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You can tell a lot from someone's teeth
(lemmy.nz)
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My first thought was that he wasn't being a dick, but asking a weirdly specific question to send the patient into several seconds of "wtf", which would be a great way to keep them distracted from a numbing shot or something.
After reading the other comments here, I don't think that's what he was going for, but I'll ask my patients the most random shit I can think of just to keep their focus on anything other than the pain.