by Paul Lowry
Why Do We Love Our Dentists?
[Via Wired Science » Frontal Cortex]
Last month, I went to the dentist. He delivered the bad news while looking at the x-rays of my teeth – I had a small cavity in a rear molar. But let’s engage in a hypothetical: What if, the next day, I went to another dentist for a second opinion. And let’s say that I showed Dentist Number Two the exact same x-ray of my molars. What are the odds that both dentists would agree that I have a cavity in that particular tooth?
The answer, according to the behavioral economist Dan Ariely (based on data from Delta Dental), is shockingly low: There is only a 50 percent chance that the two dentists will come to the same clinical conclusion. The reason, Ariely says, is simple: x-rays are ambiguous pictures, full of shadows and blurry spots. As a result, different dentists parse the images differently. Some stare at a tooth and see a cavity, while others see a natural indent.
This led Ariely to ask a provocative question: If dentists are so bad at diagnosing cavities, then why are people so fond of their dentists? As Ariely notes, people are much more loyal to their dentists than to doctors in any other medical field. We love the people who clean our teeth, even though it appears they are wrong (or at least disagree) about half the time. If my primary care physician had that kind of track record, I’d find a new doctor. Or I’d skip the doctor altogether.
What explains this irrational loyalty? Ariely’s explanation is rooted in cognitive dissonance, or the human tendency to react to conflicting evidence by doubling-down on our initial belief. (I wrote about cognitive dissonance and UFO cults here.) Here’s Ariely on NPR:
Dentistry is basically the unpleasant experience. They poke in your mouth. It’s uncomfortable. It’s painful. It’s unpleasant. You have to keep your mouth open. And I think all of this pain actually causes cognitive dissonance and cause higher loyalty to your dentist. Because who wants to go through this pain and say, I’m not sure if I did it for the right reason. I’m not sure this is the right guy. You basically want to convince yourself that you’re doing it for the right reason.
And it’s not just dentists: This cognitive quirk influences a vast amount of consumer behavior. It turns out that the more we pay for something – and the payment can take the form of money, time or physical pain, as with the filling of a cavity – we’re more likely to believe that the product or service is effective, and thus worth the cost. It’s perverse but true: pain makes us loyal, and the surest way to improve the performance of a product is to raise its price.
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So, the fact that we chose to undergo a very unpleasant experience makes it more likely we will convince ourselves how wonderful our dentists is. Almost makes sense.
We have to steel ourselves to undergo a process that can be horrible. We simply can not accept the possibility that we made a mistake and underwent something bad for no good reason. We see this all the time – it is really hard to admit we made a mistake, especially with something that can be painful.
Easier to simply say my dentist is great and would not hurt me without reason. Even if the data suggest that 50% of the time they do just that.


