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Routine dental X-rays are not backed by evidence

arstechnica.com

81–90 of 390 posts

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

#81
post #29

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

Completely anecdotal but my gums flare up and just feel disgusting when I don't floss for too long.

I don't do the dentist recommended 2/week but if I stop flossing for over a month I notice significant decrease in my gum health. It becomes excruciatingly painful to brush and this stage and my mouth is full of blood afterwards.

So I'm sticking to flossing pretty often now.

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

#82
post #59

Earlier quoted context omitted.

[flagged]

Remember the old adage--it's the dose that makes the poison. There is *nothing* that is not lethal if consumed in sufficient quantity. That includes *everything* that we require to live, although in some cases it becomes effectively impossible to ingest a lethal amount. Thus showing that something is toxic doesn't mean it's something you should never consume. And note that fluoridation started because it was observed…

Fluoridation started because they wanted to get rid of toxic byproducts from making aluminum, the rest is marketing.

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

#83
post #59

Earlier quoted context omitted.

[flagged]

Fluoride may potentially have some negative effects but we’ve been drinking Florida red water across the world for several decades and different countries have added fluoridation at different times etc, and it’s hard to see any severe effect that would qualify it as anything close to “madness”.

Really, you don't see it?

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

#84
post #40

Not just x-rays: "As a profession, dentistry has not yet applied the same level of self-scrutiny as medicine, or embraced as sweeping an emphasis on scientific evidence." https://www.theatlantic.com/magazine/archive/2019/05/the-tro...

Dentistry might be the wild west full of snake oil salesmen compared to medicine but it also doesn't have nearly as many middle men and additional parties perverting incentives and creating hell for patients that medicine does.

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

#85
post #71
post #59

Earlier quoted context omitted.

[flagged]

If it was “highly toxic” it would be obvious because people would be getting sick or dying after ingesting it. Maybe it’s got some issues that aren’t obvious, but there’s not a clear answer. However you don’t swallow mouth rinses like Act, so any nonobvious issue is also greatly reduced.

Or, it could be a contributing factor to any of the umpteen lifestyle diseases we're dealing with atm.

Not swallowing is great, but I'm sure the concentration is high enough for it to be absorbed anyway.

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

#86
post #59

Earlier quoted context omitted.

[flagged]

Like with everything else, the dosage makes the poison. I personally intend to stay vigilante to dihydrogen monoxide poisoning.

Yeah, but the doses are way different for different substances, as are the side effects.

Edit: Haha, speaking about whooshing, use your brain or someone else will.

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

#87
post #29

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

It's one of those things which people endlessly argue about, but once one flosses once or twice, the rotting bits of food in between their teeth become very unappealing to them.

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

#89
post #5

Earlier quoted context omitted.

What kind of dental x-rays they took? Panoramic (shows the whole row of teeth in one image), CBCT (volumetric 3D) or intraoral (a digital sensor or film was put inside your mouth)?

Not OP, but I have only ever had the type of dental x-ray where they stick the L-shaped plastic into your mouth and make your bite down while they take photos. I had no idea there were others.

That's a bitewing, intraoral.

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

#90
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…

I think most private dentists charge about £20/$25 for a radiography in the UK. In the US, this pricing seems also available - https://www.teethtalkgirl.com/dental-health/cost-for-dental-....

Interestingly, I lived in Central Europe for a while and all my private dentists just used visual inspection for teeth. I never had an issue with that, all decay was spotted in time and in many cases earlier than with the x-ray only method, because more attention was paid to how the teeth look up-close, at all angles.

However, the visual inspection takes more time and skill. One might argue x-ray is the cheaper and quicker option. Though it costs more to the patient in many cases. Ah, the world of dentistry.

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