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Dentists get their teeth into globalisation
The British Academy of Cosmetic Dentistry has launched an impassioned appeal against ‘dental holidays’, the increasingly common practice of UK citizens heading across the Channel to find a cheap dentist. The trade body has seized upon a study by Which that suggested these holidays pose ‘serious risks’, and concluded that the safest bet is – you guessed it – to stay at home and have the work done by a qualified British dentist instead.
The problem with this pernicious trend, according to the BACD, is that on the Continent any old dentist can offer cosmetic dentistry – whereas in fact all that tooth-whitening and stuff needs years of dedicated extra training. Apparently. What’s more, if you’re only there for a week the dentist will have to rush everything through – rather than space the treatment out over several visits (which has the additional advantage of allowing them to charge for more consultations, of course). ‘The public needs to be careful before taking these so called ‘holidays’,’ says BACD director Tif Qureshi. ‘They may be cheap, but at the risk of damaging your mouth and smile’.
In fact, sniffs the BACD, their members frequently see patients return from their dental holidays looking like they’ve been ten rounds with Joe Calzaghe. Problems range from ‘their bite to discrepancies in colour,’ according to BACD boffin Bertie Napier (told you that tooth-whitening thing was harder than it looks).
Of course, what the BACD appears to ignore is that these dental holidays are a market-driven development. If it was actually possible to get a dentist appointment in the UK within a six month period, without having to sell a kidney for the privilege (our editor is still moaning about the £70 he paid for a scrape and polish on Monday), people wouldn’t need to bother trekking over to Warsaw to have their front teeth capped.
And although you’d never guess it from listening to the BACD, it’s not the case that all these dentists are incompetent charlatans. Lots of people return from Prague or Budapest with a smile like Julia Roberts – so clearly some are equally if not more competent than their UK counterparts.
Even cosmetic dentists have to realise that globalisation means global competition. It’s time they stopped mouthing off and got their teeth stuck into it.
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Nigel Carter 21-Mar-08, 12:46
An amusing article and of course some patients do return pleased and having saved some money but you must consider what happens if something goes wrong, can you afford the time and money to go back for correction of the problem, what are your patient rights in a foreign country, can you afoord to have the problem corrected in the UK. A Which survey shows 19% of medical tourists returning unhappy, is this a risk you want to take? The British Dental Health Foundation helpline is receiving several calls a week from patients where something has gone wrong so 'buyer beware'tif qureshi 21-Mar-08, 14:49
If the journalist who wrote this article didn't think the BACD were fully aware of the possible cynical view that could be taken on this issue, then he or she was rather short sighted even though it was quite funny.However it is our role to advise patients on matters of cosmetic dentistry.
There are good and bad dentists everywhere in the Uk and in Europe but the point is that if a patient goes abroad, all rights to protection from the GDC (general dental council ) are lost.
As long as patients understand this, which your journalist clearly doesnt. then fine. If we didn't advise to be cautious when planning these trips then we would no doubt be under fire for not warning of the potential problems and it would no doubt be all our fault.!
Treatment appointment times are critical for previewing a cosmetic case. Patients have to wear temporary teeth as a preview to be sure they are happy with the potential outcome. No extra appointments are made, it is simply that the patient has longer to decide if they are happy with the result. It is often difficult to be certain on details like tooth length contour and occlusal issues (bite problems) when a patient's lip is still swollen after recent anaesthesia.
All the best cosmetic dentists around the world do this.
Bertie Napier was also not talking about tooth whitening. He was talking about what colour patient's veneers or crowns were.
Tooth colour is a very subjective thing. Patients often have veneers fitted then after a few days decide they want them lighter or perhaps darker. All cosmetic dentists are used to this and we often change veneer for patients if they are not entirely happy.
When you are having to travel abroad and you have no legal protection from your own national dental council, there is clearly a potential risk that this might not happen..
Many dentists in the BACD have seen patients who have had problems here and abroad. At least those who have had problems here have had a system of protection in place to get some recompense.
Don't mean to sound too riled, but Ive had to write this reply staring as Alistair Darling's face for the last 10 minutes.