Dentists Clearly Want to Shut Down Oral-Care Breakthroughs

Dentists Clearly Want to Shut Down Oral-Care Breakthroughs

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The American Dental Association spends millions on lobbying in Congress each year and has a surprisingly significant pull on our legislative system.

In 2010 (a Congressional election year) the ADA spent $13 million on funding state and local politicians to get favorable votes. As an example of their pull, they successfully lobbied in 1965 to keep dentists out of Medicare. Now, in the midst of the 2012 election, it looks like they're going to open their checkbooks even wider.

A recent ADA newsletter claimed that the political backing and lobbying is to “keep well-intentioned fools from doing stupid things”, while referring to dentistry as a whole.

Dentistry Under ObamaCare

Part of the recently passed healthcare bill, coined Obamacare, has a clause meant to spread dental care to low-income families and individuals. The provision would allow some non-dentists to perform lower level procedures currently done only by fully certified Dentists.

More specifically, Dental hygienists and therapists would be allowed to do routine cleanings and in some cases even drill for cavities.  As of this moment, only Alaska and Minnesota allow mid-level dental care professionals to practice.

The ADA naturally feels hesitant. This threatens the demand for their higher-level services and could result in salary adjustments.  Those who disagree with the ADA stand firm that allowing lower level tasks to be provided by hygienists and therapists is the most effective way to get oral care to the poor.

Another Threat- Keep 32

Keep 32, developed by Jose Cordoba of Yale University and Erich Astudillo of Universidad de Santiago in Chile, is a miraculous new oral cleansing tool that  kills all bacteria in the mouth within 60 seconds.  The chemical has been in development since 2005 and is now ready for human testing.  It may find its way to the public within the next 12-18 months. The patented product can be used in gum, toothpaste, mouthwash, floss, candies, and dental gels.  As long as it remains in your mouth for 60 seconds, it will eliminate all bacteria present.

UCLA has also developed a “Smart Bomb” mouthwash that kills “S. mutans”, the main cause of tooth decay. The wash was tested on 12 patients and successfully killed the bacteria after one rinse and kept the same bacteria away for four days.  What differentiates this wash from others is that it only targets the harmful bacteria inside the mouth, leaving the good bacteria that protect teeth unscathed. The developers of this breakthrough are confident that the product symbolizes the end of tooth decay and in many cases, cavities. The developers received substantial backing from Colgate-Palmolive (CL). 

Dentists’ Reaction

So how can the ADA protect itself against the threats to their business?  Well, they're going to start by throwing money at Republican candidates this election. President William Calnon says they will do this because "there are more of them in Congress" and because they "have a good track record embracing ideas we support."  Translation: Republicans are going to go after Obamacare so we’re going to give them money.

If the dentists help the Republicans into office, we can assume there will be a long struggle to prevent Keep 32 and the Smart Bomb mouthwash from getting any FDA approval, even if it does prevent cavities (more than 50% of kids get them and 92% of adults will get at least one cavity at some point).

Business Section: Investing Ideas

If the ADA has their way and helps Republicans into office this November, do you think the part of Obamacare that includes dental hygienists and therapists will be upheld? And what about these breakthroughs in the oral health field?  Are their positive affects enough to persuade Congress, or will this special interest group have its way?

The oral health industry reaches many people in not only the United States, but the world.  From providing simple products like toothpaste and brushes to the more technical devices used by dentists and oral surgens, the industry is quite large. Below is a list of companies involved in dentistry who have considerable interest in the outcome of the events mentioned above.

 

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“1. Procter & Gamble Co. (PG, Earnings, Analysts, Financials): Provides consumer packaged goods in the United States and internationally. Market cap at $177.59B, most recent closing price at $64.81.

 

 

“2. Colgate-Palmolive Co. (CL, Earnings, Analysts, Financials): Colgate-Palmolive Company, together with its subsidiaries, manufactures and markets consumer products worldwide. Market cap at $49.81B, most recent closing price at $104.37.

 

“3. Align Technology Inc. (ALGN, Earnings, Analysts, Financials): Designs, manufactures, and markets the invisalign system for treating malocclusion or the misalignment of teeth. Market cap at $2.49B, most recent closing price at $30.98.

 

“4. Biolase Technology Inc. (BLTI, Earnings, Analysts, Financials): Develops, manufactures, and markets lasers and related products focused on technologies for improved applications and procedures in dentistry and medicine. Market cap at 55.9M, most recent closing price at $1.75.

 

“5. Danaher Corp. (DHR, Earnings, Analysts, Financials): Designs, manufactures, and markets professional, medical, industrial, and commercial products and services primarily in North America, Europe, and Asia/Australia. Market cap at $34.84B, most recent closing price at $50.29.

 

“6. Henry Schein, Inc. (HSIC, Earnings, Analysts, Financials): Distributes healthcare products and services primarily to office-based healthcare practitioners. Market cap at $6.96B, most recent closing price at $77.45.

 

“7. 3m Co. (MMM, Earnings, Analysts, Financials): Operates as a diversified technology company worldwide. Market cap at $61.13B, most recent closing price at $88.10.

 

 

“8. Patterson Companies Inc. (PDCO, Earnings, Analysts, Financials): Operates as a distributor serving the dental, companion-pet veterinarian, and rehabilitation supply markets in North America. Market cap at $3.79B, most recent closing price at $34.37.

 

“9. Sirona Dental Systems Inc. (SIRO, Earnings, Analysts, Financials): Develops, manufactures, and markets dental equipment for dentists worldwide. Market cap at $2.48B, most recent closing price at $44.66.

 

“10. DENTSPLY International Inc. (XRAY, Earnings, Analysts, Financials): Designs, develops, manufactures, and markets dental consumable products, dental laboratory products, and dental specialty products worldwide. Market cap at $5.09B, most recent closing price at $35.92.

 

“11. Young Innovations Inc. (YDNT, Earnings, Analysts, Financials): Engages in the development, manufacture, and marketing of supplies and equipment used by dentists, dental hygienists, dental assistants, and consumers primarily in the United States, as well as in Canada, Europe, South America, Central America, and the Pacific Rim. Market cap at $281.39M, most recent closing price at $35.80.

 

 

(Written by Ryan Horch)

 

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276 responses to “Dentists Clearly Want to Shut Down Oral-Care Breakthroughs”

  1. Paul H, DDS says:

    What an idiotic assertion this author makes about dentists and their motives! Collectively, we as dentists would readily embrace such breakthroughs to fight and perhaps prevent dental caries. But don't think this would be the end of dentistry or the need for dental care. Fractured teeth, periodontal disease, and a long track record of patient non-compliance will keep us busy trying to make the oral world a better place. As for hygienists or mid-level providers placing fillings, etc, you are asking for trouble. Perhaps the government should open up more dental schools and graduate more dentists at a significantly reduced cost to the graduating dentist.
    We we next hear about orthopedic surgeons being supplanted by nurses to perform knee replacements? Not a smart idea.

    • S M, DMD says:

      I couldn't agree more!

    • agendaof_choice says:

      Comparing a surgical nurse to a dental hygienists is indicative of voluntary blindness on your behalf. You know better but choose to make misleading comparisons to sell inaccurate ideas to the unsuspecting public (sounds familiar to dental clinic patients?).

      –You know that dental hygienists do all of the preventative work for you already,

      –you know that you bill a lot more than you pay a hygienist,

      –you know that dental hygienists operate independently of dentists in many states, provinces and countries and that the standard of care and success of treatment is equal to that of dentists when it comes to prevention,

      –you know that a dentist has about 250 hours of training in dental hygiene, a dental hygienists has 2500-3000 hours and is able to diagnose soft tissue health condition without a dentist,

      –you know that your 25 minutes dental hygiene appointments consist of 25 and not more in order to maximize profit rather than preventative effort.

      –You know that after 10 years of practising dental hygiene, a dental hygienists has mastered prevention through countless hours of clinical practice, continuing education and mandatory skill re-evaluation every 5 years (currently in effect in British Columbia) while most dentists know care and do little about prevention. Most simply use hygienists for scraping teeth. Separate hygienists from dentists and watch innovation and competition in action. When job number one is to prevent, when revenue source number one in prevention, the service provided is 100 (approximation) times superior to what a typical dental clinic offers.

      –you know better and so do governments and so does the public these days.

      –If you want to find a good dentist, a dentist who cares about prevention, find a dentists who supports independent dental hygiene—they are few and far between but they do exist.

      —There will always be a need for dentists but there is no need for dentist monopoly over preventative oral health care.

      Autonomous dental hygiene clinics is a concept that has been hypothesised, tried, scientifically tested, already functional in many places and offering people a choice they never had before… A highly trained professional, often with advanced educational/clinical requirements such as bachelors, masters degrees who are not busy selling dentistry, nor cosmetics but only focusing on prevention options.

  2. Marvel says:

    I am deeply insulted by this article. I am a practicing peabody dentists and I acknowledge that the dental world is losing a war against apathy for oral health. Why will I oppose such breakthroughs?

  3. Leilani says:

    First of all generalizing is always not good. Every association has their own motives. Some opinions could be right and some could be not. I am working for a dental recruitment agency and I’ve seen a lot of difference from dentist from different regions.

  4. Mike Ronalds says:

    I'm kind of divided regarding this issue. I'm not sure if opposing the oral care breakthrough will be the right thing to do since a lot of people are in needed of their dental services. I go to a Family and Cosmetic Dentistry, and without my health card, there's no way I could afford their services.

  5. Jheane Bueno says:

    I just want to clear this one out. First of all, I'm a bartlett dentist and I will say that your assumption is not true. We are doctors in our own right and we embrace innovation! We research not only for the sake of ourselves but for everyone else so what's the logic of shutting down the breakthroughs? Its not all about the money.

  6. Anna Hayes says:

    A lot of dentist rockford il has been aware of this Obamacare project. they've been explaining this to their patients and make told them that equal treatment is given for sure to discounted and paying patients.

  7. HannahWilson22 says:

    To be honest, I don't see the purpose of this and how it'll benefit most of them. As far as I know though, the dentist in greenville sc isn't in favor of this. I believe that shutting down the oral care breakthrough might even decrease the amount of patients that they'll be receiving.

  8. Nathan Scott says:

    My concern now is that if this will benefit our dental health and dental insurance then I say yes to this. My dentist houston offered me a dental plan and I find it very helpful.

  9. Stephen Hudson says:

    Now I understand why there is an increase in dental temp agency. This is getting dentists out of their jobs!

  10. agendaof_choice says:

    Most dentists are great, but let's face it. Prevention is not profitable.Restorative and cosmetic work is very profitable. Which would most humans go for, profitable or not profitable?

    Preventing dental hygienists and dental therapists from operating independently maintains the profit margin of dental clinics. Again, which would most people go for, more profit or less profit?

    Here is an investigative report on dentistry in Canada. http://www.cbc.ca/marketplace/episodes/2012/10/mo

    So expect most votes by dental associations and most of lobby money to oppose breaking the monopoly that dentists have over preventative oral health care in any way they can.

    There is lots of work for dentists. Expect no big changes despite breakthroughs but the fear of losing control over such a profitable self-regulated niche is unrealistic. I bet that more than 75% dentists will oppose increased competition purely from a self-profit-preservation point of view.

    Just like the application of sealants and the use of Xylitol, both of which effectively prevent cavities, little is done by dentists to promote their use. It doe not pay.

    Sorry about the negative view of the industry but I have worked in it for 20 years, I am related to a dentists and know the dental community on a first name basis. There are maybe 1 out of 7 dentists out there that truly focus on prevention. 100% of Independently operating dental hygienists are focused on prevention and are therefore having a very, very difficult time fighting the overwhelmingly better funded dentist lobby that is doing all they can to maintain their monopoly.

    Simple economics at play. There is no need for complicated rhetoric.

    Opportunity plus incentive = behaviour.

    Opportunity – dentistry is self-regulated and regulates prevention professionals as well.
    Incentive – Low competition maintains high profit margins.

    Behaviour – competition/prevention are opposed (again on average-not by all dentists)

    I work/research/document the dental industry but am not a dentist nor a hygienist.

    Great article.

    Thanks

  11. RyanDonovan89 says:

    If this new policy is implemented, then I'm sure any dental clinic, such as dental implants in scottsdale az, will loose patients. The way I see it, oral care is actually a benefit to them.

  12. Nelia Norris says:

    A considerable measure of dentist in florence sc has been mindful of this Obamacare activity. they've been demonstrating this to their patients and make told them that square with medicine is given beyond any doubt to reduced and paying patients.

  13. RyanDonovan89 says:

    I'm not quite sure if this is quite a good idea. As far as I know, not all dental clinics, such as the dentist north hollywood ca , are in favor of this decision. Hopefully, they would think this over and know what's best for the dentists and the patients.

  14. CarolineKnight says:

    I have a feeling that several adjustments would have to take place before this new policy is implemented. I'm not in favor of this though, because I believe everyone deserves to have an oral care. Personally, I wouldn't be able to see my dentist revere ma that much for consultations and treatments if I didn't have a good oral care.

  15. John Williams says:

    There has been a lot of debate and argument because of this topic. Even the sydney dentists are commenting about it. It makes me glad to see that some dentists are also thinking about their patients when it comes to this.

  16. Mae Brooks says:

    My only concern here is that if dentist in jackson tn will be pulling out some of their dental plans, if that is so, they should be informing their patients ahead of time.

  17. AbbyPlew says:

    The oral care products I'm only using are the ones prescribed by my dentist in Newtown Square PA.

  18. Doc. B. says:

    As a dentist in Allentown PA, I think the provision on allowing non-dentists to perform lower level procedures is risky. It is not that I do not trust them but it would be better if these would be performed by the experts.

  19. All type of dentist care is always helpful so we should have this treatment off and on. All the best.

  20. ..Dental health refers to all aspects of the health and functioning of our mouth especially the teeth and gums. …

  21. Honestly not a fan of Obamacare and don't think the government should be allowed to force the Dentist in Cary NC or anywhere to allow their staff to perform services that they went to school for. It is just a bad idea. I am all for helping the poor but there has got to be another way.

  22. Your work is going to fill a large part of your life, and the only way to be truly satisfied is to do what you believe is great work. And the only way to do great work is to love what you do. If you haven't found it yet, keep looking. Don't settle. As with all matters of the heart, you'll know when you find it.

  23. ..I have you bookmarked to check out new stuff you post nice post, thanks for sharing..

  24. dental care says:

    Just like use of sealants and the use of Xylitol, both of which efficiently prevent oral cavaties, little is done by oral offices to promote their use. It doe not pay.

    Sorry about the negative viewpoint of the market but I have performed in it for 20 years, I am appropriate to a oral offices and know the oral team on a first name base. There are maybe 1 out of 7 oral offices out there that truly focus on prevention. 100% of Independently working oral hygienists are focused on prevention and are therefore having a very, very hard time fighting the definitely better funded oral practitioner entry area that is doing all they can to maintain their monopoly.

  25. And what about these breakthroughs in the oral health field? Are their positive affects enough to persuade Congress, or will this special interest group have its way?

  26. Mark says:

    Many of the old paradigms are crumbling, and this is just one more example. All doctors, not just dentists, have seen massive changes in the last few years that have reduced their incomes. Change can not be stopped. If anything, the rate of change seems to be accelerating. Whether a special interest group tries to block progress or not, there's nothing they can do in the long run.

  27. adoradeny says:

    I trust my Springfield VA dentist. I use everything that he advise me to buy for the oral care and every time when I need a dental reconstruction I go to him.

  28. crinell says:

    I need new teeth now, but I don't have a dental insurance included in my health care insurance benefits package, that means I have to pay the full price for a dental service. So I am asking you if you know a dentist that works cheap and good.

  29. Robert says:

    I think this will cause some dental clinics to lose some of its patients. I just hope this matter won't go any worse.

  30. Rob says:

    Found this article when looking at information about how Obamacare effects the dental industry. Thanks fir sharing!

  31. Flavio Meij says:

    The bacteria eat away at the bond between teeth and gums. They thrive in dark, moist, warm pockets they create at the base of teeth.

  32. sewa mobil says:

    Basically I agree with this policy as long as increase people health especially children mouth health.

  33. Pediatric Dentist says:

    I am having oral problem. Can you provide me the name of the medicine mention above. It said that it kills bacteria in a 60 sec.

  34. Learn more says:

    Where we will get this medicine ?

  35. Dan says:

    Wow, I really disagree. As a dentist for kids in Tampa I'm all about progress. Lower income families should have access to dental care too.

  36. adam says:

    If the dentists help the Republicans into office, we can assume there will be a long struggle to prevent Keep 32 and the Smart Bomb mouthwash from getting any FDA approval http://www.teethwhiteningkits2you.co.uk

  37. Ladan Zinati says:

    It is idiotic and a big insult for dentist professionals that this new approved healthcare bill will "allow some non-dentists to perform lower level procedures currently done only by fully certified Dentists." What is really this bill's motive? Is to help those low income individual to avail a proper oral hygiene services but fall into the hands of non-dentists practitioner? Is this the end of good dental care? Do you know what array of problem will actually come arise from this? and you think it's about the money! If a patient is low income, they have lots of options. There are dental offices who take state programs for low income patients as well as give a hefty discount to patients that are in need. As an example, dentist in Cudahy CA accepts denti-cal which is a state dental coverage for low income families and the dentist gets paid less than 30 cents on a dollar. If it was about the money, why would they accept such ridiculous payments and still give top quality dental care to their patients!!! Think about it a little.

  38. joney says:

    This dentist-administered treatment gives your teeth a concentrated dose of the mineral, helping protect them for up to four months http://www.teethwhiteningkits2you.co.uk

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  41. I still trust real professional dentists for any dental problems. Be it high or low level.

  42. More specifically, Dental hygienists and therapists would be allowed to do routine cleanings and in some cases even drill for cavities. As of this moment, only Alaska and Minnesota allow mid-level dental care professionals to practice.

  43. video says:

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  44. We certainly don't want to see Obama care promoting non dentists doing dental work in Port St Lucie.
    Hopefully this is not a trend that continues.

  45. Marie Seel says:

    what about these breakthroughs in the oral health field? Are their positive affects enough to persuade Congress, or will this special interest group have its way?

  46. If that's so then it's a very good idea. I would appreciate all the dentists for doing that because now-a-days dental treatments are too expensive and their's not even proper dental policy though.

  47. As a practicing general dentist in Mebane, North Carolina, I highly disagree with this article. Dentists go to school for four years to diagnose and treat disease of the oral cavity. We focus on certain procedures that cannot be taught in a year or two. Would you want someone operating on your mouth that was not qualified to do so? It has nothing to do with politics or money and everything to do with protecting the public.

    Eric Steinbicker, DDS http://www.SteinbickerFamilyDentistryMebane.com

  48. Gebit Held says:

    It is a shame for dentists that they are trying to shut down these researchess and breakthroughs.
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  49. tandarts says:

    Interesting article…I did not know that dentists and their oral care was being undermined.

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  51. amber says:

    Truthfully not a supporter regarding Obamacare , nor feel the costa rica government really should be permitted to force your Dental professional with Cary NC or even wherever to allow their personnel to accomplish companies that they traveled to classes regarding. It's a awful concept. We are most regarding helping the indegent but right now there has to always be one more way.

  52. Worden says:

    Came across this article when looking for information about dental and orthodontic technology advances… great post!

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  55. Useful and the most important info you have posted me which will be very handy to me as well because i have known that Dentists Clearly Want to Shut Down Oral-Care Breakthroughs. I am sure the content must useful to all doctors.

  56. Part of the recently passed healthcare bill, coined Obamacare, has a clause meant to spread dental care to low-income families and individuals

  57. Are their positive affects enough to persuade Congress, or will this special interest group have its way?

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  65. There is lots of work for dentists. Expect no big changes despite breakthroughs but the fear of losing control over such a profitable self-regulated niche is unrealistic. I bet that more than 75% dentists will oppose increased competition purely from a self-profit-preservation point of view

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  242. Dental266 says:

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