Tag Archives: dental implants

Dentist or Oral Surgeon?

I’m going to honest and just admit I avoid the dentist. I had a filling fall out. I avoided the dentist. Then I needed a root canal treatment. I did get that, but it was rather traumatic. So, I didn’t go back for the crown. Now my tooth was hurting so badly that I had to go to a dentist again. Though I did go to a different dentist. He told me the tooth is too far gone and needs to be removed. However, he said it’s extensive enough that I may consider an oral surgeon because he’d have to cut through both gum and bone. I like the idea of it not costing as much going to the local dentist, but wonder if it’s not safe and that’s why he mentioned an oral surgeon.

Patty

Dear Patty,

Someone asleep from dental sedation

I hate it when dentists say stuff like this. It makes patients uneasy. They wonder if they’re being unsafe choosing the more financially feasible option for them. I don’t know if your dentist phrased it that way because he’s uncomfortable with the procedure and he was trying to steer you another direction or if he’s perfectly comfortable doing it and just giving you non-opinioned options.

I’d ask your dentist a few questions before making a decision:

  • How comfortable does he feel with the procedure?
  • Has he done this type of extraction before?
  • What type of sedation does he offer?
  • What are the roots like? Straight and tapered or twisted with knobs?

The Importance of a Sedation Dentist for You

Based on what you’ve described of your oral hygiene habits, you have dental anxiety. It’s not uncommon. However, it wreaks havoc on your oral health, as you’ve discovered. If you were comfortable going to the dentist when your filling first came out, you wouldn’t be facing this difficult extraction and then facing pricey tooth replacement options.

Dental Sedation will change your life. However, at your level of anxiety (and especially for your extraction procedure), you will need something stronger than just nitrous oxide. You will need oral conscious sedation. This is strong enough to allow you to sleep through the procedure.

You will be able to have stress-free dental appointments from now on and even get all your teeth back in shape.

This blog is brought to you by Dr. Matt Roper.

Affordable Dentist for a Full-Mouth Reconstruction?

I never got to go to the dentist as a child. I saved up for two years to go now that I’m in college, just to see what I’m dealing with. He said my mouth was in horrible shape and I needed something called a full mouth reconstruction. I knew there’d be some problems because I’d never been, but I was surprised with how dire my outlook was, especially since my teeth have never bothered me (except for how they look). The way he described the reconstruction sounded like I’d really benefit and my teeth would be pretty, but the price is way above anything I can afford. My roommate said I should ask about affordable dentists. She said that’s what her parents always used. They have less frills but you still get care. Can I get one of those for the reconstruction I need?

Mindy L.

Dear Mindy,

Dollar sgn hatching out of an egg

How admirable that you’ve made such an effort to see a dentist. I wish more older adults were as conscientious as you are. Before we get into a reconstruction I want to caution you. Something feels off about this to me.

While I’m sure there were some issues, if you’ve experienced no pain at all, I doubt you really even need a full mouth reconstruction. You should have been in massive pain. I’d love to hear more specifics of why he said you needed one. I don’t want to see you taken advantage of by someone disreputable.

I’d like you to get a second opinion from another dentist in the area. Some dentists will even give you a free second opinion.

Getting a Second Opinion for Affordable Dental Care

When you go in, don’t tell them who the first dentist was or what his diagnosis was. Just go in and tell him you’re looking for a second opinion on a diagnosis you received that seems questionable to you. Tell him you’ll be happy to tell them the dentist and diagnosis after they give their unbiased opinion.

If it turns out he misled you, please turn the dentist into the ethics board. Most dentists are honest and it’s the bad apples that make life harder for the rest of us.

However, if it turns out you do need a full-mouth reconstruction, that’s not something you price shop for. It is one of the most technically advanced procedures a dentist can do. You don’t want it to simply go to the lowest bidder. There are other ways of making this more affordable.

Instead, talk about ways of phasing out treatments. If planned correctly, it doesn’t have to be done all at once. Get the work done on a schedule of most urgent to least. Also, be clear you want to save as much natural tooth structure as possible.

Fillings before crowns. Crowns before extractions. If you need an extraction, dental implants are the ideal replacement but are pricey. However, it’s worth it to get a temporary cheaper one while you save up the good one, especially as young as you are.

This blog is brought to you by Dr. Matt Roper.

CEREC Crown Disaster

Everything I’ve read about CEREC crowns and their procedure leads me to think my dentist was way off on how she handled my particular case. What’s done is done, but I just need to make sure the sensitivity I’m feeling is normal and will go away after some healing or if I have a problem. When the dentist did my crown, she said my tooth was in too bad a shape to get a good image so she was just going to pull one from a CEREC database. I wasn’t too worried because the advertisements all talk about how perfectly these crowns fit. Well, it didn’t. It was too big all around. She spent well over an hour grinding down all the sides of it. Not only was that remarkably uncomfortable, but it doesn’t even look like a real tooth anymore. It looks more like a box. Plus, every time I eat or drink something cold it zings me. Will that end after a period of time or do I have a problem on my hands?

Dirk B.

Dear Dirk,

Gilbert CEREC Crowns
A CEREC Machine

You have a problem. You’re also right that this seems to be a disaster. CEREC crowns should be able to be placed in minutes. I have no idea what your dentist meant by your tooth was in too bad a shape to get a good image. It’s only teeth which are in bad shape that need a dental crown to begin with. I have no idea why she couldn’t get a clear image.

The only thing I can think of with an image database is when she input into the CEREC machine which tooth she was going to crown. It will give her a basic image to work from, then she’ll put images of the surrounding and opposing teeth so the computer can design a crown with a perfect fit. It sounds like your dentist had absolutely no idea what she was doing.

Get a New CEREC Crown

The sensitivity to cold concerns me. It sounds like your dentist left an open margin. That not only causes some pain when you drink something cold, but it also allows food and drinks to get trapped in there. You don’t want to leave any opening for decay. A mistake like this can cost you your tooth. Then, you won’t be trying to get a crown, but a complete tooth replacement.

You need to get a new CEREC crown made. But, you’ll want to go about this in a way that won’t cost you any more money. You’ll first need to get a second opinion from a dentist verifying everything I’ve said so you have ammunition. Do NOT tell the second opinion dentist the story you told me. Just tell them you want them to look at your crown. Also, do NOT tell them who your dentist is. You don’t want any friendship or misplaced sense of loyalty to cause them to waver in their true opinion. If they pressure you to know, tell them you’ll let them know AFTER they give their opinion. Tell them you just want their pure, untainted thoughts.

Once what I suspect is confirmed, don’t just ask for a refund. Your dentist should also pay for any expenses you incur to fix her botched job.

I hope this helps.
This blog is brought to you by Dr. Matt Roper.

Does Affordable Dentistry Mean Slow Results?

I’m curious if affordable dentists take longer to get results than other dentists. I’ve always had bad teeth. I kept thinking I’d be able to afford more dental care as I got older. But, I’m 40 now and still have horrible teeth. Realizing it’s now or never, I searched for an affordable dentist so I could get started. I’ve been going monthly for almost two years and still see no difference in my teeth. My teeth are stained and crooked. Every time I bring up braces he just says, “Let’s get those teeth and gums healthy first.” I’m discouraged. After two years, I figured I’d see a difference. Am I being ripped off? Would it go faster with a more costly dentist?

Nell M.

Dear Nell,

Affordable Dentist

There are a few things going on here. But, first, I will say that an affordable dentist should work equally as effectively as the highest priced dentists. The two things you’re concerned about, the color and crookedness of your teeth are cosmetic issues. Generally, you get the teeth healthy, then start on the cosmetics. However, you should already be noticing a brighter smile. Your teeth are being regularly cleaned, so they should be at least a tad whiter.

If you do the cosmetics too soon it can be detrimental to your goals. For instance, if you have gum disease (and it sounds like you do), getting braces to straighten your teeth before your gums are healthy will cause your teeth to come loose and fall out. Then instead of straightening your teeth, you’re stuck replacing them.

Because you’re going to the dentist monthly instead of twice a year leads me to believe you have advanced gum disease. That’s your first priority. When that’s in check, there’s much more you can do cosmetically with your teeth.

One proactive step you can do on the cosmetic end, even while you have gum disease, is teeth whitening. I will warn you, the exposed areas where your gums have receded will be sensitive to the whitening gel. Though, with professional teeth whitening, it’s common for the dentist to custom design the trays to your bite. He can try to avoid those areas, while simultaneously making sure the coverage is such that you’ll have an even tooth color.

All of that being said, two years seem excessive with monthly visits. You should be able to spread them out more by now if he’s doing everything he can to help with your gum disease and you’re keeping up with your oral hygiene. You may consider getting a second opinion. Some dentists even give free second opinions so it may not even cost you anything.

This blog is brought to you by Dr. Matt Roper.

Is This Affordable Dentist Legit?

I saw this dentist who advertised as an affordable dentist. I have a cavity. I was hopeful if I found an affordable dentist I’d be able to get a white filling, which my insurance won’t cover. I decided to go by the office and get a look first. Just to make sure it wasn’t like some backwater office that looks barely sanitary.  I walked in and the place was immaculate. Impeccably decorated, flat screen TVs.  How can the office look this wealthy and still be affordable?

Abigail W. – Arkansas.

Abigail,

It’s interesting that you went to peek at the office before scheduling. That may, in part, be the answer to your question. If you think about how families spend money, it will help, too. Let’s say you have two families which earn the same amount of money. One home can be immaculately decorated, but the family rarely travels. Another can keep their home neat, but frugally decorated. Instead, they use the money for travel.

This dentist has a certain amount of money to work with. He spends some on advertising (which would include the appearance of his lobby).  The rest he can use how he wants. This dentist may prefer a beautiful office, but keeps his prices low to help patients.  He may cut his profits. Or maybe he keeps a leaner staff than most.

Call and ask what his prices are for white fillings. That should give you some idea of if his prices are as affordable as you’d hoped. Whatever you do, don’t just leave the cavity. It will spread and will likely blow up into an infection, leaving you with a dental emergency.

Now, what could have been a simple filling will turn into an expensive dental crown or, worse, a complete tooth replacement such as a dental implant.

One thing to bear in mind is that you can get a white filling and your dentist will charge your insurance for the amalgam filling. You’ll only need to make up the difference, saving you some money right off the bat.

This blog is brought to you by Dr. Matt Roper.

 

Can I get all my teeth pulled?

I absolutely hate going to the dentist. Like HATE it. Every time I go in, he causes me more pain than I was in when I got there. Do you think the dentist will just take out all my teeth and give me dentures? I think it will solve a lot of problems.

Elizabeth M. – Tennessee

Elizabeth,

You may find a dentist willing to do that, but I don’t think it will solve your dental problems. Instead you will find every day difficult, instead of just dental visits.   Even the best dentures drop your chewing efficiency to about twenty percent.

Plus, they are uncomfortable and will eventually start to slip and slide because your jawbone decreases the longer you wear them.  Your other option would be to spend thousands and thousands of dollars getting dental implants. That will solve many of the above mentioned problems, but they’re still not the same as having your own teeth. Plus, it will require surgery and months of healing.

There is a simple solution to your problem. Have you considered sedation dentistry?  That will enable you to get your teeth worked on in a pain free way. It will also allow your dentist to do more work in one sitting. It will let you catch up on any dental work you’ve neglected out of fear.

This blog is brought to you by Gilbert Dentist Dr. Matt Roper.

Tired of dental problems

If I’m tired of dealing with dental problems, can I just have them all removed and get dentures?

Wally G.- Little Rock, AR

Wally,

I am of the philosophy that even difficult teeth are better than no teeth. With the best fitting dentures your chewing efficiency is lessened by 50%.

Of course they are your teeth and you can do what you want, but I would see which of your teeth are worth saving and which really need to go. Then, instead of getting dentures, or partial dentures, I recommend you get dental implants. They will look and function just like normal healthy teeth. They’ll be much more comfortable and you’ll be able to eat normally as well.

This blog is brought to you by Gilbert Dentist Dr. Matt Roper.

Putting off an infection

I had a root canal and a crown put on a tooth several years ago. A couple of weeks ago it became infected. My dentist gave me an antibiotic. He said the tooth is cracked and there is little chance of another successful root canal. He recommends removing the tooth. It is not hurting anymore, so I think the infection is gone. I’d hate to remove the tooth unnecessarily. Can I just put this off seeing as it doesn’t hurt anymore?

Jenny I.- Oklahoma

Jenny,

No, I don’t recommend putting off the extraction. The infection is still there, it is just being held at bay by your antibiotics. As soon as you stop taking them the infection will flare back up. The only way to completely get rid of it is to treat it at the source.

It will be safer to extract the tooth now when the extraction while the infection is under control. There are ways to replace your tooth that will look perfectly natural. You might be interested in learning about dental implants.

This blog is brought to you by Vista Dorada Dentist Dr. Matt Roper.

Will Snap-on Smile Work With Missing Teeth?

I am missing several teeth and I was wondering how many teeth are required for a Snap-on Smile?

– Dana in Texas

Dana,

There are several different factors involved that will vary from person to person for a Snap-on Smile.

It is difficult to estimate an exact number of teeth required, but theoretically you may be able to support the appliance with as little as two teeth per arch. If those two teeth were angled in just a way that the Snap-on Smile was able to snap over them. The issue here is that the appliance may end up placing additional stress on these two teeth. So another factor to consider is what two teeth they are. It is difficult to provide a specific answer without having actually seen your case and knowing how many teeth you are missing.

The Snap-on Smile is a temporary solution for a straight, white smile. Depending on how many teeth you are missing, you may have other issues to deal with. When you are missing teeth your body resorbs the bone and minerals to be used elsewhere in the body. So you may have some additional shifting or even jawbone loss if you are missing a lot of teeth. Dental implants are a permanent solution to missing teeth. Or a dental bridge or partial denture may be options, again depending on what teeth you are missing.

This post is sponsored by Gilbert dentist Vista Dorada Dental.

Related links: Affordable dental implants, affordable dentist

I can’t afford all the work I need done

I grew up with a difficult childhood and dental care wasn’t a regular part of my life until after high school. At 27 years old my teeth show it. My dental flipper just broke and I already have over $2o,000 in work that needs to be done. I simply can’t afford it. But I really wish there was a way to improve things. My dentist won’t work with me. I wish the crowns and bridges could somehow be reduced but he won’t budge on fees.

Do you have any recommendations or ideas? Any insight would be greatly appreciated.

– Linda from Wisconsin

Linda,

I’m not aware of any special resources or an extremely affordable dentist that would provide discounts. But I do have some recommendations that you may find helpful.

Without knowing exactly what services you require it is difficult to make specific treatment recommendations. Although, from what you have described it seems as if you should be able to phase your treatment out over time. This will allow you to pay as you go which will make your dentistry more affordable.

If decay is a big issue and you have several teeth that need to be extracted, then you may be able to treat things economically. If the dentist removes the decay then the tooth can be filled as cost-effective as possible. Or if it’s a crown you need, the dentist can build up the area without actually placing the crown. Both of these options will help and will hopefully be less expensive.

Or temporary fillings can be placed to help with the decay. This isn’t a long-term strategy but the material used for these fillings contains fluoride. This will be a good base for a crown and the fluoride will help resist future decay.

As for teeth that need to be removed, a partial denture is much less expensive than dental implants or bridges.

If your dentist won’t work with you then make some calls and hopefully you can find one that will. Just be honest and upfront about your financial situation. I would explain that you have a lot of work to be done and you need to phase it out over time. Also, some dentists offer complimentary consultations where you can go in and discuss specifics and hopefully come up with a personalized plan that works for you.

Best of luck.

This post is sponsored by Gilbert dentist Vista Dorada Dental.

Related link: affordable dental implants