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Dentistry On A Budget

Posted: 07/28/11 09:37 AM ET

In today's world of constant economic turmoil, it's fair to address the question of, "How can I afford dental care?" So that's what we will discuss today -- dentistry on a budget.

To begin, we've already gone over dental insurance in a past post, the basic premise being that dental insurance is severely lacking. And we've gone over the costs involved with crowns and root canals and the like (they aren't cheap). So it does beg the question I asked at the start of this post -- Just how can people afford dental care in this day and age?

I do believe there is an answer. It's not the popular answer, but I do feel it's the correct one. And that answer is a single word: prevention.

I know, I know ... it's basic, and it's really not sexy. It's not the "secret to cheap dental care" that everyone is hoping for.

Or is it?

I have to tell you, as a NYC Cosmetic Dentist I see this day in and day out. Almost daily, I am visited by someone who "hasn't been to the dentist in years." The reasons are usually economic -- they didn't want to spend the money on twice-annual cleanings, x-rays and checkups. And the reason they came to me today: Because it hurts.

Well, once a tooth, or teeth, are to the point where they hurt, it's almost always very expensive -- usually "thousands of dollars" expensive. Do you know how many cleanings and x-rays a thousand dollars buys? For most dentists, several years worth (and throw in a cavity filling or two).

Essentially, what I am trying to say here is skipping out on x-rays and cleanings will probably cost you more money in the long run. Let's take a look at it numbers-wise:

• Avg. yearly cost of x-rays and cleaning: about $300 ($150 x 2)
• Avg. cost of filling if a cavity is found: about $200

For this exercise, let's assume someone (Person A) gets four years of cleanings and x-rays, and during this time, has two cavities caught early and filled -- fair enough?

That works out to $1,600 over four years that Person A spent.

Person B skipped the twice yearly visits for four years, because they figured it would save them money. Let's assume the same two cavities, which in this case, were not caught early and were allowed to fester. In fact, untreated, they will likely become abscessed. The sad part is, person B will probably not know this until it's actually close to happening (many cavities are painless until it's far too late). Let's say one does abscess, prompting a dentist visit.

So now person B has an abscess, another one on the way, and needs major work. A root canal / post / crown for the abscessed tooth are going to run $2,000 - $3,000. The "one on the way" may very well need a root canal / post / crown as well (most dentists will now shy away from doing huge fillings, as they know it's a very temporary solution at best).

Bottom line: Person B saved NOTHING by skipping twice annual visits. In fact, they spent more ... way more.

You do not save anything by ignoring your teeth. In fact, it will end up costing you a lot -- either in high dental bills, or lost teeth (which, trust me, you don't want to happen).

Considering the above, here's my advice to dentistry on a budget:

• Brush 3x a day -- after each meal. Yes, bring a toothbrush to work.

• Floss every evening.

• See your dentist twice yearly, and get the small problems taken care of before they become big expensive problems (and they always do -- cavities don't get better on their own). I do recommend twice yearly (as that almost guarantees that small problems will be caught), but at the very minimum, go at least once a year -- it's better than skipping altogether.

People who do the above religiously almost never have huge dental problems. At least not consistently (there's always outliers). And huge problems are the really expensive ones (crowns cost a fortune to make, the equipment the dentist must use is very expensive, etc ... there's a lot more expense than the several hours you sit in the chair ... that's for another post though).

Ok, one last thing here: If you do find yourself in a situation where you need thousands of dollars in work that you cannot afford, there are several third party dental credit specialists that will finance dental work for a year or two -- often with little to no interest. Care Credit by GE Capital is a common one. I'm not advocating debt, but if it's a choice between keeping teeth and debt, for me it's a no-brainer. You don't want to be without your natural teeth if you can help it at all.

I hope this post has been informative for you, and helps a few people out there see that skipping checkups is almost always a bad move in the long run.

Until next time, keep smiling.

 

Follow Thomas P. Connelly, D.D.S. on Twitter: www.twitter.com/dr_connelly

In today's world of constant economic turmoil, it's fair to address the question of, "How can I afford dental care?" So that's what we will discuss today -- dentistry on a budget. To begin, we've a...
In today's world of constant economic turmoil, it's fair to address the question of, "How can I afford dental care?" So that's what we will discuss today -- dentistry on a budget. To begin, we've a...
 
 
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HUFFPOST SUPER USER
elgeezr
annoying Libs daily with orgasmic gusto
01:10 PM on 07/31/2011
Final comment: If you can, borrow as much $$ as you need & go to a foreign dentist. Mexico is cheap & they do some really fine work. Dont know about Canada, but I'm betting it's cheaper there as well.
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elgeezr
annoying Libs daily with orgasmic gusto
12:58 PM on 07/31/2011
Thanks to the ADA (the dentists union) there is no such thing as cheap dentistry. The dentists raised their prices to overcome the savings inherent in Insurance coverage. If you get increased insurance coverage the Dentist will raise his prices accordinglly. Dentists are the least flexible of any of the Medical practitioners. You often can negotiate with an MD but never with a dentist.
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jgarma
07:31 PM on 07/30/2011
Yes, like everything else that gradually wears down or needs servicing, if you don't maintain it, there are big $$ fixes ahead.

Unfortunately, for too many dentistry is expensive, and so if the teeth don't hurt, they don't go to the dentists.

The problem goes beyond dental health, for certain dental issues can become life-threatening, systemic health issues. This is briefly examined in "Oral Health’s Connection to Heart Disease, Stroke and More" found here... http://wp.me/pA04z-M2
11:23 PM on 07/28/2011
CHECK WITH YOUR STATE HEALTH WEBSITE! You may be eligible for discount with a dentist.
I was amazed to find out my state had a discounted program for those of us who have no dental coverage.
I do have to go to a dentist who is listed in the states community of doctor's and dentists.
I do have to have a low income. Our household makes about $3500 per month and I qualify for a 40% discount. My dentist also lets me make payments.
I live in the state of Washington. If anyone needs our state's website just go to google and type in Washington state dental program. That's how I found it. (you can do the same with your state).
Hope this helps someone.

Blessings to all!
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spkninglsh
'Poor' Fridge Owner
11:41 AM on 07/31/2011
Thank you. I need some work done in order to get a clearance for hip replacement surgery and it's been a struggle. I'm in Oregon...so howdy neighbor!
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Bradley Scott Roon
not left or right: think for yourself
05:55 PM on 07/28/2011
On the other hand there are people like me who have genetic issues (Marfan's syndrome) that cause a high palate, crowded teeth, and molars that have huge valleys in the centers instead of being flat. By the time i left grade school i had 14 "silver" fillings. Really mercury at about 52% in amalgam and they do affect you. I have been so strapped and worked so hard, but one has to prioritize, and i have put my family before my mouth comfort. I now live with missing fillings, open nerves, and one molar and bicuspid on my left side that i can chew on, so just shut up about what should be, all right?

Next look at Dr. Weston Price and his 25 plus years of study proving that there is no such thing as a safe root canal and look at the biochemistry involved in tubules and toxins. Then get safe before you start telling us how to do what we were supposed to be told by the ADA so long ago. They don't even admit to any responsibility to the mercury in the mouth issue. What are they going to do when the truth about all the horrid aspects of fluoridation come out, and i don't just mean my town stopping their fluoridation program when it was proven to have literally killed a horse.
Al Schrader
Some overnight ideas take decades
05:48 PM on 07/28/2011
Ok, always follow your dentist's advice. But, if you are broke as a result of the Gov folding-up / mis-management, there are some things you can do to help until your finances improve and they wont improve during this term, trust me. Avoid sugary foods, use a Braun electric toothbrush twice a day, or a good manual model. Floss every evening before bed and rinse with an anti-cavity rinse such as Listerine Total Care. Teeth are like anything mechanical and the more they get used, the faster they wear-out. So, eat less often. You'll save money on food, save money on toilet paper & water, and your teeth will last longer....Alfie-
05:41 PM on 07/28/2011
I stopped going to a my dentist when I only needed 15 minutes (to clean and check my last 3 original teeth) but they insisted they only made 1 hour appointments and for over $200.each. A real ripoff.
05:24 PM on 07/28/2011
just got back from costa rica where i had all 28 teeth crowned as well as 6 implants and an extraction at a total expense of $10,500... also $755 for round trip airfare and $950 for 15 nights accomodations, for a total of $12,155... now my teeth are perfect and i saved AT LEAST $30,000 over doing it in the USA... one guy i spoke with said he had bids from $40,000 to $160,000 for the same work i had done... do yourself a favor and go online to www.dentalimplantscostarica.com... they treated me like royalty and did a wonderful job!!!
05:18 PM on 07/28/2011
I have my teeth cleaned every 3 mo. I have no dental insurance. I am over 60 and still have all my teeth. Have had one root canal and a few crowns including amalgam fillings spending thousands of dollars on my teeth. The one thing that really upsets me is their pricing of services. They charge fees based on what Joe Dentist charges in the area which to me is not justified. Why can't they charge actual charges, like overhead, labor, profit, amortization,etc..to arrive at a fair price? Instead they charge what they call usual and customary for the fees..I had a business and that's how I priced my services. If they did that I'm sure many more people without insurance would be able to afford dentistry instead of foregoing the necessity and yes it is a necessity to have teeth to eat to stay alive. And no, am not willing to sip my food through a straw...
04:39 PM on 07/28/2011
why are Dentist so expensive? Is it because they know that everyone needs them so that gives them to right to charge so much. You figure x rays cost them pennys yet they charge $$$$.
someone has to control this industry
05:28 PM on 07/28/2011
Nothing costs pennies. Someone has to make an appointment, take those x-rays, clean-up after the patient, collect the money.Receptionist, assistant, hygienist - all have to be paid. I`m not even talking about rent, cost of equipment and 10 years of college and dental school it took to become a dentist.
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elgeezr
annoying Libs daily with orgasmic gusto
01:01 PM on 07/31/2011
Dental charges are arrived at by referring to the ADA recommendations. Not by examining the actual costs & going on from there.
03:27 PM on 07/28/2011
My retired husband turned 65 last December and his former employer forced him off our HMO and on to a Medicare Advantage Plan and discontinued his dental insurance. I guess they figure that you no longer have teeth once you turn 65.
He paid out of pocket for last week's teeth cleaning and xrays and the bill was $156. The doctor also gave him an estimate for a tooth that was bothering him. The estimate was around $2,000. This is his entire life savings. He has called around and found that it costs about half that to have his teeth removed and get dentures.
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elgeezr
annoying Libs daily with orgasmic gusto
01:04 PM on 07/31/2011
The ADA will not allow a dentist to remove a repairable tooth. The only thing he will do is give you the name of a company who will loan you money. Compassion is not taught in dental school.
10:24 PM on 08/01/2011
You have no clue what you are talking about. ADA has no control over what I choose to do in my practice. Dentists are not unionised.
11:57 AM on 07/28/2011
Wish I read this a year ago! I skipped last year because I had no insurance and was interning (so, literally paying off student loans with savings money.. and living off savings money.) I went this year after re-acquiring my mothers insurance (until I'm 26) and now I need 5 root canals... Yes... 5. My teeth look great, and I'm hoping this dentist is just trying to rip me off, because that is unbelievable. I had one root canal in 2009, and just random cavities/fillings throughout my life, but nothing this drastic... Should have went last year! (Although, my mothers insurance that I'm on, and insurance from work - secondary- pretty much cover most of the work, anyway, thankfully.)
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4me2knw
Oh what tangled webs we weave.
03:47 PM on 07/28/2011
Careful! You may not need 5 rootcanals. Get a second and even third opion. I was a dental patient "plant". Went to the dentist just to see what they would say I needed. I already knew what I needed. The lies they told just to take my money! Most all of them are like this (I know, I worked in the dental field 35 years), so be very careful. Word of mouth is the best recommendation.
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msd7733
05:43 PM on 07/28/2011
any time they tell you root canal get a second voice on it and don't tell them you have already had one cause they cover for each other. To get a good honest dentist you may have to have others tell you of one they have had a long time and have been happy with.