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Medical Forum / General / Dentistry / March 2006

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Re: Differing dental opinions

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sherovo - 07 Mar 2006 10:01 GMT
Hi there,

In Sept 05 I attended my current dentist to have root canal on one of my
teeth. He also put a crown on it after a subsequent visit. X-rays were
performed at the time.From this he identified 8 fillings that needed to be
looked at.

I have no problems so far, I took it on the chin and got the fillings and
crowns sorted out. Since that time I have practiced very good oral hygiene
with brushing twice a day and flossing once a day.

Fast forward to two weeks ago when I went to another dentist because I
thought I had chipped one of my teeth. He took x-rays and advised that there
were 6 other filling that are required. 4 of them on the teeth my current
dentist already worked on a couple of months earlier.

I'm booked in to see my current dentist in a couple of weeks and I will be
taking this other dentists x-rays with me to find out whats going on.

Can anyone enlighten me on the discrepancy between both dentists considering
the short amount of time that has elapsed? Has this happened to anyone else?
Joel344 - 07 Mar 2006 12:19 GMT
This happens every day of the week. Who is right? Its hard to say ....
some dentists are conservative while others will drill anything, ofte
with good results. So number ONE is to find ONE dentist you trust, no
three or four.

Its like a stew .... three or four cooks and the taste leaves yo
feeling flat.

Joel

sherovo Wrote:
> Hi there,
>
[quoted text clipped - 26 lines]
> the short amount of time that has elapsed? Has this happened to anyon
> else

--
Joel34
george1234 - 15 Mar 2006 18:47 GMT
>This happens every day of the week. Who is right? Its hard to say .....
>some dentists are conservative while others will drill anything, often
>with good results. So number ONE is to find ONE dentist you trust, not
>three or four.

I don't diasagree but even trust alone is not a good measure fo good
practice.

I had the same dentist who provided consistent good conservative care
from 1980 to 2002. After I moverd to another state I got  advice that
much of the work needed re-doing (leakage around the margins of
amalgam fillings) This advice, I got more than one opinion in
searching for a new dentist,  was consistent.  The number of teeth
involved varied, but the general advice was similar

I'd say stick with someone you trust, but have your teeth evaluated by
another group every once in a while to see if you are missing needed
work.

The second advice is to distinguish between emergant and non emergant
problems. Not all work needs to be done right away. The first dentist
might have been waiting for an appropriate time to begin the rework.
Some dentists do the minimum to keep you out of pain, others will try
to give you a movie star smile. Decide which end of the spectrum you
prefer.
Bill - 15 Mar 2006 21:24 GMT
George1234 wrote:

>I'd say stick with someone you trust, but have your teeth evaluated by
another group every once in a while to see if you are missing needed
work.
_________________________________

What about the possibility that the other "group" might be composed of
aggressive dentists who have a philosophy of replacing every filling
that they didn't place themselves?

Such practitioners used to be rare, but I'm running into more of them
every year. That means the chance of encountering two in a row are
increasing.

Trust is still the biggest factor -- and the trust should be based on a
track record as reflected by well-treated patients.

When my relative moved out of town and sought the advice of a friend to
find a new dentist, she was directed to a dentist who wanted to "re-do"
her existing fillings. This was a well-established, trusted dentist in
that community.

My relative didn't feel comfortable with the idea of such immediate,
massive changes. She came back to my town over the weekend and I found
that she needed NO fillings replaced!

My relative remarked that her "friend" also seemed to have crowns and
porcelain restorations on almost ALL of her teeth. Which leads to the
earlier message from george1234:

>"Some dentists do the minimum to keep you out of pain, others will try
to give you a movie star smile. Decide which end of the spectrum you
prefer."

Good advice! I would only add that it isn't necessary to pick an END of
the spectrum. Most people are better served with something in between,
which preserves and protects health LONG before "pain" is likely, but
does not go overboard in replacing healthy, normal, functioning teeth
with unnecessary porcelain.

- dentaldoc
george1234 - 16 Mar 2006 23:37 GMT
>Trust is still the biggest factor -- and the trust should be based on a
>track record as reflected by well-treated patients.

Could be.. but  the ADA suggests a second opinion

"Says the ADA's Dr. Seldin, "We encourage patients to seek out -
certainly if there's a lot of work to be done - second or third
opinions so they can have comfort with the practitioner's
recommendations."

Which comes from this classic article on the differences in dental
recommendations

http://www.jimaubrey.com/honest.html
 
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