Dental visits can be daunting – and not just because of the whirring drills. Dentists may seem to speak another language entirely,and everything they suggest can feel important. You must have a sealant painted on your tooth or risk bacteria creating holes in it. You must get an extraction because an oral infection has spread and is causing pain.
There are many ways to make your next visit to the dentist more comfortable than your last.iStock
To get the best results and a more positive experience,experts recommend speaking up. Here are tips for what to ask and how to evaluate the treatments you are offered at the dentist.
Get a good look at the problems yourself
The first step to effectively advocating for yourself is understanding what your problems are. Ask your dentist to show you exactly where the pockets of your gums are getting deeper and letting bacteria accumulate,or which fillings are getting worn down by night grinding.
“You don’t have to get technical about it,” says Ellie Phillips,a preventive dentist based in Austin,Texas. “But I would recommend noting if it’s something affecting your front teeth or the back of your mouth. Is it on the outside,which is the cheek side,or is it on the tongue side?”
Visual aids such as X-rays or images from an intraoral camera – or even just looking in a mirror – can also help demystify what’s going on in your mouth.
Don’t feel pressured to agree to anything – even cleanings
Your dentist should be able to explain why particular problem areas need specific treatments,says Alyson Leffel,director of patient advocacy and social work at the NYU College of Dentistry. And it’s perfectly reasonable to ask them for time to research and reflect on your options.
Not every child or adult needs cleanings twice a year,for instance. Studies have found they don’t necessarily lead to better dental outcomes. Similarly,experts debate the benefits of extracting wisdom teeth. And old silver fillings don’t always have to be replaced with composite ones. If you feel uncomfortable pushing back in the moment,one way to give yourself more time is to schedule the recommended appointment for a future date,Phillips says. Then you can call to reschedule or cancel later.
Ask what’s urgent,and what the alternatives are
Some issues,like an abscess,may need to be treated right away. But others,such as teeth that need to be replaced with implants,should ideally be dealt with over multiple appointments,Phillips says. It’s the dentist’s job to lay out a treatment plan that prioritises the most urgent issues and avoids piling major treatments into a single visit.
As the patient,you can – and should – request detailed explanations of the benefits and risks of each treatment,what the recovery time is like,whether you will need to take medication to manage pain and whether there are consequences of delaying care.
“The more questions you ask,the more educated you will be about your dental treatment,and the less likely you are to be anxious about it,” Leffel says.
Experts also recommended asking about alternative treatments,such as antibiotics for managing gum disease instead of scaling and root planing or surgery. There may also be alternative materials available for the same kind of fix,like porcelain,resin or gold crowns.
Get a second opinion
If you have oral surgery or another big procedure coming up,or feel uncomfortable with your dentist’s recommendations for any reason,consider getting another expert’s perspective.
If you need your bite corrected,talk to an orthodontist.And if a dentist has recommended a root canal or a full mouth extraction,consult an endodontist or oral surgeon,says Craigg Voightmann,a dental malpractice lawyer in Scottsdale,Arizona.
“If there’s a specialty that does the procedure,you shouldn’t have a general dentist doing it for the most part,” Voightmann says.
Beware of other red flags
When you first see a new dentist,be wary if they recommend far more treatment than your previous provider ever suggested. Not all procedures are strictly necessary. For example,some early-stage tooth decay can simply be monitored every couple of months and don’t need to be filled right away.
Avoid practices that offer steep discounts just to get you in the door or say they can do complicated procedures like implants in one day,Voightmann suggests.
And rely on personal recommendations from friends,family or dental professionals themselves. Ask your hygienist or dentist where they would go if they needed the treatment you’re getting,Voightmann says.
The best scenario is when your dentist’s treatment philosophy aligns with your own.
“They could be the best dentist or specialist in the world,but if you don’t feel comfortable with them,that’s not going to be a successful relationship,” Leffel says. “So you need to,as a patient,decide what makes you feel the best.”
The New York Times
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