tips next to amalgam filling, etc.), the role of biomechanics is considered, as there is already a high risk of tooth fracture. In this case, it is advisable to plan some kind of denture. I basically make inlays for root canal teeth. If there is a greater shortage of teeth or more tips are missing, I will choose a crown, but this is always determined by the case.
Are you interested in microscopic endodontics? Root canal treatments are clearly for tooth retention. How long can a tooth be saved?
Dr. István Markó: I am extremely interested in this area, not only during root canal treatment, but I would like to use it more and more often in everyday practice when making fillings and crowns, inlays/onlays. I have also applied for and participated several such practical trainings recently.
Saving teeth is always the initial condition (lack of tooth material, degree of inflammation, severity of complaints) and the condition that can be achieved by saving a tooth (can this tooth be built, is it expected to stop inflammation, how important is it in later dentures, how much caries is there, etc.)? ) depends on the complexity of the route. If there are too many possible pitfalls and too many compromises to keep the tooth, its construction should be decided upon for removal. Of course, this is only common in the case of a bad condition or a very neglected mouth condition, and it is usually very good to keep the teeth long-term with root canal treatment and a proper build.
You mentioned further training. What did you do during your last training?
Dr. István Markó: I attended a dedicated microscope training course, it was extremely interesting to learn a lot about root canal treatment and the use of the microscope. The training was about newer root management guidelines, the use of tools, and the practical use of the microscope.
What do you think about the ideal nature of the doctor-patient relationship? Do you believe in partnership too? What do you think is the basis for effective cooperation?
Dr. István Markó: The basis for this is proper medical communication if we ask the patient for their opinion several times or let them talk and the treatment does not happen as a trauma. It is a great help if I properly explain the steps of the treatment, prepare it for the different phases (feeling tense, drilling, using water, etc.). It is important to avoid the use of technical terms and to convey the information in a way that the patient can understand. If you manage to establish an initial good relationship, you will be able to tell your various problems more and more boldly, you will be able to communicate your needs more and more, so we can create the best possible treatment plan and end result. In addition, I consider it successful if patients return for an annual check-up so that the rehabilitated condition can be maintained for a very long time after the treatments have been performed.
DENTOP employs doctors from different specialties, and joint treatment is common. Do you think this cooperation is the most successful? What should be done to ensure that patient-focused attention is not "lost" in the system?
Dr. István Markó: The first step is for the doctor to know what the condition is when the patient needs to be referred to a specialist. This sounds simple, but a lot of people prefer to get into heroic struggles that have only partially or absolutely failed to solve the problem.
If I come to refer the patient, I will first explain why this is needed and what treatment the colleague will provide. This is an important thing because on the one hand the patient will be aware of why he needs this and on the other hand he is not worried about what will happen to the other doctor.
I would note here that proper communication between physicians is important, it is also important to communicate the presumed diagnosis and the medical history as well.
It is also important for a patient to give us feedback if it has reached a colleague. Being cared for by another doctor in a given condition does not mean that you will stay there for all treatments. There is often a misunderstanding about this, too, because patients feel a little tense "oh who should I go back to then ?!" so you should be alerted during the referral so that you can come back to continue the treatment.
Good luck with your work, we are glad you joined us!
You can access Dr. Markó István's profile by clicking on the link.