Live data from Hacker News

A new dental scam is to pull healthy teeth to sell you expensive fake ones

arstechnica.com

51–60 of 350 posts

Re: A new dental scam is to pull healthy teeth to sell you expensive fake ones

#51
post #33

My wife, who is a recent immigrant to the US, when she goes to get her teeth cleaned here is what happens: dental hygeniest does there thing, X-rays are taken that weren't asked for, dentist come in to review the photos, sure enough her mouth is falling apart and she has loads of cavities, then they want to discuss a treatment plan. When she gets home we discuss it and agree $8000 in Invisalign is a bit excessive. Th…

Run away when you hear “treatment plan” because you are about to be robbed.

Re: A new dental scam is to pull healthy teeth to sell you expensive fake ones

#52

This might sound stupid but I refuse to go to dentists that have "too nice" of an office. Over the years I have lived in several places and had a variety of dentists and one common theme that sticks with me, the nicer and higher tech the office is, the more procedures they are going to recommend you. They need to pay for the equipment and office somehow. I've had one dentist say I need 3 cavities filled. That I neede…

This also applies to several other competitive industries with asymmetric information — auto repair, plumbing, and HVAC come to mind. Consumers have to place their trust in someone. It always pays to be an informed consumer. Sometimes, I guess you have to pick and choose your battles.

Re: A new dental scam is to pull healthy teeth to sell you expensive fake ones

#53

This might sound stupid but I refuse to go to dentists that have "too nice" of an office. Over the years I have lived in several places and had a variety of dentists and one common theme that sticks with me, the nicer and higher tech the office is, the more procedures they are going to recommend you. They need to pay for the equipment and office somehow. I've had one dentist say I need 3 cavities filled. That I neede…

My dentist has one of the most state of the art facilities I've ever seen. On my first visit they told me I needed 2 fillings and a cleaning and sent me on my way.

> This has happened to me before when i went away to college my childhood dentist said I had cavities that I needed to fill. When i got to college and went to the dentist there, they couldn't find a problem.

The college dentist could also just be wrong.

Re: A new dental scam is to pull healthy teeth to sell you expensive fake ones

#54

This might sound stupid but I refuse to go to dentists that have "too nice" of an office. Over the years I have lived in several places and had a variety of dentists and one common theme that sticks with me, the nicer and higher tech the office is, the more procedures they are going to recommend you. They need to pay for the equipment and office somehow. I've had one dentist say I need 3 cavities filled. That I neede…

When I started working at Amazon in 2014 I had a number of coworkers from India and Taiwan whose dentists had convinced them that they needed professional teeth cleanings every 3 months. I didn’t say anything as I am not a dental expert, but it felt like my coworkers were being taken advantage of. Like you I had an experience as a child with a dentist who my parents later found out was full of B.S.

While in LA, we shopped around for dentists. Several of the smaller places took advantage of the fact we had good insurance and insisted they had found several cavities (11 in once case). Having never / rarely had cavities, we were skeptical and tried other places.

Since moving back to MN, where lack of insurance is less common, we do not have this problem.

The only remaining scam is xrays.

Re: A new dental scam is to pull healthy teeth to sell you expensive fake ones

#55

It's a bit off topic but I often wonder why dentistry is not a specialization of medicine (like e.g. dermatology) but is its own separate thing, with separate insurance, etc. Dental health is part of being healthy. A lot of dental work is surgery. To me, it should be part of regular medical care.

Being separate, it seems distinctly less evidence based as well.

Not sure that is the case. The base science and recommended practices seems pretty much as a solid as any other speciality (imperfect as they all are). It really is the case that cavities are bad. We understand what causes them, how they grow, risk factors and how to treat them.

But ... the business model and incentives are different. A general practice MD, doesn't get a cut of revenue when they write a prescription. The incentives are closer to a plastic surgeons. And you can see similar lapses of ethics in that field.

Re: A new dental scam is to pull healthy teeth to sell you expensive fake ones

#56

This might sound stupid but I refuse to go to dentists that have "too nice" of an office. Over the years I have lived in several places and had a variety of dentists and one common theme that sticks with me, the nicer and higher tech the office is, the more procedures they are going to recommend you. They need to pay for the equipment and office somehow. I've had one dentist say I need 3 cavities filled. That I neede…

When I started working at Amazon in 2014 I had a number of coworkers from India and Taiwan whose dentists had convinced them that they needed professional teeth cleanings every 3 months. I didn’t say anything as I am not a dental expert, but it felt like my coworkers were being taken advantage of. Like you I had an experience as a child with a dentist who my parents later found out was full of B.S.

I'd get a professional teeth cleaning every 3 months if my insurance covered it

Re: A new dental scam is to pull healthy teeth to sell you expensive fake ones

#57
post #33

My wife, who is a recent immigrant to the US, when she goes to get her teeth cleaned here is what happens: dental hygeniest does there thing, X-rays are taken that weren't asked for, dentist come in to review the photos, sure enough her mouth is falling apart and she has loads of cavities, then they want to discuss a treatment plan. When she gets home we discuss it and agree $8000 in Invisalign is a bit excessive. Th…

This was 100% my experience in Los Angeles, and nowhere else.

Re: A new dental scam is to pull healthy teeth to sell you expensive fake ones

#58
This is my fear of the dentist. Not of the procedures themselves--I'm fine with that. It's not even the cost of those procedures. It's replacing perfectly good natural teeth with man-made facsimiles when it doesn't need to be done. Fillings, implants, etc. will all need continual maintenance and replacement eventually when my natural teeth (if they're perfectly healthy) will likely be fine as-is.

Re: A new dental scam is to pull healthy teeth to sell you expensive fake ones

#59

I looked into this "ClearChoice" company and unsurprisingly it's private equity owned through a chain of sketchy intermediaries. If you're having any sort of medical or other work done make sure the company is not PE owned or affiliated. The best way to check that I've found is to look for press releases. In this case there's a press release from 2020[0] about "The Aspen Group" acquiring ClearChoice. The Aspen Group…

Is there a case where a private equity organization has been proven not to be shady? Would love some examples.

"Warren Buffett: Private Equity Firms Are Typically Very Dishonest" - https://youtu.be/r3_41Whvr1I

Re: A new dental scam is to pull healthy teeth to sell you expensive fake ones

#60

This might sound stupid but I refuse to go to dentists that have "too nice" of an office. Over the years I have lived in several places and had a variety of dentists and one common theme that sticks with me, the nicer and higher tech the office is, the more procedures they are going to recommend you. They need to pay for the equipment and office somehow. I've had one dentist say I need 3 cavities filled. That I neede…

When I started working at Amazon in 2014 I had a number of coworkers from India and Taiwan whose dentists had convinced them that they needed professional teeth cleanings every 3 months. I didn’t say anything as I am not a dental expert, but it felt like my coworkers were being taken advantage of. Like you I had an experience as a child with a dentist who my parents later found out was full of B.S.

Atleast a professional cleaning has an immediate positive impact, even if it is superficial. If I could afford it I would do them monthly.

But I also have felt like I was being taken advantage of by dentists who had bills to pay. I also am pretty sure one caused pain on purpose because I had missed an appointment and rescheduled. With 15 years more life experience, if that were to happen again I would just leave.

Post reply on HN