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Medical Forum / General / Dentistry / March 2008

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Consumers book on dentistry

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fredq@comcast.net - 23 Feb 2008 03:11 GMT
There have been books written to help dentists sell dentistry.  It has
been a long time since one was written to help the consumer to know
when to look out.  Open Wider: Your Wallet Not Your Mouth is such a
book.  It became avaliable on Amazon.com 3 weeks ago.  100% of
patients who have read it loved it.  I have had over 1100 negative
messages from dentists.  This tells me those who overtreat do not like
it.

My guess is 20 to 30% of crowns that are done leave the patient less
well off than if the tooth were not touched.  Only about one buildup
in 20 is needed but they cost up to $300.  90% of buildups are done by
5% of dentists.  Some dentists with eleastic ethics will charge for
two buildups for each crow.  This is impossible.

Only about one third molar, wisdom tooth,  in 7 need to come out. This
is a three billion dollar a year business.  Some people die from the
anesthesia, one in 300,000 to 700,000 about 1 in 1,000 end up with a
numb lip.  You have a greater chance of having breast cancer or
prostate cancer but we do not remove either from our 16 year olds.

this is a very easy read.  It is written in people talk not dentist
code.  There are 400 pages packed with information the smart dental
consumers need.

For more information go to http://openwideryourwallet.blogspot.com or
http://openwider.org

Fred
fredq@comcast.net - 26 Feb 2008 00:09 GMT
On Feb 22, 7:11 pm, fr...@comcast.net wrote:
> There have been books written to help dentists sell dentistry.  It has
> been a long time since one was written to help the consumer to know
[quoted text clipped - 23 lines]
>
> Fred

The negative responses from dentists is now over 1400.  I think we hit
a a sore point with over treating over charging dentists.

Fred
letsconnect - 26 Feb 2008 17:19 GMT
On Feb 26, 1:09 am, fr...@comcast.net wrote:
> On Feb 22, 7:11 pm, fr...@comcast.net wrote:

> The negative responses from dentists is now over 1400.  I think we hit
> a a sore point with over treating over charging dentists.
>
> Fred

Last time I looked, it was 1276 (not over 1400) *replies*. This is not
the same as "negative responses". A lot of posts within the thread
weren't direct responses to the book, and the majority of posts were
written by a handful of individuals (not all of them were dentists,
either).

My worry is that, while there is a need for a consumer's guide to
dentistry, the book is likely to use similarly twisted "statistics"
and sweeping generalisations, which ultimately don't help patients.

Don't get me wrong, I reckon the idea itself is great - but a more
objective re-write, taking into account some of the criticisms leveled
at the current version, would be appreciated.
Steven Fawks - 27 Feb 2008 02:42 GMT
He's probably adding in the ones on the Internet Dental Forum, but
none of them have said, "Atta boy Fred", so I'm sure they are all
considered by him to be negative.

There certainly are crooks in the dental field.  Some of them have
been fostered by the dental insurance companies themselves.  Some
would be crooks on their own.

However, most dentists are trying to do right by the
patient and the dental profession.

The lack of knowing your dentist as a person, and the dentists
knowing their patients has led to a depersonalization of dental
care, yet it is a very personal encounter.  The same thing has
happened with eye care, pharmacy, medicine, you name it.  Services
are viewed more as commodities, yet there is no correlation at
all.

It's much easier to cheat someone that you don't know.  The patient
sometimes doesn't pay the bill, and the professional sometimes
charges too much, or delivers too little.

Sign of the times I guess.

:-(
Steve

> Last time I looked, it was 1276 (not over 1400) *replies*. This is not
> the same as "negative responses". A lot of posts within the thread
[quoted text clipped - 9 lines]
> objective re-write, taking into account some of the criticisms leveled
> at the current version, would be appreciated.
drkulacz@optonline.net - 27 Feb 2008 04:24 GMT
> He's probably adding in the ones on the Internet Dental Forum, but
> none of them have said, "Atta boy Fred", so I'm sure they are all
[quoted text clipped - 38 lines]
>
> - Show quoted text -

Dartos (Steve Fawks) has made some valid points.
It is unfortunate, as Dartos states, that this is the sign of our
times.
We seem to be regressing instead of progressing as a society in areas
such as honesty, integrity,
empathy, responsibility etc.
It is my hope that the professions that take care of human beings such
as the medical professions
do not follow the lead of greed but instead treat all patients as they
would treat themselves and their families.
Mark & Steven Bornfeld - 26 Feb 2008 17:51 GMT
> There have been books written to help dentists sell dentistry.  It has
> been a long time since one was written to help the consumer to know
[quoted text clipped - 24 lines]
>
> Fred

Fred:

    If you're looking to inform patients, why would you "guess" how many
crowns hurt patients?  Are your criteria included in the book?
What is the source of your assertion that "90% of buildups are done by
5% of dentists?  For that matter, what is your basis for stating that
"only 1 (wisdom tooth) in 7 needs to come out"?
    Few people are more cynical about what motivates people than I am, and
that includes cynicism about my own profession.  But there's a fine line
between informing and yellow journalism.
    BTW, since you claim many dentists overtreat (I don't know, but I'm
inclined to think you may be right), I think it may be pertinent to
clear up an item in your bio.  You state that you have done "quality
reviews for 15 years".  These reviews may of course be in your capacity
as faculty for U. Washington.  But might there also be a connection to
(for example) any insurance companies?  And what are the rules in
Washington about announcing yourself as a dental anesthesiologist (and
why would your page state that dental anesthesiology "is not a specialty
of the ADA"?

Just wondering,
Steve

Signature

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

Mark & Steven Bornfeld - 26 Feb 2008 19:11 GMT
> Fred:
>
[quoted text clipped - 18 lines]
> Just wondering,
> Steve

    I do see that you are a diplomate of the anesthesiology board. Forgive
my misreading of your qualifications.

Steve

Signature

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

fredq@comcast.net - 03 Mar 2008 07:08 GMT
On Feb 26, 9:51 am, Mark & Steven Bornfeld
<bornfeldm...@dentaltwins.com> wrote:
> fr...@comcast.net wrote:
> > There have been books written to help dentists sell dentistry.  It has
[quoted text clipped - 53 lines]
> Brooklyn, NY
> 718-258-5001

The ADA requires that we place the disclaimer because dental
anesthesiology is not a specialty of dentistry.  I did complete a one
year resideny in 1964 and am a diplomate of the American Board of
Dental Anesthesiology and the National Board of Dental Anesthesiology
and I am a fellow of the American Dental Society of Anesthesiology.  I
am also a member of the American Society of Dental Anesthesiology.
This membership is only open to those who have completed a residency.
I did a one-year residency that was accepted because it was done in
1967.  It no requires a full two-year residency for membership.  This
does qualify me to be a dental anesthesiologist so long as I note that
ADA does not have an anesthesiology residency.

I do quality reviews for about 5 union and employer welfare trusts.
They are different from insurance companies as they are not sold to
businesses or individual.  They are well funded and only want their
funds to be well spend.

Fred
Steven Bornfeld - 03 Mar 2008 13:36 GMT
> The ADA requires that we place the disclaimer because dental
> anesthesiology is not a specialty of dentistry.  I did complete a one
[quoted text clipped - 14 lines]
>
> Fred

    I was indeed surprised to check and find you were correct--that the ADA
does not recognize the specialty of dental anesthesiology.  I do
remember when oral/maxillofacial radiology was included.
    I am well-acquainted with union welfare fund benefit plans.
Thanks for the clarification.

Steve

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