The Journal of the American Dental Association
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J Am Dent Assoc, Vol 134, No 9, 1167.
© 2003 American Dental Association

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LETTERS

‘PATCH-AND-MEND’

Having just finished reading Dr. Donald M. Quinn III’s June JADA letter to the editor regarding "Teaching Students the Repair of Resin-Based Composite Restorations: A Survey of North American Dental Schools," by Dr. Valeria Gordan and colleagues in March JADA, I have to wholeheartedly agree with Dr. Quinn. When did "patch-and-mend dentistry" become the standard of care for this country?

I would like to know where Dr. Gordan gets her 20-micronometer explorers and electron-microscopic loupes that allow her to know if she’s removed all caries beneath the failing composites she wants to educate her students to repair.

The whole antimetal, bond-it-all philosophy was hard enough for me to ignore, but teaching students schlock dental techniques based on dental care rendered in countries where the care is regulated and monitored by the government? Trapping decay and everything it needs to progress beneath cosmetically refreshed restorations is not, in my opinion, a service to the patient.



Martin Margetis, D.D.S.

Sun City, Ariz.



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