Why People Hate the Dentist

Numerous posts on the internet have attempted to shed light on the why people hate the dentist. Tom over at OralAnswers.com has a two part series on why people hate the dentists located at http://www.oralanswers.com/2011/09/why-people-hate-the-dentist/ and http://www.oralanswers.com/2011/09/why-people-hate-the-dentist-my-theory-part-ii/ Dr. Joe Bulger DDS in Canada changed the name of his blog to hatedentists.com and his written several posts on the topic of people who hate dentists located at http://www.hatedentists.com/1319/hate-dentist/ , http://www.hatedentists.com/1326/dentist-haters/ , and http://www.hatedentists.com/1363/top-10-reasons-people-hate-dentists/ SaneDentist.com has a post by Dr. Mujtaba Ali regarding 5 reasons why people hate the dentist located at http://www.sanedentist.com/here-are-5-reasons-why-we-hate-the-dentist-and-what-a-dentist-thinks-about-them.html Reading, over these posts and potential explanations for hate towards the dentist just doesn’t seem to do the hate justice and doesn’t touch on all the issues. So here are some reasons why I think people really hate dentists (subjective opinion): 1) Being motivated by money to the point of detrimental care to their patients Let’s face it, people go to work to make money so they can survive and look after their loved ones. However, dentistry is not a business and should be about making people motivated to practice healthy habits and not pushing unnecessary surgeries and care. This is touched on on the controversy page of this […]

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Rethink Breast Cancer: Your Man Reminder

A very interesting video was posted to YoutTube last week to help raise awareness for breast cancer. Several shirtless young men appear to show how to check for lumps in an effort to raise breast cancer awareness for younger women. This is a Canadian campaign by a charity called Rethink Breast Cancer. http://rethinkbreastcancer.com/ Source: The Sydney Morning Herald. Sacha Molitorisz. Steamy spin sells health message. October 14, 2011. http://www.smh.com.au/business/marketing/steamy-spin-sells-health-message-20111013-1ln0z.html

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Tips to Prevent Medical Errors – AHRQ

The largely ineffective Agency for Healthcare Research and Quality (AHRQ) has a list of 20 Tips to Help Prevent Medical Errors  http://www.ahrq.gov/consumer/20tips.htm Number 20 on the list is  “Learn about your condition and treatments by asking your doctor and nurse and by using other reliable sources.” It then suggests to ask your doctor if the treatment is based on the latest evidence. The way this is presented it seems to say that doctors and nurses often do not always present treatment options based on the latest evidence. As argued by Shannon Brownlee, http://www.washingtonmonthly.com/features/2007/0710.brownlee.html the U.S. is clearly in need of an “… independant agency that would fund systematic reviews of the medical literature, as well as clinical trials to test the comparative effectiveness of everything from drugs to treatments” Unfortunately the current AHRQ is not performing this service as it was rendered somewhat ineffective thanks to Newt Gingrich and Congress in 1996 over the issue of spinal fusion surgery. The Agency for Health Care Policy and Research (AHCPR) was created in 1989 to produce evidence-based, clinical-practice guidelines. What ended up happening was the AHCPR panel concluded that there was little evidence to support surgery as a first line treatment for low back […]

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The truthiness of extracting wisdom teeth: James R. Carey

An excellent article was written yesterday October 3, 2011, titled “The truthiness of extracting wisdom teeth” by James R. Carey who is a Professor of Entomology at UC Davis  http://entomology.ucdavis.edu/faculty/facpage.cfm?id=carey The article is located at http://www.davisenterprise.com/opinion/opinion-columns/the-truthiness-of-extracting-wisdom-teeth/ and I think it is well worth a read for anyone considering wisdom teeth removal. He opens the article with “In this age of evidence-based health care, I was astonished to discover that the oral surgeon’s recommendation for removal of my 21-year-old daughter’s impacted wisdom teeth was not based on evidence, theory, logic or facts but rather on truthiness — the quality of being considered to be true because of what he wished.“ He goes on to say “Yet it is considered by dentists, oral surgeons and the majority of the public as “standard of care.” Neither I nor any family members or friends were aware that evidence is lacking on the benefits of wisdom tooth extraction in young adults.” “I discovered this after leaving the oral surgeon’s office and researching the topic online. One of the most insightful articles I read was by Los Angeles dentist Jay W. Friedman, recipient of the 2009 Author of the Year award from the American Journal of […]

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Long Term Effects of Trigeminal Nerve Injuries from Dental Care

A study was published in the Journal of Oral and Maxillofacial Surgery titled “Long-Term Outcome of Trigeminal Nerve Injuries Related to Dental Treatment” by M. Anthony Pogrel, Ryan Jergensen, Eric Burgon, and Daniel Hulme. (vol. 69, pages 2284-2288, 2011) that looked at long-term effects of those who suffer from permanent nerve injury from dental treatment particularly involving the third molars or wisdom teeth. A total of 145 patients with 95 female and 50 male patients were involved in the study who had suffered a trigeminal nerve injury affecting either the inferior alveolar nerve or lingual nerve and in 8 cases both nerves. Nineteen patients (13.1 %) reported that their employment was affected, while 21  patients (14.5%)  reported problems with their relationship, 53  patients (36. 6%) reported depression, 55  patients (38%) reported problems speaking and pronouncing words correctly, 63  patients (43.5%) reported problems eating, and 1 patient reported a significant change in his appearance. Twelve patients (8.2%) were reported to have gone on to make a late full recovery. Some of the coping mechanisms the patients used include getting used to it (64), prayer and mediation (7), ice and heat packs (3), pressure on teeth (3), exercise and yoga (3), antidepressants (2), […]

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