10/30/2025
Greetings to all our valued patients!
I felt it would be a good time to reach out to you. Today I came across these
comparative radiographs and felt it was important to create this letter. For over 35 years
of having the pleasure of taking care of my patient’s oral health, I have frequently heard
(at least once a day from my patients) reluctance or refusal to take diagnostic
radiographs. The story is usually the same. Either it is not having the insurance cover
the expense because of frequency guidelines set forth by the insurance companies, or
the patient doesn’t want exposure to the radiation. I felt it would be helpful to clarify my
position on those two subjects. First, insurance companies. Their main goal is to retain
your premiums and not pay benefits. It is not for you to obtain optimal dental care. This
creates a conflict between the dentists’ recommendations and what the insurance will
cover. It is my obligation to take care of you the best way possible and not follow the
insurance companies’ guidelines. Patients do have the right to refuse treatment and
care, but on that note, I also reserve the same right to dismiss a patient in my practice if
I feel that if you are denying care. I am ultimately responsible, and I may have to
exercise that option. Fun fact: a chest x-ray equals 100 dental x-rays, CT scan chest
equals 70,000 dental x-rays, CT scan of the abdomen equals 10,000 dental x-rays. The
new digital x-rays that we take in our office have reduced your exposure, exponentially.
The benefit of the dental x-rays far exceeds the exposure. I’m sure if you see your
medical doctor and they prescribe you a chest x-ray or a CT scan you follow through. In
addition, if insurance does not cover the frequency of our recommendation, the cost of
periodic dental x-rays is around a tank of gas or a dinner out at a restaurant. My point is,
get the checkup films! Finally, in summation “an ounce of prevention is worth a pound
of cure.” Dental decay can progress very rapidly under the right conditions.
Please see this “before and after” x-ray of a patient taken September 2024, and the
after x-ray taken September 2025. In just one year, notice the huge decay area that
formed under the crown noted by the red arrow and circle. Now the patient needs
extensive dentistry to save the tooth. If this radiograph was not taken, the patient
would have lost the tooth. In conclusion, PLEASE, PLEASE, PLEASE, get your dental
films as advised by your doctor. The advantages far outweigh the cost!
Thank you for taking the time to read this.
Sincerely,
Evan H. Ledis, D.D.S.
Jonathan W. Josephs, D.M.D.