Wednesday, March 2, 2011

How should I proceed? I would like to advise my brother who had dental work but didn't ask enough questions?

My brother had a bicycle accident and broke a few teeth in the front. Decided to finally get them fixed in addition to fixing a tooth that was abscessed. The dentist quoted $3000 for a few extractions and a bridge or $5000 for full upper denture. Brother decided on $3000 option. Five appts, 5 extractions and so far $5000 later we don't have the bridge. The Dentist says that still more teeth need to be pulled (not many left). Obviously he has stopped going and asked for his medical records but the Dentist wanted to withhold the records until full payment was made and he's charging for them. He has already billed the insurance $1100(plus $5000). I am very confused by this whole situation. This Dentist was referred do to my brother's insurance carrier but at this cost he could have gone to my Dentist without insurance and paid less! We will get further dental care with someone that is not so abusive financially and emotionally. Could we do more though? Thanks _ Toothless Grin
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You really are not giving enough information for someone to give you acurate advice. There are usually 2 sides, and trust me, the dentists side in very different. I will tell you my opinion, however with limited information I can not possibly tell you who is right in this case. I have seen patients who were given a treatment plan and estimate of what a specific list of dental procedures will cost them, and after they recieved this treatment plan, they asked that additional things be done, not taking into consideration that these additional services will be an additional expense. Such as, having an unexpected abcess or toothache come up and asking the dentist to go ahead and pull that tooth out. Obviously, that would be one reason why a treatment plan amount would change. Some dentists quote what they think a treatment plan would cost, and if during the procedure unexpected things come up (example: tooth on bridge needing a rootcanal, that was not anticipated), they bill the patient for the work. Others eat the cost, because it was not previously planned for. Again, this is real difficult to say if he has a case. As far as the records go? Every state is different, and you should call the state dental board to know what your state says, but sometimes a dentist can withhold records if their is a balance on a patients account. They do have the right to charge a duplication fee, however. This is probably what the charge that you refer to is. You do realize, that your brother will be getting a copy of the records, and not the actual record, don't you? A dentist, at least in my state, is required to keep the actual record for 7 years. Anyways, if you want to e-mail me and give me a little more details, I will help you if I can.
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Dental assistance?

Hi, I have dental insurance through work and they cover most proceedures. However, they don't cover anything that could have been prevented. Is there a plan that will help to reduce the costs of extra proceedures such as root canal, fillings, crowns, etc? It doesn't have to be free, just something that saves when getting an extra proceedure. Thanks.
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The problem with dental insurance is that they usually have a maximum allowance of about $1500 a year. And even if they do cover crowns or root canals it is only at a certain percentage. Try going on-line with Blue Cross Blue Shield or Met life to see if they offer individual coverage that may pay more then what you have now. The best thing to do is have your dentist give you a treatment plan that tells you what you need and how much it will cost. Then evaluate your insurance plan to see how much you pay a month for the coverage and how much you will have to pay out of pocket.
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Dental braces at boston?

I am 25yrs old.I had and appointment with a orthodentist yesterday, and quoted up to 5600$.Its far more than my budget.I dont have dental insurance.I kindly request evrybody to provide information about the dentists or plans where I could get braces done for low rates in BOSTON . THANKYOU VERY MUCH FOR YOUR HELP!!!
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Wow, that's expensive! The dental plans at Dentalplans.com should cover braces as they cover orthodontic costs and you should save a few thousand. There's a review at http://www.dentalplansreview.com You should be able to find a dentist in your own area quite easily as there's over 100,000 participating dentists.
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Quit my job, insurance question?

and I'm getting my teeth fixed before I go. I'm going to dental school for assisting in the fall, but as of now, I have to move to find a job closer to school which means losing my dental by the end of the month. Is there a way to extend dental insurance for a couple of months? My HR mgr is gone for the week, and I really need to know now. Otherwise, is there an affordable dental insurance I might be able to find. I need the insurance badly and my last appointments are in Feb. Thanks for your time.
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healthplans.my-age.net - here is my health insurance plan. As I remember they can provide such a service.
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Can I get my wisdom teeth removed while pregnant?

I have a serious problem. Right around the time I got pregnant, my two top wisdom teeth began to rot. I wasn't on insurance, so I didn't go see a dentist. I now have dental insurance, am 20 weeks pregnant, and my wisdom teeth have gotten even worse. One is almost completely rotted away, and the other is almost there. I know I'd have to have major dental surgery, and the rotting teeth makes me worry about a blood infection that could affect my baby. What should I do?
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After the first trimester most dental procedures can be performed without consequences to the baby or yourself provided you are having a normal pregnancy without complications. The dentist more than likely will need to confer with your physician(obstetrician) prior to any treatment. And I agree with a previous answer it is imperative to keep the teeth clean! However if you are not having any pain or infection from the decayed teeth it is possible that the extraction could be delayed until after your delivery. It is imperative for you to be careful with any analgesics(pain meds) taken for pain without consulting with your physician because they could be harmful to both you and your baby.
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What is normally done in a periodontal cleaning?

My dentist recommended I have this cleaning done, and since I am very anxious about dental work, I researched the procedure on the internet, and everywhere said that it is normally done in steps, sometimes 4 or 5, and takes about an hour, with craping under the gums. Well, I went today and all they did was scrape my teeth, like in a normal cleaning. No polish, no fluoride, no flossing.....and it took like a half hour. So it didn't hurt so bad, but the issue is this: My dental insurance pays 100% for regular cleaning, and only 25% for periodontal. I fell like I get more done in a regular cleaning!!! Should I ask the office what is going on? I work in the insurance field, so I am kind of wary that I am getting ripped off.
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I'm a dental hygienist and I do this procedure daily. (and I know it was just a typo but I laughed out loud when you typed "craping under the gums" instead of "scraping"!!!! Don't think I'll ever do that!!) You should definitely speak with the dentist about the procedure you had done and ask him to explain to you how it was different from a regular cleaning. I always fully explain what I'm doing and why I'm doing it; an educated patient is the best thing for me. In a regular prophy appointment (just a normal routine cleaning) the teeth are scaled ("scraped") both above and below the gumline (unlike what the other person who posted above said...the hygienist always cleans below the gumline). Then when all surfaces have been scaled, the hygienist will polish any residual stain off the teeth. A patient that requires a periodontal therapy needs this because over time, they haven't taken good care of their teeth and gums and because of this, tarter has built up heavily below the gumline (where a brush can't reach and if you haven't been flossing regularily, the gunk under there that started out as soft plaque you could have flossed out is now hardened to a concrete-like chunk you can't remove yourself) I tell my patients that the tarter is much like a splinter under your skin, it irritates the gum tissue both physically and chemically because it's decaying bacteria that gives off toxins. The gums do not like it being there and your body tries to defend itself by sending white blood cells to the area, thus increasing blood flow and swelling in that area. Gum disease usually does not cause any pain, but you may notice that the gums are red and/or swollen and almost always have bleeding when you do brush and floss. Healthy gums should never bleed. After the gums have been irritated awhile, they react by pulling away from the source of the irritation, they recede. And the gums don't just pull away and leave raw bone, when they recede, they trigger the bone underneath to start to dissolve too. The bone and the supporting soft tissue structure of the gums and ligaments are what hold you teeth in place so the loss of these structures is very significant....lose them and you will eventually lose your teeth! Your dentist and hygienist should show you the tarter build up and bone loss on your xrays. A patients xrays are the best teaching tools I have! Ask them to show you and explain. When you can see the cause and effect for yourself, it begins to make sense. So now, the treatment is to remove the source of infection/irritation and that requires a scaling or deep cleaning as some offices call it. If you go to a periodontist (a dentist who specializes in gum disease), the extreme method of doing this procedure is to do "flap surgery" where they do cut the gums into a flap, lay it down to expose the root surface which they clean thoroughly, then stitch the flap back in place. This is pretty extreme and it does work quite well but it's painful and expensive and many patients simply won't go through that. If you do this through your general dentist, they won't do the flap surgery, just deep clean and they will do the procedure in steps, as you noted. Usually they will do a quadrant of the mouth at a time (such as lower right, then lower left, upper right, then upper left) and then after about a 2 week period when that's all done, I have my patient come back in for one more appt. where I check how well the tissue is healing and go over any areas where it doesn't appear to be healing as well, evaluate how well the patient is doing at home with brushing and flossing (if I see new fresh plaque and tarter build up, they aren't doing a very good job and I go over it with them again) and then I polish the teeth. In my office, we break it down to 3 appts. because I do an entire arch at a time, the lowers on the first appt. and then the uppers on the next, then the follow up appt in 2 weeks. When I do a periodontal scaling and root planing, it differs from the regular cleaning on a patient without gum loss because I have to reach much further down onto the root surface below the gumline due to the bone loss. There is a gap, which we call a "pocket" between tooth and gum where all the bacteria and "crud" gets stuck. That pocket is deep in a perio-involved patient and we take our instruments (often using an ultrasonic cleaner that isn't sharp, no scraping, just uses sound waves to "jiggle" the tarter off) all the way to the bottom of that pocket and also smooth off the rough surfaces of the root of the teeth as we go (it's harder for new build up to attach to a smooth surface than it is to a rough one, that's why we smooth it out.) This is a very thorough, deep cleaning. It should not hurt, no more than mild discomfort. You may notice alot of bleeding as she is working, that's normal as the gums are swollen with extra blood and this is just releasing that inflamation. Yes, it's more involved than a regular cleaning and again, if you look at the xrays compared to the xrays of a healthy mouth, you can see why. It's important to remember that periodontal disease is not something we can CURE, it's something we can MANAGE. When bone is gone, it's gone, it will not grow back neither will the gums. BUT if the area is cleaned out well and kept clean by the patient at home and with regular 6 month cleaning appts. the perio problem can be slowed or halted at that point. You have valid questions and you should have been educated about this procedure, why you needed it and what to expect. Sounds like your dentist/hygienist dropped the ball on that. Go back and ask about it, ask to see the xrays, etc. Good luck!
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can anyone recommend an orthodontist in san diego ca?

I am looking into getting braces but also need some dental work done preferably at the same office. I don't have any insurance so i need a place that has payment plans or any companies that do loans for dental insurance. Any recommendations would be great. Thanks!
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Beauchamp Dr-Western Dental Centers 531 Broadway San Diego, CA 92101-5231 (619) 702-8000 http://www.westerndental.com/easy-credit…
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Medical insurance? How do I figure this out? ?

All I want is Chiropractor, Counseling, Ladies check ups, and dental coverage! I go to an alternative dr. and NO insurance covers that... I am 20, avg. weight, and in good health (no allergies or any health problems) I am not in school or have a job right now, but will start Massage Therapy in Jan. Don't know if that matters or not! And the Job I would be getting would be part time! How do I get a quote for that, I can't find anything online that really talks about those things?
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I would like to suggest to try to get as much information as you could before making up your mind,here http://www.healthinsurance-onlinetips.info/health-insurance-for-free.htm is a very resourceful one.
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I need dental work done badly, Im young, I need the works (literally) no insurance or $$, HELP!!?

I had braces? My situation is that..my enamel was very soft after removal 10 yrs. ago. now my teeth are bad/poorly. I need root canals @the bottom teeth, but my upper 1 wisdom pulled, canine tooth is rotten, bicuspid fell out leaving fragments of the tooth in the gums..I was told that I needed a partial, haven't done NEthing, no insurance or $$, he has a payment plan available but the interest is extremely high can't afford the plan. Im afraid that the extent of work needed. I have HBP & I smile alot. That's not good or attractable. Need Help!!! (NO BS PLEASE, NO FLY BY NIGHT COMPANIES, either.)
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Call your local dental society or visit their website. It should be named after the city/state/county it is in. They can give you the names of dentists that provide free and sliding scale services.
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dental service for the poor?

i have no dental insurance i make 400 per week and need alot of dental work i live on long island. i want to smile again.... Jennie
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The Dental Package is only $11.95 per month for an individual Look over the information below to read more about both the Health package as well as the Dental package. Large discounts for doctor visits, prescriptions, lab work, x-rays, hospital stays, and more. No limits on service. All ongoing dental/medical problems are accepted***. No age limit. No insurance carrier,so the savings are passed on to YOU. And of course, you will have access to the dental, vision, prescription drug and chiropractic benefits immediately,which can save you up to 80% on much needed services. No need to fill out a lot of paperwork. No personal medical history information needed. http://everyonebenefits.com/40436527 to sign up and start saving, or for more information. DENTAL, PRESCRIPTION, VISION AND CHIROPRACTIC $11.95 INDIV AND $19.95 Household Just $49.95/month will get you an individual membership to the Health benefits. For just $10 extra, your ENTIRE household can be included. That's just $59.95/month - much less than typical insurance. Get immediate discounts up to 80% on Dental Care, Vision Care, Prescription Drugs, and Chiropratic Services. The best part is, the cost per month is only $11.95 for an individual, or just $19.95 for an entire household. Why find yourself unprotected? There is no waiting period. Start using your benefits today. To contact me with any questions or to sign up, visit the site above, or call (214)766-3136, I'll be happy to speak with you
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Is it possible to pull a decaying tooth yourself?

Hello! For about a year now I have had a decaying tooth, but I currently have no dental insurance. I called a dentist office and they said it would cost around 700 bucks to get it pulled. If I can't afford insurance right now, I sure as hell can't afford that. What it looks like I'm going to have to do is pull it myself, so I was looking for any advice someone could offer me to do so (how to do it, what to do afterwords, etc.). Any help or opinions would be great. Thanks!
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You can do it yourself, however it takes some serious testicular fortitude. Depending on where the tooth is at, how decayed, and how well rooted - you might be able to tie a piece of fishing line around it tightly, tie the other end to a door knob, do about three shots of whiskey, and proceed with the old 'slam, scream, and pass out' technique. The problem is that a lot of decayed teeth are still very well rooted (sometimes the roots will even curl up around the jaw and make it even more difficult to get them out). I have had a few fillings fall out, and the teeth crack. One or two I removed almost totally by myself as they disintigrated, but I had to go to the dentist and pay a fortune to have an impacted wisdom tooth extracted before it got infected. Check around and see if you can find someplace to do it cheaper - check with local walk in clinics to see if anyone does inexpensive extractions. Good luck! Teeth suck!! I've been taking better care of mine, but I still need a ton of dental work. I have insurance now, but it's still expensive as f**k.
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Can my ex-husband's girlfriend put my children on her insurance?

My ex-husband and his girlfriend (and her children) recently moved in together. He and I have joint custody of our 2 children. They're with him during the week due to school. He carries their medical/dental insurance, but she added them to her policy and takes them to the doctor if they get sick. She even signs authorizations for treatment. Since they're not married, is this legal? No one tells me they're sick or injured until I find out later and ask about it. My kids are teenagers but have been told not to give me any information. They've become disrespectful and tell me they don't want to spend time with me anymore. They're calling her "mom" now. I don't have the money to fight him in court. No matter what I say or do, it's not right in their opinion. I try not to say anything bad about them in front of the kids, but I'm being pushed out of my kids lives and it's breaking my heart...any suggestions?
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Seems YOU have problems! If he has given her authority, and her employer allows it they can be added to her insurance and she can take them for medical care (same authority commonly given to babysitters) This is a good thing in that they have medical care! Because they are teenagers there would be no need to fight for them in court, they have the right of choice. It is good that your ex has moved on, and that your children are happy in the enviroment that is provided-BTW sounds like the decision to call her "MOM" is theirs! From your statements I understand why the children were told not to give you any information! YOU need help in order to move on with your life! When you move on your children will return!
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Curious where I stand: How much credit card debt do you have?

I have about $12,000 in cc debt. I've paid it off before, then had to have major dental work done with no dental insurance... Now I'm back in debt and its killing me!!! What about you? I'm curious to see if Im better or worse off than most Americans these days.
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We pay our credit card bill in full every month and never charge more than we can afford. Credit card debt will ruin you if you don't pay it off quickly. Its too bad you didn't ask for a payment plan with the dentist (at no interest of course). Dentists and Doctors are usually willing to accept payments in my experience. They know lots of people don't have insurance (especially dental insurance) and in these economic times are willing to work with their patients - not bankrupt them by forcing them to put services on a high-interest credit card that will take forever to repay.
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dental debt and collection agency!?

Hi all, I had a limited dental insurance which covered a fraction of my treatment. I owe the dental clinic 500$. I got the treatment 3 months ago and I never recieved the bill bcoz they sent it to my old address. And yesterday i got a call from a collection agency telling me i owe 500$. Now if I don't pay it right now what are the consequencies? Will it go in my credit history? Please answer. I need to know this.
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If you don't pay it yes chances are it will go on your credit report. Keep in mind that even if you do pay it you will want to get in writing that they either never will report this to the credit reporting agencies or if they have they will delete it when you do pay.
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Is my dentist required to do the work?

About 3 and a half years ago i paid about $4000 for various dental work. I got a small portion of the work complete. I never went back to get it finished. Are they required to do the work or refund me now that it is 3 years later? I now have a diffrent dental insurance provider, will this affect me?
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well first off you shouldnt have waited so long. secondly if you paid them then yes they should finish it, if they have it on file still of course.. and thirdly your insurance might be a problem but you would have to just go in and ask. if you already paid for it then wouldnt u not need your insurance? im sure if additional work is needed they will just use your new insurance. hope i helped
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How much does it cost do have an oral surgeon to expose an impacted canine and put brackets and chains on it?

I have a tooth, up by my nose. (my canine, which is impacted.) and the orthodontist told my mom, that i need ot done. How muxh does it cost?, because i want to go to the beach. (: please help. and it can be without insurance cause i have very good dental insurance
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You can easily check your minimal health care rates in internet, for example here - healthquotes.awardspace.info
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Is my dentist required to do the work?

About 3 and a half years ago i paid about $4000 for various dental work. I got a small portion of the work complete. I never went back to get it finished. Are they required to do the work or refund me now that it is 3 years later? I now have a diffrent dental insurance provider, will this affect me?
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YES, IF YOU PAID THERE SHOULD BE A CREDIT SHOWN ON YOUR FILE. have them do it or ask for a refund --probably having them do it might be better cause the cost was probably a lot cheaper 31/2 years ago
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Which is cheaper ? dental question?

Having all my teeth removed and getting dentures or getting dental insurance for bad teeth? I have a headache every day for the last week or so , my mouth hurts bad and I want to have the got darn things removed in general since I know I need work and I cant afford dental insurance.
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I wish you would have put more detail and information into this post. We are left with little room to answer upon. age?financial capability? want? Dr. recommendations if you have visited one at all. Since I don't know much about your situation I will answer the best way i can. Go to a dentist and get an exam, let him give you his real opinion. Don't beat around the bush with him If he says things can be fixed with money. Everything can be fixed with money. If it is unrealistic in your situation to have 10k worth of dental work done then consider a full denture. BUT REMEMBER! once they are gone , THEY ARE GONE FOREVER! maybe it is just a few teeth that need to get fixed and they are the culprit of all the pain. then maybe a bridge is a more viable and realistic choice than removing all your teeth. I hope this helps. Personally, I wouldn't remove any of my teeth unless I really had to. And when I reach that point I'd rather go in some debt and get some implant bridge work done. that's just me though
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Long story short the root canal I had long ago broke and is showing my gums, there is an opening?

between the teeth? So the whole will show the gums, what should I do to make sure that I can get tooth pulled, or what will I need to do to keep the tooth in tact? What should I do, get extraction or is the gums ok like this will this cause infection. I have dental insurance, but I dont know what will be paid for the tooth, what should be done, extraction? Is this considered and emergency because if it is, then I might be able to get the work done. I cant go to dentist because I have bad cold?
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If the tooth is broken and you can see your gum it doesn't sound salvageable. To be sure see a dentist asap. Since the tooth is dead you should not feel any pain. I had a root canal tooth break after many years and there was no pain whatsoever. It's usually a good idea to have a crown put on a tooth that has had a root canal since the tooth will become brittle over time.
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Are there any dentists in the York,PA. area willing to fix my teeth and accept a payment plan?

I do not have dental insurance.
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Well... you can go to aesthetic dental arts....dr singh's office...its on eastern blvd in york pa .. 717-755-4143 is the number... they dont have payment plans..but you can sign up for a CITI health card...its interest free and you put your payments on the card..you get a monthly bill...I did it and racked up alot, but my payments are like 35 a month.
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can a pediatrician perform an upper labial frenectomy?

I dont have my 9 month old on any dental insurance and I think he needs this procedure, can I take him to my pediatrician, or does it require a trip to the dentist?
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The dentist should have the training for that just ask them.
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What is the best and cheapest way to close my gap?

Ever since my permanent teeth grew in when I was younger, I have been really self-conscious of my gap..Now that im older I really want to close it, but I don't know what procedure would best fit me- Invisalign? Lumeers? other options that are not terribly expensive? (I dont want to spend over $2000) btw I have Delta dental insurance if it helps.. Thanks?
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Depending on the size of your gap, the cheapest and quickest way would be cosmetically bonding resin to both front teeth to close the gap. The negatives to this are that the two front teeth will get larger and if you have a large gap the teeth may look too big. Plus sometimes it is hard to match the shade of your tooth especially if your tooth has multiple shades or has natural opacities or lines in them The most conservative but longest way is to do invisalign or traditional orthodontics. It's conservative because they don't alter your natural teeth. However it can take 1-2 years The most expensive way but quicker than orthodontics would be lumineers or veneers. Typically either 4 or 8 veneers or lumineers would be placed on your front teeth ranging from 700 to 1000 per veneer/lumineer. Lumineers are the most xpensive but are also more conservative (they don't prep your teeth). Lumineers are a brand of veneer that don't require prepping. Some veneers require carving down the tooth. hope all this helps As for your insurance it may cover some or none of the above options....but without insurance... Bonding----roughly $200-400 ortho/invisalign----$1500-4000 lumineers veneers $ 2500-8000 they vary heavily because it depends on where you live...who you go to, materials used and brand used among many other things
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I need some help deciding on insurance.?

I have insurance through work but it is very expensive and has a large deductible. Does anyone know of any good medical and dental insurance companies that I can sign up for on my own?
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Through work (via a group plan) you are presented with just one or maybe a few choices of coverage based on decisions made in Human Resources or equivalent. The people who made the decisions work for the company and may have made the decisions based on what was best for the company rather than best for the employees. Just a fact of life. As you know, there are a lot of variables to determine when customizing a plan on an individual basis. You mentioned the premium and the deductible. In addition, one must decide whether to have a PPO, and HMO, or a pay for service style of plan. Then there is the question of the lifetime maximum, the degree of coinsurance (usually something like 80/20 or 75/25) and the copays charged at the hospital or doctors' offices and for prescriptions. When you purchase your own individual plan, you get to select all these variables to fit your personal needs and your budget. Just so you will be able to decide how bad or good your plan at work really is, I'll send you to a couple of web pages so you can do a little investigating. You can read about the plans and get no-obligation quotes. You have two kinds of indvidual insurance (as contrasted to group insurance - it is called that even if there is more than one person on the policy), short-term medical and regular health insurance. The fundamental distinction is that short-term health insurance ends on a specific date. If you want to continue the coverage, you need to "rewrite" it or open a new policy to replace the one that expired. Regular health insurance (also called major medical insurance) is perpetual. That is, it continues in force until you do something specific to stop it - such as notifying the insurer that you want to cancel or discontinuing payment of premiums which causes the insurance to lapse. Short-term insurance is much less expensive than regular. Go here to explore about short term insurance (you can also buy on-line if you wish) from the industry leader http://www.wavehelp.com/short-term-medic… To get a quote on regular health insurance, go here http://www.wavehelp.com/health-insurance… In either case, you can go ahead and apply for insurance and get the policy to examine for ten days before deciding if you want to keep it. If you reject the policy, you'll get your premium back (but not the $10 or $20 application fee). No matter what you decide, do not cancel your group coverage from work before you have another policy you are happy with in force (not just applied for)! Best wishes.
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How much will I be paying on my next dentist visit?

How much will I pay if I go to the dentist and: 1: have my teeth cleaned 2: have my teeth exam or check-up I have dental insurance
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Sounds like about $100-to-$125-worth, plus or minus a little. Many insurance plans will reimburse you 100% for these particular preventive services, though.
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