Live data from Hacker News

The 'Irrational' Way Humans Interact With Dentists

npr.org

91–93 of 93 posts

Re: The 'Irrational' Way Humans Interact With Dentists

#91
post #50

I have about 5 dentists in my immediate family (grandfather, dad, dad's wife, aunt and uncle). My dad is the head of the Perio department in the Hadassah Dental School in Jerusalem. Naturally, I had my teeth checked twice a year like clockwork all my life. I have some gum issues, but never needed a filling. 6 month after moving to the bay area, I went to a local dentist for general checkup. He used the "laser thingy"…

Since you have so many dentists in your family, can you (or anyone else here) comment on the cost of dental care? Every time I go, I am absolutely floored by the prices. I haven't been for several years now as I've had no pain requiring immediate attention. My last experience with dentists was getting a tooth that had cracked in half examined. At that point I had some pain, but I use sensodyne toothpaste so it seems…

It has to be determined by specific market conditions. I don't think anyone practicing dentistry in Israel earns anything even close to the sums you mention. As you said, there could be an artificial shortage in dentists. When my father lived in the US, he worked as a researcher, but didn't bother getting a dentist license because the process was too complicated and time consuming.

Dentists don't like to quote prices because they want you to choose them based on their skills and reputation. Letting you shop around would turn this into commodity market. They do know (at least in countries without strange insurance habits) how much each procedure should cost and how much each of their friends asks for. This is not exactly collusion, but can contribute to price similarity. The same way that you can't find a decent DBA in the bay area for less than 100k. People usually know how much their skills are worth.

Hope this helped.

Re: The 'Irrational' Way Humans Interact With Dentists

#92
post #34
post #20

There seems to be a massive disparity in techniques and tools, too, though I am reporting only anecdotally. I recently got dental insurance again after a long time, and for better or worse started going to a dentist again. I picked him via "since I have no other metric to use I might as well pick the closest that takes my insurance". Somehow I stumbled onto an older guy with a lot of experience but who has also kept…

Can you name the dentist if they're in the Bay Area?

I had a very similar experience and found this dentist (Ravi Sahdev) in Palo Alto to whom I've referred half a dozen or more people from my company to and everyone has loved him. He's so much better than any other dentist that I've gone to that it's hard to describe. And he's very up to date on all the latest advances in dental technology and tools. The website makes it sound like it's primarily for cosmetic dentistry but he does normal family work as well.

http://www.cosmeticdentistpaloalto.com/

Re: The 'Irrational' Way Humans Interact With Dentists

#93
The conflict of interest problem could be significantly reduced by having a third party read the x-rays (i.e. make the interpretation of dental radiographs a radiology subspecialty or create a subspecialty within dentistry for doing this). This wouldn't have been very practical in the old days of film-based radiography, but with digital technology you could easily transmit all the images to a third party for reading. Having a dedicated specialist reading the x-rays would both address the conflict of interest problem (the specialist has no incentive to be biased; they'd get paid a flat fee to read the images and generate a report) and would very likely also improve the accuracy of cavity detection because the images would be read by someone who reads way more dental x-rays per day than any individual dentist ever would.
Post reply on HN