DOSSIER ON COST / QUALITY IN DENTISTRY 2

By 5 Luglio 2016 Insights

PART 2- WHY ARE THE DENTAL COSTS SO HIGH?
After having analyzed, in the previous publication, some possibilities to limit the cost of treatment including low cost centers and dental clinics run by non-professionals, now we try to understand why when you go to a serious and capable professional, inevitably you have to face fairly high expenses. IT'S NOT A CASUALITY!!!!!

The chorus that feels and looks like an axiom (ie 'a truth' absolute) is: the dentist is TOO expensive.
I would like to explain some things to those who wish to address the issue with an open mind and not prejudicially closed and hostile.

The first consideration is that there are psychological and practical aspects.
For the first there is to say only that the free cares, to which our health system has accustomed us, leads us to consider as something any excessive spending aimed to improve our state of health (except what concerns beauty treatments!).
This is true for dentistry QUALITY is something that is almost never mentioned by the health system, but something that is almost entirely provided by private medical practitioners. This is because to provide dental care of a good standard is VERY EXPENSIVE for whoever delivers it. And the NHS can’t afford it.
For the practical aspects we need to consider a few things:
The dentist, despite being a medical degree and specialized, runs his own private practice as any small business. Each activity of this kind has to deal with a relationship between the costs and receipts in order to have a fair return.

In the dynamics of the cost of a dental practice we must consider important items that are:
• Payroll
• Cost of the structure (rent, purchase and maintenance of equipment)
• bureaucratic administrative expenses
• Expenditure relevant professional development and acquisition of new technologies
Someone has bothered to calculate the HOURLY an average structure with a dentist, an assistant and a standard of equipment and found that the average cost is:
1 hour = 60-100 EURO OF FIXED COSTS
Then, when the patient makes an appointment to the chair and sits, should be aware that the dentist will have these costs which then he will have to add its gains, taxes that will pay, plus variable costs that he will have to support ( for example expenses for prostheses, etc ...).
These charges must be paid by the patient.

Here then, to make life easier and concept to those who do not have these problems, I would like to give an example that I hope is in point:
Imagine that the dentist (or the dental practice) is an apartment that you rented for a certain time ..
When you book a seat dental, you LEASE for some time that structure and, therefore, you are taking the commitment to pay a fee.
The rent that you pay for an apartment is proportional to the value of the apartment and then you will not be surprised if you are asked a higher amount for rent a villa overlooking the sea rather than a small apartment in the suburbs. This makes PARTLY reason of the differences in costs between one study and another.
But if you rent the house including the service of two or three people who are at your disposal (staff, cook, maid), the cost will rise (assistants of the study).
If then in the canon you include also the services of a highly qualified person with a great expertise, extensive studies behind, great experience and professionalism (the dentist), (I know a butler who has worked for very important people) obviously know you will pay a lot more and in proportion to its professionalism and experience.

Ultimately the concept is this:
When you pay a professional services of a dentist, you pay in proportion to the time that is dedicated and also pay:
• The competence and professionalism of the dentist who is the result of many years of study, (the curriculum to become a qualified dentist involves at least 25 years of study) experience, updating and professional qualification and is not less than any other doctor or private hospital.
• The competence, professionalism and the salary of support staff which plays a very delicate task to protect your health
• The equipment that is used to ensure the therapies, which are very expensive and require a continuous supply and maintenance.
• All the costs necessary to carry out safety performances (costs related to sterilization, cleaning disinfection) that the patient does not see but that are an important part of the work of a dental practice. These costs are very high, but you do not see them and give them for granted. The accuracy and the rigor of these procedures are not uniform across all studies (check that out!).
• The fair return that the professional will have to take, as a professional and as a good manager who invests capital in its structure and in its profession.
• costs that the professional TOTALLY claims to follow courses and conferences (time during which he can not 'work), to be professionally updated.
If you understand all of this and if you are intellectually honest, now you are able to understand why a visit at the dentist costs at least as much as a private visit to the eye doctor, the cardiologist, the Ent or Gynaecologist !!!

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