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Getting Fired By Your Dentist for Refusing Deep Cleaning

By: Soft Touch

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Getting Fired By Your Dentist for Refusing Deep Cleaning
Article By: Soft Touch

Imagine being told by your dentist that you’re no longer welcome as a patient – all because you declined a deep cleaning procedure. Understanding this scenario requires a grasp of dental health and practice policies. Deep cleaning, or scaling and root planing, is a common treatment for periodontal disease, targeting bacteria beneath the gum line that can cause significant damage if left unchecked.

Patients may balk at the recommendation for various reasons, from fear of the procedure to the cost involved. However, for dentists, deep cleaning isn’t just a suggestion—it’s a vital step in preventing severe oral health issues, including bone and tooth loss and even systemic health problems. Dental offices often have strict guidelines in place to ensure patients maintain good oral hygiene, which may include regular specialized cleanings as a non-negotiable part of patient care.

In this article, we will delve into the complexities surrounding a dentist’s decision to “fire” a patient for refusing deep cleaning, the rationale behind treatment plans involving deep cleaning, alternatives to this procedure, and how overall oral health is impacted by such interventions. Understanding these details helps to clarify why adhering to professional dental advice is crucial for your ongoing oral health.

Understanding Deep Cleaning and Periodontal Disease

Periodontal disease is a progressive and potentially harmful condition affecting the gums and supporting structures of teeth. If not addressed, it can evolve from manageable gingivitis to more severe stages with lasting consequences. As the infection worsens, it can lead to the formation of pockets between your teeth and gums, which then become havens for harmful bacteria. These bacteria, if not removed, can escalate to irreversible damage and significantly increase the likelihood of tooth loss. Ignoring or inadequately treating periodontal disease can leave your oral and overall health at substantial risk.

Deep dental cleaning, a comprehensive treatment beyond a regular cleaning, is quintessential in managing periodontal disease. Targeting both above and below the gumline, this treatment, also known as scaling and root planing, focuses on the thorough removal of plaque, tartar, and bacteria. When you notice signs such as a calculus bridge – a form of hardened dental plaque – or significant tartar buildup, it signals the need for this intervention. Undertreating periodontal conditions is not an option, as deep cleaning acts as a definitive treatment to restore and maintain gum health.

What is deep cleaning?

Deep cleaning serves as a crucial therapeutic procedure within dentistry, combating the repercussions of gum disease. More extensive than the usual dental cleaning, it involves meticulous removal of plaque and tartar accumulation along the gumline and deep beneath the gums. The process includes scaling to remove these deposits and root planing, whereby the roots of the teeth are smoothed to facilitate gum reattachment and healing.

This intervention is designed to eradicate bacteria from the gum pockets and halt the progression of gum disease. Patients who receive deep cleanings often avoid the need for more invasive procedures such as gum surgery, thanks to this proactive approach. Deep cleaning is thus a bridge between routine cleanings and surgical interventions, actively reducing pocket depths and inflammation. By advocating for and administering deep cleaning, dentists are not just treating the mouth but recognizing and defending systemic health.

What is periodontal disease?

Periodontal disease, a multi-faceted oral health condition, can lead to gums receding, bone deteriorating, and teeth becoming mobile if neglected. Addressing periodontal disease in a timely fashion is of the essence to stave off these undesirable outcomes and sustain overall oral wellness.

The necessary frequency of deep cleanings varies between individuals and hinges on factors such as the severity of the disease and personal oral hygiene practices. Dentists diagnose periodontal disease through a combination of visual exams, radiographs, and the use of periodontal probes. To combat the disease, a disruption of the biofilm—a complex community of harmful bacteria—is required.

Factors that contribute to the development and escalation of periodontal disease include an impaired immune system, bacterial pathogens, suboptimal nutrition, and hormonal imbalances. These root causes necessitate a comprehensive assessment, potentially including microbial testing, for tailored and effective treatment.

In conclusion, understanding the gravity of periodontal disease and adopting measures such as deep cleaning play a pivotal role in maintaining dental health and staving off more severe health complications. It is imperative to embrace a treatment plan recommended by dental professionals to ensure gums remain healthy and to protect against tooth loss and systemic complications.

Reasons for Recommending Deep Cleaning

Deep cleaning, a preventive measure in dental care, is often recommended for a multitude of compelling reasons. One of the primary indications for this procedure is the detection of gum disease, whether it be in the form of gingivitis or the more advanced periodontitis. When routine examinations reveal an accumulation of tartar below the gumline, a critical juncture is reached. This buildup, if neglected, can further impair the health of your gums, setting the stage for painful and damaging complications.

Deep cleanings transcend the superficial reach of regular cleanings by targeting areas that are otherwise challenging to maintain. This includes the elimination of plaque and tartar situated beneath the gums, a necessary step in hindering the progression of gum disease. By meticulously cleaning these otherwise inaccessible pockets, dentists are actively working to maintain—and restore—the integrity of your gum health.

Pocket depths and root surfaces

One of the cornerstones of deep cleaning is the meticulous care of pocket depths and root surfaces. When infection penetrates the depths of the gum pockets, a breeding ground for harmful bacteria, root planing is a pivotal process. The objective here is to smooth any rough areas on the root surfaces, ensuring that the gums can reattach securely to the teeth and reclaim their protective role.

The cleaning of the root surfaces below the gums is crucial in preventing further infection and encouraging the healing process. Specialized technology and tools are employed to ensure that every crevice is reached during scaling and root planing procedures, offering a thorough clean that is fundamental to both dental and systemic health.

Bone loss and tooth loss

Periodontal disease can have devastating effects if left to escalate, one of which is bone loss—a condition glaringly apparent on x-rays. The progression of such bone loss can lead to the unsettling mobility of teeth, and in the worst cases, result in tooth loss. It is an irreversible condition that underscores the vital need for prompt intervention through deep cleaning.

Significant tartar buildup and bone degeneration captured via radiographic images are telltale signs of an advanced stage of periodontal disease. Such findings emphasize the absolute necessity of comprehensive treatment to halt the disease’s progress and avert the loss of not only teeth but the bone structure they depend upon.

Systemic health issues

There is a well-documented correlation between oral health and systemic health, confirming that the implications of gum disease can resonate beyond the mouth. Systemic health issues like heart disease, diabetes, and respiratory diseases have been linked with periodontal disease. Therefore, dentists do not only prescribe deep cleaning as a means to save your teeth and gums—but to also mitigate the associated health risks that can have extensive repercussions on overall wellness.

Furthermore, untreated periodontal disease holds the potential to contribute to systemic health complications, establishing a clear need for thorough intervention through deep cleaning. By addressing the issue at its root, dentists are able to offer a protective measure against the need for surgical intervention, simultaneously supporting comprehensive health and well-being.

Understanding Dental Office Policies

In the realm of dental care, it is essential to recognize that dental offices often function like any other professional medical environment, with specific policies in place to ensure not only the health and safety of patients but also to uphold the legal and ethical standards of practice. Dental hygienists, as integral members of the dental team, typically operate under the supervision of the dentist, who serves as the chief executive and decision-maker of the practice. With that in mind, the refusal to undergo recommended procedures such as scaling and root planing by patients diagnosed with periodontal disease could lead to serious consequences.

While it is the right of the patient to choose their treatment plan, dental professionals are bound by professional standards that dictate the necessity of providing definitive treatment plans. These standards are in place to prevent the worsening of conditions such as periodontal disease which, if not properly managed, could adversely affect a patient’s oral and overall health. Consequently, when a hygienist encounters resistance to such critical treatments, there could be legal implications, and in some cases, it could even risk the hygienist’s license. It is crucial, therefore, that dental health professionals navigate these patient interactions with care, clearly documenting any refusal of treatment and communicating the potential risks and repercussions.

Importance of Regular Cleanings

Regular cleanings play a pivotal role in maintaining optimal oral health. Typically recommended twice a year, these cleanings aim to prevent dental problems before they develop into more significant issues. During a regular cleaning, dental professionals focus on removing plaque and tartar that accumulate along the gum line—prime culprits in the development of gum disease. The addition of fluoride treatments during these visits helps in the fight against tooth decay by strengthening the enamel. Furthermore, for those particularly at risk of cavities, dental sealants might be applied as an extra protective measure.

The essence of regular dental cleanings is to preserve the health of the teeth and gums, averting the need for more invasive procedures down the line. By addressing oral hygiene proactively, the progression and impact of gum disease can be significantly reduced, safeguarding patients against the potential for more serious dental issues.

Role of the Dental Hygienist

Dental hygienists are experts in their field, employing specialized ultrasonic tools during cleanings to effectively remove deposits and flush out pockets that form as a result of gum disease. The decision to proceed with a regular cleaning or escalate to a deep cleaning is a careful determination made based on individual oral health needs and the presence of periodontal conditions.

When patients are hesitant or outright refuse the recommended dental treatments, hygienists are responsible for documenting these decisions meticulously. In some instances, if patients persistently refuse necessary care, the dentist may ultimately need to make the difficult decision to dismiss them from the practice to protect the practice’s standards and liability. Alternative options for managing periodontal disease, such as improving daily oral hygiene practices, more frequent cleanings, or non-surgical treatments, might be suggested—always with the goal of promoting oral health while respecting the patient’s autonomy.

Dental Practice Guidelines

Deep cleaning, or scaling and root planing, is a cornerstone treatment within any dental practice for effectively battling periodontal disease. This procedure goes beyond what a routine cleaning can accomplish, targeting plaque and tartar lurking below the gum line—the area most vulnerable to infection that can lead to tissue and bone damage. Regular cleanings, while beneficial for maintaining overall gum health, cannot single-handedly stop the insidious spread of established gum disease.

The impetus for recommending deep cleanings is simple yet profound: to create an environment conducive to healing, where gum tissue can reattach to the teeth, effectively halting the progression of gum disease. Moreover, considering the documented links between gum disease and systemic health conditions like heart disease, diabetes, and respiratory illnesses, the value of deep cleaning extends beyond the mouth. It is a measure that not only promotes sound oral health but also supports broader health outcomes, reflecting the commitment of dental practices to overall patient wellness.

The Treatment Plan and Definitive Treatment

In the fight against chronic periodontitis—a persistent and potentially severe form of gum disease—a dentist’s primary weapon is a comprehensive treatment plan that often involves scaling and root planing (SRP) as the definitive treatment. This approach is meticulously crafted to address the specific needs of the patient and is predicated on the successful removal of plaque, calculus, and bacteria from beneath the gum line, a process regular cleanings cannot achieve.

When such treatment is recommended, it’s imperative for the patient to understand the gravity of their situation along with the proposed solutions. If a patient chooses to refuse this critical course of action, they must be educated on the potential consequences of their decision, which could include the progression of the disease, resulting in advanced periodontitis and even tooth loss.

Dentists are ethically bound to do no harm, which can sometimes lead to the difficult decision of whether to retain or dismiss a patient based on their willingness to accept or decline definitive treatments. Patient autonomy, however, is always respected—the choice to abide by or depart from a dentist’s recommendation remains with the patient, who also holds the right to sever their relationship with the dental office.

Developing a treatment plan

In the delicate process of developing a treatment plan, it is critical for dentists to obtain informed consent. Whether conveyed verbally or in writing—a differentiation guided by state laws—this consent must be clear, comprehensive, and serve as a testament to the patient’s understanding and agreement to the course of treatment proposed. The basis of informed consent lies in the age-old legal principle of avoiding “assault and battery,” ensuring that patients are not subjected to any procedures without their explicit agreement.

HIPAA compliance is an absolute must in the transfer and handling of patient information, and the entire dental office staff must be seamlessly informed in cases where a dentist-patient relationship terminates. Such knowledge is essential to preventing the scheduling of future appointments and maintaining the practice’s ethical and legal integrity.

Importance of following through with treatment

The onus of following through with a recommended treatment plan rests significantly on the patient. Various factors may impede this progress, from financial constraints to personal fears, inconvenience, or even mistrust towards the procedure or the dental practice itself. Despite these impediments, it is essential to stress that the consequences of not receiving treatment such as SRP have far-reaching implications. Poor periodontal health can exacerbate systemic health issues and ultimately lead to lost teeth and diminished quality of life.

Dental professionals themselves also face consequences if definitive treatments like SRP are not provided when needed—ranging from legal ramifications to the potential revocation of their hygiene licenses. Upon the termination of the dentist-patient relationship, staff must be fully apprised to preclude any further appointments. Moreover, professional decorum dictates that former patients be treated without disparagement post-dismissal. In rare exceptions—such as emergent, life-threatening scenarios—a dentist may opt to reinstate a previously dismissed patient under a strictly controlled and well-documented context.

It is crucial to appreciate that informed refusals must be treated with as much care and diligence as informed consents; documentation here is key. Dentists and their teams bear the responsibility for ensuring that a patient’s decision is made with full clarity on the implications, while patients must understand that ultimately, their oral and general health could be profoundly affected by their willingness, or lack thereof, to follow through with the recommended treatments.

Alternative Treatment Options

In addition to the primary protocol of scaling and root planing (SRP) for managing periodontal disease, there exists a suite of alternative treatment options designed to supplement or, in certain cases, supplant the need for deep cleanings. It is crucial to recognize these alternatives as potential paths to healthier gums and overall oral wellness, especially for patients hesitant about undergoing more invasive procedures. Such alternatives include:

  • Enhanced oral hygiene routines: Committing to thorough brushing, flossing, and the adjunctive use of antiseptic mouthwashes to hinder bacterial proliferation at the gum line.
  • Frequent professional cleanings: Increasing the frequency of dental cleanings can help keep periodontal disease at bay by preventing the accumulation of plaque and tartar.
  • Non-surgical periodontal treatments: Employing methods such as laser therapy and localized antibiotic applications can target the microbes causing gum infections, fostering tissue healing and regeneration.
  • Lifestyle modifications: A wholesome diet, the renunciation of tobacco products, and effective stress management play supportive roles in minimizing the risk factors for gum disease.
  • Open communication: Engaging in a candid dialogue with dental professionals to voice concerns, clarify doubts, and align on a treatment pathway that resonates with the patient’s preferences and circumstances.


While your dentist at Soft Touch Dentistry may suggest a deep cleaning as the most efficacious course of action for untreated periodontal disease—due to its ability to remove harmful bacteria from beneath the gum line and root surfaces—alternatives are worth considering. Patients should be made aware that these options might serve as intermediate steps in their journey to oral health.

Exploring Alternative Treatments

Exploring alternative treatments can be empowering for patients. These options align with wound care protocols from the broader medical field, where increased treatment frequency can enhance healing results. Dentists may defer to these as components of a tailored treatment plan when deep cleanings are either refused or need to be approached in stages:

  • Enhanced oral hygiene routines can be the cornerstone to maintaining gum health between professional cleanings.
  • More frequent dental cleanings may serve as a preventive measure against bacterial accumulation and inflammation.
  • Non-surgical periodontal treatments can be effective in curbing infection without the need for surgical intervention.
  • Lifestyle changes directly contribute to improved systemic health, which in turn supports oral health.


Should a dentist recommend a deep cleaning to aggressively treat periodontal disease, know that it’s with the intention of thwarting bacteria and gum infection effectively. Refusing such treatment can potentially allow the disease to progress unchecked. However, in the interim, a scaled-down version of treatment such as debridement with a power scaler can be a pragmatic step that provides immediate relief and may prevent further disease encroachment.

Pros and Cons of Alternative Treatments

Patients at Soft Touch Dentistry have the liberty to weigh the pros and cons of alternative treatments—as such considerations are a nod to patient autonomy and the high value placed on informed choices:

Pros:

  • Offer a broader spectrum of treatment possibilities to accommodate patient preferences and constraints.
  • Engender an environment of shared decision-making, encouraging active patient participation.
  • Provide interim solutions that may be more palatable and less daunting for patients with aversions to invasive treatments.
  • Tailored to address the financial and personal reservations some patients may have towards conventional periodontal surgery.


Cons:

  • May delay the receipt of more definitive and potent treatments, potentially allowing for disease progression.
  • Can give rise to mismanaged expectations concerning the efficacy of these options compared to SRP.
  • Might not address severe underlying issues of periodontal disease, such as bone loss and deep pocket formations.


In instances where patients entertain hesitation, alternatives such as debridement with a power scaler might be considered a compromise by the dentist, striking a balance between the technical gold standard and the patients’ acceptance level. However, patients must be cognizant of the limitations of such alternatives and the importance of eventually addressing root causes to preserve oral and overall health.

Fluoride Treatments and Oral Health

Fluoride is renowned for its cavity-fighting properties and is often included in dental health regimens. Yet, the necessity of special fluoride treatments for the majority of adults is a matter of debate. Most adults receive an adequate amount of fluoride through over-the-counter toothpaste and drinking water that is fluoridated. It’s essential to assess whether additional fluoride treatments offer extra benefits or if they fall into the category of unnecessary dental upselling.

Ethics play a pivotal role in dentistry. Ethical dental practices should prioritize patient care over profit and avoid promoting unnecessary services. Thus, when recommending fluoride treatments, dentists at Soft Touch Dentistry ensure the prescription aligns with the patient’s specific oral health needs rather than universally suggesting it as an essential add-on.

Benefits of Fluoride Treatments

Despite the common sufficiency of fluoride in daily life, there are cases where additional fluoride treatments can be beneficial. They may be particularly advantageous for individuals who are more susceptible to cavities, such as children whose developing teeth can readily absorb fluoride, or adults with a higher propensity for dental decay.

Dental cleanings at Soft Touch Dentistry may incorporate fluoride treatments, but their inclusion is always tailored to individual needs. This approach ensures that all patients, regardless of their oral health status, receive only the necessary treatments that contribute to their long-term dental well-being. Our dental practice commits to steering clear of indiscriminate upselling of fluoride services in favor of focusing squarely on what the patient benefits from the most.

Role in Preventing Dental Issues

At Soft Touch Dentistry, routine dental check-ups are fundamental for monitoring and adapting to changes in a patient’s oral health. A recommended treatment plan, including the proposed frequency of deep cleanings, is personalized to each individual. These deep cleanings, or scaling and root planing, are particularly crucial for those combating periodontal disease—a prevalent condition that can have lasting consequences on oral health if not addressed.

Our dental hygienists are well-versed in advanced deep cleaning procedures that meticulously target plaque and tartar build-up, fostering gum health. Successful periodontal therapy, including recommended deep cleaning intervals, is integral to preventing dental issues. Soft Touch Dentistry emphasizes this aspect of preventative care, focusing on addressing periodontal disease early and with appropriate interventions to maintain the health and integrity of your gums and teeth.

It’s vital that patients realize the importance of adhering to recommended treatments to stave off conditions such as tooth loss, bone loss, or more advanced stages of gum disease. Our priority is to provide education and preventative care strategies that align with our patients’ best interests, ensuring their smiles remain as healthy as they are bright.

Refusal of Treatment and Consequences

The freedom to accept or decline dental treatment is a fundamental right of every patient. At Soft Touch Dentistry, we respect your decision when it comes to your dental care plan. However, it’s our responsibility to make you aware of the potential consequences of refusing recommended treatments like deep cleanings. When deep cleanings are advised to counteract periodontal disease, declining them could lead to serious oral health issues. Gum disease, if left untreated, may cause gum recession, bone loss, and ultimately tooth loss.

Refusal of deep cleaning not only affects the gums and teeth but is also associated with heightened risks of systemic health problems, including heart disease, diabetes, and respiratory complications. Over time, persistent symptoms such as bleeding gums and bad breath could worsen without intervention, potentially leading to loosened or lost teeth. Additionally, avoiding early treatment might limit your options later on, making future treatments more invasive and costly. It is important to understand that managing periodontal disease effectively helps to preserve your natural teeth, which is preferable to dealing with tooth loss due to advanced gum disease.

Being informed about risks and consequences

In the realm of dental care, informed consent is not just a formality—it’s a pivotal process that empowers patients to make educated decisions about their treatment. At Soft Touch Dentistry, we believe in thoroughly informing our patients about their treatment options, the benefits of each, and any potential risks involved. Similarly, informed refusal grants patients the ability to decline treatments after understanding the consequences.

Our dental practice upholds the legal and ethical right of patients to refuse proposed treatments, ensuring that your autonomy is respected. This process typically involves a thorough discussion between the dentist and the patient, which may be documented in writing and becomes part of your permanent dental record. Ultimately, as a competent adult, you hold the right to make the final decisions concerning your healthcare, balancing your rights with the responsibilities in the decision-making process.

Impact on dental care and oral health

Understanding the impact of deep cleaning on dental care and oral health is essential. This specialized procedure targets plaque and tartar buildup beneath the gumline, a place where routine cleanings can’t reach. Such meticulous cleansing of the root surfaces is critical in preventing the progression of gum disease.

Regular cleanings at a dental office focus on the visible parts of your teeth. In contrast, deep cleanings, which include both scaling and root planing, are specifically designed to improve the health of your gums by addressing the harder-to-reach zones. Our dentists at Soft Touch Dentistry recommend deep cleanings based on a professional assessment of pocket depths and the overall condition of your oral health.

If deep cleanings are refused, the implications for your oral health can be significant. Progression of gum disease can increase, leading to potential long-term dental and systemic health issues. It’s crucial to comprehend the significance of deep cleaning in achieving and maintaining overall well-being and dental health. At Soft Touch Dentistry, we’re committed to your oral health and offer definitive treatment plans to bring your gums to health and prevent future complications.

Dealing with Insurance Companies

Navigating the complexities of insurance coverage can be as daunting as dealing with dental health issues themselves. Dental offices, including Soft Touch Dentistry, sometimes face the challenge of insurance claim denials and insufficient reimbursement rates which can ultimately lead to financial losses. When insurance companies fail to adjust their reimbursement rates to meet the increasing costs of running a dental practice, the financial burden often shifts to the practice itself.

Consequently, some dental practices may make the difficult decision to stop accepting certain insurances. This decision is not taken lightly, as it regards the relationship between patient care and financial sustainability. Dental practices strive to provide the best possible care to their patients but must also ensure that they can cover the costs of the services they provide.

For patients, this could mean confronting additional out-of-pocket expenses for dental treatments if their insurance claims are denied or if their plans do not cover the full cost of necessary treatments. There might even be delays in receiving dental care if an insurance company denies coverage for recommended treatments. These delays can impede the patient’s ability to receive timely care, potentially leading to aggravated dental issues.

At Soft Touch Dentistry, we understand the frustration that can accompany insurance issues. We are committed to working with our patients to find viable solutions, including discussing alternative treatment options and helping patients navigate their coverage to maximize their benefits.

Coverage for Deep Cleaning and Alternative Treatments

Deep cleaning, which consists of scaling and root planing, is a pivotal treatment for halting the progression of gum disease and fostering an environment that promotes gum tissue healing and reattachment to the teeth. Alongside treatment, education about the importance of oral health and its impact on overall well-being is vital.

Gum disease, left unchecked, poses serious risks not just to oral health but also systemic health, potentially escalating to heart disease, diabetes, and respiratory issues. That’s why dentists, including those at Soft Touch Dentistry, often recommend deep cleaning as a less invasive measure before considering more drastic procedures.

However, patients sometimes face a dilemma when insurance companies are hesitant to cover deep cleaning procedures. Besides considering the immediate effect on oral health, it is essential to recognize the broader health implications of leaving gum disease untreated. If a patient’s insurance company disputes the necessity of a deep clean, this can lead to severe consequences, such as advanced gum disease, tooth and bone loss, or further systemic health complications.

It is crucial for patients to understand their insurance policies and for dental practices to advocate for their patients’ best interests. Soft Touch Dentistry prioritizes transparent communication with patients regarding their treatment plans, including the costs and coverage available. Should a recommendation for deep cleaning be met with insurance complications, we are prepared to help explore alternative treatments and discuss financing options to ensure that each patient receives the care they require to maintain their dental and systemic health.

Contact Soft Touch Dentistry for More Info


If you’re seeking more information about dental cleanings, deep cleanings, or you have concerns about the recommended treatments, Soft Touch Dentistry is ready to assist you. We understand the importance of being fully informed about your dental health options.

For detailed explanations, alternative treatment options, or to discuss the specifics of your dental plan:


Our friendly staff is dedicated to addressing your questions and will ensure you receive the care and guidance necessary for maintaining your oral health. Your comfort and understanding are our priority, and we will always endeavor to provide you with a range of options that suit your individual needs.

Remember, at Soft Touch Dentistry, you’re in control of your dental care, and we’re here to support every decision you make for your teeth and gums.

Contact us today and let’s work together to keep your smile bright and healthy!

Disclaimer: The information provided in this blog post is for general informational purposes only and is not intended as professional dental or medical advice. Always seek the guidance of your dentist, physician, or other qualified health provider with any questions you may have regarding your oral health and dental treatments. Never disregard professional advice or delay seeking it because of something you have read in this blog. The views expressed in this post are based on personal opinions and experiences and do not necessarily reflect the opinions or positions of all dental professionals. The author and publisher of this blog are not responsible for any actions taken based on the information provided herein. For specific concerns, consult a licensed dental professional.

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