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Routine dental X-rays are not backed by evidence

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211–220 of 390 posts

Re: Routine dental X-rays are not backed by evidence

#211
And why is dental insurance in the USA picking up the bill? I haven’t directly paid my dentist for these annual exams in quite a long time.

The X-rays I can probably avoid the next time, but I feel the cleanings do really help. I used to have bad plaque build up on my incisors but keeping up with the cleanings and improving flossing technique keeps it at bay.

Re: Routine dental X-rays are not backed by evidence

#212

Remember that a dry mouth etches teeth away due to higher acidity levels. Drink lots of water folks.

any suggestions for waking up with a dry mouth daily?

you can pack your mouth with cotton balls before going to sleep! very effective at producing a dry mouth.

Re: Routine dental X-rays are not backed by evidence

#213
post #193
post #190

Earlier quoted context omitted.

I strongly suspect my dentist is making shit up, too. I had to refuse a couple of expensive treatments. The main goal seems to be to “use up” my dental insurance more than anything.

My dad has been a dentist for 30+ years and retired a few years ago. Recently he did some 3-month contract work for a very large dental chain, let’s call it Penass. I’ve never seen him so depressed in my live. He said that Penass’s business model was all about running up insurance and selling loans for large operations. He was directly encouraged to do extra, not necessary work to run up the bill. He came out of reti…

Hard agree. I left a local office that was staffed by a variety of dentists, and opted for one that had one specialist per procedure - one regular dentist, one implant specialist, etc.

Not only do you actually get to see the same person on every visit, they're not as likely to do this sort of thing.

Re: Routine dental X-rays are not backed by evidence

#214
post #11

> "Financial aspects of dental radiography also deserve further study," Feit added No joke. That is a major money maker. There is minimal cost per-use and your insurance pays $200 for it (my last one was $186.00 for instance). The dentists would be crazy not to recommend them as of often as possible. Fluoride "rinses" are likely up there too. Rinse for a few seconds and they charge the insurance $50 or something for…

Fluoride rinses on plan are not covered and cost $25 out of pocket. I did it once and didn’t feel it added anything to the cleaning.

Re: Routine dental X-rays are not backed by evidence

#216
post #29

Isn't flossing not supported by science also, but all the news articles said you should keep flossing?

That's one of those statements, like a natural empiricist saying they don't believe in the big bang, that people tend to latch onto and run with without stopping to evaluate. Flossing daily isn't necessary if you're an adequate manual brusher. Relatively few people are adequate manual brushers. Buy a good electric toothbrush, floss periodically.

> floss periodically

I used to do this periodically because I hated doing it. But as a result, plaque would build up. Especially on the front bottom incisors.

Eventually added it to my daily routine after the nth time being told to floss daily. And now my dental cleanings are more like spot checks.

I suppose it’s anecdotal and unique to everyone though. Something about mouth flora.

Re: Routine dental X-rays are not backed by evidence

#217

Earlier quoted context omitted.

Here’s a good answer that tracks with what my parents, who are dentists, told me: https://www.reddit.com/r/explainlikeimfive/s/H4MsnWKatM > For the longest time, surgeons, dentists and optometrists weren't part of the medical profession. You'd have a barber who could give you a shave or pull your teeth, or a butcher who could cut up a hog, or cut off your gangrenous leg. Optometrists were craftsmen who made the spect…

A friend of mine is an orthopedic surgeon and says he's basically a carpenter.

I once made the mistake of observing to my dentist that every tool he was using to fill my cavity looked like a smaller version of something I could buy at Home Depot, to which he cheerfully responded: "yup!" and carried on drilling.

Re: Routine dental X-rays are not backed by evidence

#218

Earlier quoted context omitted.

this is it right here - 'use up your dental insurance'.

And it is the biggest reason we need universal healthcare.

I would say education is a more appealing solution to this problem than universal health care.

People similarly get unnecessary work done on their car to boost dealership profits.

Do you want to create a government agency to budget how much we can all spend on car repairs and then take it out of our taxes?

Re: Routine dental X-rays are not backed by evidence

#219

Earlier quoted context omitted.

Slightly worrying that evidence-based dentistry wasn't the default position (though not surprising). I'm always kind of amazed that when I look up the robust evidence for even things as common as flossing, the evidence just...doesn't seem to be there. Let alone all the myriad of dental products from various mouth washes, tooth pastes, brushes and water picks. How we've ended up regulating medicine to the nth degree,…

Not directly related to the topic at hand, but it amazes me how Dutch healthcare insurance does not cover dental care by default, and you have to get an extra package for that. As if dental health is not part of my regular health? Why are teeth treated differently from the rest of the body?

In the US it is the same. The result is many people do not have dental insurance, and even if you do it often doesn't pay for much. Even our medicare (for old people) doesn't cover it. Thus some people cynically refer to teeth as "luxury bones".

Re: Routine dental X-rays are not backed by evidence

#220

Earlier quoted context omitted.

Slightly worrying that evidence-based dentistry wasn't the default position (though not surprising). I'm always kind of amazed that when I look up the robust evidence for even things as common as flossing, the evidence just...doesn't seem to be there. Let alone all the myriad of dental products from various mouth washes, tooth pastes, brushes and water picks. How we've ended up regulating medicine to the nth degree,…

Not directly related to the topic at hand, but it amazes me how Dutch healthcare insurance does not cover dental care by default, and you have to get an extra package for that. As if dental health is not part of my regular health? Why are teeth treated differently from the rest of the body?

Canada too. Some rumblings about it at the Federal level, but we'll see if that changes.

Apparently teeth are luxury bones

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