Re: Dentist couldn't get crown off

From: Bill Combs (dentaldoc_at_hotmail.com)
Date: 10/30/04


Date: 30 Oct 2004 14:36:00 -0700


> On Fri, 29 Oct 2004 07:50:10 -0400, Joel M. Eichen wrote:
>
> >
> > There is someone on DentalTown who is trying to capitalize on this by
> > giving a course for root canal for the "dental assistant who has tried
> > everything else."
> >
> > They cannot decide if it will be on tapes ($599) or just the slim
> > booklet ($379).
> >
> > Joel :-)

"Melvin S. Schwartz" <me@privacy.net> wrote in message news:<gzf7564v3xh8.10owumcxdb12y.dlg@40tude.net>...

> I wouldn't be surprised if in a couple of years dental assistants are all
> doing root canals, and dentists do more serious work like tooth whitening.
>
> Mel

This year the California legislature passed a law allowing dental
assistants (of the RDAEF stripe) to place composite restorations,
starting in 2007.

This is intended to save the state money, as the taxpayers currently
have to fund the cheap Medicaid rates for all those free fillings.

As the state has not raised Medicaid fees since 1995, more and more
dentists have dropped out of the Medicaid program. Rather than raise
rates from the current 30% of market price, perhaps to 50% of the
usual fee, the state prefers to keep payment lower, and just have the
dental treatment rendered by lower-paid workers without a dental
education.

Unfortunately, lots of volume-oriented mass-production dental
practices will use the legislation to continue to charge the general
public full price, but for restorations placed by lesser-trained
personnel.

If you think that composite "bubble" voids, rough margins, poor
contours, and open contacts are a problem now, just wait until 2007.

-dentaldoc



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