Re: Differing dental reports



figgy wrote:

Hi,

This is a followup to a post I made some time back. My wife's old
dentist diagnosed her with five (5) crowns. Her new dentist says she
needs one (1) crown and two fillings. These reports we're based on the
same set of full mouth Xrays. Now I would expect some variation, after
all dentists are human, and some cases could be borderline. But this
result astounds me. Maybe it shouldn't. In any case, I guess it's a
good thing we went for that second opinion. Would reporting this to the
state dental board accomplish anything?


Jeff


No, and I don't know what it should accomplish. Are you assuming the first dentist was proposing to overtreat? As Dr. Steve M implies, this is an art as well as a science. Furthermore, you treat a patient, not a set of x-rays.
I tend to be on the conservative side when it comes to treating, esp. if I think the patient will be back regularly for checkups. Discussing a treatment plan, esp. having the dentist explain the rationale for deciding on (for example) a crown instead of a filling will tell you something about a dentist's treatment philosophy, but it will also help you understand if there can be a real dialogue between what you are hoping to accomplish in treatment vs. what the dentist sees as ideal--in other words, if you can work together to a common goal.


Steve


-- Mark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 .



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