A 2020 Cochrane review that assessed the two clinical trials concluded that “whether adults see their dentist for a check‐up every six months or at personalized intervals based on their dentist’s assessment of their risk of dental disease does not affect tooth decay, gum disease, or quality of life. Longer intervals (up to 24 months) between check‐ups may not negatively affect these outcomes.” The Cochrane reviewers reported that they were “confident” of little to no difference between six-month and risk-based check-ups and were “moderately confident” that going up to 24-month checkups would make little to no difference either.

Likewise, Nadanovsky and his colleagues highlight that there is no evidence supporting the benefit of common scaling and polishing treatments for adults without periodontitis. And for children, cavities in baby teeth are routinely filled, despite evidence from a randomized controlled trial that rates of pain and infections are similar—about 40 percent—whether the cavities are filled or not.

  • givesomefucks@lemmy.world
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    6 months ago

    Exams are beneficial, they can catch issues early.

    The unnecessary cleanings are the bad part, teeth aren’t supposed to be bright white, to get them that way we’re often stripping off a protective coating.

    Like, if you’re 60+ years old who cares. But doing it for decades adds up and may end up cancelling out benefits from exams.

    What looks best just isn’t always the best for long term health.

      • givesomefucks@lemmy.world
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        6 months ago

        I don’t think you understand what cleanings are…

        Likewise, Nadanovsky and his colleagues highlight that there is no evidence supporting the benefit of common scaling and polishing treatments

        Like, if you knew what scaling or polishing meant (actually know, not just heard the words) we wouldn’t be having this issue.

        Or if you asked questions instead of stating sentence fragments, people would probably take more time explaining things to you.

        • corsicanguppy@lemmy.ca
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          6 months ago

          The unnecessary cleanings are the bad part, teeth aren’t supposed to be bright white, to get them that way we’re often stripping off a protective coating.

          Comma splice x2.

          I was legitimately going to ask what you thought needed a source till that second sentence…

          'til ; as in, the abbreviation of ‘until’, and not a plough or a cash-drawer or a boat’s rudder.

          I gave someone else some sources though, feel free to keep lurking, just don’t expect any personal help

          Comma splice x2.

          Or if you asked questions instead of stating sentence fragments, people would probably take more time explaining things to you.

          ‘Sentence fragments’? You may want to step away from the glass house when you lob accusations like that.

    • Montagge@lemmy.zip
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      6 months ago

      I don’t get whitening done at my cleaning. Is getting whitening done common?

      • givesomefucks@lemmy.world
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        6 months ago

        No but when they scrape your teeth. It’s damaging the enamel.

        You don’t use a metal spatula or an expensive coated cooking pan, do you?

        Enamel doesn’t grow back, every little piece that comes off adds up over decades of 2-3 cleanings a year.

        Those are cleanings are still whitening, it’s just not chemical bleaching.

        • Montagge@lemmy.zip
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          6 months ago

          They should only be scraping the tartar not the enamel. I’d put it more like scraping an old gasket off of a car engine. You don’t want to scratch or gouge the metal but you have to remove all of the old gasket.

          • givesomefucks@lemmy.world
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            6 months ago

            You don’t want to scratch or gouge the metal but you have to remove all of the old gasket.

            Except if you do it twice a year since your adult teeth come in, you’re going to have accumulated a lot of scratches by your 40s…

            And this isn’t like scratching a gasket where you have to remove the old one so a new one seals better.

            Our teeth didn’t evolve to last 80 years, but they evolved to last to our 50s/60s at least.

            A hell of a lot more damage is caused by constantly consuming sugary drinks than a little bit of tarter stuck there for an extra 12 months till a cleaning. Hell, with just proper brushing or eating fiberours foods like apples, tartar really shouldn’t be accumulating to begin with.

            Like, that’s literally what tartar is…

            Just placque that wasn’t removed in a timely fashion and hardens over time.

            • Montagge@lemmy.zip
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              6 months ago

              I’m not sold that the dental tools can unintentionally damage enamel. Also I don’t think a sugar filled apple is going to clean teeth.

              • givesomefucks@lemmy.world
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                6 months ago

                Source that even “hard” brushing can damage enamel:

                Abrasion. This is physical wear and tear of the tooth surface that happens with brushing teeth too hard, improper flossing, biting on hard objects (such as fingernails, bottle caps, or pens), or chewing tobacco.

                https://www.webmd.com/oral-health/tooth-enamel-erosion-restoration

                And here’s the source for high fiber foods like apples helping:

                https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6051571/

                If you brush too hard you can chip enamel, but apples are too soft/mushy to do so, while still neutralizing cavity forming bacteria.

                Now, that study didn’t find that apples removed plaque, but it showed they prevent bacteria causing cavities and more importantly the study also required participants to only use apples as their sole dental hygiene regiment…

                And I realize I said:

                with just proper brushing or eating fiberours foods like apples, tartar really shouldn’t be accumulating to begin with.

                But I never imagined people would think I meant only brushing would be all the dental healthcare they needed.

                But man…

                After this thread I am fully prepared to say I drastically overestimated my audience.

                I can admit that.

                • Montagge@lemmy.zip
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                  6 months ago

                  I’ll trust WebMD the day I’m dead.

                  The study you linked:

                  In conclusion, chewing an apple does not necessarily have a mechanical plaque removal effect.

                  So it doesn’t actually help.

                • corsicanguppy@lemmy.ca
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                  6 months ago

                  fiberours

                  and yet

                  After this thread I am fully prepared to say I drastically overestimated my audience.

                  Mr Dunning, Meet Ms Kruger.

            • corsicanguppy@lemmy.ca
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              6 months ago

              Our teeth didn’t evolve to last 80 years, but they evolved to last to our 50s/60s at least.

              Incorrect. Evolution doesn’t care about you after your genes have been passed on.