Tag Archives: saving money at the dentist

I Just THOUGHT Dental Implants Were Too Expensive

About 20 years ago, I ended up getting dentures. My dentist mentioned dental implants but they were so expensive I just went ahead and got the dentures. I’ve been miserable with these dentures ever since. It’s hard to eat and, even when I do eat, the food gets underneath everything. Then, it got to the point where they would not even stay in my mouth. I went back to the dentist and he told me that I don’t have a lower ridge in my jawbone any more and my denture won’t stay in unless I have a special surgery to fix that and then have a new denture made. Here’s what I’m wondering. What happened to my lower ridge? Is this typical? Should I have been warned about it? Is it too late for me to get dental implants?

Carol


Dear Carol,

before and after facial collapse
Before and after facial collapse

I am sorry this is happening to you. What happened to your lower ridge is known in dental circles as facial collapse. When your teeth were removed, your body recognizes that and resorbs the minerals in your jawbone that are no longer needed to help retain your teeth. Unfortunately, while efficient, this does shrink your jawbone.

This is something that will happen to everyone who wears completely removable dentures. In that sense it is typical. And, yes, you should have been warned about this.

The good news is that it is not too late for you to get dental implants. You will still need the bone grafting surgery because dental implants need bone to support the prosthetic roots. After that, however, you will be good to get your dental implants.

Affordable dentistry is a tricky thing. While you can find a dentist with more afforadble prices, be careful you are not just going to a cheap dentist. If they’re way lower than every other dentist there is usually a reason, such as they are cutting corners, which puts the patient at risk, or they are just so bad at their job they need to have super low prices in order to attract new patients.

The same balance is true in regular oral health care. For example, it is initially cheaper to not get a filling when the decay is small, but as the cavity grows it becomes more expensive. If it gets beyond a certain size, then you need an expensive dental crown or an infection sets in and you need both a root canal treatment and a dental crown. Many compassionate dentists are willing to work with patients on payment plans when they can’t afford care they need.

I’m sorry this has happened to you.

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

Are There Affordable Dentists Who Care?

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,

Dollar sign hatched from an egg
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

A man holding his jaw in pain.
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.

This blog is brought to you by Drs. Kevin and Hillary Peck.

Pediatric Dentist Insists on Fluoride Even When Insurance Won’t Cover It

I’m trying to decide if it’s worth it to get a fluoride treatment every dental visit with our pediatric dentist. They always pressure me too even though our insurance only covers it once a year. Is it really necessary if we use fluoride toothpaste?

Cathy M.

Dear Cathy,

Child sitting in  Pediatric Dentist chair

It’s expensive raising children and I know how important it is to save every dime you can. Though, sometimes spending a little bit of money saves you a lot. Your pediatric dentist is correct, getting a fluoride treatment every time is one way you’ll not only save money, you’ll save them unnecessary dental work in the future.

I’m glad you use a fluoride toothpaste. Every bit helps. But toothpaste doesn’t contain much. The fluoride your dentist provides is much stronger and is painted on so your child doesn’t ingest it. Fluoride is known to protect against decay and even reverse early decay. That simple procedure is one of the most useful things you can invest in. I would also be sure you get dental sealants as well on their molars.

The last thing you want is to save $30 on fluoride only to have to spend $200 on a filling. Or, if the cavity grows quickly, needing a pulpotomy (a child’s version of a root canal treatment).

Preventative dental care is one of the best things you can do for your child.

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