I had not long moved to Anchorage, lost a filling in a molar, and went looking for a dentist right between Christmas and New Year. To some extent I wasn't surprised when I was told that it would require a crown, as I'd already had to get one, and so they got stuck into it. When the crown arrived, I went in to get it installed. The temporary had come off a couple of days before, and as the practice was busy, they decided that the technician would do a routine cleaning and set of X-rays while we were waiting. The crown was duly installed and adjusted, and it has been great ever since.
At that point, I was pretty happy, and the crown has been trouble-free ever since, like my first. But I was then ushered into an advisor, who had a plan for my teeth and, it would seem, my bank account. She showed me the X-rays, pointing out all the deep decay beneath my fillings, beneath the previous crown (only a couple of years old), and one particular tooth that had decay along its surface. Unfortunately, that was the tooth they had just prepped for the crown they had installed only 30 minutes before, and if there was decay there, they had just sealed it under their own crown, after they'd taken a whole lot off the top of the tooth a couple of weeks before. She had included the cost of placing a crown on that tooth, despite having just done that and been paid for it, and had costed putting crowns on just about every tooth in my jaws! Needless to say, I wasn't impressed with either her dental interpretation (I could read X-rays better than she could, as far as locating teeth was concerned) or her drive for the dollars. She had the finance plan to pay for it right to hand. My insurance wouldn't come at that many crowns, limiting me to one per year, I think, but she was so keen to get the job done, that wasn't a concern for her. But for me, it was a different matter.
My previous dentist had discussed how long a particular tooth could be expected to last, and we had been able to plan years ahead. We had quietly replaced old fillings as needed, and kept things fully functional and happy. He often sent me on my way with a hearty laugh and the words "Well, you won't be helping fund my daughters through college this year!" When I moved to Anchorage, my teeth were fine, and likely to remain so for years, needing just the occasional filling replaced and perhaps the odd crown as the teeth and fillings aged. So who do I trust? They guy who kept things running well at minimal cost, or a prophet of dental doom determined to drag my diminishing dollars into his own dirty clutches?
I didn't get a second opinion on the crown, so I can't say if it was truly necessary. So far, it has worked very well, and I have no complaints there. But there was a distinct distance between dentist and patient that I've not felt before (his chair-side manner didn't inspire complete confidence). I could understand it as a manifestation of guilt if he knew his advisor was trying to drive patients into unnecessary procedures, at costs way beyond what their insurance would cover, as a means of lining his own pockets. So despite the apparent quality of the actual dental work, I won't be back again, and the other four members of my family will never be around that clinic.
by choppers
July 06, 2010