> I don't see a practical reason why dB's normal use can't have been covered by normal prefixes

Because you can easily add dB values that are on greatly different scales in your head, especially when the values aren't exactly powers of ten. If I have 86 dBW of Effective Isotropic Radiated Power and -162 dB of free space loss to some distance, the power flux density at that distance is -76 dBW/m^2.