Brouhaha at the dentist this morning over xrays (1 Viewer)

[Dentist]

This number 20 is the only shock value thing in this thread. Yet if you went to any dental school, this is exactly the survey you'd get. Google full mouth series.

Again, 95 percent of dentists take 5. 4bw and a pano.

If you take a panoramic xray, then why do you still need the bitewings? Isn't that the reason that you take the panoramic xray, to get the entire mouth? Not trying to pile on the anti-dentite crowd here, just honestly curious?

And what percentage of dentists in general are doing the xrays to ensure standard of care vs the group who is doing it for the discovery of issues/upsell opportunity with the cleaning profitless customer? It has seemed that the business model is being pushed towards profit driving services over the last few years and the chains are certainly leading that pack.

Great question. The panoramic x-ray gets all the teeth and roots in view. However, it is not diagnostically accurate for the in between teeth cavities due to angulation issues and not getting magnified enough on those back teeth in between the teeth.

50% of cavities are in between the teeth and are only picked up by a bitewing unless they are massive cavities.

In lieu of bitewings, you are only going to visually discover a cavity when it is too late to fill... by then it will need a crown or possibly a root canal and crown..

I can't answer the final question. When you are educated in school on the proper way to diagnose and treat people, it is very difficult after school to run into the buzzsaw that is the general public who have an entirely different idea of what is appropriate and reasonable.

The bottom line is that is impossible to read people's minds.

Obviously there are a lot of people in this thread concerned about upsells and over-radiation. But there are a lot of people on the other end of the spectrum that really want and value a through examination and would be very upset if I missed something that would have prevented them from having a tooth break (finding a cracked tooth that's apt to break but currently doesn't hurt) or finding a small cavitiy before it necessitated a root canal.

When someone walks in the door it's pretty hard to figure out which side of the coin they are on. It's better to default to doing things the way you were taught. The way scholarly articles suggest you should do them.

All I can do is diagnose what I see, attempt to photograph it and show people what's going on in their mouths.. and tell them about it. Some people view that as a cashgrab and an upsell.. even if I'm not really pushing any of it... and they leave and never come back. Others appreciate seeing what's going on, knowing their alternatives, and then choosing to pursue or not pursue treatment as they see fit.

But it's a really tough business.. which is one of many reasons why I'd like to get out of it ASAP... because it is very hard to give people the experience they want since they rarely tell you even if you ask them... what they really want.... and then is what they want even remotely compatible with standard of care? Tough.

Serious question:

Have you thought about incorporating exactly that kind of question for your patients so that you can tailor what you do and meet their expectations? Asking the question "what would make your visit perfect today?" could go a long way in building a rapport with patients and giving you that information so that you know to give more or give less information. When you have your initial intake forms, a few questions along those lines could give you valuable information that you can then note and use for subsequent visits. It wouldn't take much time and would take a lot of that guesswork out of it. I know exactly where you're coming from about patients often having completely different expectations and it's not that difficult to just ask. And that is often very much appreciated by people coming to see you that you seem to care about what they are looking for instead of a one size fits all. And, it might help you weed out patients that may not be a good fit for your office.

Just my $.02

That's a great idea.

The problem is... everyone wants a through examination. Everyone wants the "highest quality of care available" But the disconnect happens when the thorough examination has more x-rays than in their infinite wisdom they feel is necessary.. or the highest quality of care available isn't "what my insurance covers"

 

[sartre]

This from another thread about contact lens fitting fees. I was looking forward to a reply, but perhaps Dentist did not return to that thread

It's like with my office. The person that just comes in and wants their teeth cleaned but with no doctor's exam, and no x-rays. I just can't do that. I pay a hygienist $35 an hour and the bill for a cleaning only is like $70 - I'm going to lose money on that, and that's just not going to happen.

What prevents you from establishing a pricing structure that is fair to you and your customer? (e.g., a cleaning costs $100 or whatever)

 

[Dentist]

This from another thread about contact lens fitting fees. I was looking forward to a reply, but perhaps Dentist did not return to that thread

It's like with my office. The person that just comes in and wants their teeth cleaned but with no doctor's exam, and no x-rays. I just can't do that. I pay a hygienist $35 an hour and the bill for a cleaning only is like $70 - I'm going to lose money on that, and that's just not going to happen.

What prevents you from establishing a pricing structure that is fair to you and your customer? (e.g., a cleaning costs $100 or whatever)

That would be great. The problem is that when 3rd party payers are involved and have negotiated your prices.

or when that fee is higher than any fee they have seen for a cleaning before they will balk.

But I also can't do that for someone who hasn't at least had some baseline x-rays to evaluate... or who when presented with visual evidence of a problem isn't willing to submit to x-rays

 

[Doug B]

The problem is... everyone wants a through examination. Everyone wants the "highest quality of care available" But the disconnect happens when the thorough examination has more x-rays than in their infinite wisdom they feel is necessary.. or the highest quality of care available isn't "what my insurance covers"

Single payer.

 

[shadyridr]

My 6 year old refused xrays. He is scared.

 

[Dentist]

My 6 year old refused xrays. He is scared.

We only take 2 on kids.. maybe 3.

Tell him/her to man/woman up or GTFO... he/she is below the STANDARD OF CARE!

#nomercy

 

[otello]

X-rays are like undercoating for a new car.

 

[Willie Neslon]

I guess I never realized I couldn't make an appointment for exactly what i wanted done. If I go to the doctor to have my cholesterol checked or to get a flu shot, they take me in back, draw blood or give me the shot and that's it. If I take my car in for an oil change, they change the oil and I'm out the door. The doctor has never said I won't give you a flu shot unless you get an EKG as well. The mechanic had never refused an oil change unless he's allowed to rotate the tires. Those people know I'm a life-long patient/customer. They don't need to make a certain amount of money on every visit. They're going to do fine over the long haul. The big dental costs in my future, crowns, root canals, bridges and whatever else, they let walk out the door because on this visit they couldn't squeeze in unwanted x-rays. I guess dentistry is a unique profession in that way.

 

[Dentist]

X-rays are like undercoating for a new car.

Do you tell you mechanic not to use the computer they hook up to find out what the check engine light is reading also? Or tell the people rotating your tires to just "eyeball it" rather than use the sophisticated balancing equipment they have?

 

[Willie Neslon]

X-rays are like undercoating for a new car.

Do you tell you mechanic not to use the computer they hook up to find out what the check engine light is reading also? Or tell the people rotating your tires to just "eyeball it" rather than use the sophisticated balancing equipment they have?

If I'm there for a muffler change I tell them to leave my tires alone.

 

[James Daulton]

Lol at worrying about the radiation from dental xrays. I'm betting that WN exposes himself way more to "cancer risks" through other stuff.

 

[CurlyNight]

Lol at worrying about the radiation from dental xrays. I'm betting that WN exposes himself way more to "cancer risks" through other stuff.

Not sure I find this funny, but I'd like Dentist to chime in honestly on this-- for both my case and for the average pt. How much radiation is there really? After my treatments I'd love to get xrays done as I haven't had any done in over a year now. I will be continually monitored as I'm stage III if not stage IV already, which means more xrays/scans for me from time to time after tx.

 

[Dentist]

I guess I never realized I couldn't make an appointment for exactly what i wanted done. If I go to the doctor to have my cholesterol checked or to get a flu shot, they take me in back, draw blood or give me the shot and that's it. If I take my car in for an oil change, they change the oil and I'm out the door. The doctor has never said I won't give you a flu shot unless you get an EKG as well. The mechanic had never refused an oil change unless he's allowed to rotate the tires. Those people know I'm a life-long patient/customer. They don't need to make a certain amount of money on every visit. They're going to do fine over the long haul. The big dental costs in my future, crowns, root canals, bridges and whatever else, they let walk out the door because on this visit they couldn't squeeze in unwanted x-rays. I guess dentistry is a unique profession in that way.

Disagree.

If I take my car into the mechanic.. they may also very well look at other parts of the car and suggest to me that there's another part of the car wearing out that may need service now.

when i go to get my oil changed, they check the air filters and show me them and ask if I would like them replaced while I am there.. the same with windshield wipers.

Now, I agree that in your case that they should not have treated you like that.

But in general the cleaning only thing just isn't on the menu... with the rare exception of long term people on a periodontal maintenance plan. It's just below standard to not have your teeth examined at appropriate intervals and x-rayed.

Again, this is a medical service... not a haircut. I spelled out the scenario whereby I would get skewered by letting you pick and choose what you wanted.

Also I disagree about the lifelong customer thing there's no way for them to know that.. my dad has been in practice for decades.. with a very good reputation in the community. He's had 20X as many people leave the practice as he has a stable group of "lifelong customers" Many are from natural factors.. death, relocating. But a great many more are from "insurance changes" because he's the out of network guy. And insurance based practices figure they've got you for a year or two... then your insurance changes and you leave. So they approach you as if they get one or two shots to get you to do whatever necessary or semi-elective work you need before you'll bolt.

 

[Dentist]

Lol at worrying about the radiation from dental xrays. I'm betting that WN exposes himself way more to "cancer risks" through other stuff.

Not sure I find this funny, but I'd like Dentist to chime in honestly on this-- for both my case and for the average pt. How much radiation is there really? After my treatments I'd love to get xrays done as I haven't had any done in over a year now. I will be continually monitored as I'm stage III if not stage IV already, which means more xrays/scans for me from time to time after tx.

With digital x-rays it's truly microscopic. Someone already in this thread posted some of the numbers.

I get exposed to so much radiation every year because sometimes I can't leave the room when they take the x-ray... sometimes I have to hold it into place on a squirmy kid or during a root canal.

I get teh equivalent of hundreds of x-rays every year.. and i don't sweat it.

 

[Willie Neslon]

Lol at worrying about the radiation from dental xrays. I'm betting that WN exposes himself way more to "cancer risks" through other stuff.

Maybe I do but on some of them I don't have a choice. I had a choice yesterday. Why should I be forced to have something done I don't want to have done? You think it's nothing to worry about? Great. Go x-ray your balls off. I offered to do the minimum, just didn't want to do twenty. I've had dozens of x-rays already this year on my elbow. I don't press an iphone to my ear 8 hours a day either.

 

[James Daulton]

Lol at worrying about the radiation from dental xrays. I'm betting that WN exposes himself way more to "cancer risks" through other stuff.

Not sure I find this funny, but I'd like Dentist to chime in honestly on this-- for both my case and for the average pt. How much radiation is there really? After my treatments I'd love to get xrays done as I haven't had any done in over a year now. I will be continually monitored as I'm stage III if not stage IV already, which means more xrays/scans for me from time to time after tx.

I had cancer as a young man and have had zillions of xrays and ct scans done over the years. Dental xrays don't even enter my mind to worry about.

 

[Willie Neslon]

I guess I never realized I couldn't make an appointment for exactly what i wanted done. If I go to the doctor to have my cholesterol checked or to get a flu shot, they take me in back, draw blood or give me the shot and that's it. If I take my car in for an oil change, they change the oil and I'm out the door. The doctor has never said I won't give you a flu shot unless you get an EKG as well. The mechanic had never refused an oil change unless he's allowed to rotate the tires. Those people know I'm a life-long patient/customer. They don't need to make a certain amount of money on every visit. They're going to do fine over the long haul. The big dental costs in my future, crowns, root canals, bridges and whatever else, they let walk out the door because on this visit they couldn't squeeze in unwanted x-rays. I guess dentistry is a unique profession in that way.

Disagree.

If I take my car into the mechanic.. they may also very well look at other parts of the car and suggest to me that there's another part of the car wearing out that may need service now.

when i go to get my oil changed, they check the air filters and show me them and ask if I would like them replaced while I am there.. the same with windshield wipers.

Sure they might but they would never refuse to do an oil change unless they were allowed put new filters and wipers in there.

 

[CurlyNight]

Ok, thanks for the info.

 

[Willie Neslon]

Why would you make a "cleaning only" appointment? What's the point of that? Paying someone else to brush your teeth for you?

No reason for a "cleaning only" without the "and check-up" added in.

Now I've heard it all.

 

[James Daulton]

Lol at worrying about the radiation from dental xrays. I'm betting that WN exposes himself way more to "cancer risks" through other stuff.

Maybe I do but on some of them I don't have a choice. I had a choice yesterday. Why should I be forced to have something done I don't want to have done? You think it's nothing to worry about? Great. Go x-ray your balls off. I offered to do the minimum, just didn't want to do twenty. I've had dozens of x-rays already this year on my elbow. I don't press an iphone to my ear 8 hours a day either.

Obviously IDGAF what you choose to do or not do. The point is you "choose" to do certain things that may "increase" your cancer risk. These choices are probably at best health neutral. Yet you choose to draw the line at radiation that could actually be beneficial to your health. That's my only point.

And if I were you, I'd be more concerned with two dozen elbow xrays and why exactly you had to have that many.

 

[Willie Neslon]

Lol at worrying about the radiation from dental xrays. I'm betting that WN exposes himself way more to "cancer risks" through other stuff.

Maybe I do but on some of them I don't have a choice. I had a choice yesterday. Why should I be forced to have something done I don't want to have done? You think it's nothing to worry about? Great. Go x-ray your balls off. I offered to do the minimum, just didn't want to do twenty. I've had dozens of x-rays already this year on my elbow. I don't press an iphone to my ear 8 hours a day either.

Obviously IDGAF what you choose to do or not do. The point is you "choose" to do certain things that may "increase" your cancer risk. These choices are probably at best health neutral. Yet you choose to draw the line at radiation that could actually be beneficial to your health. That's my only point.

And if I were you, I'd be more concerned with two dozen elbow xrays and why exactly you had to have that many.

OK, thanks.

 

[James Daulton]

Ok, thanks for the info.

As an aside, is your cancer a candidate for any of the new immunotherapies that are offered now?

And best of luck to you.

 

[CurlyNight]

Ok, thanks for the info.

As an aside, is your cancer a candidate for any of the new immunotherapies that are offered now?

And best of luck to you.

If I am stage IV then I think I would qualify for participating in the new clinical trials- though that scares me because it is new. I'm trying not to think about it until it's confirmed. Thanks you for your well wishes. Continued good health to you, too. X

 

[Shaft41]

Were there any Penthouse in the waiting room?

 

[Willie Neslon]

Were there any Penthouse in the waiting room?

All i saw was People. Read a heartwarming piece on Drew Barrymore's journey to happiness.

 

[James Daulton]

Ok, thanks for the info.

As an aside, is your cancer a candidate for any of the new immunotherapies that are offered now?

And best of luck to you.

If I am stage IV then I think I would qualify for participating in the new clinical trials- though that scares me because it is new. I'm trying not to think about it until it's confirmed. Thanks you for your well wishes. Continued good health to you, too. X

Best to be stage III for sure. I had colon cancer when I was 21. Got 6 months each of chemo and radiation. When I had chemo, early 1990's, nausea drugs weren't yet used so it sucked hard. Also, radiation was nowhere near as precise as it is now so I literally got my ### burned. Anyway, I work in health care so I'm somewhat familiar with current treatments and procedures.

Seems like you have a great attitude and I really believe that's a big part of healing and overcoming the scurge. Keep fighting and stay upbeat and positive.

 

[otello]

X-rays are like undercoating for a new car.

Do you tell you mechanic not to use the computer they hook up to find out what the check engine light is reading also? Or tell the people rotating your tires to just "eyeball it" rather than use the sophisticated balancing equipment they have?

if I need anything more than a check engine light, I will tell them.

 

[CurlyNight]

Ok, thanks for the info.

As an aside, is your cancer a candidate for any of the new immunotherapies that are offered now?

And best of luck to you.

If I am stage IV then I think I would qualify for participating in the new clinical trials- though that scares me because it is new. I'm trying not to think about it until it's confirmed. Thanks you for your well wishes. Continued good health to you, too. X

Best to be stage III for sure. I had colon cancer when I was 21. Got 6 months each of chemo and radiation. When I had chemo, early 1990's, nausea drugs weren't yet used so it sucked hard. Also, radiation was nowhere near as precise as it is now so I literally got my ### burned. Anyway, I work in health care so I'm somewhat familiar with current treatments and procedures.

Seems like you have a great attitude and I really believe that's a big part of healing and overcoming the scurge. Keep fighting and stay upbeat and positive.

Yeah, nowadays it's much better therapies than when you were in tx. Wow, 6 months of radiation??? Now it's 6 weeks M-F which I will also have after chemo. I've worked healthcare too as a surgery coordinator in a surgeon's office so I'm familiar with standard tests and results, but cancer is a whole different arena.

I know attitude helps with healing and not just of the mind, and I try to share that in my journey thread with people who have or don't have cancer as it applies to all aspects of life.

I was talking to a good friend of mine. He's always amazed how upbeat and strong I sound. If I am down, it doesn't last too long. What's the secret he asks? Sure thinking positive is something I believe will help you get through whatever ales you and helps your body heal, but more importantly, it's accepting whatever is thrown at you that you don't have control over. I accept whatever is in store for me whether I live for years like many do or am stage IV and time is ticking down. It brings great peace and allows you to enjoy life's good and not be bothered by small things.

 

[James Daulton]

Ok, thanks for the info.

As an aside, is your cancer a candidate for any of the new immunotherapies that are offered now?

And best of luck to you.

If I am stage IV then I think I would qualify for participating in the new clinical trials- though that scares me because it is new. I'm trying not to think about it until it's confirmed. Thanks you for your well wishes. Continued good health to you, too. X

Best to be stage III for sure. I had colon cancer when I was 21. Got 6 months each of chemo and radiation. When I had chemo, early 1990's, nausea drugs weren't yet used so it sucked hard. Also, radiation was nowhere near as precise as it is now so I literally got my ### burned. Anyway, I work in health care so I'm somewhat familiar with current treatments and procedures.

Seems like you have a great attitude and I really believe that's a big part of healing and overcoming the scurge. Keep fighting and stay upbeat and positive.

Yeah, nowadays it's much better therapies than when you were in tx. Wow, 6 months of radiation??? Now it's 6 weeks M-F which I will also have after chemo. I've worked healthcare too as a surgery coordinator in a surgeon's office so I'm familiar with standard tests and results, but cancer is a whole different arena.

I know attitude helps with healing and not just of the mind, and I try to share that in my journey thread with people who have or don't have cancer as it applies to all aspects of life.

I was talking to a good friend of mine. He's always amazed how upbeat and strong I sound. If I am down, it doesn't last too long. What's the secret he asks? Sure thinking positive is something I believe will help you get through whatever ales you and helps your body heal, but more importantly, it's accepting whatever is thrown at you that you don't have control over. I accept whatever is in store for me whether I live for years like many do or am stage IV and time is ticking down. It brings great peace and allows you to enjoy life's good and not be bothered by small things.

Not going to lie, you rock pretty hard.

 

[Dentist]

X-rays are like undercoating for a new car.

Do you tell you mechanic not to use the computer they hook up to find out what the check engine light is reading also? Or tell the people rotating your tires to just "eyeball it" rather than use the sophisticated balancing equipment they have?

if I need anything more than a check engine light, I will tell them.

So.. if your mechanic was rotating your tires and noticed that your breaks were on the verge of failing, leading you to a potentially fatal accident. You'd prefer him to keep his mouth shut.. because "that's not why i'm here!" Don't use your mind! Only do what I tell you, you monkey!

 

[El Floppo]

Lol at worrying about the radiation from dental xrays. I'm betting that WN exposes himself way more to "cancer risks" through other stuff.

Not sure I find this funny, but I'd like Dentist to chime in honestly on this-- for both my case and for the average pt. How much radiation is there really? After my treatments I'd love to get xrays done as I haven't had any done in over a year now. I will be continually monitored as I'm stage III if not stage IV already, which means more xrays/scans for me from time to time after tx.

With digital x-rays it's truly microscopic. Someone already in this thread posted some of the numbers.

I get exposed to so much radiation every year because sometimes I can't leave the room when they take the x-ray... sometimes I have to hold it into place on a squirmy kid or during a root canal.

I get teh equivalent of hundreds of x-rays every year.. and i don't sweat it.

hey gb... my dad was a dentist- died from his third bout of cancer (bladder in his 30s, prostate in his 70s, pancreatic in his 70s). dunno if it's xray related... but dunno that it wasn't. seems like a lot of cancer for one, otherwise very healthy guy.

eta: just meant to say- be careful, gb.

 

[Spartans Rule]

Why would you make a "cleaning only" appointment? What's the point of that? Paying someone else to brush your teeth for you?

No reason for a "cleaning only" without the "and check-up" added in.

Agreed. I don't go to the dentist for the cleaning, I go so he can find problems and deal with them. I hate x-rays, I'm one of those strong gag reflex people, but I'd gladly take 20 if it meant they caught a cavity before it became something worse.

 

[CurlyNight]

Ok, thanks for the info.

As an aside, is your cancer a candidate for any of the new immunotherapies that are offered now?

And best of luck to you.

If I am stage IV then I think I would qualify for participating in the new clinical trials- though that scares me because it is new. I'm trying not to think about it until it's confirmed. Thanks you for your well wishes. Continued good health to you, too. X

Best to be stage III for sure. I had colon cancer when I was 21. Got 6 months each of chemo and radiation. When I had chemo, early 1990's, nausea drugs weren't yet used so it sucked hard. Also, radiation was nowhere near as precise as it is now so I literally got my ### burned. Anyway, I work in health care so I'm somewhat familiar with current treatments and procedures.

Seems like you have a great attitude and I really believe that's a big part of healing and overcoming the scurge. Keep fighting and stay upbeat and positive.

Yeah, nowadays it's much better therapies than when you were in tx. Wow, 6 months of radiation??? Now it's 6 weeks M-F which I will also have after chemo. I've worked healthcare too as a surgery coordinator in a surgeon's office so I'm familiar with standard tests and results, but cancer is a whole different arena.

I know attitude helps with healing and not just of the mind, and I try to share that in my journey thread with people who have or don't have cancer as it applies to all aspects of life.

I was talking to a good friend of mine. He's always amazed how upbeat and strong I sound. If I am down, it doesn't last too long. What's the secret he asks? Sure thinking positive is something I believe will help you get through whatever ales you and helps your body heal, but more importantly, it's accepting whatever is thrown at you that you don't have control over. I accept whatever is in store for me whether I live for years like many do or am stage IV and time is ticking down. It brings great peace and allows you to enjoy life's good and not be bothered by small things.

Not going to lie, you rock pretty hard.

Thank you.

 

[Dentist]

Lol at worrying about the radiation from dental xrays. I'm betting that WN exposes himself way more to "cancer risks" through other stuff.

Not sure I find this funny, but I'd like Dentist to chime in honestly on this-- for both my case and for the average pt. How much radiation is there really? After my treatments I'd love to get xrays done as I haven't had any done in over a year now. I will be continually monitored as I'm stage III if not stage IV already, which means more xrays/scans for me from time to time after tx.

With digital x-rays it's truly microscopic. Someone already in this thread posted some of the numbers.

I get exposed to so much radiation every year because sometimes I can't leave the room when they take the x-ray... sometimes I have to hold it into place on a squirmy kid or during a root canal.

I get teh equivalent of hundreds of x-rays every year.. and i don't sweat it.

hey gb... my dad was a dentist- died from his third bout of cancer (bladder in his 30s, prostate in his 70s, pancreatic in his 70s). dunno if it's xray related... but dunno that it wasn't. seems like a lot of cancer for one, otherwise very healthy guy.

eta: just meant to say- be careful, gb.

Thanks. I should probably be more careful.

 

[johnnycakes]

Lol at worrying about the radiation from dental xrays. I'm betting that WN exposes himself way more to "cancer risks" through other stuff.

Not sure I find this funny, but I'd like Dentist to chime in honestly on this-- for both my case and for the average pt. How much radiation is there really? After my treatments I'd love to get xrays done as I haven't had any done in over a year now. I will be continually monitored as I'm stage III if not stage IV already, which means more xrays/scans for me from time to time after tx.

With digital x-rays it's truly microscopic. Someone already in this thread posted some of the numbers.

I get exposed to so much radiation every year because sometimes I can't leave the room when they take the x-ray... sometimes I have to hold it into place on a squirmy kid or during a root canal.

I get teh equivalent of hundreds of x-rays every year.. and i don't sweat it.

hey gb... my dad was a dentist- died from his third bout of cancer (bladder in his 30s, prostate in his 70s, pancreatic in his 70s). dunno if it's xray related... but dunno that it wasn't. seems like a lot of cancer for one, otherwise very healthy guy.

eta: just meant to say- be careful, gb.

Thanks. I should probably be more careful.

Have you ever asked a patient, drill in hand, "is it safe?" Perhaps you should... be more careful.

 

[mphtrilogy]

Recently went for a cleaning, I had 5/6 x-rays as an annual thing, It is the digital kind, should be less radiation as they say. Looks like a double wammy on my right side with two crowns needed, one cavity under my old crown and its next to my back molar in a bad spot so double crown is necessary.

I don't feel anything, but I trust my guy who I've been with for 25 years.

Would it be better for me to have not gotten the x-ray and just wait for the pain? or wait for very visible? Since it was above the crown, and was in a bad spot, this might have taken awhile. Did I avoid maybe a worse situation? or would this have been inevitable, a double crown hit no matter what, down the line when my teeth start hurting there.

Don't know, but once a year, some digital x-rays, 5/6 worth seem like I can keep my teeth in quasi working shape...

 

[flapgreen]

Yeah screw that guy! 20 x-rays! !!!

 

[Dentist]

Recently went for a cleaning, I had 5/6 x-rays as an annual thing, It is the digital kind, should be less radiation as they say. Looks like a double wammy on my right side with two crowns needed, one cavity under my old crown and its next to my back molar in a bad spot so double crown is necessary.

I don't feel anything, but I trust my guy who I've been with for 25 years.

Would it be better for me to have not gotten the x-ray and just wait for the pain? or wait for very visible? Since it was above the crown, and was in a bad spot, this might have taken awhile. Did I avoid maybe a worse situation? or would this have been inevitable, a double crown hit no matter what, down the line when my teeth start hurting there.

Don't know, but once a year, some digital x-rays, 5/6 worth seem like I can keep my teeth in quasi working shape...

Pain = root canal and crown.

just decay under crown = just crown usually.

Good play.

 

[Dentist]

Just had someone come in with a broken tooth.... I took 2 x-rays of it - god forbid.

Then despite the fact they only came in with a broken tooth, I pointed out at the 3 teeth next to them had cavities in them as well... which were very visible and obvious

I said I could fix just the broken tooth, or fix all of them. Whatever you want.

She wanted to fix them all. UPSELL!!$$$$$!!!!!! #jerkstore #alldentistssuck #upsell #worsethanlawyers #dumponchest

 

[El Floppo]

sucker born every minute.

 

[arrow1]

Just had someone come in with a broken tooth.... I took 2 x-rays of it - god forbid.

Then despite the fact they only came in with a broken tooth, I pointed out at the 3 teeth next to them had cavities in them as well... which were very visible and obvious

I said I could fix just the broken tooth, or fix all of them. Whatever you want.

She wanted to fix them all. UPSELL!!$$$$$!!!!!! #jerkstore #alldentistssuck #upsell #worsethanlawyers #dumponchest

 

[James Daulton]

Just had someone come in with a broken tooth.... I took 2 x-rays of it - god forbid.

Then despite the fact they only came in with a broken tooth, I pointed out at the 3 teeth next to them had cavities in them as well... which were very visible and obvious

I said I could fix just the broken tooth, or fix all of them. Whatever you want.

She wanted to fix them all. UPSELL!!$$$$$!!!!!! #jerkstore #alldentistssuck #upsell #worsethanlawyers #dumponchest

Time to get a bigger boat.

 

[Willie Neslon]

Had a doctor's appointment today. 3 x-rays. No problem. That's why I was there.

 

[James Daulton]

Had a doctor's appointment today. 3 x-rays. No problem. That's why I was there.

Why are you getting so many xrays? Did you break your elbow in a billion pieces or something?

 

[Willie Neslon]

Had a doctor's appointment today. 3 x-rays. No problem. That's why I was there.

Why are you getting so many xrays? Did you break your elbow in a billion pieces or something?

Not for the elbow

 

[James Daulton]

Had a doctor's appointment today. 3 x-rays. No problem. That's why I was there.

Why are you getting so many xrays? Did you break your elbow in a billion pieces or something?

Not for the elbow

Motorcycle accident?

 

[Willie Neslon]

Had a doctor's appointment today. 3 x-rays. No problem. That's why I was there.

Why are you getting so many xrays? Did you break your elbow in a billion pieces or something?

Not for the elbow

Motorcycle accident?

I'm just an old man.

 

[arrow1]

Had a doctor's appointment today. 3 x-rays. No problem. That's why I was there.

hope they shielded your balls

 

[Willie Neslon]

Had a doctor's appointment today. 3 x-rays. No problem. That's why I was there.

hope they shielded your balls

I wore a lead cup. All good.

 

[Willie Neslon]

Big news of the day was blood pressure 110/70. Thank you Blendtec.