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English Pull Own Teeth as Dental Service Decays

 
 
cjhsa
 
Reply Mon 15 Oct, 2007 11:43 am
English 'pull own teeth' as dental service decays


http://www.telegraph.co.uk/health/graphics/2005/05/23/hdent23.jpg

Falling numbers of state dentists in England has led to some people taking extreme measures, including extracting their own teeth, according to a new study released Monday.
Falling numbers of state dentists in England has led to some people taking extreme measures, including extracting their own teeth, according to a new study released Monday.

Others have used superglue to stick crowns back on, rather than stumping up for private treatment, said the study. One person spoke of carrying out 14 separate extractions on himself with pliers.

More typically, a lack of publicly-funded dentists means that growing numbers go private: 78 percent of private patients said they were there because they could not find a National Health Service (NHS) dentist, and only 15 percent because of better treatment.

"This is an uncomfortable read for all of us, and poses serious questions to politicians from patients," said Sharon Grant of the Commission for Patient and Public Involvement in Health.

Overall, six percent of patients had resorted to self-treatment, according to the survey of 5,000 patients in England, which found that one in five had decided against dental work because of the cost.

One researcher involved in compiling the study -- carried out by members of England's Patient and Public Involvement Forums -- came across three people in one morning who had pulled out teeth themselves.

Dentists are also concerned about the trend.

Fifty-eight percent said new dentists' contracts introduced last year had made the quality of care worse, while 84 percent thought they had failed to make it easier for patients to find care.

Almost half of all dentists -- 45 percent -- said they no longer take NHS patients, while 41 percent said they had an "excessive" workload. Twenty-nine percent said their clinic had problems recruiting or retaining dentists.

"These findings indicate that the NHS dental system is letting many patients down very badly," said Grant.

"It appears many are being forced to go private because they don't want to lose their current trusted and respected dentist or because they just can't find a local NHS dentist."
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Green Witch
 
  1  
Reply Mon 15 Oct, 2007 03:41 pm
Meanwhile in America , Dentists are making big bucks off of the fewer and fewer who can afford them:

Boom Time For Dentists, but Not For Teeth

Here's the opening of the article from The Times:

Quote:
For American dentists, times have never been better. The same cannot be said for Americans' teeth.

With dentists' fees rising far faster than inflation and more than 100 million people lacking dental insurance, the percentage of Americans with untreated cavities began rising this decade, reversing a half-century trend of improvement in dental health.

Previously unreleased figures from the Centers for Disease Control and Prevention show that in 2003 and 2004, the most recent years with data available, 27 percent of children and 29 percent of adults had cavities going untreated. The level of untreated decay was the highest since the late 1980s and significantly higher than that found in a survey from 1999 to 2002.

Despite the rise in dental problems, state boards of dentists and the American Dental Association, the main lobbying group for dentists, have fought efforts to use dental hygienists and other non-dentists to provide basic care to people who do not have access to dentists.
0 Replies
 
Sglass
 
  1  
Reply Mon 15 Oct, 2007 04:02 pm
Thanks for printling that article. I started a thread on this awful trend on A2k myself and was looking for it.

I have two small dental plans and now it's garbage about PPOs, primary and secondary policies. Confusion and Chaos.

I know that I will end up at the Washington Clinic in Juarez MX to get my work done I just spent under $1,000 to have two extractions,done at the same time by a fancy smancy oral surgeon that also does cosmetic surgery. And I have no idea what I will get back from my primary since the dentist was not a PPO for my primary. Sucker drives one them fancy Italian sports cars.

People are going out of the mainland in droves to find affordable denistry.


The title of my thread is something like "Does anyone know anything about primary and secondary dental plans".

People are dying from infected teeth because they can't afford a dentist.
0 Replies
 
eoe
 
  1  
Reply Mon 15 Oct, 2007 04:02 pm
So there you go! Rotten service on both sides of the pond.
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Green Witch
 
  1  
Reply Mon 15 Oct, 2007 04:06 pm
We need to create a system that is the best of both worlds. Dentists that are well trained and well paid and a public that can afford to have their teeth taken care of no matter what rung of the ladder they are on.
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Sglass
 
  1  
Reply Mon 15 Oct, 2007 04:09 pm
I wonder if AARP has a take on this?
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Green Witch
 
  1  
Reply Mon 15 Oct, 2007 04:13 pm
I think children suffer the most when their parents can't afford dental care. Bad teeth in childhood can lead to a lifetime of problems.
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Sglass
 
  1  
Reply Mon 15 Oct, 2007 04:26 pm
I plugged in AARP and Afforable Denistry and came up with some interesting information.

I don't know how to cut and paste, so would someone else please do it.

Green Witch, several children died recently because of infected teeth. I read it somewhere.
0 Replies
 
Letty
 
  1  
Reply Mon 15 Oct, 2007 04:34 pm
AARP article

Is this the one seaglass?
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Sglass
 
  1  
Reply Mon 15 Oct, 2007 06:13 pm
Yes Letty that is the article I spotted.

Thanks. I think anyone of retirement age should check it out.

Sglass
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cjhsa
 
  1  
Reply Mon 15 Oct, 2007 07:41 pm
I know of no real job in the USA that doesn't provide a basic dental plan. 100M with no insurance? How many Wal-mart greeters/burger flippers are there anyway?
0 Replies
 
Green Witch
 
  1  
Reply Mon 15 Oct, 2007 07:51 pm
cjhsa wrote:
I know of no real job in the USA that doesn't provide a basic dental plan. 100M with no insurance? How many Wal-mart greeters/burger flippers are there anyway?


You are totally naive and out of touch with what is going on in the business world concerning insurance. Companies have been cutting back for years. People are paying more than ever for less service. Dental and eye care were the first to go. Need a specialist? Good chance he won't take your HMO, many are rejecting insurance totally and insist on cash. Go do the some research, it's well documented.
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cjhsa
 
  1  
Reply Mon 15 Oct, 2007 07:55 pm
Really? I've worked for three Fortune 500 companies, a privately held firm, and a startup. All had/have dental plans.
0 Replies
 
cjhsa
 
  1  
Reply Tue 16 Oct, 2007 05:58 am
I remember the owner at the small private firm bitching about the employees' union demanding a better dental plan. When he provided it, once they got past the 90-day probationary period and were full union with benefits, they'd stop brushing their teeth. To them, dentures were a status symbol.

Anytime you abuse the system, the employer is going to do whatever they can to reduce the benefit.
0 Replies
 
Sglass
 
  1  
Reply Wed 17 Oct, 2007 09:44 am
Hmmm, maybe I could invent :

(1) a home extraction kit

(2) do it yourself dental plates

(3) instant implants

(4) portable bridges

Anyone got any left over crowns?
0 Replies
 
Walter Hinteler
 
  1  
Reply Wed 17 Oct, 2007 10:36 am
cjhsa wrote:
Really? I've worked for three Fortune 500 companies, a privately held firm, and a startup. All had/have dental plans.


Well, if you have a "dental plan" in England - no problem: it's like a private insurance.

This, about what the Telegraph [your unsourced and unmarked quote] reports, is the NHS = the health service everyone whose staying/living in te UK gets.
0 Replies
 
cjhsa
 
  1  
Reply Fri 19 Oct, 2007 05:52 am
Either you don't notice bad teeth or your vision care plan sucks Walt. The English have horrible teeth... truly disgusting.
0 Replies
 
McTag
 
  1  
Reply Fri 19 Oct, 2007 06:11 am
Interesting generalisation.

I still have dental work done for minimum cost on the NHS by a dentist I've had for 30 years.
No complaints from me.
But in some parts of the country, NHS dentists are hard to find, or are too busy.
However, the government guarantees all urgent and emergency work is available on the NHS. No-one should have to attempt to pull their own teeth.
The private option (pay for it yourself) is open to anyone.

Cosmetic dentistry (to make us all look as nice as the citizens of the USA) is not available on the NHS.
0 Replies
 
cjhsa
 
  1  
Reply Fri 19 Oct, 2007 07:28 am
Cosmetic dentistry such as braces? Laughing

NOTE: Cosmetic dentistry isn't typically covered in the US either.... And orthodonture benefit is usually $1500 lifetime or less. People like to have a nice smile....
0 Replies
 
McTag
 
  1  
Reply Fri 19 Oct, 2007 11:14 am
I think you may have misunderstood what the fuss is about over here.

Since the 1940s, people here have been used to having access to dental work, free of charge. This included such things as braces for growing children.

Now, fewer dentists are willing to work within NHS control*. That's all.
We still have the whole private setup, with links to insurance where the individual or his employer arranges it, as in the US.


* this is largely because they can make more money if they are not subject to that control, and that pay structure.
But many dentists, who were educated largely at public expense, are still content to work all or part of their week treating NHS patients.
Social conscience, you see.
0 Replies
 
 

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