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John Savage
medicine forum beginner
Joined: 15 Aug 2005
Posts: 3
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 Posted: Thu Jun 29, 2006 3:38 am Post subject:
Re: Elmer's Glue as a temporary filling
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"Alexander Vasserman DDS" <purple543210@yahoo.ca> writes:
| Quote: | Beach Runner wrote:
On really major work, it is wise to get a second opinion,
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Even for minor work, too. What's the point of paying to have a cavity
filled when there wasn't one to start with, not until the dentist started
drilling, that is.
| Quote: | as many
dentists
are not honest.
How do you figure that? Did you do a study? Do you have numbers as to
what you consider many? Is it just in your neighbourhood or worldwide?
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I think it's probably worldwide. When there is money for the taking,
it's a basic human failing that many will find it hard to resist. I know
a survey was carried out here in Australia, with a number of people sent
to dentist after dentist obtaining quotations for any work that the
dentist found needed doing. The disparity in the number of cavities and
even root canals that needed doing was astounding, to say nothing of the
wide variation in prices per item. The subjects were then examined by the
head of the state's foremost dental authority who found that one subject
had a single minor cavity, and the others had none and no other dental
problems.
| Quote: | And if you have doubts about doing major work because of trust why do
you even do simple treatment wih a dentist you do not trust.
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In the way of health treatments, it's often only after you've been
treated by a health professional that you are able to make a personal
judgement. Recommendations by other clients for other work is just that,
not a guarantee of satisfaction for your own set of conditions.
--
John Savage (my news address is not valid for email) |
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Alexander Vasserman DDS
medicine forum Guru Wannabe
Joined: 06 May 2005
Posts: 204
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| Posted: Sat Jul 01, 2006 6:05 am Post subject:
Re: Elmer's Glue as a temporary filling
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John Savage wrote:
| Quote: | "Alexander Vasserman DDS" <purple543210@yahoo.ca> writes:
Beach Runner wrote:
On really major work, it is wise to get a second opinion,
Even for minor work, too. What's the point of paying to have a cavity
filled when there wasn't one to start with, not until the dentist started
drilling, that is.
as many
dentists
are not honest.
How do you figure that? Did you do a study? Do you have numbers as to
what you consider many? Is it just in your neighbourhood or worldwide?
I think it's probably worldwide. When there is money for the taking,
it's a basic human failing that many will find it hard to resist. I know
a survey was carried out here in Australia, with a number of people sent
to dentist after dentist obtaining quotations for any work that the
dentist found needed doing. The disparity in the number of cavities and
even root canals that needed doing was astounding, to say nothing of the
wide variation in prices per item. The subjects were then examined by the
head of the state's foremost dental authority who found that one subject
had a single minor cavity, and the others had none and no other dental
problems.
Asking different dentists how they solve any problem they see is not a |
study.
There is a great deal of variation between any dentists experience and
philosophy of treatment so it is not surprising you will get a
significant differences in the treatment plan.
Also the conversations this patient had with each dentist was different
and some dentists will look deeper at the patient's wants as the final
outcome of treatment where others may not say anything and make the
decision for the patient based on what they think ideal teeth should
look like and how they should function.
As an analogy, if you asked 30 artists to make a statue of George
Washington to go into a library to fix the empty space problem, you
will get 30 different statues out of 30 different materials with
significantly different costs. Dentistry is very similar to this
despite what you might think. There is no one way to fix a problem,
there is no one material to use, each dentist and lab have different
artistic abilities and may adjust the treatment plan accoardingly to
get the best result in their hands, There are different interpretations
of severity and at what time to treat a certain problem, there is the
factor of additional and variety of education that may allow one
clinician to see a more serious underlining problem than another
clinician. Finally there is the patient that may express cosmetic
concerns that one dentist may pick up an not another. Or it could be
the dentist that spots a cosmetic concern and may suggest this to the
patient creating a modification in the treatment plan.
The reality of what you said "Do what the patient needs" is that nobody
needs anything. People do not need teeth.Teeth are not a requirement to
lead a productive healthy life.
If you do not have teeth you will not get periodontal disease and if
anything your risk of having a heart attack decreases due to the direct
link of heart disease to the bacteria in the mouth responsible for gum
disease. How about no more problems with TMJ, etc...
If you think about it from this angle, it's not what the patient needs
its what they want to have in their mouths and what they are willing to
live with. Are they comfortable of waking up next to their significant
other with no teeth? Do they want to be able to chew meat, etc...? Do
they want to have a normal looking face? The list goes on as to why
people desire to have teeth and in some cases a hollywood smile.
This does not mean I am indorsing or believe that people should go out
and pull all their teeth? No. It is just that when I treatment plan a
patient I do it from the paradigm that people do not need anything
done. The patient then tells me what kind of mouth they want to have
that is do they want to be decay free, healthy gums, use floss
threaders or not, do they want white straight teeth or none at all, or
crocked yellow and worn but their own? Using this information I then
come up with a method or my plan to make the patient happy. I simply
present choices and consequences of what I believe based on my
experience may happen, and the patient decides what they WANT and how
fast they want to finish. Assuming what they want sits with my ethics
and experience for success that is what they are asking is realisticly
possible to achieve, I give it to them and everyone is happy.
Furthermore your comment Worldwide, there are places in the world where
being a dentist is not very lucrative and yet there are people who do
not understand the above and will still claim that somebody is trying
to rip them off.
| Quote: | And if you have doubts about doing major work because of trust why do
you even do simple treatment wih a dentist you do not trust.
In the way of health treatments, it's often only after you've been
treated by a health professional that you are able to make a personal
judgement. Recommendations by other clients for other work is just that,
not a guarantee of satisfaction for your own set of conditions.
--
John Savage (my news address is not valid for email) |
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