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> It's so sad that most dentists optimise for billable revenue

I've heard this so often as well as the more general statement that doctors optimize for revenue. I think it's nonsense and even dangerous. People are more likely to die from deadly diseases like cancer because they avoid doctors. The anti-vaccination movement is also very likely linked to this sentiment.

> Cavities, on the other hand can be arrested (stopped),

If they are really small. And even if, teeth with rough surface require multiple times more effort to take care of. (So you really need to chew a lot of gum) Only exception are deep holes, those you sometimes don't want to fill so the tooth can "breathe", at least for some years IIRC.

> and if small can even be remineralised. Yes, most dentists don't tell you that!

2 out of 3 dentists told me to buy remineralization tooth paste and use it once a week. Also I'm getting urged nowadays to go twice a year for tooth cleaning including professional remineralization treatment.

Disclaimer: Not a dentist either. I think medical advice should be taken from people that have actually studied that stuff.



> optimize for revenue. I think it's nonsense and even dangerous.

As with everything, there are caveats to the kind of doctor you are talking. The key distinction is that most dentists keep the residual income: the difference between the fixed costs and income. It can be a quite large sum and high % of dentists' earnings. So a dentist has a very strong incentive to increase it. Overtreating patients is the easiest way to do it since increasing the prices is not an option due to competition.

Who isn't keeping the residual income? It's the doctors who work only for a fixed salary. They can't earn more by overtreating. In fact, if they have less work, they are at profit since their salary is fixed. They don't care about increasing the residual income since they don't get it.

So, this is not some conspiracy theory. It is based on economic facts. I've analyzed this in more details here: https://documentation.denther.com/docs/industry/inefficienci...




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