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Dentists as Drs

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  • 28-02-2012 6:43pm
    #1
    Registered Users Posts: 609 ✭✭✭


    Hi there:

    I see a lot of dentists referring to themselves as 'Dr', which to me implies either a medical qualification or a holder of a doctorate (PhD etc.), yet they list themselves as having an undergraduate degree (BSc or equivalent).

    So, I was wondering why this happens?; is it allowed by the Dentist Council or whoever guides these things or what do they say about it?; is it misrepresentation?; and do any other medical/tangential medical professions do similar?

    Yes, I know the skill of the dentist is the main thing, but this I suppose is more a question of professional etiquette and I am just curious what others (and dentists) think?

    FdP


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Comments

  • Registered Users Posts: 316 ✭✭cassi


    Aren't dentists, Doctors of Dentistry?? So that would make them Dr's, no?!


  • Registered Users Posts: 609 ✭✭✭fulladapipes


    Not sure, but I don't think so. I would have thought they were mere mortals with undergraduate degrees.

    We need an expert opinion on this one, methinks !

    FdP


  • Closed Accounts Posts: 9,538 ✭✭✭btkm8unsl0w5r4


    Its a courtesy title for dentists (and for doctors BTW as they also only have primary degrees too). In some countries the primary degree is a D.D.S or doctor of dental science, but this is no different to the B.Dent.Sc given in this country. The GDC in the UK had their nickers in a twist about the title doctor a while back also.

    I don't really care about it to tell you the truth and didn't refer to myself as so, but I don't have any real opinion about others using the title Dr. So long as they are good at their job and polite they can call themselves Emperor for all I care.

    I never had a patient come in about a medical condition to me confused that I am anything but a dentist, so I assume the the ire some people have about this is not out of confusion.


  • Registered Users Posts: 609 ✭✭✭fulladapipes


    Thanks for that: skill and politeness are definitely the key attributes.

    Yes medicos have a undergrad or two, and get the honorific. I didn't know that about dentists.

    The reason I noted it is because I haven't been to the dentists in 12 years (a disgrace I know) and started researching where to go and suddenly noticed a proliferation of 'Drs' whereas previously I had noticed none, or very few.

    BTW, I am going to the dentist on Friday!

    FdP


  • Registered Users Posts: 3,240 ✭✭✭Oral Surgeon


    Hi there:

    I see a lot of dentists referring to themselves as 'Dr', which to me implies either a medical qualification or a holder of a doctorate (PhD etc.), yet they list themselves as having an undergraduate degree (BSc or equivalent).

    So, I was wondering why this happens?; is it allowed by the Dentist Council or whoever guides these things or what do they say about it?; is it misrepresentation?; and do any other medical/tangential medical professions do similar?

    Yes, I know the skill of the dentist is the main thing, but this I suppose is more a question of professional etiquette and I am just curious what others (and dentists) think?

    FdP

    What shall we call you?? Chip??

    cassi wrote: »
    Aren't dentists, Doctors of Dentistry?? So that would make them Dr's, no?!

    Technically, Mr. would be more appropriate as dentistry is a surgical profession....


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  • Moderators, Science, Health & Environment Moderators Posts: 933 Mod ✭✭✭✭Dianthus


    I've yet to encounter any patient walking into a dental surgery expecting to be treated for any body part other than their mouth; I don't know how confusion/misrepresentation could arise in a professional setting. Horses for courses:rolleyes:
    The amount of times patients say to the dentist "Yeah, I'm on loads of medications, sure what would YOU want to know about them for?"- although dentists have a rudimentary knowledge of medicine, patients really do tend to separate the two entities entirely. The link between general health and oral health is totally bypassed!
    Anecdotally, the three people who I've come across who were obsessed to the point of distraction with always being referred to as "Dr", outside of their own workplace, all had PhD's in a non-medical field (history, engineering, can't remember the third).


  • Registered Users Posts: 609 ✭✭✭fulladapipes


    "What shall we call you?? Chip??"

    Bit unfair that. I figured it was a reasonable question. I had noticed it about and reckoned I'd ask why. You can call me fulladapipes.

    On a related note, seeing as there seem to be some dentists here, I am off to the dentist on Friday. I had originally booked one for the government PPS/PRSI oral examination (to which I am entitled), only to be told that it would be €40. This is for just the oral examination (no x-rays etc). Is it normal practice to charge for this government scheme oral examination?

    FdP


  • Moderators, Science, Health & Environment Moderators Posts: 933 Mod ✭✭✭✭Dianthus


    Nope, dentists tend to charge patients privately and also claim from the government so as to make more money& scam people....:mad: It's a great practice builder, patients really appreciate it:D Arrgh.
    What happens is that your PPS number is sent away for approval, if approval hasn't been received by the time your checkup comes round, you are charged the private fee, and then refunded when the approval comes through(sometimes days, sometimes weeks).
    Ring the receptionist at your practice to find out if your PPS number has been authorised for approval for a free checkup under the PRSI. Don't worry, if you are entitled to it, you WILL get it....


  • Registered Users Posts: 609 ✭✭✭fulladapipes


    Thanks Dianthus.

    I've checked and I am entitled to the oral examination under my PPS alright.

    Anyway, I rang around and found a dentist closer to me that charges nothing for this PPS check up and will do a couple of x-rays also as I am a first time patient. No point paying for it if I can get it for free...

    FdP


  • Closed Accounts Posts: 9,538 ✭✭✭btkm8unsl0w5r4


    Your were probably being charged for a cleaning, the PRSI examination does not include any cleaning or X-rays. Mark my words you will end up spending more than 40 on this free checkup.


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  • Registered Users Posts: 609 ✭✭✭fulladapipes


    Hi there,

    No I wasn't being charged for cleaning. The €40 was specifically just for the PPS check up. Cleaning would be more, which is fine as it's not covered. I am sure I'll have to spend more money with either of them (not having been for 12 years), but one dentist doesn't charge for the govt scheme and includes two free x-rays. Seems reasonable to go there then.

    FdP


  • Closed Accounts Posts: 9,538 ✭✭✭btkm8unsl0w5r4


    Wait and see........


  • Registered Users Posts: 25,359 ✭✭✭✭coylemj


    Hi there,

    No I wasn't being charged for cleaning. The €40 was specifically just for the PPS check up. Cleaning would be more, which is fine as it's not covered. I am sure I'll have to spend more money with either of them (not having been for 12 years), but one dentist doesn't charge for the govt scheme and includes two free x-rays. Seems reasonable to go there then.

    FdP

    Completely unrelated profession/industry but if you look over on the Motors forum you'll see what happens people who fall for the special offer and select a supplier based solely on the initial cost.

    In case you don't know what I'm talking about, I'm referring to the tyre shops who offer a service for €79 and then stitch the customer up with brake pads, new battery, shock absorbers etc. thereby costing him more than he would have paid for a service in a main dealer.

    Considering you haven't set foot in a dentist's surgery in 12 years, I think you're being very short-sighted - maybe you should get an eye test as well!


  • Registered Users Posts: 609 ✭✭✭fulladapipes


    According to Citizens' Information, "the Department pays the full cost of an oral examination once a year", so I object to paying an extra €40 for this seeing as I have already paid for this through my taxes. I'm not sure it's short-sighted to query fees which look above the norm.

    Slightly stretching the comparison there with the motoring profession...however, not having been in 12 years means I know I have some work to be done, so I'm expecting that. However, are you suggesting that a professional dentist will try to recoup money from me in return for a free government sponsored oral examination through exaggerating other work that may or may not need to be done. Surely not? I expect more from Drs.

    FdP


  • Registered Users Posts: 25,359 ✭✭✭✭coylemj


    Slightly stretching the comparison there with the motoring profession...however, not having been in 12 years means I know I have some work to be done, so I'm expecting that. However, are you suggesting that a professional dentist will try to recoup money from me in return for a free government sponsored oral examination through exaggerating other work that may or may not need to be done. Surely not? I expect more from Drs.

    FdP

    Not really stretching anything. You said that you're being offered two 'free' x-rays so clearly service providers in both the auto and dental service sectors believe in the tactic of enticing new customers with freebies.

    You'll end up paying for the x-rays in one way or another.


  • Registered Users Posts: 586 ✭✭✭bureau2009


    Back to dentists calling themselves "Doctor".

    My view is that this is a status issue, and dentists want to have this prestigious title. After all, anyone can be called "Mr", even me!

    What I'm not happy about is why this practise is allowed AT ALL.

    I can remember this issue being discussed 30 YEARS ago. My understanding is that the Dental Council have stated that only dentists with doctorates should use the title "Doctor".

    It's an indication of the way we do business in Ireland that this practise is allowed to continue for a lifetime either officially or unoffically.

    I am not impressed.


  • Registered Users Posts: 609 ✭✭✭fulladapipes


    I've been mulling over this last night too. The use of the Dr title implies a higher level of learning, study and research which clearly an undergraduate qualification is not.


  • Closed Accounts Posts: 9,538 ✭✭✭btkm8unsl0w5r4


    So should medical doctors not be called doctor until they get their MD postgraduate qualification (some 4-8 years after qualifying as a doctor if at all?)

    There are numerous dentists that qualified in the royal college of surgeons back in the day that are medical doctors and dentist, back then dentistry came with a free medical degree also. They are dentists so what do you call them, no postgraduate qualifications.

    Also the Bologna convention would state that any degree over 4 years (dentistry being a 3+2) would be a masters or above? So in the future a dental qualification will be a postgraduate qualification even though the course length and content will not change.

    There are far more serious regulation and standards issues in dentistry than this.


  • Registered Users Posts: 609 ✭✭✭fulladapipes


    A postgraduate qualification such as a masters is still not a doctorate, and Ireland doesn't have an MD qualification as far as I know.

    Anyway, "There are far more serious regulation and standards issues in dentistry than this." I don't know to be honest, like what?

    I am quite concerned by the previous posts that imply the dentist offering the free PPS annual checkup will try to get more money from me by hard-selling other treatments in order to recoup money foregone. The counter-implication seems to be that the practice charging me €40 for what revenue.ie and Citizens' Information say is free are less likely to try to extract more money from me.

    I can see why some people are afraid to go to the dentists!

    FdP


  • Closed Accounts Posts: 9,538 ✭✭✭btkm8unsl0w5r4


    A postgraduate qualification such as a masters is still not a doctorate, and Ireland doesn't have an MD qualification as far as I know.

    Consultancy training has a research component that you get a MD for.
    http://www.ucd.ie/medicine/graduate/researchprogrammes/doctorofmedicinemd/
    Anyway, "There are far more serious regulation and standards issues in dentistry than this." I don't know to be honest, like what?

    No Specialist register for a number of specialities.
    Dental Tourism regulation.
    Dental Medical devices regulation.
    Regulation in advertising and marketing.
    Regulation and enforcement in cross infection control standards and radiation safety.
    Regulation for the scope of dental practice...botox etc.
    Regulation of non-dentists carrying out bleaching.
    European wide standardisation of dental qualifications.
    Pricing transparency.
    Lack of medical card treatment.
    Gutting of the PRSI scheme.
    Special Need patient access to dental treatment.
    HSE orthodontic waiting lists.
    The trends towards higher decay rates in children.
    The fluoride debate.
    The Amalgam debate.
    The general lack of knowledge amongst patients about oral cancer screening.
    The practice of so called holistic dentistry.
    The promotion of quality over low cost.
    The discussion of the advent of chain dental clinics, and the ownership of dental clinics by non dentists.
    The brain drain of skilled dentists out of Ireland.
    etc. etc. etc........

    I am quite concerned by the previous posts that imply the dentist offering the free PPS annual checkup will try to get more money from me by hard-selling other treatments in order to recoup money foregone. The counter-implication seems to be that the practice charging me €40 for what revenue.ie and Citizens' Information say is free are less likely to try to extract more money from me.

    You have not been in 12 years, you need more than an annual checkup for 15 minutes. You need a complete diagnosis, X-rays and treatment plan. Defiantly a cleaning etc....
    I can see why some people are afraid to go to the dentists!

    And I could see where this thread was going the minute you started it. :rolleyes:

    FdP[/QUOTE]


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  • Registered Users Posts: 586 ✭✭✭bureau2009



    (RE: REGULATION & STANDARDS issues in dentistry...)

    No Specialist register for a number of specialities.
    Dental Tourism regulation.
    Dental Medical devices regulation.
    Regulation in advertising and marketing.
    Regulation and enforcement in cross infection control standards and radiation safety.
    Regulation for the scope of dental practice...botox etc.
    Regulation of non-dentists carrying out bleaching.
    European wide standardisation of dental qualifications.
    Pricing transparency.
    Lack of medical card treatment.
    Gutting of the PRSI scheme.
    Special Need patient access to dental treatment.
    HSE orthodontic waiting lists.
    The trends towards higher decay rates in children.
    The fluoride debate.
    The Amalgam debate.
    The general lack of knowledge amongst patients about oral cancer screening.
    The practice of so called holistic dentistry.
    The promotion of quality over low cost.
    The discussion of the advent of chain dental clinics, and the ownership of dental clinics by non dentists.
    The brain drain of skilled dentists out of Ireland.
    etc. etc. etc........
    Nobody will be more delighted than me to see any advancement of dentistry in this country.

    But if the issue of the use of "Doctor" title cannot be sorted out (after endless decades) then I don't have much hope for the above list.


  • Registered Users Posts: 609 ✭✭✭fulladapipes


    "You have not been in 12 years, you need more than an annual checkup for 15 minutes. You need a complete diagnosis, X-rays and treatment plan. Defiantly a cleaning etc.... "

    Yep, I need a couple of fillings for sure and a clean etc. The x-rays I never knew about, but they're part of the €0 fee dentist (but not part of the €40 one). I am hoping the examination will be comprehensive - no reason why it shouldn't - and the experience will encourage me to get into a routine of 6 monthly checkups.

    I am not sure why I've not gone for 12 years - combination of (minor) fear, and no pain ever. The oral cancer thing is worrying though (even though I don't smoke).

    That's quite a comprehensive list of issues for the profession: best of luck with the government-inspired ones..!

    FdP


  • Closed Accounts Posts: 11,001 ✭✭✭✭opinion guy


    The title doctor is not a protected title in Ireland AFAIK. Anyone can call themselves dotor if they feel like it.
    So long as they are good at their job and polite they can call themselves Emperor for all I care.

    So whats that you say.....I need a root canal Emperor Palpatine ????

    palpatine.jpg


    Edit: I think I actually went to him when I was a kid - how I remember it anyhow :P


  • Closed Accounts Posts: 9,538 ✭✭✭btkm8unsl0w5r4


    Opinion Guy....use the floss, the floss is strong with you....


  • Registered Users Posts: 609 ✭✭✭fulladapipes


    I just called the Social Protection people about my eligibility for an eye test (might as well get everything done), and asked about the €40 charge for the PPS oral examination and was told that if the dentist is in the scheme (which they are) then under no circumstances should there be an additional charge for the PPS checkup. That's the word from the Dept.

    Hmmm.

    FdP


  • Closed Accounts Posts: 11,001 ✭✭✭✭opinion guy


    Opinion Guy....use the floss, the floss is strong with you....

    Lol....drilling teeth with the light saber would require quite some skill and dexterity I'd imagine :P


  • Registered Users Posts: 120 ✭✭Mingetoad


    As far as I know almost all dentists (including everybody at every practice I've worked in) that work under the PPS system do not charge for intra-oral x-rays. The full title of the Oral Examination which the Department of Social Welfare pays for is Oral Examination (including all intra-oral x-rays) I think.
    I think the department and indeed Dental Protection would take a dim view on people charging a patient for something they are claiming from the government.
    For that reason I think it's unfair to tell anyone that they will somehow pay more at the dentist who is playing by the rules.
    I am actually a bit shocked to hear dentists advocating charging a patient for what sounds like bitewings while also claiming an exam through PPS.


  • Closed Accounts Posts: 9,463 ✭✭✭KTRIC


    I once rang my dentist and was looking to book an appointment. Without thinking I asked could I make an appointment to see the doctor and then was corrected by the receptionist to be told he's not a doctor !!! I said he's a doctor of dentistry isn't he ?? queue some silence.....


  • Closed Accounts Posts: 9,538 ✭✭✭btkm8unsl0w5r4


    Mingetoad wrote: »
    As far as I know almost all dentists (including everybody at every practice I've worked in) that work under the PPS system do not charge for intra-oral x-rays. The full title of the Oral Examination which the Department of Social Welfare pays for is Oral Examination (including all intra-oral x-rays) I think.
    I think the department and indeed Dental Protection would take a dim view on people charging a patient for something they are claiming from the government.
    For that reason I think it's unfair to tell anyone that they will somehow pay more at the dentist who is playing by the rules.
    I am actually a bit shocked to hear dentists advocating charging a patient for what sounds like bitewings while also claiming an exam through PPS.

    I actually dont think that the OP was told the 40 euro was for X-rays, more likely it was a refundable deposit as you may be also shocked to hear some people claim to be covered when they are not.


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  • Registered Users Posts: 7,936 ✭✭✭ballsymchugh


    there are far more important things to worry about in dentistry than this.
    http://www.dentistry.co.uk/news/3717

    @bureau2009 - get on to your local td and see if you can wrangle a seat on the dental council, then when you sort out the Dr issue, you can start the ball rolling on the rest of that list. :rolleyes:

    i had a disagreement with a technician last week who insisted on calling me doctor after i asked him not to. he just thought he was being respectful, which i'm sure he was.
    in the UK, it's not banned, and it's a courtesy thing. while i have no problem with consultants and specialists who wish to call themselves Dr, i've only met one person who insisted on it. he thought it'd be a great way to pull when out. his personality shone out of his arse, with his ego.

    as oral surgeon said above, it is more apt to call dentists 'Mr', since the BDS degree is a surgical one.
    but then that opens another can of worms...
    Mr is a title gained by medical surgeons on becoming a fellow of the royal college of surgeons. maybe your dentist doesn't want to be on first name terms with you.

    personally, working in the uk where i've given up on telling people how to pronounce my name, i'm quite happy to be known as 'den'hiss man'.
    as long as they don't call me mate....:mad:


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