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Doubts about the quality of work at my dentist's office

Started by Jason Green48 · · 👁 4 views · 5 replies

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Participants Jason Green48mellowskipperGrace Davis77Gerald Smith76hiddensailor14
Jason Green48 Jason Green48 NewcomerOP
2 messages
joined Jan 2021
#1 ·
A few months back, I noticed some minor tartar buildup on my lower teeth, so I finally found the time to get it cleaned. On a buddy's recommendation, I booked a private appointment at a local dental clinic, fully expecting the actual dentist to be the one performing the scaling. Once I got there, the doctor checked everything out and recommended a full cleaning plus air polishing for both jaws, which I agreed to. After that, they sprayed me with some numbing agent, and then the doctor just walked into another room. While I was sitting there waiting, the dental assistant took down my info, punched it into the computer, and also disappeared into another room—I guess they were waiting for the spray to kick in. About five minutes later, she comes back and says we can start. It felt weird because I honestly expected the doctor to be the one doing the work. Look, I know people are going to judge me for not speaking up or asking questions when things felt off, but I’m just a quiet guy by nature, so I didn't say anything, even though I probably should have. So, I'm wondering: is it standard practice for a dental assistant to handle this, or did I run into something unprofessional? To be fair, the job itself was done fine, so I can't complain about the result. I did spit up a little blood afterward, but I assume that's normal...
Maybe this is a dumb question, but I tend to overanalyze everything, so I wanted to see if anyone else has dealt with something similar.
mellowskipper mellowskipper Regular
704 messages
joined Jan 2023
#2 ·
I recently went in for a professional cleaning and some scaling myself—nothing too crazy. They didn't mention anything about my teeth feeling numb afterward, though I did spit up a little blood, but I suppose that’s just part of the process. My dentist handled everything.

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Grace Davis77 Grace Davis77 Member
33 messages
joined Jan 2017
#3 ·
On one occasion, when his wife was pressed for time during an appointment, the assistant stepped in to handle the descaling process instead. 🙄 However, she was incredibly gentle and meticulous, and since he was perfectly happy with the outcome, he didn't feel the need to bring it up during their follow-up visit.
As for the blood draws, they had a much worse experience with another practitioner who was quite rough; they ended up causing significant bruising, so they simply won't be booking with her again.
Gerald Smith76 Gerald Smith76 Active Member
98 messages
joined Nov 2015
#4 ·
Legally speaking, if an assistant is a trained dental hygienist, they’re fully authorized to handle scaling. Most dentists won't touch it because their time is far too valuable for such routine tasks. That said, plenty of seasoned assistants are just as proficient—if not more so—than the dentist when it comes to these procedures. It really boils down to the specific practice's workflow, and ultimately, it's your call who you want treating you.
hiddensailor14 hiddensailor14 Active Member
150 messages
joined Apr 2024
#5 ·
I have a few questions regarding dental imaging, specifically panoramic X-rays and CT scans.
I recently visited a local dental clinic for a panoramic X-ray, but they didn't provide me with a lead apron or any kind of shielding. When I asked why, the dental assistant told me that since they use this "new, modern, computerized" equipment—whatever that implies—a lead apron isn't necessary. I wasn't entirely convinced by the answer, but I was in a bit of a rush at the time...😵

A friend of mine went to that same clinic recently for a CT scan, and he mentioned they didn't use any protective shielding for him either.
I suspect his "explanation" would have been more of the same.
I'm trying to wrap my head around what's actually going on here.
Is this process involving radionuclides or ionizing radiation? And if it is, why aren't they using the standard safety precautions that seem to be common practice for these types of scans?

Thanks.
Gerald Smith76 Gerald Smith76 Active Member
98 messages
joined Nov 2015
#6 ·
hiddensailor14 said:I have a question regarding dental X-rays, specifically panoramic shots and CT scans.
I was at a local dental clinic recently for a panoramic X-ray, and they didn't provide me with a lead apron or any kind of shielding. When I asked why, the technician told me that since this is a modern, computerized machine, an apron isn't necessary. I wasn't entirely convinced, but I was in a rush.😵

A friend of mine went to that same clinic lately for a CT scan, and he mentioned they didn't use any lead protection for him either.
I assume his "explanation" would have been the same as mine.
What's actually going on here?
Is this involving radionuclides and ionizing radiation? If so, why aren't they using the standard protective gear typically used during these types of exams?

Thanks.

In theory, the dose you receive from a modern dental X-ray machine is extremely low, so there's no reason to panic, and the apron isn't strictly vital. In practice, however, it's still good practice to use a lead apron, and I believe it's actually required by regulation.

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