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Perth Dentists and Topical Fluoride.


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#1 Paula77

Posted 19 April 2019 - 12:33 PM

Hi all,


Firstly I just want to point out that I think low levels of fluoride in our drinking water is beneficial, and I also brush my teeth with standard fluoridated toothpaste. So I am not anti-fluoride.


However everytime I go to the dentist for a simple scale and clean, they automatically apply the topical fluoride (which is incredibly concentrated), without asking me first, and then charge me $30-$50 for it. Despite the fact that most studies find a benefit only in medium-high risk populations:


"From the evidence examined by the panel, it was determined that people over the age of six with low caries risk should not be given fluoride adjuncts, as the benefit is negligible."


I have heard that dentists are starting to follow this advice, rather then blindly throwing high-dose fluoride goop into every patients' mouth, and while I dont mind getting it occasionally, I dont want it every single time. Especially as I like to keep my teeth in great shape, and get a scale and clean every 3-6 months.


So I was hoping for some recomendations in the Perth metro area, (I prefer NOR but would travel SOR), of any good dentists that dont automatically apply it because it's 'part of the package'. Or at least a dentist that asks you first.


Thanks everyone.


Edited by Paula77, 19 April 2019 - 12:36 PM.


#2 Fresh Start

Posted 19 April 2019 - 01:20 PM

Can’t you just tell your dentist you don’t want it when you arrive?

#3 Paula77

Posted 19 April 2019 - 01:28 PM

You can, but some of them get a bit upset about it. I posted something similar on Reddit and other people have had similar results:

"I used to go to DB and would ask them to skip it, but they got a bit funny about it and would give me a minor lecture about it."

"I went to Harmony dental in Morley and when I asked not to have the fluoride treatment the hygienist had a massive go and at me and gave me a 10 min lecture."

But I saw a post on here from last year, and quite a lot of people said their dentist never applies it. So thought it would be easier to just find a good dentist that doesn't automatically give it.

Edited by Paula77, 19 April 2019 - 01:41 PM.


#4 SummerStar

Posted 19 April 2019 - 02:16 PM

Have you tried with your dentist? As in your identical thread on another forum, that got you many replies, you keep saying "some dentists get upset" based on other peoples experiences (on reddit of all places...).

Just tell them you don't want it. Try it. I'm sure they'll be fine about it. None of the services offered are compulsory. You're the patient they will listen if you say no. Say it makes you feel unwell or any other reason if you need to. They will just leave it out.

Edited by SummerStar, 19 April 2019 - 02:17 PM.


#5 BottlesAndBooties

Posted 19 April 2019 - 06:14 PM

Nooshin at Dental 864 in Inglewood - amazing, non judgmental dentist, actually listens to you. I can’t recommend her enough, I saw her when I was pregnant and she’s now our family dentist. I’ve no idea about her stance on fluoride treatments but I know she was very considerate of not using it when I was pregnant and then breast feeding so I can imagine if you had a strong opinion about not using it then she wouldn’t have a problem

#6 SummerStar

Posted 19 April 2019 - 06:25 PM

They shouldn't use it when pregnant so she did the right thing. But any decent dentist won't apply it if asked. If not asked, they don't know as is the OPs experience.

Those that "get upset" about a patient making a choice that is best for them wouldn't be common. But the OP doesn't know if hers does or not because they never asked.

#7 Paula77

Posted 19 April 2019 - 07:01 PM

My dentist recently retired, hence why I am looking for another. I know some dentists love to give x-rays and fluoride treatments every time as it takes a few minutes and its an extra $50-$150 for both. So I see the appeal.

I also know some dentists can get testy with people who don't want x-rays or the fluoride treatment, and I'd rather not upset someone who is about to work on my teeth.

#8 SummerStar

Posted 19 April 2019 - 07:04 PM

Xrays should be done no more than once every three years. They should not be done every visit. When you go to a new one they will probably want to do them unless you get them sent from the previous practice. And not many dentists would her "testy" for saying I don't want fluoride. Really.

Never ever come across a dentist that gets annoyed for doing what a patient requests and I've tried alot of different ones.

Edited by SummerStar, 19 April 2019 - 07:05 PM.





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