Musician: a special patient The Federal Council of dentistry ranked recently, musician multi-instrumentalist blowing like a patient who has special needs and your attendance belongs to Dentistry for special patients. musica 1024 And what these professionals are different from the many others we serve every day in our offices? To understand is to know what is a woodwind musician-instrumentalist and which instrument he plays. A musician blowing a multi-instrumentalist is a musician who plays a woodwind instrument; among them are the trumpet, saxophone, flute, among others. And whats so special about it? All use the oral cavity as an aid in the support of these instruments and as fundamental part for a good professional performance. These musicians call this support of embouchure, and for us, dentists, we define it as being the buccal area that lies behind, above or below the nozzle, nozzle or straw, which causes the air between these instruments and send the desired sound. As an example, on saxophone, musicians support with the upper incisors to the saxophone mouthpiece (top), and with the lower lip (positioned on the incisal lower incisors) they make vibrate a bamboo Reed, positioned on the underside of the nozzle and thus can vibrate the column of air, propelling into the instrument and hence taking the necessary notes. In this example, we can realize the importance of this service. First, if we analyze the upper incisors, they are continually putting pressure on a hard surface (the nozzle), softened by a thin layer of rubber that is placed on the same, in order to reduce this impact. Us, we study this relationship and wondering if the sensitivity that he feels is caused by tooth or by professional practice, or, if the movement of these teeth is being caused by the same reason, etc. In the same example, we can think about the constant rubbing of the incisal lower incisors under the lower lip and the possible injuries that this muscle is suffering. As you can see, in a single instance, or better, in a single patient, how many comments and questions may arise. From choosing the type of implant to be used, or the resin we left without polishing, what would be the implications for anyone who depends on the mouth to earn his livelihood? In my experience in this area, I can say with total certainty that many of these patients avoid dental treatment, for fear of affecting their embouchure and couldnt play their instruments. When we think about Occupational Dentistry, the focus is given on labor relationship and the consequences of this relationship dental. Observing the wind musician-instrumentalist, we realize that is not the same thing. This depends on the professional oral balance to get to work, because without work, you cannot claim anything towards labor. Imagine if we, dentists, we had to work with one or two broken fingers, with a sight impaired and other normal, or with partial sensitivity in movements of our hands. For this kind of professional, the dentist needs to, first, understand and respect your profession, because the only way the treatment will follow. On the other hand, warn that there are already precedents in international justice lawsuits against dentists, opened by musicians who believe they are our colleagues responsible for the interruption of their careers, temporarily or definitively. So, I present this patient, and ask your full attention when you answer it, because he desperately needs a professional to hear about and understand your profession.   autor 1024 Alexandre de Alcântara Dental Surgeon. 17 years serving musicians-woodwind instrumentalists. Diploma of honor by the Musicians of Brazil, Council of São Paulo. Author of the book The surgeon-Dentist facing AIDS, Pancast, 1996. Responsible for the proposal that led to the Federal Council of dentistry to approve unanimously the opinion 717/2012, who recognized the murmur musician-instrumentalist as a patient who requires special treatment in the Specialty of dentistry for patients. Author of numerous articles for websites and magazines specialized in Music.
Posted on: Tue, 12 Nov 2013 10:24:20 +0000
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