…& no more money if he does two
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I hear you, some things like that are just so rewarding. I mentor a few people outside of work in what I used to do career wise, as there aren’t all that many of us & even though it is in my own time and pays zero, it is nice to pass things onto the new generation.
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I do talk to a good friend who took the same path & we are both astounded we used to be so green! One has a son just turned 18 and we are amazed when we thought we knew it all at that age vs how naive we see them currently, scary really.
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That's because most of them have their head up their ass and think dentistry is all about cosmetic procedures and facial aesthetics and "dental journey's"
Forgetting more than half the population need basic dental treatment which a lot of them don't seem capable of doing.
And as an aside lifetime nhs registration is a thing up here.
You would actively need to deregister someone for them not to be nhs registered.
NHS dentistry is undoubtedly going to get worse without a complete overhaul and major investment.
New/young dentists are not at all interested in NHS dentistry as the likes of my peers were when we graduated - no tuition fees and a fairer system of renumeration made the NHS not just viable but in some cases lucrative - fast forward to now with some dental students graduating with in excess of £80,000 of debt and NHS renumeration and work life balance just don't align with their career aspirations.
On top of all that NHS dentistry really isn't at the cutting edge of latest innovation and treatment modalities.
True...things must be bad when dentists at the NHS enamel face inadvertently make the NHS sound better than it really is. It's like subconsciously trying to justify why you keep on sticking with it to some degree despite being metaphorically repeatedly kicked in the bollx :-/
Saw my NHS dentist last week - a very nice Spanish lady.
Checkup, couple of x-rays and descale for a very reasonable £25 or so. Given the option of a private scale and polish for £85 but declined…
Practice taken over several years ago by BUPA and there does seem to be investment in new equipment and general redecoration so all good!
I moved to Leicester in spring of 2021, tried to register for NHS treatment at several dentists and was told the earliest time would be at least a year.
I have just recently been notified I have my first appointment in May.
Generally speaking, NHS dentists book between 5-10 minutes for an examination, they'll see around £12 of the band 1 £26.80 for this (give or take a few quid, depending on area). A private dentist (Definitely not all) will more likely charge £50-60 and take around 20-30 minutes. They'll take home around 40-50% of gross, so around £20-30 for this. So per hour, the dentists are earning nearly the same. The different is, can you actually do a decent check up in 10 minutes? (or less)..... well, the minimum time I'll book is 20 minutes, but quite often have to get patients back to continue their exam.
£950 for two fillings and a clean - really depends on the difficulty of the filling, material used, time taken etc.
Some of the fillings I do, I actually make less per hour than a typical NHS dentist. Once you've assessed occlusion, isolated the tooth with the rubber dam, set up the microscope, removed the decay using detector dye, used the anatomically correct matrix system, polished and finished the filling correctly, I'm booking at least 1hour 20 minutes for this. For my basic restorative work, I charge £275/hour, so if the two fillings and the clean, mentioned before, weren't so straight forward, £950 isn't unreasonable. If, the NHS dentist is doing their fillings in a similar way, then definitely stick with them - but for £24, I'd eat my hat is they were.
I get that private dentistry isn't cheap and I know that posting on an internet forum will likely make me look like a self-righteous tosser, however I just want to clear up the differences between NHS dentistry and good, private dentistry. Trust me, there's plenty of crap private dentistry out there too.