10 myths about "divorce" in dentistry: exposure and recommendations
10 myths about "divorce" in dentistry: exposure and recommendations

Seeing a dentist is always a thrill. And not only because you have to go through all kinds of manipulations with your teeth. In addition, many patients await the bill after treatment with horror - no one wants to overpay for unnecessary procedures.

10 myths about "divorce" in dentistry: exposure and recommendations

These fears often lead to myths about dental treatment. Our expert is ready to dispel ten of them.

Roman Kozlov

Roman Kozlov leading dental surgeon, implant surgeon, orthopedic dentist at the High Guard Clinic

Myth No. 1: “I have read everything on the Internet about my symptoms and I know better than a doctor what to do! It's not easy to fool me!"

This is a very big mistake! Articles on the internet are highly subjective and rarely written by professionals. The patient is familiar with only one or two sets of symptoms that he has encountered personally, and trying to diagnose himself using this meager knowledge is not the best method. And the doctor studies for 5 years at the university plus receives additional postgraduate education, in total - about 8 years. Where the patient sees only superficial symptoms, the dentist accurately diagnoses the disease from the standpoint of his clinical experience and acquired knowledge.

In addition, none of the patients yet can boast of X-ray vision, like Superman's, and the doctor has at his disposal special equipment for an accurate diagnosis: X-ray machines, a cone-beam tomography machine, etc. Yet patients can be understood when they do not want to overpay for treatment or carry out any radical procedure.

: before starting treatment, especially if it is global enough, it is worth visiting several specialists and getting their opinion. So you can form a general opinion for yourself and make a choice of a dental clinic.

Myth No. 2: “Why do so many doctors gather around me? They are plotting something against me! "


There are different areas of dentistry: therapy, orthopedics, orthodontics, surgery, etc. If a patient comes to a clinic with a complex problem, collegial consultations are held - several doctors of different profiles first discuss the diagnosis and treatment, weighing all the pros and cons, and then explain to the patient what conclusions they have come to. Do not be afraid of such an approach - doctors do this not because of innate deceit, but because any problem can be solved in several ways.

The dentist will often not immediately suggest radical methods. When a difficult situation arises, the treatment always starts with the very minimum - with therapy. This is work with caries, pulpitis and its complications. But if the problem is more global and cannot be solved therapeutically (that is, it is not enough to heal and put a filling), then the therapist involves his colleagues - for example, a surgeon (say, if the tooth cannot be saved).

a bona fide clinic will always offer several options - depending on your financial capabilities: for example, a choice between more expensive treatment using high-quality materials and using the most modern technologies and a less expensive traditional method using cheaper materials.

Myth # 3: “Why are there so many diagnostic procedures? I do not need them!"

There is never enough diagnostics! To obtain comprehensive information about the patient's condition, the doctor must appeal with objective data, and the more there are, the more accurate the diagnosis will be.

With total treatment, when the patient has more than one problem in the mouth, but several, the doctors of the clinic carry out more extensive diagnostics, prescribing computed tomography. Firstly, it is necessary to get the most complete picture of what is going on in the patient's mouth.Secondly, if, with extensive problems, a minimal diagnostic study is carried out (for example, taking X-rays of the teeth one at a time), then it will be necessary to prescribe several types of X-ray studies to the patient, and this leads to unreasonable overpayments.

: it is important to understand why the doctor ordered this or that study. The doctor has a protocol for conducting treatment - clear rules, the "gold standard", and you can always ask why a diagnosis is needed in such a volume. There are situations when an excess of diagnostic procedures is not justified - for example, when treating modest caries, it is not advisable to carry out computed tomography.

Myth number 4: "In no case should you remove wisdom teeth, I still use them!"


No dentist will remove teeth just like that, for no reason. Each tooth extraction has its own indications. Most often this is an inflammatory process at the tops of the roots or orthodontic treatment, when there is very little space in the jaw, and in order to increase it, doctors go to the removal of the most "unnecessary" teeth.

Why wisdom teeth? In fact, this is a rudiment, and some young lucky ones do not even have them at all in embryo. Physiologically, we no longer need eight teeth. There is no chewing load on them, their laying often occurs in completely wrong places: sometimes the upper wisdom teeth grow into the cheek, injure soft tissues, and the lower teeth are in the wrong position.

: Always ask your dentist why he decided to have his wisdom teeth removed. As a rule, the reason is more than compelling.

Myth No. 5: “Why does the doctor force me to treat my teeth before installing braces? Surely he wants to lure more money! "

Orthodontic treatment takes from six months to two years. At this time, the tooth on which a bracket or any other holding system is installed is isolated, it is very difficult to cure or heal it, and existing caries may develop under the bracket. A carious spot in a few years can develop into pulpitis, even periodontitis, as a result of which this tooth has to be removed. There are many elements in the bracket system that block the view, and the doctor cannot detect the “enemy” in time.

Also, when a bracket is glued to a tooth, favorable conditions are created for the formation of plaque, which not all patients manage to remove efficiently. This is why debridement is required before orthodontic treatment.

: When sanitizing the oral cavity, the doctor guarantees the safety of all your teeth after orthodontic treatment, while observing adequate hygiene procedures. Listen to him!

Myth # 6: “An injection of an anesthetic? Never! This is terribly harmful! "


This approach is found among people of the older generation, who still found Soviet dentistry with only one type of anesthesia. However, there are patients who do not want to perform even the most harmless procedures without anesthesia, and some are able to go for tooth extraction and other bloody manipulations without anesthesia at all.

However, any treatment should be accompanied by adequate pain relief. The doctor should perform his manipulations calmly, without straining in expectation that the patient will fly out of the chair with a bullet when a wild dagger pain pierces his tooth. Indeed, in terms of intensity, dental pain is in third place after hepatic and renal colic! In modern dentistry, great attention is paid to the patient's comfort during treatment, primarily anesthesia. Now there are many types of pain relief, ranging from superficial, shallow and ending with general anesthesia.

pain relief should be adequate to the treatment and your psycho-emotional state. After eliminating caries, the feeling of numbness should not persist for 2-3 days. Normal pain relief disappears 3-4 hours after the end of all procedures.

Myth # 7: “An implant? Never! This is even more harmful than anesthesia! "

The fear of implantation (a metal object is inserted into the mouth, horror!) Is quite understandable, but practically not justified. An implant is a micro-prosthesis that is inserted into the bone tissue and mimics the root of a missing tooth. In fact, in itself, it is a support and retention system, on which the crown in the shape of a tooth is fixed.

If we talk about the material used for the manufacture of implants, and its quality, it is porous titanium of a certain category. It is processed and sterilized in a special way. In principle, the material is the same for all implants and is harmless to the human body.

: If you are concerned about implantation, then you can always resort to the usual bridges or ask your doctor about the properties of implants and the guarantees that the manufacturer gives on them.

Myth # 8: "All implants are the same!"


Implants really only differ in their shape. But there is one important nuance. There are manufacturing companies that have been producing implants for several decades - they have brought the shape of their products to almost perfection, and the shape of their orthopedic platform has almost never changed. The installation of such implants does not cause the slightest problem. Why is it so important? For example, what will the patient do after many years if the orthopedic structure breaks down - say, the ceramic is chipped? Then you will need to make another design. But if there are no "spare parts" for this implant, then there will be a problem with its further "repair".

The fact is that before prosthetics on an implant, doctors use special tools that allow transferring data to a plaster model in order to make a prosthetic structure later. If the orthopedic platform of the implant suddenly changes, the doctor simply will not be able to find suitable consumables to restore the structure on it.

: when choosing an implant, it makes sense to give preference to firms that have been manufacturing them longer than their competitors and have long-term clinical results.

Myth # 9: Why on earth would I overpay for this implant? Here's another, much cheaper! "

This myth is closely related to the previous one. At first glance, it seems to the patient that they want to inflate him, because he visually cannot understand what is the difference between implants of different companies. The key point is the implant manufacturer, which has proven itself over the years. If the company has been creating implants for a long time, then it has more than a million clinical cases that show that their products remain stable even after many years. This parameter is called the implant survival rate. The higher it is, the higher is its price.

If a company has been producing implant systems for less than 10 years, then it still lacks a clinical and research base, experience in using this implant, and therefore it will be much cheaper. Is it worth saving like that? After all, if the implant is clinically tested, did not cause any problems or complaints, is not fragile, then, of course, it is better to give preference to it.

: Now there are about 400 implant systems on the Russian market. Among them there are a dozen that are considered the premium segment. Dentists recommend them to patients, because the long-term result of their use is already known. An analogy can be drawn between implants and cars: there is a Zhiguli, and there is a Mercedes. Both rides, but the difference in safety, reliability and comfort is obvious to everyone.

Myth No. 10: "Why do I need these modern methods of yours, I'd rather be cured the old fashioned way, even like my grandfather!"


Not only dentistry, but our entire world is constantly evolving. You should not reject new technologies and be treated only with conservative methods just because the old is more familiar.Indeed, over time, dental treatment has undergone a number of significant changes - all technologies are becoming more ergonomic, faster, painless for the patient. If you were offered to remove a tooth according to the methods of 20 years ago, you would hardly like it, especially taking into account those anesthetics that were 20 years ago. With regard to prosthetics, and indeed any branch of dentistry, the current level of service provision was unattainable even 10 years ago.

: dentistry has made great strides forward. Modern equipment allows for high-quality and, most importantly, completely predictable treatment. Being conservative about the treatment of your teeth is not entirely appropriate.

Popular by topic