My elderly father recently had some teeth filled. He also has one partial tooth. All of which are in the same general area, in the lower part of his jaw. However, in the last couple of days, two of his front teeth fell out. Because his gums and remaining teeth are not in the best health, we are in need of affordable dental options to remedy the issue.
Thank you, Mindi
Dear Mindi,
If your father’s teeth fell out, completely on their own, that is a case of advanced periodontal disease. If this is in fact the case, there are likely few to no solid teeth left. Therefore, you have a few options.
Options For Replacing Missing Teeth
The most ideal solution would be dental implants. However, your father would need a full-mouth reconstruction, which would likely cost over $20,000.
Another option to consider is removable dentures. One problem with removable dentures is they cause bone resorption. However, since your father is in his elderly years, this would not be an issue.
A third option is a partial denture. A partial is built like a complete denture, but has holes in it, allowing the existing teeth to poke through. This is a more stable option that allows holes to be closed up with artificial teeth should additional teeth fall out.
If you have not already done so, you should consult with your dentist, and let him know your father’s budget constraints up front. His dentist will likely share financial options with you, that will make the dental treatments more affordable.
It seems there is a bit of irony in the phrase “affordable dentist.” As someone who is in need of several dental procedures, I have not been able to secure dental insurance until the last few months. The first dental provider I visited recommended treatment to the tune of almost $12,000. That is completely unrealistic for my budget, so I set out to find a dentist would could provide the services I need for a lesser cost. However, in my research, I’m concluding that the dental offices who showcase their low costs come with poor reviews. And, those which I have visited, feel like the dentist is running an assembly line, quickly moving through as many procedures as possible.
Because I am in need of a great deal of dental work, it is crucial that I find a dentist with whom I can connect with and feel comfortable around.
Is it possible to find a dentist who will provide quality work for a reasonable cost?
Thank you, Will
Dear Will, You ask wonderful questions. Rest assured, this situation is quite common. However, the remedy will require a different way of thinking.
Thought it may appear that, when comparing the services from various dentists, that they are the same, regardless of the procedures, the individual dentists have their own unique approaches. Try to consider the dentists’ perspective, as there are only so many ways costs can be reduced. A dentist could:
Monitor and limit the time they are with patients (this sounds similar to the tactics you mentioned above).
Select materials which are cheaper.
Reduce the amenities they offer and/or the size of their team, or have team members with less experience.
Unfortunately, doing any of the above would reduce the quality of your experience and services you receive and you would want to steer clear of offices that do them. However, these are characteristics of cheap dentistry.
The solution is more about finding a good dentist who is affordable. There are several considerations when doing this.
Look for an office who will separate your treatment plan into smaller sections. This will allow you to pay for the services as you receive them and your budget allows.
Consider offices who offer financing options. Many offer this in-house through their office, or use services such as CareCredit.
If you don’t currently have dental insurance, get it. Or, if you do have it, look into getting a secondary plan. You can get on a good PPO for under $50 a month, but be cognisant of wait periods, as some companies require waiting over a year for services.
Prioritize and address the most pressing needs first, and as soon as possible. Unfortunately, the longer you go without fixing dental problems, the more expensive they become.
Be sure you are getting the most out of your insurance benefits. Ask questions and find out as much about your benefits as you can. Determine if there are other options that will allow the insurance company to cover more, or be sure you use every dime of the amount they pay.
If you find an office that you connect with, be sure to let them know your budget. Ideally, the best practices will offer to find ways to help ensure you get the treatment you need, even if you have to start slow and go at the pace which your budget allows.
I am embarrassed to admit that I answered an ad for an affordable dentist for a crown procedure at a reduced rate. The dentist claimed he recently got a machine that would make the crowns in-house. He wanted some patients with whom he could try out his machine. I’ve been in need of a crown procedure for quite some time, but couldn’t afford the cost I’d been quoted from other dentists. The low cost appealed to me and I answered the ad. During the five hours I was in his office the dentist had several issues with his machine, not to mention the crowns would not fit right. After he made some adjustments with my tooth, and the machine, the crown finally fit.
This procedure took place two days ago and my entire mouth is in pain, in particular, my tooth. Is it possible that the dentist caused permanent damage? If so, will I have to eat the cost, since he disclosed that this was a learning procedure up front?
Thank you,
Jason
Dear Jason,
You’ve had quite the experience. Regardless, you should be sure the dentist knows you are in pain. When teeth are manipulated as much as yours were, they experience irritation. If it’s just a basic irritation, the pain should subside in a few days. An over-the-counter anti-inflammatory, like ibuprofen, should help you with the pain.
If the pain does not subside and improve on its own, it could mean the decay grew, in which case you would need a root canal as soon as possible. This could also be the case if your tooth experienced trauma during the procedure.
Regardless of the dentist claiming to be an affordable dentist, or saying that he was using the procedure to learn, he is responsible. If he is an ethical dental professional, he will want to be aware of the problems you are experiencing and fix them. If he refuses to fix the situation, you will need to see another dental professional about the issues you are having.
For future dental procedures, you may want to seek out dentists who provide quality care, and then look for financing options that fit into your budget, like spreading out treatment costs, utilizing insurance benefits, or financing treatment.
I wanted to get a smile makeover because my teeth are so stained. Plus, I have a tiny gap between the two front teeth. I looked at porcelain veneers, but they were way out of my budget. Is there a way to get my smile more attractive without losing my home?
Lexie
Dear Lexie,
There are always affordable alternatives.
I’m a firm believer in the fact that there’s always an affordable dental alternative. You’re right that porcelain veneers are a tad on the expensive side. However, that doesn’t mean you are trapped with a smile you’re not proud of. Based on what you described, you’re a good candidate for two procedures which can repair both of those problems. These can make your smile look beautiful.
I’d start by getting your teeth whitened. This is probably the most affordable procedure you can do for your smile with amazing results. It will take years off your appearance in one fell swoop.
In addition to that, there’s an easy solution for your tooth gap. Dental bonding uses a composite resin to fill in the gap. A cosmetic dentist will hand sculpt the new inner edges of your teeth in a way that they meet perfectly.
It’s important you whiten your teeth first. Once the resin is molded and dried, the color cannot be changed. That’s why you’ll want your teeth the color you’ll want permanently so your dentist can match the resin to it.
What You Want in an Affordable Dentist
I don’t want you to confuse a cheap dentist with an affordable dentist. A cheap dentist will cut corners, which rarely works out well for the patient. An affordable dentist will still do quality work but find other ways to save you money.
Generally, they’ll try to keep their fees reasonable, but often they also offer payment plans. They can do that with either an in-house payment plan or through Care Credit.
You also want a dentist who tells you all of your alternative treatment plans. Just like there was a more affordable option for your smile makeover, your dentist should give you all your options. It’s the only ethical way to handle things.
One other suggestion. You should always check reviews of every medical practitioner before you see them. It’s always wise to learn from the experiences of others.
This blog is brought to you by Phoenix Dentist Dr. Kevin Peck.
I had was diagnosed with a cavity two months ago. They said it was small enough we could just watch it for now because I told them I didn’t have much money. But, a few days ago it started hurting. Because I already knew the problem I just called around to a few dentists who advertised as affordable to see what their prices were. This one dentist was significantly cheaper than the rest so I booked with him. Then, when I get there he says the decay is too extensive and he’ll have to do a crown. That is way more money than I’d planned for. I left without having the work done. Should I get a second opinion? Do you think I’m being bait and switched?
Bruce
Dear Bruce,
Cheap does not always equal affordable.
There are a few things going on here. First, is financial. You need an affordable dentist who’s willing to work with you on payments. But, you’re making a common mistake in equating affordable with cheap. There are good dentists who find ways to be affordable but probably aren’t the cheapest. Then, there are dentists who quote cheap prices, but end up costing you more money because either their skill or the quality of their materials are sub-par.
It’s also possible, the dentist wasn’t trying to pull one over on you. The original diagnosis was a couple of months ago. That, combined with the fact that the tooth starting hurting, tells me the decay has spread. Once decay gets to a certain point a filling isn’t enough and a crown becomes necessary. If it blows up into an infection, you’ll need a root canal treatment as well.
Get a Second Opinion from Another Affordable Dentist
It’s okay to trust your gut. If you truly feel like this guy was trying to pull one over on you then you should get a second opinion. You can bring your x-rays from your previous appointment for the second dentist to examine which will save you on additional x-rays.
Remember, cheap doesn’t mean affordable. Look for dentists who offer payment plans and phased treatment options. But, check their reviews to make sure they have a good reputation.
This blog is brought to you by Drs. Kevin and Hillary Peck.
My teeth are in bad shape. I decided to finally take steps to improve them. I don’t have a ton of money because I’m a single mom. I did some research to find an affordable dentist who had good reviews. My only question is he’s been having me come in for almost two years at least once a month. Yet, the only improvement I’m seeing is my teeth are a bit whiter. Nothing else has been done. I still have crooked teeth. I still have two chipped teeth. He knows I want to improve those things but keeps telling me we have “other priorities”. Shouldn’t I be seeing more results by now? Is he dragging this out to just make money?
Lacey Q.
Dear Lacey,
Did your dentist mention to you why he has you coming in so often? The only thing I can think of which warrants that many appointments would be advanced periodontal disease. If that’s your situation then your dentist really can’t do anything else until that is cured. If that isn’t brought under control you can actually lose your teeth.
All that being said, two years is a very long time for that to take with as often as you’ve been coming in for treatments. I’m going to recommend you get a second opinion. I’m not saying your affordable dentist is dragging things out to make up profits, but it is an unusual amount of time.
Affordable Dental Makeovers
When people think of a smile makeover, usually it’s porcelain veneers they’re talking about. However, that is a pricey procedure and not for someone on a tight budget. That doesn’t mean you can’t have a gorgeous smile. There are affordable cosmetic procedures you can have done.
But, first things first, make certain your gum disease is under control. If you get orthodontics done before that, you risk your teeth coming loose.
As an adult, you’ll want to use Invisalign for your “braces”. This will allow you to straighten your teeth without anyone knowing. Additionally, the aligners can double as teeth whitening trays which saves you even more money.
That brings us to the teeth whitening. It’s an affordable procedure which can single-handedly make you look years younger.
Once that’s completed, a good cosmetic dentist can give you dental bonding to repair your chipped teeth. You’ll have a stunning smile you can be proud of…all on a budget.
This blog is brought to you by Drs. Kevin and Hillary Peck.
My mom is almost 87. She recently had to have a filling and then later that day when I went to check on her two teeth just fell out. Her dentist never even mentioned they were a problem. I can’t just leave her that way. She needs to replace them, but I don’t know if a bridge is a good idea at her age. Maybe her other teeth are too old? What would be an affordable solution for her?
Bridgett
Dear Bridgett,
I need to say up front it sounds like your mother needs a different dentist. If she has teeth just falling out from no obvious issue, it means she has an advanced periodontal disease. He should be checking her gums at her regular check-ups and warning her about the state of her gums. There are steps which can be taken to treat gum disease.
If I’m right and she has gum disease a dental bridge is out of the question. It will just pull out the remaining teeth it’s attached to. Ideally, you’d replace missing teeth with dental implants, but that’s also out of the question with gum disease. Plus, you asked for an affordable solution. Dental implants can cost upwards of $40,000.
Normally, I wouldn’t recommend dentures because of their complications with bone resorption. However, your mother is 87. I don’t think that’s going to be an issue for her. It usually takes between 10 and 20 years for it to become a problem. Now, if your family has a history of centenarians, you may reconsider. But most don’t.
If you go to another dentist who thinks he can save quite a bit of her teeth, please do that. You don’t have to lose all your teeth to get dentures. There is something called a Cu-Sil partial (pictured directly above). It will leave holes for her healthy teeth. It uses little rubber rings to keep it secure to her teeth. It actually makes it more stable. Then, if the tooth is lost in the future, it’s simply a matter of closing up the hole and adding another false tooth.
Affordable Dentists Will Work with You
Most patients, especially elderly ones, don’t have the funds to just pay for large procedures outright. However, most dentists are willing to work with patients giving them payment plans. If you can’t find a dentist like that. Sign your mother up for Care Credit. It’s a medical credit card of sorts, which will allow her to pay off her treatments slowly. In fact, depending on the state of her credit, she can even get 0% interest as she pays it off. They also have no penalty for early repayment, so it’s a win-win situation.
This blog is brought to you by Drs. Kevin and Hillary Peck.
I hadn’t been to a dentist in years for financial reasons. I started to get worried about my oral health, not because of any specific issues, but it’s just been in the back of my mind. I did an internet search for affordable dentists and found two in my immediate area. I’ve been to both of them. They were both awful. The first one was just plain smelly. I don’t know why. It’s like he just didn’t care about bathing. I could barely stand to stay in the chair because of them smell. I know he said I needed some work. I expected that. But, I can’t remember anything he said because I just wanted out of there. I don’t think I could go back to him if it was free. The next one at least cared about personal hygiene. He was a bit rough in how he handles patients. He told me I have a tooth that could go any minute. I could try to save it with a root canal and crown or I can just extract and replace it. I tried to ask him some questions but he said he doesn’t have time to answer patients. I can call the office and leave a message and one of the hygienists will get back with me. On the way out I told the desk lady I didn’t understand why he doesn’t answer patient questions. She said if I want low prices he needs to keep people moving so he can make up profit losses. Is it possible to get quality service by a dentist who cares AND affordable prices? Please don’t make me go back to Mr. Stinky.
Elaina
Dear Elaina,
Cheap does not always equal affordable.
It’s great that you’re working so hard to find a dentist which you can afford. It’s a shame your choices have been so limited. It doesn’t mean you won’t be able to find one, though you may have to go outside of your immediate area if those were the two closest choices.
Reasons Dentists Choose to Have Affordable Prices
There are several reasons dentists may choose to have prices that are lower than the average around them. Some of those motives are better than others, as you’ve unfortunately experienced.
To Draw in Patients
This isn’t a bad motive (in some cases). It mostly depends on why they need to draw in patients. Sometimes it is simply a matter of being a brand new practice. They haven’t had time to develop a patient base. We’ve all had to start somewhere. However, other times a dentist isn’t that great. They need to draw in patients because they have horrible patient retention. The only way to keep their income going is to lower their prices and draw in new victims.
Compassion
Other dentists simply know that every human being is working at a different budgetary level. They don’t want the working poor to be without dental care simply because their current job salary or life circumstances make affording those types of things feel like a luxury. Many of them have been in difficult circumstances before and still remember what it felt like.
Their quality doesn’t suffer from their compassion. Often you won’t find them the absolute cheapest, though. Why is that? Because they also think patients deserve quality care. They refuse to sacrifice their patients at the altar of cheap parts to make up profits. That leads me to an important warning.
A Cheap Dentist isn’t an Affordable Dentist
When a dentist uses having the lowest prices to draw patients in, sometimes they try to make up the profits by purchasing low quality (cheap) materials. One place we’ve seen this often is with dental implants.
In the United States, an implant fixture can cost several hundred dollars. That’s because we have high medical standards and regulations designed to keep the safety of patients in mind at all times. But, if a dentist wants to come in significantly lower in price than his nearby peers he has a couple of choices: make less money or make up the profits somewhere. Too many of them choose to make up the profits elsewhere. The dentists can simply purchase is implant part from out of the country for just a few bucks, saving him hundreds on just one phase of the procedure. Unfortunately, those cheap parts have led to many infections causing not just a dental emergency, but complete implant failure. I’ve even seen some patients come for help because their implant simply snapped in half.
Now, that patient has to start over again, missing more work. Plus, in addition to having to get their dental implants done again from scratch, they have to add bone grafting to the mix because dental implant failure removes too much bone structure. Instead of saving money, they end up paying more than double.
How do You Know if You’re Getting a Good Affordable Dentist?
There’s no foolproof way to ensure yourself against a dud, but there is one simple step you can take— check their reviews. People post reviews of their experiences when they’ve either been very good or very bad. Either way, you’ll have some idea of what others experienced at the dentist’s hands.
I never got to go to the dentist as a child. As a young adult, I couldn’t afford it. Now that I’m in my thirties, I decided to bite the bullet. I wasn’t surprised to be told I needed a lot of work. The dentist said he usually recommends a full-mouth reconstruction. He explained what it was, but the price was well out of my ability. It sounds like something that would really help me though. Is there some way to get an affordable full-mouth reconstruction?
Elaine
Dear Elaine,
Even if you had the money for a full-mouth reconstruction, I’d recommend you get a second opinion. There may be a better way to repair your smile without crowning every tooth. That alone will give you more affordable dental care.
Go to another dentist and ask him to first list out all the work your mouth needs. It’s very likely you have teeth which don’t need work. You didn’t mention having any pain, so it doesn’t sound like you’re losing any teeth and need something like dental implants.
If it turns out you do need a full-mouth reconstruction, you need to verify the training and credentials your dentist has. This is a serious procedure which is well beyond what a dentist learns in dental school. It requires an advanced knowledge of both aesthetics and reconstructive dentistry. If they don’t get the aesthetics right, your smile will look horrible. If they don’t get the reconstructive done properly, you’ll end up in pain for the rest of your life from a misplaced bite.
How to Afford Dental Care When You Need a Lot of Work
It’s hard when you haven’t been able to go to the dentist because of the amount of work you end up needing. It sounds like you’ve been fortunate and haven’t needed any emergency dental care. As I mentioned earlier, you want to preserve as much natural tooth structure as possible.
When he lists out the work you need, have him list it from most urgent to least. A good dentist will also give you all your alternatives. So if you need a tooth replaced, which I hope you don’t, and the teeth on either side of it need crowns, it would make more sense to get a dental bridge instead of a dental implant. It’s like getting three procedures in one.
The reason for the list is to allow you to separate out your treatment into affordable bites. Make sure he tells you about any procedures you can double up on to save money.
Why does where you live seem to determine how much you have to pay for the dentist? We stretched ourselves financially in order to live in a better neighborhood, but the dentist here is almost double what our old neighborhood dentist cost. I don’t want to have to drive across town into the heart of an area we felt was unsafe in order to get affordable dental care.
Nora
Dear Nora,
It would be nice if the quality of all dentists were reliably equal, but that isn’t the case. The cost of a dentist varies based on several factors, though it is possible to find highly skilled dentists which are affordable, even in better neighborhoods. First, I’ll go over some factors which affect cost.
Building Costs can Affect the Cost of Dentistry
You’ve heard the expression, “Location, location, location…” Often offices in better neighborhoods have to pay exorbitant rental costs on their building. It’s hard for them to stay afloat, so their prices are higher so they can stay in business in that area.
This is one of the reasons Dr. Peck chose a location just outside a more expensive area. This enabled him to keep his costs reasonable for people in more than one type of neighborhood.
Skill Can Affect the Affordability of Dentistry
While some dentists do not raise their prices simply because they have exceptional skills, some do. They’ve spent a great deal of money and time furthering both their education and their skills. They need to make up the cost of that education.
Affordable Dentistry versus Cheap Dentistry
On the other end of the spectrum, there are dentists who lower their prices significantly just to draw patients in, but the quality of their work isn’t up to snuff. They keep their profits up by purchasing lower quality materials.
Think of it this way. What’s more affordable, a crown that lasts fifteen years and costs $900.00 or a crown that lasts four years and costs $500.00? Obviously, the cheaper crown ends up costing you significantly more in the long run.
Ideally, you want to find a dentist who does quality work at a reasonable price. Most dentists will offer some type of payment plan option for work that has a higher cost because of the nature of the procedure.
