Does your dentist do this?
Author: Amber
Jon and I had a conversation about our dentist this morning through chat. We started the conversation yesterday but didn’t have time to finish it and I totally thought he was over-reacting. Until now.
*****
Jon: Were you going to rebook my appointment?
Jon: I did the survey but it may not have gone through, I got an error.
“Upsells were too aggressive. I came in for a cleaning and had whitening, braces, and sealants recommended to me, though they were all acknowledged to be unnecessary and cosmetic. Pushy sales techniques have kept me from seeing a dentist for several years.”
Oh yeah, he said I had minor wear on a couple teeth so I may be a “light grinder” and even though I don’t have headaches or sore jaw, he could fit me for a night guard.
Amber: LOL That’s probably what they wanted to book impressions for.
Jon: If you call back, make sure they are not scheduling me for that
I’m not paying for crap like that.
Amber: Just for the rest of the cleaning, right?
Jon: Yes please. I don’t even really want him to be dealing with these imaginary cavities.
Amber: You should at least get your cavities filled.
Jon: They aren’t cavities. He couldn’t even bring himself to say that. They were “slight changes in the composition of the surface”.
The more I think of it, the less I trust this guy. He just saw our family as a regular payment on a new sports car for the next 20 years.
Amber: You’re funny.
*****
Does YOUR dentist try to “upsell” to you? Do you like your dentist or does s/he make you uncomfortable? How? Jon and I have found a lot of dentists to be too friendly - it freaks us out when they don’t break eye contact or their smile for an entire conversation. Does your dentist do this?





February 11th, 2010 at 2:04 pm
Wow, we have never had that problem. Ours is really great. Riley’s mouth is looking awfully crowded and he still will not say that he may need braces in the future, although I am almost certain of it. Were do you go? You may want to check out Country Hills Dental, we see Dr. Begalke. He is really awesome with three kiddos of his own.
February 11th, 2010 at 2:06 pm
We go to Discover Dental in the Castleridge shopping centre. I love the staff and the office there for myself and the kids. They seem to be preying on Jon though!
February 11th, 2010 at 6:03 pm
Mine is super friendly and loves to chat.. but he doesnt do work unless its needed and ive been going to his office so long that if i have a tooth ache i can call and see him and he wont make pay to see what the problem is.. he will only make me pay if there is work to be done so pretty much i can walk out with a prescription for antibiotics if its due to an infection without him charging me which is really nice
February 11th, 2010 at 6:06 pm
Nope we have never had that. Thank goodness.
That sucks..
February 11th, 2010 at 6:28 pm
After nine years of orthodontics and oral surgery, I think I dislike dentists all most as much as you Amber - I don’t know if you remember all the retainers i had in junior high!
Jon is definitely being up-sold. I would find a new dentist. They make a lot more money on teeth whitening and retainers then cavities and cleanings.
Good luck!
February 11th, 2010 at 6:47 pm
Luckily, our dentist right now doesn’t do that. He’s actually the same age as Mike and they knew eachother from school, so I don’t think he would try that on us anyways, but even the older dentist that he bought the practice off of never did that to us.
Sorry, you’ve got a pushy dentist.
February 11th, 2010 at 7:03 pm
Brutal, I would be gone from that dentist in a second!!! I’ve never had anything like that! My current dentist occasionally mentions Invisalign invisible braces to me and it drives me batty because I know she’s just doing it to sell me something. I would change except she’s in my work building, so the convenience factor is too big. But if it weren’t for that, I would be shopping for another dentist pronto - as far as I’m concerned they’re medical professionals who should not be trying to sell me anything. Clean my teeth, do occasional xrays, fill cavities, watch out for other problems and fix them when they arise, but should not be seeing me as a cash cow.
February 11th, 2010 at 8:26 pm
Yep, mine tries to upsell me every time, drives me crazy! Not stuff like “changes in the composition” but says I need bonding on the front teeth to build them up, braces, an implant for the tooth that is missing… I’m with Jon, clean my teeth, fill what NEEDS filling and leave me alone! Oh, and mine will not direct bill my insurance, I have to pay ahead and wait for the insurance to come back (my coworkers all get direct billing). Keeghan’s pediatric dentist was incredible though
February 12th, 2010 at 7:16 am
These comments are very interesting. We probably won’t change dentists because the kids and I feel comfortable there and they direct bill, which is VERY important. But we also will be refusing unnecessary stuff and not going as often as they would like us to for cleanings (they recommend every 6 months, we do once per year or so.
February 13th, 2010 at 7:53 pm
I just want to say I work for a dentist and it is important to remember that those upsale suggestions are merely recommendations. Unfortunately, a dentist also has a business to run. You can look into your local dental society to see if your dentist has good credibility in the community. Also, I’d like to add that getting your teeth cleaned once a year is not enough. 6 months is the standard recommendation due to the amount of build up people have based on their sub-par efforts of oral hygiene. Most adults actually require cleaning every 3-4 months, particularly those that don’t floss efficiently, regularly. Dentists always get a bad rap, and while I’ll agree that there’s a lot of quacks out there who’ve earned it, plenty of dentists are legit and have a specific standard of care they adhere to, thus causing them to inform their patients of all of their options, both cosmetic and necessary.
February 13th, 2010 at 8:16 pm
Thank you for your comment with a view from the other side of the chair. I definitely appreciate it!
Recommendations of all that stuff is just fine by me, I think it is good for dentists to recommend stuff like that because otherwise, a lot of people wouldn’t even know about them. I was actually hoping that the dentist would recommend ceramic veneers or something like that for my front teeth, but he didn’t recommend a single thing to me.
However, pushing it on people is not fair. It makes people feel uncomfortable and puts people in the position of having to say no (which is not easy for many). Or it is just confusing…why would they book Jon for impressions when he hadn’t even expressed interest in anything that would require that? It is a time waster when I have to explain that we won’t be booking that appointment, and why. I really don’t have a lot of extra time to spend on stuff like that.
The cleanings…I’m not convinced. If I can skip visiting the dentist for 9 years and not have any huge issues (and Jon for as long as he did and not have any issues), I can’t say that I agree every 6 months or less is necessary. I’ll teach my kids to go once per year, just as they visit the dr. once per year, and the optometrist once per year. Any more is a waste of time and money, and in some cases is just a strain on the system where there doesn’t need to be one.
-Amber
February 17th, 2010 at 8:58 pm
I appreciate getting a glimpse of what the dentally unifnormed public thinks about dentistry.
I urge you to look up periodontal disease to understand the necessity for more than one cleaning a year. I am not sure if your dentist mentioned gum deisease to you or not, but it is the reason people lose their teeth. Also, research has shown that the plaque present in the oral cavity is the same plaque that is found in the arteries of heart disease patients. Another interesting fact: pregnant mothers with gum disease tend to have babies of lower birth weight and in some cases just as unhealthy as mothers who smoke while pregnant.
Unfortunately, lot of old school dentists just watch gum disease progress until it gets severe and requires a specialist and usually surgery.
Dentally speaking, there are 4 types of people in this world:
1. Those that get gum disease
2. Those that get tooth decay
3. Those that get both
4. Those that get neither
Congrats to you if you were able to not see a dentist for 9 years and not have any gum issues. You are in the top .01% of the population. If we could bottle your immunities and sell them we’d be millionaires!
There are many factors that determine which of the 4 people you are. Mainly it boils down to whether or not your body produces the specific antibodies that fight off the specific bacteria that cause either tooth decay or gum disease. If your gums bleed even the slightest bit during brushing or flossing, you have gum disease. If you touched anywhere else on your body and it bled it’d be alarming, right?
The earliest stage of gum disease is gingivitis, which everyone hears about on tv in toothpaste ads. Gingivitis is the bleeding of the gums, just inflammation. Once there is bone loss that creates pockets of 4mm or more and bleeding is present, that is periodontal disease.
Most people don’t have a resistance to gum diesease. After plaque (which produces every 12-24 hours) is on the teeth for 24 hours it begins to calcify and turns into calculus (tartar). This is a hard deposit that forms a coral reef for bacteria to breed in and under. Once a shelter of calculus is formed, the bacteria move in and set up New York City under your gums. This causes the bone that holds your teeth in place to resorb, causing pockets that ultimately lead to mobility and loss of the teeth. If people don’t floss *efficiently* daily, they have a great potential to develop gum disease.
Perio disease does not get better on its own. Ever. Not even with diligent home care. You can’t clean 4mm below your gums on your own. When you get your teeth cleaned, they should also be meausring your pocket depths (this is here they probe around and call out numbers like 323, 323, 434) . 1-3mm is a healthy reading. Any sites of bleeding or tenderness are an indication of inflammation.
I’m sorry to have gotten so long winded about this, but I know there is a misconception because the general public isn’t informed of these things. I make my hourly wage whether you show up 2 or 6 times a year, so I have no incentive to urge you to go for more frequent cleanings. As a dental professional I feel obligated to educate.
If you have any questions let me know.
February 17th, 2010 at 9:05 pm
also let me add that I absolutely agree with you about the hard sell. I believe in patients being able to make an informed, educated decision. I don’t push the Invisalign, but I do mention the hygienic benefits of straight teeth. I try to gauge the patient and determine what value they place on esthetics, health, and functionality and try to appeal to those characteristics. If a patient is uninterested I remind them it’s merely a suggestion and ultimately their decision.
I think your dentist might suck, with all due respect
February 17th, 2010 at 9:25 pm
I apologize if I have offended you in some way with my post. I was just commenting on the upsell that my husband was subjected to. If I had gone to a cellular phone store and been “upsold” as much, I would have posted the same (about phones though, not teeth, obviously).
I don’t understand really how this turned into a discussion about periodontal disease, but I guess I’m one of the lucky ones who has 9.5 lb full-term babies even though my gums might bleed a little when I floss too vigorously.
What I am not “lucky” enough to have is enough money to have my teeth cleaned more than once per year, so the guilt trip that my poor dental hygiene is going to be my demise isn’t going to make me do it more. So be it.
I think you may count me less educated than I really am, which I guess is the unfortunate part of people who don’t know me personally having the ability to read my blog.
What I’m starting to consider is that you are perhaps from my dentist’s office and are trying to upsell me to more cleanings per year. In which case, I would most definitely need to switch to a new dentist because now I’d be sure that you are “out to get me”.
Anyway, thanks for the discussion and the dental health refresher. I hope to see more comments from you in the future.
February 18th, 2010 at 3:02 am
i’m sorry that my response led you to believe I felt offended in some way. That is not the case. Let me assure you I do NOT work for your dentist. I work in San Diego, CA. I just read Jon’s post. And I’ll reiterate: “I think your dentist might suck”. My goal was only to let you know what thousands of everyday people don’t know. I actually stumbled upon your blog while searching for something completely unrelated but felt the need to respond on behalf of all dental professionals that get a bad rap. I believe the office you go to doesn’t share the same standards of excellence, ethics, and legitimacy as the office I work for. That is a shame.
Let me clear up one thing: I don’t think you’re uneducated, I just happen to come in contact with a lot of people that have been misinformed and I feel its my duty to inform.
I respect you having the ideals you do and am not out to change you, I just figured you may as well have all the facts before deeming something frivolous or unnecessary. What you choose to do with your mouth and your family’s mouths is not my business, I just hoped to shed some light.
I think plenty of dentists are scheisters. I’ll agree that it all can seem like a waste of time and money…. I think it’s unfortunate that not everybody has a clear understanding of the logic and reasoning behind recommended dental treatment. Unfortunately it seems you guys have been accustomed to dentistry with a lower standard of care than what my office upholds.
My boss is active in the ADA and can refer you to a dentist that is less about dollar signs and more about oral health…
February 18th, 2010 at 3:12 am
I understand that dentistry is not cheap. Nor is brain surgery. (why would you ever skimp on either?) My point was that the most important factor in determining your specific dental treatment should be health, first and foremost, not insurance or finances. My explanation was only to make that decision easier.
February 18th, 2010 at 8:31 am
I know you are in San Diego, I was just joking about you being at my dentist’s office. Hence the ;).
I agree that the most important factor in any treatment - medical, dental, etc. should be health. However, that is not the way the world is. If money is an issue, money is an issue. Most dentists I know won’t say, “Oh, you can’t afford to be cleaned every 6 months? No problem, we’ll only charge you for one. The other is on us!” Many probably cannot fathom living on what a low-income family lives on.
And I just can’t agree that dentistry is on the same level as brain surgery in health terms. If you lose a tooth, big deal, you look funny or shell out the $$ for a bridge or dentures or ($$ eek! $$) an implant. If you lose your brain, well, do I really need to finish this sentence?
February 18th, 2010 at 9:13 pm
My only goal was to let you know why its necessary to go more frequently. I didn’t intend to give you a guilt trip or make you think your lack of dental health would be your demise. I just wanted to make sure that when you’re making your list of reasons not to get your teeth cleaned more often, you can leave out “because its unnecessary”. It is absolutely necessary whether its affordable or not. The ADA makes the recommendations based on health research, not demographics and income levels (be it of the patient or dentist).
I printed out this thread and presented it in our weekly staff meeting today. Its an eye opener to dental professionals to see what misconceptions the general public has about dentistry. Believe it or not, dental school doesn’t have a course on “how to hose over your patients and take them for all they’ve got”.
It’s unfortunate that people are quicker to assume they’re being taken than they are to trust a professional. Well, what would a dentist know about dentistry anyway?
February 18th, 2010 at 9:51 pm
That is very cool that you printed it out and shared it!
And after you all made fun of us (LOL) I hope that the following conversation revealed any practices that might make patients uncomfortable, and helped everyone grow in their position/career somehow.
You are right - it is quite unfortunate that people are quick to assume they are being taken, but with so much of that going on in the world, how could they assume otherwise? Do you agree? People need to be cautious or they will be taken, by a professional or not. Over and over.
I’m not a pessimist by any means, but that is reality.