As a dentist, one of the most frequent questions I get from patients is “Do I really need this treatment or procedure you’re recommending?” It’s an understandable question. Dental work can be expensive, time-consuming, and sometimes uncomfortable. No one wants to go through unnecessary treatment.

However, it’s important to understand that I only recommend treatments that are truly necessary for protecting and improving your oral and overall health. I don’t take that responsibility lightly. Here’s some insight into my decision-making process when it comes to treatment plans.

Preventing Bigger Problems
Very often, the treatments I recommend are aimed at preventing far bigger issues down the road. For example, getting a small cavity filled is a straightforward procedure that stops tooth decay from spreading and causing more extensive damage. Leaving a cavity untreated can lead to the need for a root canal or even extraction of the tooth.

Similarly, gum disease treatments like scaling and root planing may be recommended to stop the progression of periodontal disease. This harmful bacterial infection can ultimately cause tooth loss and has been linked to other systemic inflammatory conditions if left unchecked.

Fixing Pre-Existing Issues
Other times, the recommended treatment is meant to fix a pre-existing issue that is already causing problems. A cracked, chipped or severely decayed tooth may need a crown to seal it and prevent further breakage. Or a tooth with an infected nerve may require a root canal to eliminate pain and infection.

Cosmetic treatments like teeth whitening, veneers or Invisalign may be suggested to address esthetic concerns with discolored, misaligned or irregular teeth. While these are technically “elective” procedures, they can still provide an important emotional and psychological boost in self-confidence.

The Dreaded “Watch and Wait”
Of course, there are also times when “watch and wait” is the most prudent approach—at least for the time being. Maybe a cracked tooth isn’t yet causing pain or compromising function. Or perhaps some initial gum disease is detected, but can potentially be reversed with improved homecare before bigger interventions are needed.

In scenarios like these, I’m upfront that treatment can be postponed as long as the situation remains stable and the patient is committed to proper oral hygiene and re-evaluation on a reasonable schedule. I would never push for treatment that I don’t believe is necessary yet.

Getting a Second Opinion
If you’re ever unsure about a recommended dental treatment, I wholeheartedly encourage you to get a second opinion from another trusted dentist. There can sometimes be multiple ways to manage a particular case, and it never hurts to gather more input before making a decision—especially for complex or expensive treatment plans.

Ultimately, my role is to be an educator and provider of clinical information to my patients. But you deserve to have full understanding and be a willing participant in your own care. I’m always happy to take the time to explain my reasoning, discuss any concerns, and ensure we’re on the same page about your needs.

Building a Partnership
Maintaining good oral health is an ongoing process that requires teamwork between you and your dental team. My hope is to build a long-term partnership of communication, trust and prevention. If we can catch and treat small issues before they become big problems, it benefits everyone involved.

Sometimes that means finding a manageable way to address current areas of concern through phased treatment plans if needed. Other times, it truly is in your best interest to move forward with more comprehensive treatment right away to get your oral health back on track.

Whatever path we choose, you have my assurance that I will only recommend what I believe is absolutely necessary based on the clinical evidence and my professional experience. I have no incentive to “over-treat” or provide anything beyond my honest assessment of your needs. My biggest motivator is keeping you healthy and smiling for years to come.

So if you ever find yourself wondering “Do I really need this?”—just ask! I’m always happy to reiterate my reasoning and ensure we’re mutually making the most informed decision for your healthand well-being.