My Dental Care Philosophy

My dental care philosophy in general encompasses the following:

I believe that appropriate dentistry begins with the concept set forth in the age-old adage “if it isn’t broken, don’t fix it." I do not encourage bleaching of teeth because of long-term possible adverse effects, especially to teeth with old or large fillings. Trendy procedures--including laser and chemo-periodontal therapy--that are not cost competitive and have not yet been shown to improve the long-term outcome of care (as opposed to evidence-based traditional treatments) are also not encouraged. Elective invasive cosmetic devices for untreated (virgin) teeth, such as veneers or cosmetic caps, are similarly discouraged because of potential adverse long-term consequences to these otherwise healthy teeth.

I am most concerned about saving diseased teeth whenever possible. I encourage innovative restorative prosthetics and advanced periodontal therapy, including periodontal grafting techniques, are routinely provided. I only recommend tooth extractions if I am unable to eliminate pain, restore function, or reestablish adequate cosmetics to compromised dentition. If these criteria are met, I prescribe dental implants.

I do not believe in “selling” dentistry to promote either replacement or cosmetic dentistry. Fillings and crowns are repaired, rather than replaced, if desired by the patient and if technically possible. Badly broken-down mouths that include multiple missing teeth can be restored with special appliances, which are actually bridges, but can be made removable. These special bridges are not partial dentures. They are like permanent bridges, but are removable to improve access for daily oral hygiene. Implants and natural teeth can be used to support these “telescopic” fixed or detachable types of bridges. In other words, patients can easily clean detachable bridges while enjoying the cosmetics and function of the permanent or non-removable types.

I believe every citizen has a moral duty to try to produce a service or product that will improve the quality of life for their fellow citizens. Whether you are an unskilled laborer or a brain surgeon, the opportunity to exercise this moral imperative is always present.

As a dentist I strive to be a skilled surgeon (technically as well as scholarly)(please click here to view my qualifications). I also want to be a good businessperson who advocates for my patients by giving them as much value for their money as possible, while still making a fair living for myself and my family.

One way I can improve the outcome of dental care is by controlling all related costs, including setting my hourly fee (by far the largest cost for dental care) to be within the reach of regular people. I can achieve this without compromising quality of service or self-sacrifice. (please click here to learn more about Affordable vs. Expensive Dental Implants)

My ultimate message to you about obtaining dental implant care is this: don't pay large sums of money in hopes that by paying more you will be ensured a successful—or even better—outcome, than that which can be obtained by checking out options. Don’t avoid shopping for affordable dental care. Instead, inform yourself about practitioner track record, education, and fees to ensure that you find a great fit for you and your wallet.

Similarly, inform yourself about the evidence that justifies the care that is recommended to you. Ask if prior dental work can be repaired, rather than replaced. Ask what will happen if you don't accept recommended care. Finally, ask for written explanations about why work is being recommentded, the alternatives, and the consequences of not going forth if you are uncertain about verbal explanations of what you have been told.