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Old 26.01.2020, 21:34
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Good reason to NOT be loyal to your dentist!

A lady traveled to the same dental office in Konstanz for THIRTY years. She even flew back from abroad, where she and her husband lived for years, to have her teeth cleaned 3 times per year. That’s loyalty!

But, she recently had a toothache and decided to come to a dentist where she ended up in my care. She told me about an expensive periodontal treatment done. Then, I took x-rays!!! What the heck!!! Ledges of calculus left under her gumline for YEARS! Well, I would call that SUPERVISED NEGLECT and a purposeful way to insure the teeth will eventually FALL OUT! ��

Unfortunately, not all countries have professional dental hygienists. Germany has recently started their professional hygienist schools, but still have few available. I am delighted Germany has made this decision, but only to emphasize patients must take care. Even in Switzerland, some dentists prefer to save money and employ less qualified „ PAs“ ( Prophylaxis Assistant) some dentists even call them hygienists. ��

Wherever you go, ALWAYS ask for a professional dental hygienist (DH) and ask where she/he got their education. A simple and qualified procedure can save your teeth and savings. And, don‘t be afraid to get second opinions. ��

Last edited by arrow; 26.01.2020 at 21:45.
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Old 26.01.2020, 23:44
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Re: Good reason to NOT be loyal to your dentist!

Wow. Like to share our experience and maybe help someone avoid problems later.
After 10 years of regular check-ups and cleanings my OH "suddenly" turns out to have severe periodontal disease. Above the gums are immaculate but below gum line was basically ignored. Only recommendation to fix was painful "flap surgery" and likely implants. Second and third opinions gave us totally different course of action.
What we learned from second opinions?
- hygienist training varies widely, with US, Canadian, and (more-recent) Swiss trained apparently being best. Certifications matter.
- specifically ask your hygienist to do something called a "pocket depth measure" every year. Seems this can give indication if you have problem forming before it gets big
- look for a dentist who will try to save your teeth first instead of just removing them
- ask about alternative treatments; don't assume only one way to treat any problem
In the end, we switched to better-trained hygienist at a new practice and chose a laser treatment called "LANAP" instead of surgery. So all looks to end well, but of course would have preferred to have avoided this by having trained hygienist years ago!
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Old 27.01.2020, 08:02
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Re: Good reason to NOT be loyal to your dentist!

Susan57, I hope you'll consider editing to anonymize some of the patient information here. The patient's age, nationality, and the specific places they lived and sought treatment in before coming to you are not relevant to the substance of your warning, are they? To put it another way: I'm a different age and nationality and I still benefited from your post.

To me these details don't enhance the validity of what you're saying and only serve to make the patient potentially identifiable. I know if that was me I'd be feeling a little exposed right now.

ETA: X-rays included too? Yikes. I get where you're coming from but unless you have the patient's consent please take those down at the very least.
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Last edited by MathNut; 27.01.2020 at 08:15.
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Old 27.01.2020, 08:08
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Re: Good reason to NOT be loyal to your dentist!

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She even flew back from Portugal, where she and her husband lived for years, to have her teeth cleaned 3 times per year. That’s loyalty!
If she really flew back specifically for those hygiene visits then objectively speaking that is irrational silliness on pretty much every level I can think of.

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But, she recently had a toothache and decided to come to the dentist, where she ended up in my care. She told me about an expensive periodontal treatment done in Konstanz. Then, I took x-rays!!! What the heck!!! Ledges of calculus left under her gumline for YEARS! Well, I would call that SUPERVISED NEGLECT and a purposeful way to insure the teeth will eventually FALL OUT! ��
It's certainly not good but you don't know if it was intentional (purposeful) or not.
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Old 27.01.2020, 09:02
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Re: Good reason to NOT be loyal to your dentist!

I have no idea what op's post is going on about, I guess the gist is the dentist was doing lots of expensive unnecessary work?? and the x-ray means nothing to me.

How about explaining in english?
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Old 27.01.2020, 09:09
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Re: Good reason to NOT be loyal to your dentist!

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Ledges of calculus left under her gumline
You mean layer of plaque under the gumline?
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Old 27.01.2020, 09:18
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Re: Good reason to NOT be loyal to your dentist!

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You mean layer of plaque under the gumline?
OP is a dental hygienist. It's fair enough to assume she means what she says.

Calculus
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Old 27.01.2020, 09:22
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Re: Good reason to NOT be loyal to your dentist!

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OP is a dental hygienist. It's fair enough to assume she means what she says.

Calculus
YEs. But one is free to ask as a layman!
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Old 27.01.2020, 09:22
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Re: Good reason to NOT be loyal to your dentist!

@OP,

With all due respect (and I mean it), you know that that could have happened in Switzerland too, with a "Swiss trained dental hygienist not PA", no?

Just saying. But the advice still stands, btw.
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Old 27.01.2020, 09:49
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Re: Good reason to NOT be loyal to your dentist!

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I have no idea what op's post is going on about, I guess the gist is the dentist was doing lots of expensive unnecessary work?? and the x-ray means nothing to me.

How about explaining in english?

Don't forget to clean your teeth regularly
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Old 27.01.2020, 09:56
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Re: Good reason to NOT be loyal to your dentist!

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I have no idea what op's post is going on about, I guess the gist is the dentist was doing lots of expensive unnecessary work?? and the x-ray means nothing to me.

How about explaining in english?
Where its white on the Xray I guess its ( plaque ) Calculus. Looks REALLY bad
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Old 27.01.2020, 09:59
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Re: Good reason to NOT be loyal to your dentist!

I highly agree with MathNut! Publishing my case and x-rays definitely would be reason not to trust my dentist.
Bitching about the competition is also bad taste. As most people can not analyse if something and what is wrong with their teeth, they can only chose their dentist due to how they feel treated and trust their feelings, ergo the dentist.

Dentist hopping is a very bad idea. Second opinions can be useful. My dentist does that by his own accord.

I don't let any DH near me! So my dentist and I have a special deal and he does it himself ever 8 months.

I chose doctors and dentist very carefully. We work together and I have my share of responsibility and I don't expect them to be underpaied for their good work.
I trust my dentist completely and have never simply put the blame on him in case of difficulties but worked them out together with him. And very successfully so. All that's in my teeth up until today are simple fillings. And I'm not 16 years old.

I don't see the point in this thread or the message. Don't go abroad? (OP most likely originally is from abroad, so what's the difference? ), change your dentist regularly? (Teeth are a complicated thing which influence many parts of your body and vice versa, if a dentist has to start from scratch, it's not benefiting the client). Go to OP only because OP only knows about teeth? (yeah, well ..... )
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Old 27.01.2020, 09:59
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Re: Good reason to NOT be loyal to your dentist!

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Where its white on the Xray I guess its ( plaque ) Calculus. Looks REALLY bad
Those are the fillings. Do you ever look at your own x-rays?
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Old 27.01.2020, 10:00
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Re: Good reason to NOT be loyal to your dentist!

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YEs. But one is free to ask as a layman!
... or Google. Sure.
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Old 27.01.2020, 10:02
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Re: Good reason to NOT be loyal to your dentist!

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... or Google. Sure.
I always thought Calculus was mathematics.
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Old 27.01.2020, 10:05
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Re: Good reason to NOT be loyal to your dentist!

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... or Google. Sure.
I can't believe I'm agreeing with omtatsat

I have no idea what I'm looking at or what the op is really on about, like people look at me when I'm trying to help them with IT issues, totally blank, so googling doesn't really help.

what is calculus? how does it get under the gumline, I'm assuming now that's bad??

I'm not a fan of going to the dentist so just close my eyes and let them get on with it, I don't ask what they are doing / planning to do as I really don't want to know beforehand (yes I'm a wuss)
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Old 27.01.2020, 10:08
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Re: Good reason to NOT be loyal to your dentist!

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I can't believe I'm agreeing with omtatsat

I have no idea what I'm looking at or what the op is really on about, like people look at me when I'm trying to help them with IT issues, totally blank, so googling doesn't really help.

what is calculus? how does it get under the gumline, I'm assuming now that's bad??

I'm not a fan of going to the dentist so just close my eyes and let them get on with it, I don't ask what they are doing / planning to do as I really don't want to know beforehand (yes I'm a wuss)
First the plaque. Using Calculus they work out an horrendous bill
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Old 27.01.2020, 10:09
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Re: Good reason to NOT be loyal to your dentist!

In order not to overexert native English speakers, their language is kept simple, using one word for at leat 5 completely different things.
Makes them very difficult to be understood, leading to tons of misunderstandings with people who are used to more calculated (there you have it again, LOL) languages.
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Old 27.01.2020, 10:11
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Re: Good reason to NOT be loyal to your dentist!

But I must admit when I saw the Xray I thought it was from someones smelly toes!
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Old 27.01.2020, 10:19
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Re: Good reason to NOT be loyal to your dentist!

I would appreciate an MS Paint analysis of the xray, please.
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