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My good friend is a dentist. He's extremely ethical. He told me dentists have been doing this forever. He believes most cavities are overly cut out, which causes teeth to lose integrity, ensuring more visits later in the person's life.
He told me this over ten years ago.
This has definitely been happening forever. Unnecessary fillings are par for the course. I went to a new dentist once and on the first visit he told me I needed 3 fillings. I declined and a high pressure sales pitch followed. I went to someone else the next time who said there was nothing that required immediate attention. I've been going there for years and just now needed one filling from her.
Lots of other people would just trust the first sleazebag dentist, or lack the confidence to say no, making this a serious problem. Licensing boards need to hold their licenses accountable for performing ethical work
I felt like I was let in on a dirty little secret that nobody else knew about. It's almost stunning to see someone else who's aware of what he told me. I texted my friend with this article right after I made my comment and he sent back this to me:
The dude's one in a million.
Happened to me nearly 40 years ago on my baby teeth. My mother finally had enough and took me for a second opinion and the next dentist found no problems. It's given me 40 years of dental anxiety so bad that I have to go to a specialist that deals with it. The only time I had to have work done there, they drugged me to the gills.
Seems like the way to deal with this would be for dentist #2 to report the issue to a licensing agency of some sort and they evaluate the records from both to determine the correct recommendations and if #1 is found to be recommending unnecessary work they get the shit fined out of them and have their license revoked if it's repeated or particularly egregious.
This was especially true with the old metal based fillings (gold, silver, etc). The metal contracts and expands a miniscule amount with heat and cold. Eventually they end up cracking the tooth. The larger the filling, the worse it is.
I am on crown #5 because of that asshole dentist when I was 23. Oh and a nice plus is they were extremely sensitive to temperature and randomly hurt like hell. At $1000 per crown it's not fun on the pocket book.