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Originally Posted by NJGOAT
That part I get, but regardless it is still easier/better to start younger, correct?
How so? I could easily go to different doctors for each issue, but this is more convenient and my insurance is paying the same no matter who I see. Is it being more expensive related to them wanting to "over treat" or something else?
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Easier, yes, for the dentist to cash the checks for multiple treatments. Easier does not equal better for the patient.
#1 Prices do vary for treatments, but patients rarely comparison shop. The "all-inclusive" office is MUCH more expensive because, of course, they tend to refer to each other, so less choice for the dental consumer. Of course, patients can find their own practitioners to compare prices, but they rarely do.
Overhead is phenomenally large in these larger offices, especially as they upgrade to digital technology, and those that take dental "insurance" usually charge more and spend less time with patients.
The cost of dentistry has risen at twice the rate of inflation, primarily because as dental health in the west has gotten much better, practitioners have to find new ways to make $$, hence the rise in "cosmetic dentistry" and redundant or flat-out unnecessary services such as "groove and seal" procedures, overuse of bite-wing X-rays on adults, removal of wisdom teeth that aren't causing trouble, replacing fillings that aren't "leaking," etc.
And no, I don't have some unnatural grudge against dentists. I have a close relative in the industry who is trying to maintain a decent practice while competing against corporate dentists (a la Aspen Dental) and slick price gougers still trying to pay off dental school loans.
As for 1-step vs. 2-step orthodontics, Dr. Timothy Wheeler, eminent scholar at University of Florida, recently completed research that shows that any skeletal movement resulting from Step 1 of treatment had disappeared by time of step 2 treatment, and that there is no harm in waiting until late teens and even early 20s for orthodontic treatment. Yes, teeth move slower with age, but they still move. Start too early, they will move back into the less desired position. Most teen treatment is based on latent social "fears."
Full disclosure: Two of my kids had braces beginning in 7th grade. I would not do 2 step braces, even on recommendation, but I would not wait until college either. Just pointing out it can be done.