I intentionally chose an affordable dentist out of a directory because I do not have dental insurance. I’m a little behind on my regular checkups, so I expected to run into some snags, but I was totally unprepared for the total bill. First off, they charged me for a more expensive “deep” cleaning and for some kind or rinse or medication that was applied during it. On top of this, they hit me for two different kinds of x-rays, and then they recommended I get a fluoride treatment and come back in a few weeks for a follow-up visit with the hygienist, which also has a charge. I’m already out a few hundred bucks, and this doesn’t even include the fillings I need to have done. Does this sound right coming from an “affordable dentist?”

Celia

Dear Celia,

Affordable dentist can mean a different thing from one dentist to another. There isn’t an objective, standard fee for anything where someone who’s below that is considered more affordable. He could just mean he finds the most affordable solutions to your case. Or maybe he’s slightly lower than other dentists in the area.

However, you’re more concerned with the specific procedures. Most of these are fairly common if it’s been a while since you’ve gone to the dentist. The two types of x-rays are standard care. One is a panoramic, only done every few years. The other, the bitewings, are annual. These help the dentist detect decay between your teeth.

If it’s been a while since your last cleaning, a deep cleaning may have been necessary. If your gums were inflamed and you had a lot of build-up, the hygienist probably did what’s known as a full mouth debridement. IF a patient has gum disease, they also often do scaling and root planing. In either case, a follow-up appointment is fairly typical. The reason for that is to be certain your situation is improving. They’re trying to forestall anything serious happening and keep you out of an emergency dentistry situation.

The cleaning solution and the fluoride aren’t always necessary. But, with gum disease, killing all the bacteria with a medicated rinse is helpful. Some offices charge for this service and some do not. The fluoride was likely recommended to help prevent decay, though it’s sometimes offered to adults with sensitive teeth, too.

Many offices that advertise as affordable will almost always have some form of payment plan available. I’d talk to the office and see what they had to offer. Ask them also to give some details on your prognosis and what to expect for future care.

This blog is brought to you by Dr. Kevin Peck.