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Review
Praise for Teeth:An NPR Best Book of 2017Winner of the Studs and Ida Terkel Prize"Mary Otto, a former Washington Post reporter, doesn't just dwell on the numbers―she makes what could have been a turgid health policy tome spark with outrage over the stories of people who have suffered."—NPR "[Teeth is] . . . more than an exploration of a two-tiered system―it is a call for sweeping, radical change."—New York Times Book Review [Otto infuses] what could be a mundane topic with quirky history, heart-wrenching real-life stories, and prose that is . . . poetic . . . this harrowing book pulls at the heartstrings. It’s a must-read for anyone who cares about public health policy."—Newsday"With many adults still uninsured, children’s dental care far from universal, and the future of government-supported health care unclear, Otto’s sobering report should not go unheeded."—Publishers Weekly "Otto’s well-reported and important book will arouse concern over the fact that dental health, which is so essential to our well-being, gets such short shrift, and, hopefully, help instigate reform."—Booklist "An astute examination of the complex, insular business of oral health care."—Kirkus Reviews"Mary Otto hits us right in the face—our teeth—with this important book. The lack of dental care for millions of Americans is a national shame. Teeth breaks new ground in the canon of books about poverty. It should be read by anyone concerned about the class divide in the U.S."—Dale Maharidge, author of And Their Children After Them, winner of the 1990 nonfiction Pulitzer Prize"I can’t remember the last time I read a book that so brilliantly yokes physiological, political and cultural systems. Rife with discovery, and a spur to social action, Mary Otto’s book is a beautifully readable and essential testament for these times."—Mary Cappello, author of Swallow: Foreign Bodies, Their Ingestion, Inspiration, and the Curious Doctor Who Extracted Them"Mary Otto brings history, policy and painful personal realities together in this compelling and engaging book about our nation’s highly preventable epidemic of oral disease. Teeth should be read by every policy maker and health professional who believes we can and must act to reduce the current barriers to dental care."—Louis W. Sullivan, MD, U.S. Secretary of Health and Human Services, 1989–1993, and chairman of the Sullivan Alliance to Transform the Health Professions"Who eats too much sugar, leading to dental trauma? Primarily the poor. Who cannot sleep because of continuing dental pain and no available dental care? Primarily the poor. Even with Medicare and Medicaid, dental care has remained a stepchild—and these programs are in jeopardy now. ‘The teeth are no match for . . . a life of poverty,’ Otto says. More teeth failure and its consequences are on their way."—Peter Edelman"Here’s a book that will enlighten you, upset you, and give you hope. I highly recommend it."—Bob Herbert, Distinguished Senior Fellow at Demos and former op-ed columnist for the New York Times"Mesmerizing and important. Mary Otto’s unflinching work on the miserable state of oral health in America gnaws at you like a toothache."—Congressman Jamie Raskin (MD-8)
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About the Author
Mary Otto is the oral health topic leader for the Association of Health Care Journalists. She began writing about oral health at the Washington Post, where she worked for eight years covering social issues including health care and poverty. She lives in Washington, DC.
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Product details
Hardcover: 288 pages
Publisher: The New Press; 1 edition (March 14, 2017)
Language: English
ISBN-10: 1620971445
ISBN-13: 978-1620971444
Product Dimensions:
5.8 x 1.2 x 8.8 inches
Shipping Weight: 1 pounds (View shipping rates and policies)
Average Customer Review:
4.6 out of 5 stars
32 customer reviews
Amazon Best Sellers Rank:
#42,683 in Books (See Top 100 in Books)
Mary Otto has been involved in the tragic death of Deamonte Driver due to dental infection for several years. She deserves enormous credit for bringing this story to the public. In her new book, "Teeth," Ms. Otto takes her formidable investigative skills and applies them across an accurate, and interesting account of the founding of the dental profession, and on why it was never integrated into medicine. Most importantly, she unearths the many sad tales on the inadequate resources allocated for dental services in the USA. At a time when it has become clear that dental disease, especially periodontal disease, is a contributory cause to many inflammatory based systemic diseases like diabetes, stroke, heart disease and renal disease, it is important to read this book. Indeed, it has been estimated that providing dental care within Medicare can generate a net savings of $12 billion per year from reduced hospitalizations due to the impact of reducing a key source of inflammation in the body.
I saw the audiobook version of this book as a daily deal selection. The topic was interesting and the reviews were very positive. I am familiar with a large portion of this book, having already been aware of how medical insurance and care far exceed dental care and insurance. Nearly everyone I know has had a toothache at one point or another. Most people do not have dental insurance or kid themselves that they won't need it. You will need to go, it's just a matter of time.Still portions of this book were real eye openers. The ADA's fight against dental hygenists, the marketing guru teaching dentists how to push services that may not be needed are just a few. I was aware of the lack of dentists not participating in Medicaid because of the low reimbursement rates, how the poor go untreated and the push for coverage and care for children. The deaths of several mentioned in this book were preventable. The sad case of Deamonte Driver was used as a rallying cry for more coverage for children. A good third of this book covered children's care and the lack thereof, though improvements have been made.Despite this, coverage for adults is virtually non existent. I would've liked to have read more about the challenges of coverage for adults. The cost of dental care is often worse than medical in some cases, even with insurance you still have to pay a growing share of fees.A biting commentary, this book is an excellent read. I read this using Immersion Reading, while listening to the audiobook. The narrator was superb, a beautiful voice with the perfect amount of emotion.
There are always two sides to a story and this book gives a look into how generational poverty effects the oral health of its communities. It also sheds light on how professional “self-interest†and government red tape have sabotaged, neglected, judged & forgotten about these communities in the past.
This is a terrific read- an interesting and engaging narrative describing how oral health influences not just our health, but its' bidirectional relationship with the social and economic aspects of our lives. Otto provides insights into the struggle within the dental profession itself as dentists can't decide if their a business or a health care provider. They clearly want to be both but haven't figured out how.
This is an important book on an important topic easily read by the lay person and professional alike. It is extensively researched and provides little known history as well as both fascinating and disturbing stories. There is a clear political agenda. That being dental care is part of medical care and thus should be provided to all as an entitlement by our government. However you may feel about that agenda, it is a good first step in starting an urgently needed dialogue critical to the health of Americans. I can suggest three additional chapters to cover issues that were either avoided or neglected:1.) "Access to care" is a euphemism which really means, "who covers the cost". So who does? Can anyone cover the cost of neglect or ignorance?2.) "Organized dentistry" is consistently and repeatedly characterized as being self-serving if not profiteering. (Just wait until corporations and venture capitalists take over the practice of dentistry!) Yet the two things dentists CANNOT ORGANIZE around are fees and 3rd party ("insurance") participation. The FTC uses impressive intimidation tactics to squash all such discussion within the profession. The profession which must lead to solve the problem.3.) There is no realistic discussion about what "dental insurance" really is. Is it really insurance? Does the industry behave monopolistically by fixing fees? Is it more like a cartel? It may have been illuminating to have legal analysis of participation contracts, intimidation tactics and government collusion. All of this adds huge unnecessary cost to the delivery of care. I urge you to read this book, brush and floss diligently and require your children to do the same! 95% of dental diseases and disorders are preventable with simple, inexpensive, responsible behavior. Take care of yourself. Be a good patient. Dental disease could go away.
Mary Otto not only documents the state of dental care in the US today, she gives you a front seat into the impact this has on the personal lives of those who are unable to get access to care. Mary does a great job at shining a light on how divided dental care is from medicine. Many will be surprised to learn that there is no dental benefit in Medicare. I'm a dental professional and parts of this book were tough to read. We need to do better.
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