The Cosmetic Dentistry Blog

April 24, 2009

Will my medical insurance pay for my dental implants?

Filed under: Dental implants, Dental insurance, Dentures — iowasmiles @ 3:50 pm

I have some dental issues with my upper teeth, missing three back teeth and have one bridge that is 37 years old. I would like to have all my upper teeth replaced with permanent denture implant. I have struggled with peridontal disease and go in every six months for scaling/root planing. I did try a partial dental plate but it made me gag, and I could never get past that or trying to eat with it in.

I would like to get an estimate for this if it can be done and it could be considered a medical condition so that my medical insurance would help pay for it.

Thank you for your time.
- Bev in Utah

Bev,
That’s a point that we don’t mention maybe as often as we should. One distinct advantage of dental implants over say a removable partial denture or a complete denture is that there is no extra hardware in your mouth, and people who are prone to gagging can sometimes have great difficulty with a plate, say, that goes across your entire palate as many dentures need to have.

As far as your insurance, your medical insurance won’t likely cover anything, so you will need to go to your dental insurance for any help. We get variations of this question a lot – “My teeth are affecting my general health, so can’t I expect my medical insurance to help pay for it?” But almost all medical insurance contracts have an exclusion clause that specifically denies coverage for any dental problems. Otherwise, even a simple cavity could be called an infection and it does affect your general health. The only exception is that medical insurance will generally cover dental damage from an accident. So if you break your front tooth diving into a shallow pool, medical insurance will generally help you pay for it. Otherwise, anything done to your teeth will be excluded from being covered by medical insurance.

We can’t give estimates for specific dental work. For that you need to consult a local dentist. We do have a page on dental implants cost to give you some general guidelines.

April 21, 2009

I can’t keep my denture in. What can I do?

Filed under: Dental implants, Dentures — iowasmiles @ 8:42 pm

I am a 60 year old woman who has a denture for about 35 years , I can hardly keep a denture in even with adheasive I am told i have virtually no ridge left and it could get bad enough that i can’t wear a denture at all. what can be done?
- Lucille in Ohio

Lucille,
You are in a very tough spot. What happens is that when your teeth are gone, your body thinks it doesn’t need that bone any more and begins to resorb it and use those minerals elsewhere in the body. It’s called facial collapse. Eventually, it does get to the point where you can’t even wear a denture.

At that point, what you need is bone grafting to build the bone back up. And you may need to hunt around to find a dentist who can do this. This type of surgery is complicated and difficult, and there are oral surgeons who won’t attempt it.

Beyond that, there are a number of options for getting replacement teeth, depending on how important this is to you and how much money you want to spend and how much treatment you want. The simplest thing would be to just have the same kind of removable dentures placed over the newly built up jawbone. The problem with that is that you will go back through the cycle of bone resorption again.

The placing of dental implants will prevent bone resorption around those implants. The more implants you have, the more bone you will retain. You could have just two dental implants in each jaw and have what are called overdentures or snap-on dentures over those. That works reasonably well. Or you could have dental implant hybrid restorations where the dentures are securely fastened to the implants.

And what I would hope is that others would learn a good lesson from your story. It would have helped if, when you were twenty-five years old and possibly were tempted to think that getting false teeth would be the end of your dental problems, if someone had explained to you the long-term consequences of getting all your teeth extracted. So let your children and all your friends know of your difficulty, if you can feel comfortable doing that. For those who have lost all their teeth but don’t yet have the bone resorption to the degree you have, placing dental implants can prevent these other problems down the road.

Dr. Hall

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April 18, 2009

About Clear Choice Dental Implant Centers

Filed under: Clear Choice Dental Implants Centers — iowasmiles @ 4:26 pm

Dr. Hall,
What do you know about clear choice dental implants. I was going to try them becuse my dentist is so expensive.
- Kay in Dallas

Kay,
Each Clear Choice dental implant center is different. You have one in Dallas. We have one here in Phoenix. They aren’t going to be the same.

I did hear a report from a patient who was asking specific questions about the risk of failure of the particular type of dental implants she was going to get from them here in Phoenix, and was confused because everyone at the Clear Choice Center that she asked gave her a different answer. This didn’t create a good impression in my mind. I have heard other reports that they feel that the treatment isn’t very personal – that there is a one-size-fits-all approach, rather than individualized treatment plans. This wouldn’t be surprising in a large corporate-style clinic.

That’s all I’ve heard.

I don’t believe that Clear Choice is really an inexpensive place to go. Having said that, I would be extremely careful about selecting your dental implants by going to the cheapest place. Dental implants is the single largest source of business for dental malpractice lawyers. There are too many opportunities to cut corners, and the result is that the implants don’t last as long as they should.

- Dr. Hall

Other links:
Click here to find an expert cosmetic dentist.
Read about Clear Choice dental implants cost.

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April 11, 2009

Can I get a new smile for a reasonable price?

Filed under: Cosmetic dentistry costs, Finding a cosmetic dentist — iowasmiles @ 12:46 pm

Dr. Hall,
I just want to improve my smile. I have straight teeth. The problems that I want to correct are:

1) My teeth are kind of yellow—I’ve tried whitening through dental offices, not getting results I want
2) I would like to file down some of my teeth to make them look staighter, especially my fangs.
3) My two upper front teeth I’d like to put a little porcelain on the top because those teeth are thinning.

What do you suggest I do to improve:
a) the whiteness to the fullest
b) the filing of some teeth
c) the upper front teeth (pertaining problem #3)

I was considering Lumineers, but after considering the cost and the problems, I don’t think it would be to my best interest to do this. Are there any other options to do what I want to correct and get the best results of what I am looking for?

What I’m finding is that people are not saying how much. I thought approx. $1000 – $2000 for a group of teeth, not per tooth. …that’s insane…..

Hopefully, as I meet with dentists who proclaim they do cosmetic dentistry, they can do what I want at a reasonable price.

Any advice you can give me, would be greatly appreciated!!!!!!

Thank you sooo….much, in advance.
Diana in San Francisco

Dear Diana,
Wanting a new smile when you have the appearance issues that you have sounds reasonable. And your solution would be porcelain veneers. But a couple of things you said make me think you’re headed for trouble, and maybe you should wait and not do anything.

First of all, if you want this new smile done right, you should plan on $1000 to $2000 per tooth. That is what it costs. What worries me is that you’ll find someone who will do it for less. Only 1-2% of dentists are artistic enough and trained enough in cosmetic dentistry to create a beautiful smile, and they are all going to be up in that price range, maybe higher.

The second thing that worries me is that you said, “I meet with dentists who proclaim they do cosmetic dentistry…” If you don’t understand the difference between an artistic dentist who can create a beautiful smile and a dentist who simply proclaims that he or she does cosmetic dentistry, then you should hold off on this until you do understand. We get so much mail from people who learn this lesson the hard way. Cosmetic dentistry isn’t a legally recognized specialty, and this means that it is totally unregulated. Any dentist can proclaim they do this without any accreditation or certification. Often they are genuinely nice people who simply have no artistic sense and in their own minds they do beautiful work. That is the whole reason I run this website—to keep people out of this kind of trouble. Click here to read about this difference between a cosmetic dentist an a general dentist.

My advice is to save up your money until you can get this done right. Or, if you really don’t want to spend that much, then just adjust to the way your teeth are. They don’t sound like they really look that bad. Otherwise you may be writing to me after this is over and asking how you can get your own smile back because it was better than the new one.

Good luck,
Dr. Hall

Related links:
Read about the cost of cosmetic dentistry
Read about the cost of porcelain veneers
Click here to ask Dr. Hall a question
Click here for referral to a cosmetic dentist

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