In
my thirty plus years
in dentistry, I have
never seen a more
concerted effort
by a specialty group
in dentistry to discredit,
to distort and to
misrepresent the
efforts of a man
who has been a giant
contributor to the
bulk of knowledge
of dental disease,
dental caries even
more than periodontal
disease. For forty
plus years Keyes’ contributions
to my profession,
dentistry dwarfs
the achievements
of 99% of us.
We should be paying
homage to this giant
of a man and certainly
by this time in his
life, he has earned
his recognized stature
as a man of unquestioned
integrity and honesty
in his research,
in his writings and
in what he has to
say. Would that the
same could be said
of all researchers.
Too, Dr. Keyes is
a man of the people
first, and his basic
commitment is to
humankind rather
than being focused
solely on the best
interests of dentistry.
This clearly antagonizes
a great many in our
profession. Every
dentist does not
want nor long for
effective and simplistic
answers to the major
diseases dentistry
deals with – even
if they do exist.
It seems to me that
my specialty, periodontics,
is currently in a
state of panic, in
large part secondary
to the efforts, the
contributions, the
observations and
the periodontal treatment
programs Dr. Keyes
currently espouses.
My colleagues are
especially in a state
of anxiety I believe,
because like it or
not, Dr. Keyes’ programs
really do work – at
least as well, and
I believe better
than the treatment
regimes advocated
and used by periodontists
heretofore.
And Dr. Keyes’ programs
not only work, but
at far less cost
to the patient — without
surgery; with far
less pain to the
patient; without
the patient outraged
tooth sensitivity
periodontal surgery
tends to develop;
with more effective
maintenance, via
microscopic monitoring,
than periodontal
surgery regimes;
and in my experience,
with fewer subsequent
relapses and case
failures than any
other approach to
periodontal treatment
I have been associated
with previously.
I have tried very
hard to understand
why periodontists,
generally, should
be so hostile to
Dr. Keyes, a man
who has contributed
so much over forty
years and a man who
has a better and
a more effective
methodology in treating
periodontal-pathologic
problems today than
have his peers.
Part of the answer,
I think, is in the
fact that Dr. Keyes
represents to a great
many periodontists,
a most imposing threat
to take from them
their Bard Parkers;
their Orban and Goldman
knives; their bone
burs and chisels,
etc. — and
more important than
any of theses, their
very large and impressive
periodontal incomes.
Actually, this
is a considerable
reason to be upset
with Dr. Keyes, I
concede.
Beyond this, there
is an integral part
of Dr. Keyes’ writings
that Dr. Chase and
other periodontists
who are outspoken
critics of D. Keyes
fail to mention.
It has to do with
Dr. Keyes’ observation
that using the conservative
therapeutic programs
he recommends, the
general dentist can
treat the great majority
of the periodontal
patients out to “high-fee” and “knife-happy” periodontists.
Herein, I believe,
really lies the rub
where Dr. Keyes is
concerned. Nothing
would exacerbate
outspoken hostility
among periodontists
more quickly than
the realistic and
valid suggestion
that the general
dentist can treat
the majority of his
patients using the
conservative treatment
Dr. Paul Keyes espouses,
and by-pass referring
his patients to the “cut-’em-ups”.
Paul Cummings, DDS |