Tag Archives: devices

Lack of regulation of dental labs leaves plenty to be reported

About Mary Otto

Mary Otto, a Washington, D.C.-based freelancer, is AHCJ's topic leader on oral health and the author of "Teeth: The Story of Beauty, Inequality, and the Struggle for Oral Health in America." She can be reached at mary@healthjournalism.org.

Image by mrrobertwade via flickr.

Image by mrrobertwade via flickr.

The piece that aired recently on WSYX-Columbus, Ohio, struck an ominous tone. It featured images of a shadowy basement workshop, cluttered with cooking pans and trays of artificial teeth.

The reporter, Tom Sussi, explained the place was a dental lab. The small operation certainly did not fit the spic-and-span image that might first come to mind when one hears the word “laboratory.” But under Ohio law, it was a perfectly legal place to manufacture dentures, Sussi learned as he did his interviews.

While Ohio beauticians, manicurists and masseuses are all “required to be licensed and properly trained,” the story concluded, the people who “who make things that go into your mouth, like crowns and dentures, are not.”

The situation is similar in a number of other states, as Kiera Butler of Mother Jones pointed out, in her own take on the issue, inspired by Sussi’s story. Continue reading

Newer technology not always more effective

About Andrew Van Dam

Andrew Van Dam of The Wall Street Journal previously worked at the AHCJ offices while earning his master’s degree at the Missouri School of Journalism.

Joe Rojas-Burke reported in The Oregonian on what he called “a widespread problem in the health care system: the tendency to embrace new technology without waiting for proof that it’s better than older, cheaper, time-tested solutions.”

Some examples from Rojas-Burke’s report:

  • A Duke University study found that men who received robot-assisted prostate surgery experienced about the same rate of harmful side effects as those who went under a traditional surgeon’s knife and that, furthermore, the men who received robotic surgery felt three to four times as much post-surgery regret as those who chose the traditional option, probably due to heightened expectations.
  • Two Finnish researches reported in the British Medical Journal that falling, not osteoporosis, was the greatest risk factor for bone breaks among the elderly, casting doubt on the effectiveness of scanning bone density and prescribing drugs. “By one estimate, more than 80 percent of low-impact fractures occur in those who don’t have osteoporosis, which means that bone-density tests can’t reliably predict which patients are likely to break bones,” Rojas-Burke reports.
  • He cites the use of electronic fetal heart monitoring, computer-aided mammography devices, blockbuster drugs such as Vioxx, Zelnorm and Avandia as other cases in which newer may not be better.

The Columbia Journalism Review‘s Trudy Lieberman blogged that Rojas-Burke’s findings are particularly important when considered alongside the government’s proposed stimulus package, the Senate version of which “includes $1 billion for research on the comparative effectiveness of medical treatments.”

Lieberman, president of AHCJ’s board of directors, said the proposed “bill has already sparked concern that some patients may not get expensive treatments that they or their doctors want,” and recounted the cautionary tale of the National Center for Health Care and Technology, created in 1978 with a similar purpose. Lieberman said the center met an early demise during the Reagan administration thanks to the efforts of the American Medical Association and the Health Industry Manufacturers’ Association, which “argued that the Center was redundant because doctors were the ones best equipped to evaluate new technology.”