Why do dentists have such a bad reputation compared to other kinds of doctors?
Why do dentists have such a bad reputation compared to other kinds of doctors?
The first dentist I ever went to was great. He was good with kids and adults, did his job and was realistic about kids being kids and gave us the tools and information to make sure our teeth were healthy. I had him all the way through my braces and into high school.
My next dentist was a horrendous, preachy, asshole who loved to tell all of his patients what was wrong with them and make people feel bad for their decisions to drink soda and surmised that we were all eating too much junk food (which he wouldn’t really elaborate on when asked). My diet wasn’t perfect, but I had mostly home cooked meals with steamed vegetables, usually.
He was also Mormon and I know a lot of Mormons love to get on their high horse and take pleasure in being petty, insufferable assholes. I haven’t read their batshit book (albeit, most in that genre are similarly zany and harebrained), but there must be some discussion on how to be a bad neighbor to everyone you meet in there based on their predilictions for judgement and exclusion. He also only hired other Mormon dentists to his practice and all the dental assistants were similarly preachy and religious. It was genuinely insufferable.
I ditched that asshole once I went to college and have had a couple dentists since then who were fine, did their job and didn’t give me a bunch of flak for not flossing after every meal like a fucking psychopath.
Fundamentally, I think the issue with dentists is that when you get a bad one, they make you feel bad, which is the absolute antithesis of healthcare.
Additionally, because of the arbitrary and asinine distinction in the US between oral care and basically the rest of the body, dentistry is seen as cosmetic and unnecessary, often allowing them to charge an arm and a leg for most of their services. Compound that with the ridiculous price setting and insurance rackets baked into anything close to the health sector, and you have a lot of frustration even before patients get into the chair.
If you’re not a dentist who will practice compassionate care, at least be one who just shuts the fuck up and does their job. Of course let the patient know what’s going on in their mouth and how they can better take care of themselves or treat something they’re dealing with, but chill the fuck out with the fire and brimstone shit about missing a cleaning or not flossing all the time.
Healthcare is all about bedside manner and if you don’t have it, you’re not a good provider and your business can and should suffer (the fact that our healthcare structures are businesses and profit motivated is fundamentally opposed to effective care, anyway, but that’s the subject of another essay).
Additionally, because of the arbitrary and asinine distinction in the US between oral care and basically the rest of the body
You’ll be (un)happy to know that your neighbours to the north suffer from same affliction. We have universal healthcare, but teeth aren’t part of the body apparently, so that’s not covered.
Always a fun time to go to a medical professional and feel like you’re talking to a used car salesman who is trying to upsell you on a useless/unneeded procedure.
Exactly what I want from my medical “professional” lol.
If I’m not haggling them or any other business/provider down to a price that barely doesnt make me cry, I haven’t had a fun day.
/s
Stay strong, neighbor. You sound like a good one.
This is compounded by the fact that people don’t take care of their teeth so feedback from dentists is almost always poor
I love the way this conversation is usually “What type of toothbrush are you using again?” “Uh, the spinny one you get from the supermarket, it’s disposable so I have to buy one every month, but it seems OK”, “Ah no, what you need is the $250 Philips SuperScrubacare Plus, which has bristles on the end of the bristles, and on the end of those bristles are more bristles, and on the ends of those are little robots with tiny vacuum cleaners and flame throwers. Those really kill plaque. Also stop eating so much sugar.” “Ummm OK” “Anyway, we’re done. Here’s a cheap ass regular unpowered toothbrush. And a starlight mint.”
Yeah, most supermarkets have them where they have regular toothbrushes. Usually aimed at kids. At least in the US:
Some examples:
www.amazon.com/…/B003CP12QG/ www.amazon.com/…/B07J9W7TP7 www.amazon.com/…/B001J4ID5K
Wow, why though? Why not just let the user change the batteries or charge them like normal electric toothbrushes?
And why would you buy these instead of a normal re-usable one?
Well that’s not really disposable then, that’s just a normal electric toothbrush.
You have to replace the cleaning bits, no toothbrush head is good to use for more than like 2-3 months.
There are two problems here:
Most of the disposable toothbrushes don’t have the ability to replace the heads. Some of them do, as the GP mentioned, but most don’t in my experience.
The ability to replace the heads is not the same thing as actually being able to find the heads in the store that sold you the toothbrush.
The entire assembly costs typically something in the same ballpark as a head replacement anyway.
The entire assembly often costs less to replace on a regular basis than the heads for, say, the Sonicare (www.amazon.com/…/B078BF27BF - $24 for 3 heads at the time of writing, compare this to the $10 two pack of disposable brushes, $8 for the “right” way, $5 for the disposable route, and that’s not including the cost of a Sonicare system to begin with)
Most of these disposable systems are cheap in every sense of the word (cost and build quality) and not really intended to be used for a long period of time.
From a consumer standpoint, they make a lot of sense. From an environmental standpoint, not so much. How did we get here? Well, Sonicare would probably argue they make a superior brush and therefore can charge more which may or may not be true. More likely the volumes involved combined with the “Upscale”/“Downscale” marketing associated with each brush makes it genuinely much, much, cheaper to create an all-in-one unit that’s only supposed to last a month compared to the alternatives.
I find the disposable ones are overall cheaper and the batteries last about as long as the brushes. Unless you are inclined to replace your head often as such people may be than they might be a better option.
They are more like vibrating brushes and reality is quite simple in design. Less complex then the replaceable heads that have moving parts and seals etc. After using both, I find that work just as good and both are noticeably better than non electric brushes.
Do they? Well most people dislike dentists because it’s very uncomfortable to have someone messing about in your mouth, and many things dentists do (cleanings, some surgeries) hurt or leave you uncomfortable for a long time after, and most people think of it as mostly aesthetic. Compared to say, a surgeon that might be similar but is saving your life, or a family medicine doc that at most puts a piece of wood on your tongue.
Also, dentists go to dentist school, not med school (in most countries at least). Dent is easier to get into, and is usually a shorter time to get your degree. Some people think this devalues dentistry, and say dentists aren’t as good as “regular” doctors because of that. It’s not valid, dentists are very good at what they do, so don’t stress it.
My mother in law was an office manager at a dentist. Dentists have sales quotas and have bonuses to everyone in the office for upselling.
You go in to a medical professional for health care and advice and they try and sell to you.
I think one of the problems is even determining where that line is.
I think my dentist is “good” and they have NOT been pushing things like veneers or whitening.
However I’ve lucked out with good teeth so they are almost never fixing problems I currently have. However as I get older, they’ve started recommending more serious preventative measures. However I have no way of knowing whether I actually need them or if they are superfluous.
It’s coming down to having a dentist who I trusted very much. However he retired and sold his practice, so do I trust the new guy?
They’ve been mentioning for years that I need to replace my fillings with crowns. I didn’t do anything until I cracked a tooth. I learned my lesson and am working on getting crowns for the teeth that have the most fillings.
So… It might not happen right away for you, but they’re not warning just because they’re trying to make money.
You go in to a medical professional for health care and advice and they try and sell to you.
You obviously were not at my last ED visit.
What’s the difference between a dentist and a sadist? Newer magazines…
— via Seinfeld
I recommend reading this article “I Went to 50 Different Dentists and Almost All of Them Gave Me a Different Diagnosis”:
Went to a new dentist once and transferred my X-rays from my previous dentist. He told me I had 6 cavities.
Wow, don’t you think my previous dentist would’ve told me I had 6 cavities if I really did when he took the X-ray?
Went to another dentist for second opinion and never heard anything about 6 cavities again.
I’ve now moved on to another dentist and still nothing about 6 cavities.
However, I notice all dentists are always looking to add on extra treatments for deep cleaning or extra fluoride or whatever. It’s all about money.
You can’t trust dentists because they’re all conflicted by the business component of their work. This makes many of them scammers willing to damage your teeth to make a buck. You gotta look out for yourself, get second and third opinions and don’t be afraid to drop someone.
In Canada it’s two reasons:
These are the same reasons I don’t trust Veterinarians, or Chiropractors.
I know several people who are afraid of getting dental work because they are afraid that they’ll get assaulted while being put under.
It’s not so much now, but during the 80s and 90s there was an epidemic of that happening.
The SOUNDS!
I think by far that is one of the biggest issue that people have.
Being so up close and personal doesn’t help either. They have to violate your personal space more than regular doctors typically have to. Like literally the entire time you are there, they have to be up inside you.
Oh yeah, and did I mention the SOUNDS?!
This reminds me of a joke: What do you call a person who fails medical school?
A dentist.