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The current dentist I went to in the recent years is a self-professed believer in preventative dental care. Meaning she will fill anything that moves, or looks like a cavity, or might become one later.

And she is a very caring person. I fully believe she does this to minimize harm.

Similarly she recommended tooth cleaning, to get the plaque off, because under it bad things can happen. Sure, let's do it.

And during these visits I formed the impression that she's friendly, eager, and frustratingly incompetent. (When I had a problem with the topical anesthetic she had no solution, just to look sad. When drilling she seemed unsure of how deep to go, etc.)

All in all, I'm not going to go back to her, because I can scrape off shit from my teeth with a steel tool if I really want that, and the brown spots that might become cavities are 10-20 year old anyway, so maybe I'll just wait.

So the errors are because there are just no real trivial standards. There's no simple and easy way to say which dentist is bad, because the whole dentistry is meh - because medicine as a whole is very meh, and that has many causes, but some of those are because biology is very complex, diagnostics is hard, service providing at scale is its own hell, there's politics on top, etc.



She seems of higher quality than what other user report. Preventative maintenance is good (indeed cleaning requires fine training), unnecessary, costly, potentially harmful procedures isn't.


Huh? Cavities aren't "brown spots".


Yes, but she said that those are the spots where it can develop without getting noticed. (On molars, which already have depressions, "canyons".)


I think he means that these are signs of future cavities.




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