this post was submitted on 20 Aug 2023
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No Stupid Questions

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[–] shellsharks@infosec.pub 56 points 1 year ago (2 children)

Not sure what you mean by “reputation”. But generally I think it’s hard for anyone to like their Dentist visit. Even a “checkup” typically involves a cleaning which is invasive and uncomfortable. This is compounded by the fact that people don’t take care of their teeth so feedback from dentists is almost always poor. I don’t think Dentists have a bad rep, but I can safely say I don’t look forward to my visits 😅

[–] iltoroargento@lemmy.sdf.org 30 points 1 year ago* (last edited 1 year ago) (1 children)

The first dentist I ever went to was great. He was good with kids and adults and did his job. He was realistic about kids being kids and gave us the tools and information to make sure our teeth were healthy. I had him all the way through my braces and into high school. He then retired.

My next dentist was a horrendous, preachy, asshole who loved to tell all of his patients what was wrong with them, make people feel bad for their decisions to drink soda, and surmised that we were all eating too much junk food (which he wouldn't really elaborate on when asked). My diet wasn't perfect, but I had mostly home cooked meals with steamed vegetables, along with the occasional fast food lunch with friends.

He was also Mormon and I know a lot of Mormons love to get on their high horse and take pleasure in being petty, insufferable, assholes. I haven't read their batshit book (albeit, most in that genre are similarly zany and harebrained), but there must be some discussion on how to be a bad neighbor to everyone you meet in there based on their predilictions for unfair/unwarranted judgement and exclusion. He only hired other Mormon dentists to his practice and all the dental assistants were similarly preachy and religious.

I dreaded going to the dentist for mostly social reasons and didn't want to be shamed by being told that I had better take care of my teeth (which were fine) because my parents had spent a lot of money on my braces (and it wasn't that much money because the first dentist wasn't a sneering profiteer).

I ditched that asshole once I went to college and have had a couple dentists since then who were fine, did their job and didn't give me a bunch of flak for not flossing after every meal like a fucking psychopath.

Fundamentally, I think the issue with dentists is that when you get a bad one, they make you feel bad, which is the absolute antithesis of healthcare.

Additionally, because of the arbitrary and asinine distinction in the US between oral care and basically the rest of the body, dentistry is seen as cosmetic and unnecessary, often allowing or obligating dentists to charge an arm and a leg for most of their services. We all know how prices ratchet up from initial obligations to cover higher costs into "fuck the consumer, they were fine paying the higher prices anyway so let's increase our profit margin".

Compound that with the ridiculous price setting and insurance rackets baked into anything close to the health sector, and you have a lot of frustration even before patients get into the chair.

If you're not a dentist who will practice compassionate care, at least be one who just shuts the fuck up and does their job. Of course let the patient know what's going on in their mouth and how they can better take care of themselves or treat something they're dealing with, but chill the fuck out with the fire and brimstone shit about missing a cleaning or not flossing all the time.

Healthcare is all about bedside manner. If you don't have it, you're not a good provider and your business can and should suffer (the fact that our healthcare structures are businesses and profit motivated is fundamentally opposed to effective care, anyway, but that's the subject of another essay).

Edit: Cleaned it up a bit and added that my first dentist retired.

[–] MajorMajormajormajor@lemmy.ca 13 points 1 year ago (1 children)

Additionally, because of the arbitrary and asinine distinction in the US between oral care and basically the rest of the body

You'll be (un)happy to know that your neighbours to the north suffer from same affliction. We have universal healthcare, but teeth aren't part of the body apparently, so that's not covered.

Always a fun time to go to a medical professional and feel like you're talking to a used car salesman who is trying to upsell you on a useless/unneeded procedure.

[–] iltoroargento@lemmy.sdf.org 6 points 1 year ago* (last edited 1 year ago)

Exactly what I want from my medical "professional" lol.

If I'm not haggling them or any other business/provider down to a price that barely doesn't make me cry, I haven't had a fun day.

/s

Stay strong, neighbor. You sound like a good one.

Edit: Just Anglosphere things lol

[–] pqdinfo@lemmy.world 13 points 1 year ago (1 children)

This is compounded by the fact that people don’t take care of their teeth so feedback from dentists is almost always poor

I love the way this conversation is usually "What type of toothbrush are you using again?" "Uh, the spinny one you get from the supermarket, it's disposable so I have to buy one every month, but it seems OK", "Ah no, what you need is the $250 Philips SuperScrubacare Plus, which has bristles on the end of the bristles, and on the end of those bristles are more bristles, and on the ends of those are little robots with tiny vacuum cleaners and flame throwers. Those really kill plaque. Also stop eating so much sugar." "Ummm OK" "Anyway, we're done. Here's a cheap ass regular unpowered toothbrush. And a starlight mint."

[–] Swedneck@discuss.tchncs.de 1 points 1 year ago (1 children)

disposable electric toothbrushes???

[–] pqdinfo@lemmy.world 4 points 1 year ago (1 children)
[–] Swedneck@discuss.tchncs.de 4 points 1 year ago (3 children)

Wow, why though? Why not just let the user change the batteries or charge them like normal electric toothbrushes?

And why would you buy these instead of a normal re-usable one?

[–] radix@lemm.ee 2 points 1 year ago (1 children)

In my experience the toothbrush handle and motor and batteries are fine to keep for years. The disposable part is only the head, the physical cleaning bits.

[–] Swedneck@discuss.tchncs.de 3 points 1 year ago (2 children)

Well that's not really disposable then, that's just a normal electric toothbrush.

You have to replace the cleaning bits, no toothbrush head is good to use for more than like 2-3 months.

[–] radix@lemm.ee 2 points 1 year ago

You're right, I totally agree. Sorry I misunderstood. I don't have a clue why people would want an electric toothbrush that is also manual and must be thrown away soon.

[–] pqdinfo@lemmy.world 1 points 1 year ago* (last edited 1 year ago)

There are two problems here:

  1. Most of the disposable toothbrushes don't have the ability to replace the heads. Some of them do, as the GP mentioned, but most don't in my experience.

  2. The ability to replace the heads is not the same thing as actually being able to find the heads in the store that sold you the toothbrush.

  3. The entire assembly costs typically something in the same ballpark as a head replacement anyway.

  4. The entire assembly often costs less to replace on a regular basis than the heads for, say, the Sonicare - $24 for 3 heads at the time of writing, compare this to the $10 two pack of disposable brushes, $8 per unit (plus the cost of the rest of the system) for the "right" way, $5 per unit for the disposable route (all inclusive.)

Most of these disposable systems are cheap in every sense of the word (cost and build quality) and not really intended to be used for a long period of time.

From a consumer standpoint, they make a lot of sense. From an environmental standpoint, not so much. How did we get here? Well, Sonicare would probably argue they make a superior brush and therefore can charge more which may or may not be true. More likely the volumes involved combined with the "Upscale"/"Downscale" marketing associated with each brush makes it genuinely much, much, cheaper to create an all-in-one unit that's only supposed to last a month compared to the alternatives.

[–] Zippy@lemmy.world 2 points 1 year ago

I find the disposable ones are overall cheaper and the batteries last about as long as the brushes. Unless you are inclined to replace your head often as such people may be than they might be a better option.

They are more like vibrating brushes and reality is quite simple in design. Less complex then the replaceable heads that have moving parts and seals etc. After using both, I find that work just as good and both are noticeably better than non electric brushes.

[–] neumast@lemmy.world 1 points 1 year ago

💵 💵 💵

[–] FinalBoy1975@lemmy.world 27 points 1 year ago (1 children)

I can say why I'm not exactly fond of my dentist: I'm missing a molar I don't need, my dentist keeps on trying to get me to spend over a thousand euros on an implant he can put in. Every visit he tries to sell me this useless implant. Every visit I say, "no thank you." This has been going on for five years. It gets old. Other than that, he's great at his job so I don't know. I don't consider him to be of the "bad rep" variety. A failed salesperson? Perhaps.

[–] Zippy@lemmy.world 2 points 1 year ago

He likely does not recall every time he has mentioned this to you.

[–] lumberjacked@lemmy.world 23 points 1 year ago (3 children)

My mother in law was an office manager at a dentist. Dentists have sales quotas and have bonuses to everyone in the office for upselling.

You go in to a medical professional for health care and advice and they try and sell to you.

[–] Terevos@lemm.ee 8 points 1 year ago (1 children)

That's weird. I've never ever had any dentist try to sell me anything except for coming up with solutions to problems I have with my teeth. Never up selling or anything

[–] lumberjacked@lemmy.world 5 points 1 year ago (1 children)

Yeah. It’s extremely common. Fluoride treatments, sealants, crown replacements aren’t necessary. And things like veneers, and whiting are pushed pretty hard.

[–] AA5B@lemmy.world 3 points 1 year ago (1 children)

I think one of the problems is even determining where that line is.

I think my dentist is “good” and they have NOT been pushing things like veneers or whitening.

However I’ve lucked out with good teeth so they are almost never fixing problems I currently have. However as I get older, they’ve started recommending more serious preventative measures. However I have no way of knowing whether I actually need them or if they are superfluous.

It’s coming down to having a dentist who I trusted very much. However he retired and sold his practice, so do I trust the new guy?

[–] Terevos@lemm.ee 2 points 1 year ago

They've been mentioning for years that I need to replace my fillings with crowns. I didn't do anything until I cracked a tooth. I learned my lesson and am working on getting crowns for the teeth that have the most fillings.

So... It might not happen right away for you, but they're not warning just because they're trying to make money.

[–] IMongoose@lemmy.world 5 points 1 year ago

Ya, going to the dentist can feel like seeing a car mechanic. You come in for one thing and then they try to sell you tons of other stuff that you are not even sure you need. It can feel really scummy. There are good ones but just like car mechanics they usually own their own business. If you go to the jiffy lube of dentists they will try to sell you other shit and may make the issue you went in for worse.

You go in to a medical professional for health care and advice and they try and sell to you.

You obviously were not at my last ED visit.

[–] spittingimage@lemmy.world 21 points 1 year ago (1 children)

I'd say it's the experience of going to a dentist which has the reputation, not the dentists themselves. My dentist is great. I hate seeing him. Even when it's just a checkup and clean, he puts a drill in my mouth. I'm a human being, not an ore vein.

[–] scarabic@lemmy.world 7 points 1 year ago* (last edited 1 year ago)

Yep. My dentists office has the greatest people and the best service of any business I can think of. They’ve never done me wrong in any way. And I still hate going there. It’s the fucking teeth scraper. I can’t handle the fucking pick work.

[–] Mugmoor@lemmy.dbzer0.com 19 points 1 year ago* (last edited 1 year ago) (1 children)

In Canada it's two reasons:

  • They don't go to Medical School.
  • They aren't covered by Provincial Health Plans, and therefore cost money.

These are the same reasons I don't trust Veterinarians, or Chiropractors. Ill give Dentists and Vets credit that they're at least studying real science.

[–] KneeTitts@lemmy.world 3 points 1 year ago

Wait, you dont trust quackosnappers???

[–] qjkxbmwvz@lemmy.sdf.org 16 points 1 year ago (1 children)

What's the difference between a dentist and a sadist? Newer magazines...


via Seinfeld

[–] CaptPretentious@lemmy.world 4 points 1 year ago

What are you, an anti-dentite!?

[–] fitgse@sh.itjust.works 16 points 1 year ago (2 children)

I recommend reading this article "I Went to 50 Different Dentists and Almost All of Them Gave Me a Different Diagnosis":

https://www.rd.com/article/how-honest-are-dentists/

[–] phoneymouse@lemmy.world 17 points 1 year ago* (last edited 1 year ago) (3 children)

Went to a new dentist once and transferred my X-rays from my previous dentist. He told me I had 6 cavities.

Wow, don’t you think my previous dentist would’ve told me I had 6 cavities if I really did when he took the X-ray?

Went to another dentist for second opinion and never heard anything about 6 cavities again.

I’ve now moved on to another dentist and still nothing about 6 cavities.

However, I notice all dentists are always looking to add on extra treatments for deep cleaning or extra fluoride or whatever. It’s all about money.

You can’t trust dentists because they’re all conflicted by the business component of their work. This makes many of them scammers willing to damage your teeth to make a buck. You gotta look out for yourself, get second and third opinions and don’t be afraid to drop someone.

[–] Mostly_Frogs@lemmy.world 2 points 1 year ago

This is my experience also. Dentists are basically out to sell you stuff.

I agree, but now let's look at why. Dental insurance sucks, so they can't get paid enough to make them not need to invent work. Sure some are just sleaze, but that is true in any profession.

[–] ryathal@sh.itjust.works 1 points 1 year ago

The only times I've had cavities in my life were the first couple visits to a new dentist.

[–] hark@lemmy.world 3 points 1 year ago

There is a degree of subjective judgement involved in when a cavity gets bad enough to need a filling, but yeah, that room for judgement is also room for unscrupulous dentists to exploit patients for maximum payout.

[–] Fleppensteijn@feddit.nl 8 points 1 year ago

Do they? Maybe it's more unpleasant because they're expensive

i bet doctors would have a bad rep if you had to have a prostate exam/pap smear every 6 months.

[–] JustZ@lemmy.world 8 points 1 year ago (1 children)

Real doctors go to real medical school. They learn tons of biology, pharmacology, anatomy.

Dental school deals with one body part and only a small subset of health problems.

[–] XeroxCool@lemmy.world 12 points 1 year ago

Because doctors hundreds of years ago decided dentistry was quack science and not worthy of being in their ranks. That continues today with dental school and insurance often being separate

[–] gon@lemmy.world 6 points 1 year ago (1 children)

Do they? Well most people dislike dentists because it's very uncomfortable to have someone messing about in your mouth, and many things dentists do (cleanings, some surgeries) hurt or leave you uncomfortable for a long time after, and most people think of it as mostly aesthetic. Compared to say, a surgeon that might be similar but is saving your life, or a family medicine doc that at most puts a piece of wood on your tongue.

Also, dentists go to dentist school, not med school (in most countries at least). Dent is easier to get into, and is usually a shorter time to get your degree. Some people think this devalues dentistry, and say dentists aren't as good as "regular" doctors because of that. It's not valid, dentists are very good at what they do, so don't stress it.

[–] Lemmylefty@lemmy.world 9 points 1 year ago

Which is so silly when you think about it: “this tire expert isn’t a REAL mechanic”. Okay…and?? We need both.

[–] OceanSoap@lemmy.ml 6 points 1 year ago

Maybe because they'd always be judging you for your teeth?

[–] Hazdaz@lemmy.world 3 points 1 year ago

The SOUNDS!

I think by far that is one of the biggest issue that people have.
Being so up close and personal doesn't help either. They have to violate your personal space more than regular doctors typically have to. Like literally the entire time you are there, they have to be up inside you.

Oh yeah, and did I mention the SOUNDS?!

[–] flakeshake@lemmy.world 2 points 1 year ago* (last edited 1 year ago) (1 children)

At least in Germany, applied dentistry was seen as of even lower rank than surgery, something that did not have to do with professional medicine at all (the vocation of the university-educated medicus). Dentistry was a crude affair practiced by barber-dentists or other non-surgeons, sometimes in public bathhouses (places often associacted with prostitution and their bathmasters ignoble company, legally barred from forming or entering guilds), sometimes in broad public on the marketplace. Dentists were traveling people and quacks, those who break teeth (Zahnbrecher), often failing at proper extraction in the first place. All those prejudices took a long time, real progress in the field (anesthesia, pedal-powered mechanical drills and other tools, hygenic measures) and lots of organized lobbying to dispel. I'm sure the reputation of dentistry in other European countries must have been similiar. Some of that prejudice might have carried over to the new world, too ?

[–] JustAManOnAToilet@lemmy.world 1 points 1 year ago

I'm now imagining a grown man with a child's tricycle hooked up to a drill, pedalling his heart out and trying to keep his arm still enough to get it in a patient's mouth.

[–] popemichael@lemmy.sdf.org 2 points 1 year ago

I know several people who are afraid of getting dental work because they are afraid that they'll get assaulted while being put under.

It's not so much now, but during the 80s and 90s there was an epidemic of that happening.

[–] grasshopper_mouse@lemmy.world 1 points 1 year ago

This reminds me of a joke: What do you call a person who fails medical school?

A dentist.