Quite often we field phone calls from members who would like to change their dentist because they disagree with a diagnosis. Often times, the perception is that the dentist is "over-diagnosing" on the treatment plan to make more money. Now I can assure you that 98% of the time that is not the case.
Know that every dentist is different. One dentist may identify something that one did not. Another one may have training or access to new technology that the other one doesn't. Different training, different perspectives...it doesn't mean that one or the other is wrong. This usually goes way beyond wrong or right.
How a dentist diagnoses is often dependent on how/where they were trained. Some dental colleges have a more aggressive diagnostic curriculum as others have a more conservative diagnostic curriculum. Depending on which curriculum the school that your dentist went to had, depends on which type of diagnosis you may get.
Although an aggressive diagnostic treatment plan may be overwhelming to patient, it is not always a bad thing. It focuses on the long term solution to your dental problems with more of a restorative style of treatment..
A conservative diagnostic treatment plan is not a bad thing either. It focuses on trying more to save the original teeth that you have, rather than replace it with a crown or something else, until that is really needed. It should be discussed with you and your dentist and it really comes down to what is right for you at the time.
As I said, it is not that either one of the dentists is wrong or right, or that one is a better dentist than the other. It simply comes down to how they were taught to diagnose your treatment. It does not mean that aggressive diagnostic dentist is trying to rip you off by over diagnosing (which is the common misconception by patients). It does not mean that the conservative dentist is under diagnosing and missing things that need to be done (which is another common misconception by patients)
In fact, an aggressive treatment may cost you more money now, but can save you a lot of money in the future. However, on the flip side of things, the conservative diagnosis treatment will save you money now, but could cost you more in the future.
We commonly recommend and encourage patients to obtain a 2nd opinion when concerned about the particular diagnosis that they are given, prior to just changing to another dentist based solely on a diagnostic result.
Keep Smiling!