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Medical Forum / General / Dentistry / June 2005

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Dental Office Chains

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David - 31 May 2005 17:52 GMT
Do you think there are any good chains out there
Or is private practice nearly always the way to go
Mark & Steven Bornfeld - 31 May 2005 19:01 GMT
> Do you think there are any good chains out there?
> Or is private practice nearly always the way to go?

    There is no such thing as a "good chain".  You are being treated by a
dentist.
    There may well be good dentists working there, but from everything I've
heard they are generally not treated well, and most leave to start their
own practices as soon as they can.  So if you do happen to get a good
dentist, it is quite likely that when you go back for a checkup a year
later, he/she won't be there anymore.

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

spondee@cox.net - 31 May 2005 20:50 GMT
>So if you do happen to get a good
>dentist, it is quite likely that when you go back for a checkup a year
>later, he/she won't be there anymore.

That's been MY experience.  On top of which, I've never gotten a
'good' dentist.  Only the mediocre that did no more damage!
spondee@cox.net - 31 May 2005 20:54 GMT
>> Do you think there are any good chains out there?
>> Or is private practice nearly always the way to go?

Ooops.  Forgot to say:  There are apparently some 'denture only'
clinics that are getting really good reviews from denture wearers.  

Don't have the names (2 of 'em), but remember they were in mid-west
and Denver????

I've heard that they even use GOOD labs or have their own!  (Half the
equation as far as I'm concerned - for dentures.)

No matter HOW good a dentist might be, if they use a low-quality
lab...

I know I sure wish we had one of these 'denture only' clinics here in
SD.
W_B - 31 May 2005 21:02 GMT
>I know I sure wish we had one of these 'denture only' clinics here in
>SD.

In my experience denture mills produce a poor quality product.

--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
spondee@cox.net - 31 May 2005 21:29 GMT
>In my experience denture mills produce a poor quality product.

Ahhh, but as compared too....

No dentures?
Dentures of a terrible quality???
Self-repaired dentures?

It's all a matter of perspective to the poor!
W_B - 31 May 2005 21:37 GMT
>>In my experience denture mills produce a poor quality product.
>
[quoted text clipped - 5 lines]
>
>It's all a matter of perspective to the poor!

Quality is quality, accept no substitutes.
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Bill - 01 Jun 2005 18:25 GMT
> >> Do you think there are any good chains out there?
> >> Or is private practice nearly always the way to go?
[quoted text clipped - 13 lines]
> I know I sure wish we had one of these 'denture only' clinics here in
> SD.

You can find a good number of denture clinics here in SD, despite the
fact that fewer and fewer people need dentures these days. More people
are keeping most of their natural teeth. And many of the folks who
would have worn dentures years ago, are now opting for implants
instead.

With a declining patient base, most of the "dentures-only" clinics have
taken on other types of dental treatment in order to expand their
revenues, but they still make dentures as they always have. In my
experience, the quality of their output varies widely.

And in California, unlike the other states, you also have to remember
that some dentists here have never attended an accredited dental
school. When you go to a chain-style volume-oriented mass clinic, and
you aren't familiar with your doctor, how much do you really know about
his education and abilities?

Good luck,
dentaldoc
spondee@cox.net - 02 Jun 2005 06:26 GMT
>You can find a good number of denture clinics here in SD,

Would you email me the NAMES of some of these???  I live in Central SD
area...

TIA
budgenator - 02 Jun 2005 01:29 GMT
I'm a tech my former employer/Dentist got into the mill business as an
employee at another office after he sold his practice, (love the new
owner). The biggest problem with these guys is they always get back to
where they want you to work too fast and too cheap; all they can think
of is production. When everthing goes well it's because they are
"good", when it doesn't it's always because you're "bad", so eventually
it start to drag your self-esteem down. They always want to talk about
a case too, which means how to try and fix something the Dentist
butchred. The cases that are presented to the mill dentist are more
challenging, because of the type of people that are attracted to the
mill dentist, they've run their mouths into the ground and expect a
"perfect"denture just because they've paid half the going rate.
Finally just when you've decided to invest in some capital equipment to
increase your productivity, they wig-out and run off to some other lab
offering them  $5.00 less than you were charging. Two months later they
come back and want you to fix junk they got from the other lab, and go
faster to catch up. Mill Dentist and Med Patient, same person,
different perspective.
If your a dentist, find a reasonably good lab, and treat them with
respect. In the long run it'll same you money, chairtime and help keep
you sane.
spondee@cox.net - 02 Jun 2005 06:46 GMT
>The cases that are presented to the mill dentist are more
>challenging, because of the type of people that are attracted to the
>mill dentist, they've run their mouths into the ground and expect a
>"perfect"denture just because they've paid half the goi

I must object to this!  It is a bigoted and uneducated statement!!!

I paid for YEARS, AND YEARS, for dental work, apio's, root canals,
posts,  crowns, bridges, flippers, partials, filling, re-fillings,
re-root canals, friggen forever!

I flossed, I brushed, I rinsed, I went to dentist AT LEAST once per
year.  I got consults!

Only to lose my teeth, mainly one by one, from what was diagnosed as
'dry mouth'.  Many, many years later, it was determined that the 'dry
mouth' was caused by the actual destruction of salivary glands (as are
my 'dry eyes') from undiagnosed Hereditary Hemochromatosis!

The ONLY thing that could have saved my teeth would have been
diagnosis & treatment years earlier.

Now that I'm totally disabled, including fighting off 4 unrelated
cancers (triggered by above genetic disorder),  And I'm living on
UNDER $900 a month you can bet your last penny I'm looking for the
highest quality, lowest cost denture I can find!

If I still lived in the city where I had most of my dental work; I'd
be going back to those dentists (who apparently didn't have a clue and
could care less about WHY I was losing my teeth) and  paid all that
$$$ to, and I'd tell 'em to their face that they OWED me a top notch
pair of choppers for half-price!!!
Dr Steve - 02 Jun 2005 12:18 GMT
Yes, I learned this thirty years ago.

Signature

~+--~+--~+--~+--~+--
Stephen [What's a Temporary?], D.D.S.
Michigan, USA
....................................................

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................

> I'm a tech my former employer/Dentist got into the mill business as an
> employee at another office after he sold his practice, (love the new
[quoted text clipped - 17 lines]
> respect. In the long run it'll same you money, chairtime and help keep
> you sane.
W_B - 02 Jun 2005 16:07 GMT
>If your a dentist, find a reasonably good lab, and treat them with
>respect. In the long run it'll same you money, chairtime and help keep
>you sane.

Have used the same prosthetics lab for 18 years.
Sure, labs fees have gone up, but so have mine.
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Vaughn Simon - 02 Jun 2005 16:48 GMT
>> Have used the same prosthetics lab for 18 years.
> Sure, labs fees have gone up, but so have mine.

    See?  Inflation!

Vaughn  ;-)
W_B - 02 Jun 2005 17:33 GMT
>>> Have used the same prosthetics lab for 18 years.
>> Sure, labs fees have gone up, but so have mine.
>
>     See?  Inflation!
>
>Vaughn  ;-)

Silly rabbit, kicks are for trids...
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
W_B - 31 May 2005 19:15 GMT
>Do you think there are any good chains out there?

No.

>Or is private practice nearly always the way to go?

Yep, at least for me.
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
David - 31 May 2005 20:42 GMT
Personally, my worst experiences were always with chains, so that i
why I asked, but I see your point that some young (but good) dentist
might work for a chain
posted at www.healthcareforums.org
W_B - 31 May 2005 20:48 GMT
>Personally, my worst experiences were always with chains, so that is
>why I asked, but I see your point that some young (but good) dentists
>might work for a chain.

It is a good way to gain some speed and experience for some recent grads.
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Steven Fawks - 31 May 2005 21:53 GMT
A down side is that not all young grads are good and all of the dentists
working for a given chain are forced to work under guidelines set up by
the chain to maximize profits.  Patient needs are secondary at best.

It might get you by in a pinch, but I wouldn't want to depend upon one
for my long term care.

Fawks

>>Personally, my worst experiences were always with chains, so that is
>>why I asked, but I see your point that some young (but good) dentists
[quoted text clipped - 6 lines]
> Take out the G'RBAGE
> wubbabubbazG@RBAGEyahoo.com
spondee@cox.net - 01 Jun 2005 07:05 GMT
>It might get you by in a pinch, but I wouldn't want to depend upon one
>for my long term care.

uh, don't have a choice...
 
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