Thread by @eigenrobot

my 3yo has had tons of dental/cavity issues.

we've been taking her to dentists for years, and they have spent an awful lot of time not even subtly intimating that @selentelechia is a shitty mom.

tonight i took our case to Dr @ChatGPTapp

what happened next ... may surprise you

@selentelechia @ChatGPTapp this was spurred by the latest pediatric dentists, who were setting us up with an appointment to crown her molars, came back and reported that the decay had gotten much worse and they would need to extract her four top incisors too

obviously this was incredibly distressing to us

@selentelechia @ChatGPTapp but it was also WEIRD because there is nothing in kiddo's life that would explain that. yet the dentists were a hateful combination of incurious and hostile about why, exactly, this was happening.

it felt off enough that i was compelled to sanity check with another robot. and---

@selentelechia @ChatGPTapp "that's funny. no one has ever mentioned this possibility to us but it would explain a lot about why nothing we do for her teeth helps. i wonder if the characteristic symptoms match up with the ones she has experienced."

@selentelechia @ChatGPTapp we went through about potential genetic causes, which are rare but seem more likely for our case (?) than prenatal issues

feels like kind of an outside shot but I'm gonna grab her SNP panel in a bit and see if she has novel mutations in the most likely culprits

@selentelechia @ChatGPTapp the last thing i did was to feed it kiddo's dental x-rays.

"that's crazy" you say? not quite.

first of all, i can cross-check it with a dentist's analysis anyway.

second, chat GPT is very good at technical image analysis in at least some domains

https://x.com/eigenrobot/status/1843116032610996322

@selentelechia @ChatGPTapp "analyzing images"

@selentelechia @ChatGPTapp the analysis and recommendations were pretty much in line with what the dentist recommended from viewing her x-rays. this is somewhat reassuring.

however,

@selentelechia @ChatGPTapp the diagnosis matters immensely

especially if she has genetically-driven enamel hypoplasia, we have to take a bunch of proactive steps to protect her adult teeth the instant they erupt

@selentelechia @ChatGPTapp fortunately it turns out chatgpt is also very good at roasting dentistry as a profession and giving advice about how to proceed as customers

so overall i would say its earned its $20 for january

commentary from a dentist 🙏

i'm very curious about population prevalence here, especially over time

are dental disorders in children well-monitored anywhere? seems unlikely to me but i'd be happy to be wrong about this

https://x.com/doctorstaci/status/1885413503760220361

@rogersj3 @selentelechia @ChatGPTapp because they're baby teeth right. they're gonna fall out anyway.

so what exactly is the risk here. obviously pain mitigation but if it's infection risk? risk has to be pretty damn high for extraction to make sense right. bc otherwise just extract when infected?

@rogersj3 @selentelechia @ChatGPTapp i'm not at all joking when i say it might be worthwhile to game it out with gpt

@SCPantera @selentelechia @ChatGPTapp no no you misunderstand. theyre antibiotics, like amoxicillin

@rlognormal @selentelechia @ChatGPTapp i bet that's downstream of the bacteria being different, which may in turn be downstream of a still more fundamental cause

@dsteins @selentelechia @ChatGPTapp best i got before she got bored

lateral incisor broke when she was 1 or 2 and ran face-first into a window sill

some coloring is from an SDF treatment