Saturday, April 9, 2011

what if you're poor can't afford a dentist but also don't want some guy who is learning to destroy you?

let's just say, if you dont have dental insurance and your in need of a dentist what do those guys do then? dentist really turn them away ? i mean do dentist now do pro bono ? anyone on any insight?
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I've been going to a dental school clinic for about eight months now, and I've gotten five fillings from my assigned student, and four more from two others in their licensing exams. Seriously? The biggest phobia factor at the clinic is listening to the students ask what sound like silly questions. I deal with that by reminding myself that the really dangerous docs are the ones that think they know everything and thus aren't paying attention. Also - clinics have built in second opinions - everyone can miss something once, but when two people look at it... Usual clinic filling procedure - All my cavities were identified in an initial appointment to document and give me a treatment plan, so the student usually plans out which one he is doing based on how deep it appeared and how long he has for my appointment. I show up, he takes a quick look, calls over an instructor to give a run-through of the procedure, double check that it makes sense given the cavities location (I prefer tooth-colored fillings, for example, but they aren't as structurally sound, so the instructor might veto one as being borderline dangerous). At beginning of year, I was one of the students first patients, so he had to call an instructor back over as soon as he got the dental dam in my mouth, to check that he did it right. Now he is a senior, he can go ahead and drill. Once he has the 'prep' done - he's cleaned out the cavity of decay, and is prepared to put a filling in - he calls over an instructor. First tooth he did, the instructor confirmed that it was in need of a root canal, waaay too deep to leave alone, but disagreed with the students thought that it was an emergency. Since then, it has just been a good moment for the instructor to give advice on the precise shape of a filling, to make it stay put best, while covering their butts by double checking that the student isn't ignoring obvious decay. He puts the filling in, hardens it, smooths it out, depending on location even polishes it, calls over an instructor to approve the final result. Really, ya gotta remember that the students are operating under the license of the instructors on the clinic floor, and the instructors are legally responsible. Occasionally I end up waiting quite a bit for the instructors to come round, but they hover over procedures that worry them, or even take over from the student if they think it requires an expert hand. That happened in my root canal - apparently my family has extremely long roots and the instructor wanted to be certain that the whole thing was cleaned out thoroughly, but gently. So he took over. Remember that the ones with the doctor in front of their names cover their butts.
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