Close-up abstract image of an open mouth silhouette in dramatic blue lighting.
Suhaib Alqudah
Suhaib Alqudah
06:30

Should Patients Be Treated Like Consumers in Dentistry?

Close-up abstract image of an open mouth silhouette in dramatic blue lighting.
Photo: MART PRODUCTION / Pexels

The question of whether patients should be treated as consumers in dentistry is a growing concern in healthcare. While the shift towards patient-centred care is important, it’s essential to balance this with the medical expertise required for conditions like oral mucosal diseases, chronic pain, and complex facial pain—areas where clinical judgment must take precedence over commercial pressures.

At Melbourne Oral Medicine, we prioritise evidence-based care over commercial incentives. Our focus is on accurate diagnosis, personalised treatment planning, and ensuring patients receive the specialist assessment they need—without unnecessary delays or distractions. For conditions like oral lichen planus, burning mouth syndrome, or chronic temporomandibular joint (TMJ) pain, clinical accuracy is critical. Misdiagnosis or rushed assessments can lead to inappropriate treatments, prolonged suffering, or even missed serious conditions.

This debate isn’t just about ethics—it’s about patient safety. When dentistry becomes overly consumer-driven, the risk of over-treatment or under-diagnosis increases. For example, persistent mouth ulcers, altered taste, or unexplained facial pain require careful evaluation. These symptoms could signal underlying autoimmune conditions, nutritional deficiencies, or neurological issues—none of which should be rushed through for the sake of convenience.

What Does ‘Commerce in Dentistry’ Mean for Patients?

The term *commerce in dentistry* refers to practices where patient care is influenced by financial incentives, such as bulk-billing incentives, private insurance schemes, or time-based fee structures. While these models can streamline access to care, they may also create pressure to see more patients in less time, potentially compromising the depth of assessment needed for complex conditions.

For oral medicine specialists like Dr Suhaib Alqudah, who has extensive experience in managing oral mucosal diseases and chronic pain, this balance is particularly important. Conditions like oral lichen planus or burning mouth syndrome often require detailed history-taking, clinical examination, and sometimes laboratory tests or biopsies to rule out other diagnoses. These processes cannot be rushed without risking misdiagnosis.

When Should You Be Concerned?

If you’re experiencing persistent symptoms such as recurrent mouth ulcers, unexplained pain in the jaw or face, dry mouth, or changes in taste, these could indicate underlying issues that need specialist evaluation. Red flags include:

  • Symptoms lasting more than two weeks without improvement
  • Unusual mouth sores that don’t heal or bleed easily
  • Severe facial or jaw pain that disrupts daily life
  • Dry mouth accompanied by difficulty swallowing or speaking

These signs warrant a thorough assessment to rule out conditions like autoimmune diseases, nutritional deficiencies, or neurological disorders. A specialist oral medicine consultation ensures no symptoms are overlooked.

How Telehealth Consultations Protect Patient Care

At Melbourne Oral Medicine, we offer secure video consultations to assess and triage complex oral and facial pain conditions remotely. This approach ensures patients receive expert care without unnecessary travel, which is particularly valuable for those in regional areas or with mobility challenges.

During an online consultation, Dr Alqudah will:

  • Review your medical history and symptoms in detail
  • Assess your oral cavity and facial structures using high-quality imaging or photographs
  • Recommend any necessary tests, such as blood work or biopsies, if required
  • Provide a clear diagnosis and management plan, including referrals to other specialists if needed

This method eliminates the risk of commercial pressures influencing your care, ensuring you receive a focused, evidence-based assessment tailored to your needs.

Why Specialist Care Matters

Conditions like oral lichen planus, burning mouth syndrome, or TMJ disorders often require input from multiple healthcare providers, including oral medicine specialists, rheumatologists, and pain management clinicians. A general dentist or non-specialist may not have the expertise to accurately diagnose or manage these conditions, potentially leading to prolonged suffering or unnecessary treatments.

For example, burning mouth syndrome—a condition characterised by a persistent burning sensation in the mouth without visible lesions—can be challenging to diagnose. Research highlights that it often involves central sensitisation and may require a multidisciplinary approach, including psychological support and pain management strategies (*Pain Management and Rehabilitation for Central Sensitization in Temporomandibular Disorders*, 2022).

FAQ

Should I be worried if my dentist suggests a treatment quickly?

If your dentist is rushing through an assessment or treatment plan, it’s worth asking for a second opinion—especially if your symptoms are persistent or complex. Specialist oral medicine consultations are designed to provide the time and expertise needed for accurate diagnosis.

Can telehealth consultations be as thorough as in-person visits?

Yes, telehealth consultations are highly effective for assessing oral and facial pain conditions. Using high-resolution imaging and detailed patient history, Dr Alqudah can conduct a comprehensive evaluation remotely, ensuring no symptom is overlooked.

How do I know if my symptoms require specialist attention?

If your symptoms—such as mouth ulcers, facial pain, or dry mouth—last more than two weeks or worsen over time, it’s best to seek specialist advice. Our online triage service can help determine whether further investigation is needed.

#Oralmedicineethics #Patientcareindentistry #Chronicfacialpain #Specialistoralmedicine #Telehealthconsultations

References

  1. Xerostomia of Various Etiologies: A Review of the Literature — Advances in clinical and experimental medicine : official organ Wroclaw Medical University · 2016
  2. Hyposalivation and Xerostomia and Burning Mouth Syndrome: Medical Management — Oral and maxillofacial surgery clinics of North America · 2022
  3. Pain Management and Rehabilitation for Central Sensitization in Temporomandibular Disorders: A Comprehensive Review — International journal of molecular sciences · 2022
  4. Temporomandibular Joint Disorders and Orofacial Pain — Dental clinics of North America · 2016
  5. Burning Mouth Syndrome — Dermatologic clinics · 2020
  6. Burning Mouth Syndrome — Dental clinics of North America · 2023
  7. Oral lichen planus - Differential diagnoses, serum autoantibodies, hematinic deficiencies, and management — Journal of the Formosan Medical Association = Taiwan yi zhi · 2018
  8. Oral Lichen Planus: An Update on Diagnosis and Management — American journal of clinical dermatology · 2024

Get in touch with Melbourne Oral Medicine

Have a question? Our team can help — book a consultation or explore our services. Book a consultation or explore our services.


Add Comment
↔
Slide the piece into the gap to complete the picture
Book Appointment