In healthcare — and dentistry in particular — we often lean towards intervention. The more complex the procedure, the higher the fee. And ideally, a specialist delivers it, with a better outcome... and a bigger cost.
But what about simpler, less invasive, lower-cost alternatives that buy time and preserve options?
During lockdown, we adopted the AAA approach — Antibiotics, Analgesics, and Advice. It was effective in the short term. But was it the right solution?
In many cases, antibiotics were prescribed either because they were clinically needed or simply to satisfy patient expectations in some cases as“They won’t do any harm”.
No meaningful research has followed up on those patients. How many later returned for proper treatment — root canals, extractions, or otherwise? It's an important question, and one that deserves public attention.
Root canal therapy, even in expert hands, doesn’t guarantee success. Just like with pericoronitis (wisdom tooth swelling), where first-line treatment is antibiotics and extraction only if it recurs within 18 months — could this approach apply to other dental conditions? Especially in children, where the alternative is referral for general anaesthetic — now costing the NHS nearly £2,000 per visit.
These are uncomfortable but necessary questions.
This post was prompted by the excellent Nudge podcast by Phil Agnew, which reminded me: studies show red tablets are perceived as more effective than blue ones. Does this apply to placebos too?
Let’s not forget — the person who arguably did the most to improve oral health wasn’t a dentist or doctor, but Claude Hopkins, an advertiser who understood human behaviour.
If we truly want to improve the nation’s health, we may need more behavioural scientists working alongside clinicians. In reality, we need both.
For more ideas goto nudgepodcast.com
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After attending the American Mobile and Teledentistry Alliance conference in Portland, I was bought a book Infectious Generosity by Chris Anderson of TED Talks. I’ve just finished, and started reading it again. He highlights a profound truth: while children are “takers”, as we mature, we begin to appreciate the value of giving more. 🎁


Every week, Philip Agnew shares invaluable insights on his podcast, NUDGE. Even if marketing isn’t your focus, the behavioural science lessons are essential for promoting health and wellness alongside profitability. Interestingly, his research shows that those who give tend to be happier and more well-liked. 


So, which category do you fall into? 🔍 


For those of you who are retired, consider paying forward professional advice once a week by offering advice to individuals who might not be able to afford it. Perhaps you already have a platform for this! I aim to create a tool through our Dental Health Service that encourages this spirit of giving. 🎉


I often seek advice on YouTube for free, and I believe contributions should go to a charity of your choice rather than personal gain. 


If you’re not ready to buy the book, you can catch the TED Talk in under 20 minutes here: [Infectious Generosity TED Talk](https://youtu.be/I1ouTj1BQec?si=gdia5OlYEFa9OavN)


For more insights from Philip Agnew, check out NUDGE here: [Nudge Podcast](https://www.nudgepodcast.com)

And by the way, I'm still searching for the perfect golf tips on YouTube! ⛳️💻