Category Archives: Affordable Dentist

Affordable Options for Securing a Lower Denture

Hi, I’ve got problems and I’d love answers. I’ve had dentures for over five years, and my lower one drives me up a wall! It floats around, clacks whenever I eat or talk, and never feels tight or stays put. I have to use adhesive every single day to be able to bear it. The upper one is fine, and I like the way they look, but I just can’t stand the looseness of the lower one any longer.

I can’t afford implants, but I was told by a friend that there may be other, more affordable methods of securing my lower denture, she said her dentist was talking about them. So is this true? What are my options?

Help,
Dennis

Dear Dennis,

Mini Implant compared with a traditional dental implant

Sorry to hear your lower denture is giving you such a difficult time! It sounds frustrating. Glad your upper plate is doing well. While conventional implants can be costly, your friend may have been correct: you likely have other more affordable dental options.

Why Don’t Lower Complete Dentures Fit As Well As Uppers?

Many patients wonder why their lower complete denture is looser than or doesn’t seem to fit as well as their upper. This is common and is due to your bone levels. When teeth are extracted, a ridge of alveolar bone is left behind. That’s what your dentures are fit to. This ridge acts as retention for your denture. The upper denture is fabricated to fit over this ridge, around the arch, and across most of the roof of the mouth. This extra span against the palate gives the upper denture “suction”, which holds it tightly in place.

The lower denture does not have this extra coverage and relies completely on the bone. Plus, the longer you are in dentures, the more bone you lose on your lower jaw through resorption. Depending upon the anatomy of the patient’s ridge, mandibular dentures may tend to be looser and may lift, “float”, or move around in the patient’s mouth.

What Can Be Done?

Mini-Implants
As you no doubt know, conventional endosteal implants can be cost-prohibitive for some. Many people don’t realize there are options such as what are known as “mini-implants”: small, pin-shaped implants that are easily placed and do not need to be inserted as far into the bone as the former. These are generally a bit more reasonable economically, as well. These small implants are placed into the lower ridge, allowed to heal, and the denture is re-lined to fit (or “snap”) down over them. This holds the denture firmly in place, and many people love them. You can have snap-on dentures with as few as two mini implants.

Reline
Barring this, you may want to look into having the denture relined. Being as it’s been over five years since you’ve received it, your bone and soft tissues have surely changed and shifted in this time. Asking your dentist for either an in-office or lab-fabricated reline may be the answer: a current, custom fit might just bring about the retention you need. Best of luck to you in your journey toward a better fit!

Just bear in mind, the longer you are in complete dentures, the more bone you lose, so you may want to save up for one of the better treatment options for several years down the line.

This blog is brought to you by Phoenix Dentist Dr. Hillary Peck.

Can I Refuse

Is there a way to whittle down unnecessary services that your dentist insists on? I’ve had the same dentist for years and he recently retired. The staff stayed on and I know them quite well and enjoy them. However, the new dentist is tacking on services that raised my appointment cost by over $200. She’s added things like full panoramic x-rays and fluoride treatments. Are these really necessary? Can I refuse them or should I just switch to a more affordable dentist?

Joseph

Dear Joseph,

Dollar sign hatching out of an egg

It is hard to make ends meet these days, especially with inflation the way it is, so I understand your desire to cut back some expenses on your dental bill.

The first thing I would do is have a conversation with your dentist about the reasoning behind the additional services. Most dentists will to a panoramic x-ray every three to five years. You didn’t mention when your last one was. If it has been a while then it might just be time.

While fluoride is most often used in childhood appointments there are still instances when doing it in adulthood is useful. One is if you are undergoing any treatments such as radiation that will be hard on your teeth. Other reasons include frequent decay or sensitive teeth.

If your dentist is doing these additional treatments for one of those reasons, it may be in your best interest to go with them, though you can certainly explain the hardship the cost is for you and see if she is willing to allow you to pay them out in installments.

If she just does them as a matter of course, you can ask if she is willing to make an exception for you. If not, it may be time to seek out a more affordable dentist.

This blog is brought to you by Phoenix Dentist Dr. Hillary Peck.

Dentist Keeps Adding Things I “Need”

I am starting to get a bit frustrated with my dentist. Every time I go in, he keeps pushing new suggestions on me. This checkup it was a mouthguard because he said that I grind my teeth. Is this typical practice for dentists or is mine just greedy?

Brooke

Dear Brooke,

Dollar sign hatching from an egg
There is a difference between affordable and cheap denitstry

I would like more information before I want to pronounce your dentist as greedy. Could you give me some more examples of things he’s pushed on you? The reason I asked you that is the suggestion for a mouthguard is not only appropriate but important if you grind your teeth.

Without that protection for your teeth, then you will end up with your teeth ground down to nubs. The only way to fix that is with a full-mouth reconstruction, which entails placing a dental crown on every tooth. That will cost you upwards of $30,000. Getting a mouthguard can literally save you a small fortune.

If affording it is the problem you are facing, then you have a couple of options. First, you can ask your dentist if he’d be willing to allow you to pay it out. If he is not, there are dentists who would be.

In that case, I would look for someone who advertises as an affordable dentist. They are much more willing to allow you to pay things out financially.

If that doesn’t work for you, there is a second option but it is not as good. The mouthguard a dentist would make you will be custom fitted to your bite. If that is not possible, you could, alternatively, purchase an over the counter mouthguard. They pretty much come in a one-sized fits all so they will not be comfortable. But, they will be cheap.

This blog is brought to you by Phoenix Dentist Dr. Hillary Peck.

My Dentist Keeps Trying to Upsell Me

I am starting to get a bit frustrated with my dentist. Every time I go in, he keeps pushing new suggestions on me. This checkup it was a mouthguard because he said that I grind my teeth. Is this typical practice for dentists or is mine just greedy?

Brooke

Dear Brooke,

A dollar sign hatching out of an egg

I would like more information before I want to pronounce your dentist as greedy. Could you give me some more examples of things he’s pushed on you? The reason I asked you that is the suggestion for a mouthguard is not only appropriate but important if you don’t get some protection for your teeth in this case, then you will end up with your teeth ground down to nubs. The only way to fix that is with a full-mouth reconstruction, which entails placing a dental crown on every tooth. That will cost you upwards of $30,000. Getting a mouth guard can literally save you a small fortune.

If affording it is the problem you are facing, then you have a couple of options. First, you can ask your dentist if he’d be willing to allow you to pay it out. If he is not, there are dentists who would be. In that case, I would look for someone who advertises as an affordable dentist. They are much more willing to allow you to pay things out financially.

If that doesn’t work for you, there is a second option but it is not as good. The mouthguard your dentist would make you would be custom fitted to your bite. You could, alternatively, purchase an over the counter mouthguard. They pretty much come in a one-sized fits all so they will not be comfortable. But, they will be cheap.

This blog is brought to you by Phoenix Dentist Dr. Hillary Peck.

Can’t Afford My Sinus Perforation

I had a molar extraction about six months ago. During the procedure, my dentist perforated my sinus. After a few weeks a piece of bone came out. I thought it had healed over after that. However, recently I blew my nose and so much air came through that it literally blew my partial denture out a bit. I don’t have the money to get this fixed at the moment and my dentist has retired. What do you recommend?

Laura

Dear Laura,

I am glad that you wrote. While a sinus perforation can happen to any dentist because of mouth structure– there are some maxillary molars that have a very thin membrane separating them from sinus cavities. That being said, your dentist should have addressed the issue. While it sounds like he let you know that it was perforated, it does not sound like he actually closed the perforation.

At this point it should have healed. Because it did not, I would suggest you see an oral surgeon. I know you said you are not able to afford a dentist right now, but I think your dentist should take responsibility for this. If the dentist had partners, talk to one of them about what is going on. They should cover the cost of this.

If his practice was sold, there should be provisions in the contract dealing with post-operative complications, etc.

I feel confident that you can get this covered without expense to yourself (except for your time, of course).

This blog is brought to you by Phoenix Dentist Dr. Hillary Peck.

Getting Discounted Dental Care

Is there a way to go to a dental school to get your dental work done cheaper than you would with a graduated dentist? I’m sort of broke at the moment and I’m pretty sure I have at least one cavity.

Benton

Dear Benton,

Dollar Sign hatching from an egg

Yes, there are dental schools that will do your dental work. It will cost about half of what you would pay with your dentist. Not all states have dental schools. For instance, there is not a dental school in Arkansas. So you would have to make sure there is one in your area.

If so, it will be students who do the work and then that work is checked by an instructor. You will not get shoddy work, but it will not be top of the line work either. Another factor is the time it would take you.

If you were going to a regular dental practice and needed three dental fillings, you could have those procedures done in one appointment, which could be done in about 45 minutes.

At a dental school, each of those three fillings would have to be done at separate appointments and each appointment would take about an hour and a half. So, you are looking at 4 and a half hours of work, plus travel time back and forth for each of those three appointments. If you’re paid by the hour, you might end up losing money.

Another option is to look for a private dentist who doesn’t mind advertising themselves as an affordable dentist. This usually means they work to keep their prices down. Often, these dentists will offer payment plan options as well. This way you can save time and likely get better quality work done.

This blog is brought to you by Phoenix Dentist Dr. Hillary Peck.

Affordable Dentistry During Inflation

The rising costs of everything have been eating away at the worth of my husband’s paycheck. He already works so hard so I can raise our four young children and I’m worried that we won’t be able to afford the dentist this entire year. Our dentist’s prices went up again this year. I don’t blame him. He’s dealing with inflation just like the rest of the country. But, I haven’t been able to afford their last appointment and I’m worried about the children’s teeth. Are there ways to find affordable dentistry in this climate?

Gina

Dear Gina,

Dollar sign hatching from an egg
There is a difference between affordable and cheep dentistry

I understand what you are going through. Everyone seems to be feeling this pinch, which is causing a vicious cycle of rising costs. I have some things that may help, even if it doesn’t solve all of your problems.

What You Can Do At Home

While most parents know and do the obvious things, such as brushing and flossing their children’s teeth daily, there are a couple of things that seem to surprise people. In case your pediatric dentist hasn’t told you about them, here they are:

First, limit snacks. Believe it or not, one of the best defenses against decay is actually saliva, which contains bacteria fighting minerals. However, the more your children snack, the less chance their saliva has to do its job. I know growing children are always hungry, but if you can limit them to one snack a day it will go a LONG way to fighting cavity causing bacteria. Plus, you will have the additional benefit of them actually being hungry enough to eat the food you lovingly prepare for them at their meals.

Second, know many juices contain citrus acid. This can eat away at their enamel. While some of those juices, like orange juice, can be healthy, you don’t want it to counteract what you’re trying to do for their teeth. One mistake people make is thinking brushing immediately after drinking something acidic will protect their teeth from the damage. Unfortunately, it has the opposite effect. Instead, it grinds the acid into their teeth. If you’re going to give them a juice right before bedtime when they are going to brush, have them swish some water around their mouth first, to neutralize the acid.

Finding An Affordable Dentist

Don’t confuse cheap with affordable. If a dentist is significantly lower than all other dentists in their area, it is a red flag. They could be using poor quality fixtures to keep their profits up, or they are terrible dentists who have to keep their prices super low to draw in new patients.

Sometimes an area a dental office is in can keep prices higher. Rent for office space is different depending on the real estate location. Sometimes you can save some money from going to a dentist that is just outside of an expensive area. You can get high quality care with slightly lower prices because the dentist’s overhead is lower.

Do an internet search using the term “affordable dentist” and the area you are looking. Often dentists who strive to keep their prices down will have a web page devoted to how they strive to make things easier for families. Just be certain to check their reviews to make sure the quality of care is what you want for your children.

This blog is brought to you by Phoenix Dentist Dr. Hillary Peck.

Dentist Insisting I Get a Dental Implant

I recently lost a tooth. That is stressful enough but my dentist is insisting I get a dental implant. It isn’t that I don’t want one. I just honestly can’t afford one. They are way out of my budget. He’s insisting it is the only good option. Is that true? If so, do I just have to leave a gaping hole in my smile?

Kelly

Dear Kelly,

It really galls me when dentists give ultimatums like this or make patients feel like they don’t care about their teeth just because they do not go into debt for a treatment.

I’m going to tell you right away that you will probably be better served by going with a different dentist. You want one who follows his ethical obligation to give you all the options available to you. Not everyone can do the ideal treatment.

While it is true that a dental implant is currently the best tooth replacement option, there are other choices.

The next best option would be a dental bridge. This suspends a false tooth between two dental crowns. That means the adjacent teeth will have to be crowned, but it is a permanently attached solution.

The next option is a removable partial denture. This will have a false tooth and use clips to attach it to your adjacent teeth. As the name suggests they are removable, so they won’t be as steady as a dental bridge, but will suffice.

The cheapest option is a dental flipper, but this is only meant as a temporary option while you save up for a better replacement.

I am going to suggest you do an internet search for an affordable dentist and go to them to get your replacement. Most dentists who promote themselves as affordable try to keep their fees reasonable and also offer some type of payment plan.

This blog is brought to you by Phoenix Dentist Dr. Hillary Peck.

“Affordable” Dentist Disaster

I went in for a dental crown with a guy who was cheaper than the other dentists in town. I was looking to save some money but that was a big mistake. The temporary crown fell off once. I wasn’t too worried about that as it is temporary. Then, the permanent ones have fallen off over five times in as many weeks. On top of that, it is several shades whiter than my regular teeth and really sticks out…when it is staying in. I complained to my dentist and he said that he could change the color for another $400. I couldn’t afford that so felt stuck with the color. Then the crown fell out yet again and I asked him what he was going to do to keep this from constantly falling out. He said he would tell the lab the crown is defective and have them replace it. I was very clear with him that I did not want to pay any more for this crown because I’ve already paid in full and just need it to stay in. It’s not my fault it is defective. He agreed. THEN, after I get the new crown, which still doesn’t match, by the way, I get a bill for $423 saying this is what I owe after insurance from the original crown. But, I already paid that and feel like they are being deceptive to get me to pay for the new crown. What do I do?

Jenny

Dear Jenny,

Dollar sign hatching from an egg
There is a difference between affordable and cheap dentistry

Wow. I am sorry to hear everything you have gone through with this unethical dentist. The first thing I want you to do is NOT pay any further money. If you already paid the new fee, see if your bank will reverse the charges.

When a dentist provides a dental crown, there is a basic understanding that it will match your other teeth and stay in. That is dentistry 101. It seems like your dentist is more of a scam artist. What he’s telling you is “I will provide a dental crown. However, if you want it to match your teeth it will be $400 more. Plus, if you want it to stay in, that will be another $423. He sounds more like a used car shyster than a medical practitioner.

Next, do not return to the office. I want you to go to another dentist in your local area and recruit them to help you get a refund. If you are not dealing with a front tooth, you will not need an expert cosmetic dentist, just an honest one. There are more honest dentists than unethical ones, though it probably doesn’t seem that way now.

If your dentist refuses the refund, tell him you will be reporting him to the dental board. Believe me, they will be on your side.

Please don’t forget to leave a review about what this dentist did to warn any other potential victims.

I know you were looking to save money, but there is a big difference between a cheap dentist and an affordable one. Never go with the dentist who is substantially lower than the rest of the dentists in that area. It’s usually a red flag. However, look for an affordable dentist whose prices are reasonable and who is willing to work with you on payments.

This blog is brought to you by Phoenix Dentist Dr. Hillary Peck.

Will Medical Insurance pay for Dental Implants

I have serious dental issues on my front teeth, including two missing teeth and a 20 year old bridge. I’m having trouble with other teeth as well. I’d like to take out all my upper teeth and replace them with dental implants. I have tried to use upper dentures on those missing teeth but the dental plate was too much. I couldn’t keep wearing it. If I don’t do something, I won’t even be able to eat. Do you think medical insurance will cover it as not having them will affect my health?

Becky

Dear Becky,

You brought up a good point about dental plates that I think others need to be aware of when making decisions about their tooth replacement options. Dental plates can be a nightmare for people with a strong gag reflex or a sensitive palatte. With dental implants, you do not have to worry about anything extraneous like that.

In the case of medical insurance, almost all of them have a dental exclusion clause. That leaves you looking to dental insurance to pay for this. While it is unlikely they will pay for all of it, they will have a percentage they will cover.

If money is really tight, I would look for a qualified implant dentist who also advertises as an affordable dentist. Just do an internet search using that term.

While in most cases you pay out dental implants in two stages, once after the surgery and once after the crowns or supported dentures are placed, affordable dentists may allow you to break up those payments even further.

This blog is brought to you by Phoenix Dentist Dr. Hillary Peck.