Journal of Indian Society of Periodontology

: 2012  |  Volume : 16  |  Issue : 2  |  Page : 153-

Caution: Danger ahead!!

Ashish Sham Nichani 
 Editor, Journal of Indian Society of Periodontology, Department of Periodontology, AECS Maaruti Dental College and Research Centre, Bangalore, Karnataka, India

Correspondence Address:
Ashish Sham Nichani
Editor, Journal of Indian Society of Periodontology, Department of Periodontology, AECS Maaruti Dental College and Research Centre, Bangalore, Karnataka

How to cite this article:
Nichani AS. Caution: Danger ahead!!.J Indian Soc Periodontol 2012;16:153-153

How to cite this URL:
Nichani AS. Caution: Danger ahead!!. J Indian Soc Periodontol [serial online] 2012 [cited 2021 May 13 ];16:153-153
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Full Text

The Pitfalls of continuously educating oneself!!!

"A therapy, roughly defined, is a treatment for a disorder or deficiency, which aims to bring an unhealthy person to health. An enhancement is an improvement or extension of some characteristic, capacity, or activity. Both definitions assume at least some general sense of a human norm, which individuals must either be helped to reach, or which they might be aided in surpassing." [1]

Consequently, in our quest to be abreast of the latest techniques and products, we are now gradually supplementing traditional methods with newer technologies, including internet-based resources. Just as alchemists in the Middle Ages searched for the "philosopher's stone," a mythical substance that, in addition to transforming base metals into gold, would be the panacea for all human ills, we continue to strive to search for that magic bullet which will cure our patients of all ills.

As periodontists, we are able to treat our patients by acknowledging the importance of prevention, early diagnosis, and early intervention for appropriate lifelong management of periodontal health. Today, however, the understanding of the vascular supply to a given area and the basic principles of why something heals is often lost in the mecca of some new technique or technology. Perhaps, a microscope will allow us to see better, but it will not change the underlying tissue bed. Three-dimensional imaging is great, but it will not allow us to change the implant bed, only to identify the potential implant position. Our goal should be to harmonize the biology of an area with new materials, drugs, or instruments, not to sacrifice one for the other.

This brings me to my next point that sometimes we get bombarded by a multitude of course materials that advocate the merits of certain treatments that have the ability to achieve perfection, when in fact perfection is still elusive. The idea that technology can somehow replace sound surgical principles is something that is all too prevalent in today's throwaway literature. Continuing education is important, but it should not be tainted with the backdrop of a certain material or product. Clinicians perusing internet-based educational sites must exercise caution and evaluate these sites for bias and whether the information presented is substantiated as evidence-based data.

Quite frankly, there seems to be no end in sight for the continued expansion and change in Periodontology and continuing education is a fact of life. Technology is wonderful; it has made us rethink the way we go about trying to keep up. However, the bone cell, the soft tissue matrix, and the influence of drugs and systemic health are factors that we should not forget. We must continue to practice evidence-based therapy. We should remember our degrees are based on years of sound science, not short-term techniques.


1The President's Council on Bioethics. Staff Working paper: Distinguishing Therapy and Enhancement. Available from: [Last accessed on 2012 Jan 10].