"Doctor, I have hairs on my tongue." Do you think it's a joke? Well, no. It happens, like thousands of other anecdotes with which doctors could write fascinating books (or terrifying, depending on how you look at them) and that arise from queries from slightly clueless patients. This is a selection of seven of them, all from the dentists' guild. Or what is the same: what you should never ask the specialist, if you do not want to be taken for barbaric.
1. Can you respect the tartar of my teeth?
One patient told me that her halitosis was due to the fact that she did not have enough and satisfactory sexual relations with her partner "
Daniela Carranza, a dentist at the Professor Sada Institute, recalls: "One day a patient looked very nice at the office. He was quite handsome and very well groomed. He sat down in the chair and told me he was coming for a check in case he had any Cavities, because I felt discomfort in my mouth.My surprise was that when performing the examination, such was the layer of tartar I had, that you could barely see the teeth below.I could not believe it.When I explained the need for a deep cleaning and a periodontal treatment to clean up your gums and assess whether there were cavities, since the tartar prevented the correct assessment, he flatly refused, telling me that he had not brushed his teeth for years to accumulate it. I tried to give him all the scientific explanations to convince him that I was wrong and that this situation would lead to the irremediable loss of his teeth, but the patient did not enter into reason and ended: 'I am happy with my tartar! " From the National Institute of Dental Research report: "The longer plaque and tartar (formed by bacteria, mucus and other particles) remain on the teeth, the more damage it can do." The bacteria cause an inflammation of the gums called gingivitis. When it is not treated, it becomes periodontitis (the gums move away from the teeth and form spaces or bags that become infected). The toxins of the bacteria and the body's natural response against infection destroy the teeth.
2. Does lack of sex influence an increase in halitosis?
María José Jiménez García, director of the Periodontics department of the Ciro Clinic in Madrid, recalls this episode: "A patient told me that she had halitosis and that she believed it was because she had no sexual relations, neither sufficient nor satisfactory, with her partner I replied that there was no scientific basis for that statement and explained what are the mechanisms in the production of halitosis, such as the metabolic degradation of bacteria in the oral cavity, which give rise to various compounds that are responsible for the disease. taste and smell I recommended improving your oral hygiene, a treatment to your periodontal state and the use of specific mouthwashes for prevention and elimination This confirms that in Spain there is still a poor dental culture We see many patients with poor oral hygiene number of caries and presence of periodontal disease in varying degrees of evolution, as well as loss of parts s in substitution ".
3. Are there miraculous combinations against toothache?
Javier Ortega, a dentist at Clínica Menorca, tells us about his experience: "There are many barbarities, but I think the biggest was that of a patient who went to a desperate consultation for a toothache that could not calm down. Understanding nothing crazy such as put an aspirin in the area, pour vodka on top and then rinse with gasoline, but far from helping, aspirin is an acid that, applied directly to soft tissue, burns the gum, with serious problems difficult to solve in the In the case of alcohol, the gum will most likely be reddened, with ulcers.It is difficult to keep a liquid at a specific point for a long time, the most normal is that it spreads through the area and eventually swallows. We repeat it three or four times, in the end the pain does not disappear, but you are no longer aware of it because of the drunkenness.The risks of gasoline cannot be listed because they are infinite, not only in teeth, t also in gums, mucous membranes and mouth in general. " Moral: don't look for solutions in Internet forums.
4. Who wants a teeth whitening, having lemon and baking soda?
Dory Sánchez, director of the Rosales Clinic, explains: "We had many clients with totally damaged teeth because they had been rubbing them with lemon for years to whiten them, and that is a real barbarity, like brushing them with baking soda." It is every time there is more dental culture, but there is still a long way to go. "By the way, 22% of Spaniards brush their teeth less than twice a day and the duration of the act does not reach the recommended 2 minutes, according to the European Oral Health Survey Wrigley and GSK.
Many customers came with their teeth totally damaged because they had been rubbing them with lemon for years to whiten them "
5. Can I have a dental implant for less than 200 euros?
Carlos Álvarez, from the Smiling Smile Clinic, defends: "People believe that 200 euros is a fair price for an implant, and nothing is further from reality. Test for the piece, yes, but we must add study, surgical phase, prosthetic attachment, porcelain crown ... A bad choice in implants can lead to many disorders that affect health and quality of life. " The Spanish Society of Periodontics (SEPA) confirmed: "The difference in radical price, especially in the quality of the service and the materials used. A good diagnosis, made by a multidisciplinary team of professionals, is a basic element to establish a correct , adequate and effective treatment with dental implants ". Find out why in the dental school of your city before opting for a clinic, and friend of the offers that advertise "from 200 euros ...", because it often does not include the rest of the basic services.
6. Is this the worst thing that happened to me in life?
Debora R. Vilaboa, director of the Vilaboa Clinic and member of the European Academy of Dental Aesthetics, exposes her case: "The greatest barbarity that I heard in my thirty years of professional career is when we communicate to a patient the dental treatment plan that` `` Let's see if with a little luck I have died within a year and so I avoid having to do anything to myself. '' We understand the attitude of anxiety and fear of the unknown of some patients, who treat treatments always an effort, especially when having to go to the office repeatedly, but this man in particular, instead of asking and talking to me, refuse treatment thinking that it is an unnecessary sacrifice. "No disease and I wasn't kidding." According to this stomatology study , the factors that trigger the fear of the dentist are the noise of the high part machine, the viewing of the instruments, the injections and the economic cost of the visit.
7. Can I have all the pieces removed, please?
We conclude with the story of Dr. Carlos Gómez Oliver, who in his AI Advanced Implantology practice, experienced the following episode: "One day a patient appeared who, after filling out the form and passing a consultation, looked both ways and back. Confidential tone, he told us: 'Doctor, I come to get all my teeth out because they have put a microchip in them, the CIA is spying on me.' Dental had the chips. We called the landline she had given us and we talked to her husband, who told us that she was suffering from a persecuting psychiatric disorder. " The dentist ends up assessing the dental health of the Spaniards: "We lack the habit of complete hygiene. We use a brush, but it is difficult for us to use dental floss or interdental brushes. In addition, we spaced revisions more than is advisable."