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Dental insurance

Dental insurance is rapidly playing a larger and larger role in helping people obtain dental treatment.
Since we strongly feel our patients deserve the best possible dental care we can provide,
and in an effort to maintain the high quality of care, we would like to share some facts about dental insurance with you.

FACT 1 Dental insurance is not meant to be a pay-all, it is only meant to be an aid.

Fact 2 Many plans tell their insured that theyll be covered up to 80% or up to 100%. In spite of what you're told, we've found that most plans cover about 40% to 50% of an average fee. Some plans may pay more, and some maybe less. The amount your plan pays is determined by how much your employer paid for the plan. The less your employer paid for the insurance, the less youll receive.

Fact 3 It has been the experience of many dentists that some insurance companies tell their customers that "The dentist's fees are above the usual and customary fees" rather than saying, "Our benefits are low." Remember you get back only what your employer puts in, less the profits of the insurance company.

Fact 4
Many routine dental services are NOT covered by insurance carriers.

Our office sends out monthly statements to each patient with an outstanding balance regardless of insurance involvement.

Please do not hesitate in asking us any questions about our office policies. We want you to be comfortable in dealing with these matters and we urge you to consult us if you have any questions regarding our services and/or fees. We will fill out and file insurance forms at no charge.

If you have any questions regarding your insurance, we ask that you contact your company regarding the specifics and details of the plan it is conducting in your behalf.

Hygiene

Most adult tooth loss is due to periodontal (gum) disease. Therefore, in our office, your periodontal health is of the utmost importance. The long-term condition of your teeth and any restorative treatment depends on stable, healthy gums and supporting bone. Each patient’s periodontal diagnosis is unique and we believe strongly in the design and implementation of a program that will most effectively address those individuals’ needs.

Your first hygiene visit will usually consist of a periodontal history and evaluation in which the health and positioning of your gums are determined and recorded. This evaluation combined with your full mouth series of x-rays and other specific tests, provides us with the information necessary to make an accurate diagnosis. Also, at this visit, your home care habits will be assessed and discussed and modifications may be suggested. Finally, an initial prophy (cleaning) may be scheduled. Depending on the results of your periodontal evaluation and the amount of calculus (tarter) and stain accumulated, this may be the only hygiene appointment necessary. However, additional hygiene treatments or even a referral to a Periodontist (specialist in gum problems) may be required to get you healthy. A financial estimate will be given for these extended treatment plans.

Your doctor and hygienist will discuss your diagnosis; prognosis and periodontal treatment plan with you. They will make recommendations for the frequency of your subsequent hygiene maintenance visits. This may range from a two-month interval to even a year. Again, this is tailored to your individual needs and may be altered at future visits depending on your progress and current condition. It is important to make this next appointment before you leave in order to insure continuity of care.

If you have been diagnosed with periodontal disease, it is important for you to understand that for optimal care and your overall health, it will be essential for you to have on-going continuing care.

All these recommendations are made in order to help achieve your optimum periodontal health, so that you may enjoy your teeth for a lifetime. We realize that many of our patients are covered by insurance plans that place limitations on the amount and frequency of dental care. We, however, care most about YOU and our first consideration has to be what is best for you. We do, therefore, recommend treatment without regard to insurance coverage. Remember, insurance plans are only concerned about the bottom line and do not have your health as their priority. If this raises a financial concern for you, please advise us so that financial arrangements may be discussed before treatment is rendered.


We place great emphasis on prevention and our highly qualified staff takes pride in providing the best available care. We will gladly answer any questions you may have.

Dental Terminology

Perio Maintenance

Follows FM debridement or scaling

Peridex

A prescription mouth rinse

Mesial (M)

Surface of the tooth towards the mid-line.

Occlusal (O)

Top/chewing surface of tooth/posterior teeth

Incisal (I)

Top of tooth- anterior teeth

Distal (D)

Surface of tooth away from mid-line

Buccal (B)

Facial side of the tooth
(Posterior)

Facial (F)

Facial side of the tooth
(Anterior)

Lingual (L)

Side of the tooth towards the tongue

Primary teeth

Baby teeth

Anterior teeth

Teeth towards the mid-line

Centrals Laterals Cuspids

Posterior teeth

Back teeth Molars Bicuspids

Plaque

Soft white film on teeth caused by bacteria

Calculus

Calcified Plaque

Tarter

Calculus

Perio charting

Charting pockets for perio disease

Pockets

Amount of space a perio probe goes down between tooth & gum to measure bone loss

Periodontal Disease

Disease of the gums- resulting in bone loss & tooth loss.

Periodontics “Perio”
Occationally refer out

Gums (Gingiva)

Gingiva

gums

-“itis”

Inflammation of…

I.E: Periodontitis / Gingivitis

Prosthodontics “Prostho”
Never refer out

Replacing teeth with a prosthetic or fake one
I.E: Crowns, Bridges, Partials, Dentures

Orthodontics “Ortho”
Usually refer out

Straightening teeth
Includes: Braces, Retainers
minor tooth movement

Endodontics “Endo”
Occationally refer out

End of the tooth
Root canals

Palate

Roof of mouth

Temporal Mandibular Joint “TMJ”

Where the jaw meets your skull

Occlusion

How your teeth hit together
Class I Normal
Class II Overbite
Class III Underbite
Crossbite

Occlusal Guards / Night guards

A plastic cover made to fit over patients teeth to wear at night to prevent wear from grinding

Amalgam

Silver fillings- these can contain mercury

Composite

Tooth colored fillings; some insurance will only cover amalgams

Crown

“Caps” Covers entire tooth

PFM (Crown)

Porcelain fused to hi-Noble metal crown; tooth colored; used 90% of crowns
(Lab)

FGC (Crown)

Full Gold Crown; crown made out of gold
(Lab)

Inlay

Like a mini crown but goes in like a filling
(Lab)

Onlay

Small crown that doesn’t cover the entire tooth. –CUSPS involved. (Lab)

Post & Core “P&C”

A post is put into the RCT tooth

(Crown) Build-Up

Building up a tooth which is broken down so it can have a crown

Root Canal Therapy “RCT”

Cleaning out the pulp and replacing it with another Material. –We use ‘gutta percha’

Pulp

Nerves and blood in the center of the tooth

CUSP

Only molars & Bicuspids have CUSPs
Tooth # 17 (upper-left)

Molars

Back teeth
#’s 1, 2, 3, 14, 15, 16, 17, 18, 19, 30, 31, & 32

3rd Molars

Wisdom teeth
#’s 1, 16, 17, & 32

Bicuspid/ pre-molar

8 bicuspids in the mouth. Posterior teeth between cuspids & molars.
#’s 4, 5, 12, 13, 20, 21, 28, & 29

Cuspid/ Canine

Teeth between laterals & Bicuspids. Anterior teeth
#’s 6, 11, 22, & 27

Lateral

Teeth next to the centrals
#’s 7, 10, 23, & 26

Centrals

Teeth next to the mid-line; front teeth
#’s 8, 9, 24, & 25

Routine Extraction

Erupted teeth that come out with no problem

Surgical Extraction

When a tooth has to be surgically extracted; Dr. uses hand piece and/or scalpel.

Sealants

Plastic tooth covering on occlusal surface. Some insurances covers depending on age.

Surgical Extraction Soft Tissue Impacted

When part or all of the tooth is still under the gums when extraction

Surgical Extraction Partial Bony

Extracting a tooth which is impacted; part of the tooth is under the bone

Surgical Extraction Complete Bony
Always Refers Out

Completely under the bone

Bridge

Replaces missing tooth by crowning teeth in either side of missing tooth; each tooth replaces is called a unit; 3 unit, 4 unit, etc..

Pontic

Part of the bridge that replaces a missing tooth

Retainer (Bridge)
“Abutment”

Part of bridge which is crowned

Apex

Tip of the root

Apicoectomy

Cutting off the tip of the root surgically; this is done if a RCT is failing (Sometimes)

Denture

Covers entire palate or mandible

Immediate Denture

Extracts the teeth and denture is placed in the same appointment.

Partial Denture

Replaces several missing teeth & is removable

Maryland Bridge

A Pontic bonded to adjacent teeth by use of metal retainers.

Veneers

A type of crown which only covers the incisal/facial part of Anteriors for esthetics

Incise & Drain “I&D”

When a tooth abscesses, we sometimes will have to drill a tiny hole into the gums thru the bone & into the abscess to drain.

Abcess

Infected tooth

Flipper

Temporary fake tooth which is removable to replace a missing tooth

Implants

Surgical implanted post which a crown is cemented onto.

Arch

Top of mouth Upper arch

Bottom of mouth Lower arch

Handpiece

“Drill”

Burrs

Drill bits