Wednesday, May 07, 2008

The Dental Scam?

If I haven't mentioned that we do not have dental insurance, I'm mentioning it again.

We have no dental insurance. I haven't had dental insurance since I was 18 and got booted off my mom's. Owning your own business is fantastic, but you are majorly screwed when it comes to group insurance.

I broke my two front teeth off in 5th grade and I've had to replace those caps 4 times since I turned 18. CHA-CHING! I've spent at least $8000 on my front teeth. You will NEVER see me bite into an apple.

Anyway, I took the boys in yesterday because I found a deal that was a cleaning, x-rays, and an exam for $59. I drove by and the office was brand-new and beautiful, so in my mind I figured they were trying to build a clientele, because that's what I would do if I was a new dentist with a new location. After I made the appointment, Greg told me he found one down the street for $49, but you know, I had already made the appointment so I went ahead and went in.



The boys were so cute. You would think that with all the medical procedures Austin has endured, that he'd be afraid. But he isn't afraid of anything. He is the sweetest child ever. He laid right down and opened his mouth. See that little box on the counter in the background? That's the Magic Money Making Box.



Gregory was a little more timid, but he was fine and very compliant. They tried to x-ray both boys, and even though they were willing, the lady told me that the x-ray trays were just too big for their mouths.

So I said fine. What do I know? I'm not a hygienist.

While the other hygienist was working on Austin, the dentist came in to look at Gregory. Then she took out this laser cavity detector.



She started pointing the wand in Gregory's mouth.

Suddenly, it started beeping.

BEEP! BEEP! BEEP!

The number 12 flashed on the screen.

"That's a cavity."

BEEP! BEEP! BEEP!

The number 8 came up.

"There's another one."

BEEP! BEEP! BEEP!

"That's another one."

BEEP! BEEP! BEEP!

"How many is that? Four?"

By then, I'd stopped breathing and I started losing consciousness. I actually had to lean against the counter to keep from passing out.

The rest is a blur. They cleaned Gregory's teeth. Austin's teeth were fine. I think they got toys.

She handed me a summary of the work that needed to be done.

Filling $167
Filling $167
Filling $167
Filling $167
Nitrous Oxide $100

I drove home and told Greg that Gregory needed $800 in dental work. Did you guys hear him yesterday around noon? He had a meltdown that may have actually contributed to global warming.

So after all the drama, I came to my senses and started making phone calls. You may have talked to me yesterday. I wanted to see if anyone else had heard of the laser cavity detector that the dentist used yesterday.

Then I got online and looked it up. I had all these great links, but I lost them all and I don't have time to go find them. The machine is called a Diagnodent and it's a new laser technology to discover the very beginnings of tooth decay, even before they actually become cavities.

So I kept reading.

Turns out that a score of less than 30 is likely not any sort of tooth decay that can actually be treated yet. It means that IT'S LIKELY the tooth may develop a cavity in the NEXT YEAR. It doesn't mean you start drilling RIGHT NOW. If you get a "high" score, it means there is something going on under the enamel and precaution must be taken to avoid the tooth from further decay.

I talked to my neighbor, who is a retired dentist, and he said that with fluoride drops and better hygiene, it's likely the teeth can remineralize and those won't become cavities.

Then I read that the Diagnodent is a great diagnostic tool to use in conjunction with X-RAYS AND A VISUAL INSPECTION. But that the tool should not be used alone for diagnosing dental caries. She never really looked in his mouth other than to point the machine in there.

Then I read that if the laser is used prior to the cleaning, plaque in the fissures can cause a false-positive reading. They cleaned Gregory's teeth afterwards.

THEN I read an article from a dentist in Australia that said a lot of dentists are using it to drum up business and do unnecessary work.

AHA!

So I joined a dental plan yesterday, and found another dentist, and we are going in tomorrow afternoon at 4pm. The girl at the new dentist assured me that they have tiny, tiny trays to do x-rays.

I called and cancelled the girl's appointment too. I told the receptionist exactly what I thought about the way they diagnosed Gregory too.

I'm getting a second opinion!

It's still entirely possible that my child's teeth are all rotten and I'll get the World's Worst Mother Award.

But it will only cost $240 and not $800.

The jury is out. Was the dentist a liar and a scam artist or does Gregory have bad teeth?

Stay tuned for Friday.

18 comments:

  1. I know I commented on your other post - "Poof" - but I can't stop. We have had the most luck with a "hands off" dentist, meaning a dentist that is willing to wait and see or, most likely, not fix a problem on a baby tooth if the child is not in pain. Was this a pediatric dentist? I think they can con parents the easiest because parents feel like they are doing the best thing for their child and surely a pediatric dentist has their child's best interest at heart. I'm speaking from experience here, so pardon my generalization.
    I'm glad you looked around and are going a different route. Not only are you saving money but you are sparing your children some very painful and frightening procedures that are most likely not necessary.

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  2. scam, scam, scam...

    Everyone is out to make a buck.

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  3. HW- It wasn't a pediatric dentist, but they advertised that they loved children. Anyway, after reading everything, what they were suggesting was like finding out you have brittle bones and getting casts right now because it's likely your leg might break. Forget taking medicine to increase you bone density, get the cast now! I'm definitely looking for a "hand's off" dentist.

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  4. You dodged that bullet and shared your info, bless your heart.

    And now the boys had a successful dentist trip. They aren't all painful. Use it. "Remember when we went to Dr. X? That was a nice trip, you got toys and it didn't hurt."

    Lucy

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  5. oh that sounds terrible!! Talk about a rip off. I hope your next dentist is more fair. You know they are decent when you can talk about options and they say "we can wait it out" and don't give you the condescending tone!

    And no, we haven't tried the cactus, but I was thinking of it the other day when I saw some cute little juicy paddles at a cactus at the park! :)

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  6. His teeth will be just fine. My dentist used that "magic machine" on my teeth and found one with a high score, so I made sure to scrub the crap out of it every day with my toothbrush and voila! All better.

    I'm glad the kids made it through untraumatized!

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  7. Becky7:03 AM

    Sounds like the magic machine's main purpose is to put money to the Dr's pockets...
    Glad to hear you are going for second opinions... especially because they are baby teeth and will be falling out over the course of the next 3 years.. so there is a very good chance they would not need to be treated unless they are severe or large etc.
    I unfortunately wasn't that smart... went to a new dentist a few years back and after 30 years of NEVER having a filling I suddenly needed SEVEN...unfortunately I went ahead and did the work.. my NEW dentist can't even see where seven fillings were done in my mouth... not visually (although I opted for the white (most expensive) resin fillings) OR on any xrays... can you say scam?? And I have worked in THREE yes THREE seperate dental offices when I was in my early twenties so I definately should have picked up on the fact that something was not on the level... but once they num your mouth I guess its kinda hard to tell what is going on in there when you are flat on your back with your mouth wide open...
    Good luck at the new dentist... I like the wait and see approach.. especially with baby teeth!
    B

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  8. Scam!

    Find an old-fashioned dentist. Ask how long they schedule the hygentist for cleanings (should be 30 min for kids, 45-60 min for adult). Kids do sometimes need filings and teeth removed to encourage less orthodonic work. If they have plasma tvs and a cool looking office, remember they have to pay for that somehow!

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  9. I am so glad you look into all of this stuff, and then are so generous to share it.

    I do hope that all that is discovered is pre-cavity activity (or whatever) and that some fluoride drops and put it to a stop.

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  10. I'm going with scam also! Way to go on getting a 2nd opinion. I have taken my girls to a pediatric dentist and they are happy if they can just do a quick peek in their mouths and put a flouride coating on their teeth. We are working our way up to a cleaning when my crying children will allow it. I love how Austin is so calm!

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  11. I say you buy a "bullshit meter" and wave it over him.......!


    "with fluoride drops and better hygiene, it's likely the teeth can remineralize and those won't become cavities" =VERY TRUE!
    Scrub the crap outta them as your reader said.......
    Staying tuned for the verdict.
    -Shannon

    And thank you so much for keeping us informed of SCAMMERS!

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  12. Anonymous3:27 AM

    Thirty is somewhat high for the DD. And one must be certain it's been calibrated properly.

    But everything is relative to your decay risk profile.

    I'd cut a lot more slack for someone who's never had a cavity compared to someone who's had a bunch.

    The DD is also of limited reliability as cavities start between teeth.

    Remin is worth a try, then some months later, recalibrate and scan again. If numbers are going up...watch out.

    Yes, the grooves should be cleaned out when using the DD. Caution: green polishing paste registers on the unit as do prior composite resins or about 50% of sealants.

    Best scenario: check with DD and if high enough to suggest there's a significant cavity there, excavate slowly using a particle beam appliance ("air abrasion"). Then check as you go, looking for increasing signal strength.

    If it's going down rapidly, sometimes we can just place a sealant. If it's going up, we have to continue excavating.

    HOWEVER, the DD loses reliability as one approaches the nerve of the tooth.

    We also have some rather neat ways of promoting remineralization now.

    regards
    bill domb

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  13. Hey, I'm a total stranger to you but I just wanted you to know that I went to the dentist and he pulled out that dumb laser and said I had SIX cavities. (keep in mind I was just at the dentist 6 months ago with NO cavities!) So I went to get a second opinion. I only had ONE REAL cavity! Saved $350 bucks WITH insurance coverage.

    Stay away from that laser!!

    God bless.

    Amy

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  14. My experience is quite like Amy's... the "bad" dentist said I had six cavities and my "normal" dentist said I only had one, even though I'm freaking about that. I set an appointment in December to have it filled because I want to try and "remineralize" it. If it works I won't get it filled. If not, I will get it filled. Still, I had a breakdown when that "bad" dentist told me I had six cavities-- and I take care of my teeth! This is a terrible perversion of medicine (allowing suspicion of disease to be treated as actual disease). It's not enough that a dentist should have a suspicion of decay to drill into your head. Preventative fillings make as much sense as taking antibiotics when one's not even sick. When I found out that I really have one cavity (if that) I seriously wanted to sue that "bad" doctor, if not just for my mental anguish!

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  16. simple solution based on cake!

    go to one dentist
    tell him what ever the diagnosis
    you will come to him for prevention
    BUT you will go to his competitor
    for ALL other work

    he wont suggest unecessary expensive work since
    he gains no money from the work &
    any lie might cause him to loose
    you ,, a regular customer

    2 kids want you to cut them
    the biggest piece of cake

    you let kid #1 cut 2 pieces
    BUT
    you let kid #2 pic his piece

    kid #1 needs to be fair because
    kid #2 will just take a big piece

    ReplyDelete