Do dentists know what they're doing?(mapwriting.substack.com)
952 points by doitLP 3 days ago | 679 comments
tl;dr: A personal essay recounting the author's 16-year odyssey through dentists who gave wildly contradictory advice about his jaw, cavities, night guards, and gum recession—ranging from a $150K jaw surgery recommendation to simple Invisalign for the same condition. Each specialist contradicts the last, often disparaging prior providers while upselling their own treatments, leaving the author questioning whether dentistry is more sales operation than science.
HN Discussion:
  • ↑Personal anecdotes of overdiagnosis and inflated treatment recommendations confirm the article's experience
  • ↑Private equity and corporate dental chains incentivize overdiagnosis through production quotas
  • ↑Financial conflict of interest when providers profit from procedures they recommend corrupts care
  • ↑Research studies confirm dentists give wildly varying diagnoses for the same patient
  • ↑Dentist quality varies enormously and patients should shop around and get second opinions