The Real Truth About Dentistry

An intriguing long form piece appears in the May 2019 issue in Atlantic titled “The Truth About Dentistry: It’s much less scientific—and more prone to gratuitous procedures—than you may think,” written by Ferris Jabr, see https://www.theatlantic.com/magazine/archive/2019/05/the-trouble-with-dentistry/586039/. This article has a lot of people talking including dentists, physicians, and patients who have experience with dentists throughout the Internet on forums and Twitter (see https://www.whitecoatinvestor.com/forums/topic/the-truth-about-dentistry-critical-longform-piece-in-the-atlantic/). The main shortcoming with this article in the Atlantic is it relies on an anecdotal story which forms the basis of the entire article. There are several themes to the article that will be discussed below along with additional themes not mentioned that are involved to form the real truth about dentistry. 1. Dentistry is a Business and some Dentists, just like in other Professions, are Bad Apples. The article describes a dentist Lund who overtreats patients … Read more

Alternatives To Painkillers After Dental Work

It is common for people to have pain after they have dental work. That is why dentists often prescribe opiates. However, opiates can cause dangerous side effects. They can also be addictive. Fortunately, there are many alternatives to opiates. To learn more about opiate addiction, please visit The Recovery Village website. Over-the-Counter Medication  Many people find that over-the-counter pain relievers, such as Tylenol and Advil, can alleviate toothaches. They can also reduce inflammation. If you find that over-the-counter relievers are not working, then your dentist can write you a prescription for a stronger medication.  Apply Ice  Ice is one of the most effective home remedies for alleviating pain after toothaches. Not only can ice alleviate pain but it can also get rid of inflammation. You will need to wrap the ice up in a towel or paper towel before you apply … Read more

Divorce and Dentistry: Repairing Broken Relationships

According to work by statistician Nathan Yau reported by Quartz who used divorce data from the U.S. Census Bureau’s 5 year survey from 2015, dentists are the 13th least likely occupation to end in divorce among roughly 500 occupations. He found that roughly 22.5% of dentists who have been married at least once has ended in divorce. He also found that physicians and surgeons are just a hair better than dentists in keeping their marriage intact with roughly 21.8% of physicians and surgeons who have been married at least once has ended in divorce. Nathan observed that in general higher-salary professions tend to have lower divorce rates than lower-salary professions. Even so, a dentist being in a marriage having a 22.5% chance of ending in divorce is not very good odds. There are many things that a dentist can do … Read more

Delivering Sedation in Dentistry

It has become increasing popular to deliver sedation to patients receiving dental work. Sedation is defined as the deliberate drug-induced depression of consciousness used to reduce anxiety and awareness associated with unpleasant medical procedures. Sedation is used to reduce anxiety.  In some cases dentists or oral surgeons deliver both the dental work and the sedation, while in others there is a separate anesthesiologist to do so. One should always verify proper training and license prior to undertaking any sedation from a healthcare professional. Sedation is generally considered very safe as long as it is performed by an appropriately trained practitioner in a monitored environment. Sedation dentistry uses different approaches depending on personal choice and comfort. In the order of increasing anesthesia these are local anesthesia, minimal sedation, nitrous oxide/oxygen, moderate (conscious) sedation, deep sedation, and general anesthesia. A more thorough discussion … Read more

Informed Consent in Dentistry: Can Change Impact Personal Injury Cases?

An excellent article appears in the Spring 2017 edition of the The Journal of Law, Medicine & Ethics (vol. 45, pp. 77-94) written by Kevin I. Reid titled “Informed Consent in Dentistry.” The article discusses how informed consent is respecting the ethical right of an individual to make decisions about one’s body and only have actions undertaken on their body with authorization without undue influence. In order for informed consent to be considered valid in dentistry the following must occur: (1) the patient is competent and has the ability and capacity to understand and decide, (2) the dentist discloses material information, (3) the patient understands, (4) the patient is voluntarily entering the arrangement, and (5) the patient provides authorization to go ahead. Every patient however comes to a different degree of understanding to authorize treatment based on their prior dental experiences, education, motivation, attention, … Read more