It is crucial to schedule all dental appointments within the same year. The deductible payment can be avoided by taking care of services within the same year. Let’s take a look at an example to understand how this works.

Suppose you have a dental insurance plan with a $100 deductible. You have a routine check-up in February, which costs $100. You pay the $100 out of pocket, and your deductible is met for the year. In April, you need a filling that costs $150. Since you have already met your deductible, your insurance plan will cover part of the cost, typically between 50 and 80 percent, depending on your plan’s coinsurance.

Now, let’s say you need another filling, which also costs $150. If you wait for treatment in January of the following year, you must pay the deductible again since it’s a new benefit period. However, if you had scheduled the filling in November, you would have avoided paying the deductible again since it’s in the same benefit period as the filling in April.
By scheduling all your dental appointments within the same year, you can maximize your dental insurance benefits and avoid paying deductibles multiple times for dental services. This can lead to substantial savings, providing you with a sense of financial security, especially if you need multiple dental treatments yearly.

In conclusion, deductibles are a crucial factor when choosing a dental insurance plan. They can significantly affect your out-of-pocket expenses and the coverage you receive. By carefully reviewing your dental insurance plan information and understanding how your deductible works, you can take control of your dental treatment costs and feel empowered to manage your dental expenses.

Have you ever sat in the dental chair and heard your dentist or hygienist use unfamiliar terminology? Many industries have their jargon, but not understanding your dentist’s language can be bewildering as a patient. However, by gaining a grasp of these terms, you can feel more empowered and knowledgeable about your dental health.

Dentists use unfamiliar terminology because they have specific language to describe dental conditions, procedures, and tools. Speaking in their terminology enables them to communicate with their colleagues effectively and ensures that no critical details are missed when discussing a patient’s treatment plan. While it can be confusing for patients, dentists are usually happy to explain unfamiliar terms to ensure their patients feel informed and comfortable. Let’s explore some standard dental terms that might sound strange to patients.

1) Prophylaxis or Prophy (Basic Cleaning): Prophylaxis, or ‘prophy’ for short, is more than just a professional teeth cleaning procedure. It’s a crucial step in maintaining good oral hygiene and preventing dental issues. This procedure, usually performed by a hygienist during your regular dental check-up appointments, involves using special tools to remove plaque, measure pocket depths, take X-rays, and polish teeth. It’s not just about making your smile look its best but also about preventing gum disease and other oral health problems. Prophy is essential to regular dental care and plays a significant role in oral health.

Most dental insurance plans typically cover prophylaxis cleaning as a service. It’s often available at a low or even no cost with dental insurance. Regular prophylaxis cleanings are recommended to ensure optimal dental hygiene and catch potential issues early on. If you have dental insurance, taking advantage of this benefit is a good idea to maintain oral health. If you do not have dental insurance at DentalOpinions.com, we have many different dental insurance available, and we can help you choose one that best fits your dental care needs. Call us at 310-534-3444. We are happy to help you.

2) Dental Caries: Caries, also known as cavities, result from bacterial decay of the teeth. It’s important to understand that dental caries and cavities are different terms describing the same dental issue. Tooth decay is another common synonym for this oral health problem. Understanding these terms is crucial in recognizing, preventing, and treating dental caries effectively, and knowing that they all refer to the same thing can help avoid confusion.

Remember to practice good oral hygiene by brushing and flossing regularly and scheduling regular dental check-ups as your dentist recommends. These practices are not just essential for preventing dental caries and maintaining oral health, but they also put you in the driver’s seat of your oral health journey. Consistently caring for your teeth at home and getting professional dental cleanings and check-ups are proactive steps that can help you maintain a bright, healthy smile and avoid potential dental issues in the future.

3)Gingiva: Gingiva, often referred to as gums, is the soft tissue that surrounds your teeth, providing crucial support and protection. Understanding the importance of gingiva in maintaining oral health is essential. Your dentist may advise against brushing the gingiva too hard to prevent damage to this sensitive tissue. Additionally, the term “gingivitis” describes the inflammation of the gingiva caused by bacterial infection.

Properly caring for your gingiva is vital for overall oral health. Gums are critical in anchoring teeth and protecting the underlying bone structure. It’s essential to brush your teeth gently, paying attention to the gumline to remove plaque and food particles while avoiding causing any damage to the gingiva. Regular dental check-ups and professional cleanings not only help monitor and maintain your gingiva’s health but also provide a sense of reassurance that you are being cared for by your dental team.

By understanding the significance of healthy gingiva and practicing good oral hygiene, you can contribute to the prevention of gingival issues such as gingivitis and periodontal disease. Prioritizing the care of your gums is essential for a healthy, vibrant smile and overall oral well-being.

4) Sealants: If you have children, you might have had your dentist talk to you about dental sealants. Dental sealants are a protective coating that a dentist can apply to your child’s rear molars. Your dentist might recommend sealants if your child shows early signs of tooth decay or is at risk for developing cavities. The teeth are shielded from harmful bacteria that can cause cavities by applying sealants. This simple and painless procedure can give your child an added layer of protection against tooth decay and help maintain oral health.

5) Scaling and root planing: Scaling and root planing is a critical procedure often recommended for patients with advanced gum disease, also known as periodontal disease. This treatment involves two main components: scaling and root planing. Scaling is meticulously removing dental plaque and tartar deposits from below the gumline. Once the tartar is removed, the next step, root planing, involves smoothing out the teeth’ root surfaces to promote the gums’ reattachment. This comprehensive approach aims to eliminate bacteria and promote healing for patients suffering from periodontal disease.

6) Veneers: Veneers are a popular cosmetic dental procedure designed to help patients address various imperfections in their smiles. These custom-made, wafer-thin shells are typically crafted from porcelain and bonded to the teeth’ front surface to enhance their appearance.

Whether you have discolored, chipped, misaligned, or unevenly spaced teeth, veneers can effectively camouflage these imperfections and provide a more aesthetically pleasing smile. The process involves careful sculpting and customization of the veneers to ensure a natural and comfortable fit.

Sometimes, patients may opt for a complete set of veneers to rejuvenate their entire smile. This comprehensive approach can deliver a remarkable transformation, enhancing the overall appearance of the teeth and creating a more harmonious and attractive smile.

It’s important to note that the veneer application process requires a minimal amount of enamel to be removed from the natural teeth to ensure a proper fit and natural appearance of the veneers. Once this procedure is done, the teeth will require veneers for the long term.

Don’t hesitate to ask your dentist if you’re considering veneers or have questions about the procedure. They can provide detailed information and address any concerns to help you make an informed decision about improving your smile with veneers.

7) Cuspids: The cuspids, also known as canines, are the third tooth from the center of the mouth to the back of the mouth. These prominent teeth are easily recognizable by their pointed shape and are located on either side of the incisors. Their essential function is tearing and shredding food; their pointed edges are perfectly adapted. In addition to their functional role in biting and tearing, cuspids also play a significant role in the overall aesthetics of the smile. Their position and shape contribute to the symmetry and overall appearance of the smile, enhancing its beauty and charm.

8) Interproximal: “Interproximal” may sound technical, but it simply refers to the space between the teeth. Your dentist or hygienist may use this term when discussing areas where cavities are forming or where you need to improve your cleaning routine. Understanding the significance of interproximal spaces can help you prioritize thorough oral care to maintain optimal dental health.

9) Cusps: Cusps are the elevated points on the chewing surfaces of the molars and premolars, which are the teeth located at the back of your mouth. These cusps are essential for grinding and crushing food during the chewing process. They play a crucial role in breaking down food into smaller pieces, making it easier for digestion.

Understanding the function of cusps is essential for maintaining proper oral hygiene and overall dental health. These distinctive features of the back teeth aid in efficient chewing, helping to process food effectively before swallowing. Additionally, cusps assist in distributing the force of chewing evenly across the tooth structure, allowing for effective and comfortable chewing.

Protecting the cusps from damage is essential, given their pivotal role in the chewing process. Good oral hygiene, such as regular brushing and flossing, can help prevent dental issues that may affect the cusps. Furthermore, visiting your dentist for routine check-ups can ensure that any potential problems related to the cusps are identified and addressed early on, contributing to the long-term health of your back teeth.

10) Cuspids: Cuspids, or canines, are the pointed or rounded front teeth between the incisors and the premolars. These teeth are essential for tearing and biting food. The cuspids, also known as canines, are the third tooth from the center of the mouth to the back of the mouth. These front teeth have one rounded or pointed edge used for biting.

I hope this information helps you familiarize yourself with some common dental terminology. Understanding these terms can empower you to better care of your oral health and have more productive conversations with your dentist. If you have further questions or concerns about dental care, don’t hesitate to contact your dental professional. Remember, proactive oral care today can lead to a healthier smile tomorrow.  

Tips for Effective Communication with Your Dentist

Communicating effectively with your dentist is crucial for understanding your oral health and any recommended treatments. Here are some tips on how to communicate with your dentist:

1. Ask questions: If you need help understanding a term or a procedure, ask your dentist to explain it. They will happily clarify and ensure you know what’s being discussed.

2. Be honest about your concerns: If you have any anxieties or fears about dental procedures, express them to your dentist. Open communication can help them tailor the treatment to your needs and provide the necessary reassurance.

3. Discuss treatment options: If your dentist recommends a particular treatment, feel free to ask about alternative options, including their benefits and potential drawbacks. Understanding your choices can help you make informed decisions about your oral health.

4. Bring a list of questions: Before your dental appointment, jot down any questions or concerns about your oral health or recommended treatments. This can help ensure you cover all the topics you want to discuss with your dentist.

5. Follow-up: If you receive complex information or instructions, consider following up with your dentist for further clarification. Being fully informed about your oral health and any necessary treatments is essential.

Remember, effective communication with your dentist can lead to a better understanding of your oral health and improved overall care.

Navigating Dental Insurance Coverage and Benefits: What You Need to Know

Regarding dental insurance and the coverage or benefits you can expect at your dental appointment, it’s essential to direct your questions to the dental office staff rather than your dentist. The dental office staff are well-equipped to provide information about the specifics of your insurance coverage, what services are covered, and any related benefits. They can clarify details about your particular insurance plan, such as whether prophylaxis cleaning is covered, at what cost, and any other services included.

If you have further questions about the cost of specific services and the extent of your insurance benefits, it’s advisable to contact your dental insurance company directly. They can explain your coverage, including copayments, deductibles, and percentage coverage for various procedures. By reaching out to your dental insurance company, you can understand your benefits and make well-informed decisions regarding your dental care.

Importance of Effective Communication in Dental Care

It’s essential to have good communication with your dentist, dental office staff, and your dental insurance company for several reasons.

First, transparent and open communication with your dentist allows you to understand your treatment options, ask questions, and address concerns about your oral health. By maintaining an open dialogue with your dentist, you can actively participate in decisions about your dental care, leading to a more personalized and comprehensive treatment plan.

Secondly, effective communication with the dental office staff ensures you can schedule appointments conveniently, understand pre-appointment instructions, and receive important follow-up care information. The staff can also help you navigate administrative matters, such as billing, insurance claims, and scheduling, providing a positive and smooth experience at the dental office.

Maintaining good communication with your dental insurance company is crucial for understanding your coverage, benefits, and potential out-of-pocket costs. By staying informed about your dental insurance, you can make informed decisions about your dental care and avoid unexpected expenses. Additionally, understanding your insurance coverage can help you take full advantage of your benefits, including preventive services like regular cleanings and check-ups, which are essential for maintaining oral health.

In summary, good communication with your dentist, dental office staff, and dental insurance company enables you to be actively involved in your oral health care, receive comprehensive support from the dental office, and make informed decisions about your treatment and coverage.

DentalOpinions.com provides a range of comprehensive dental insurance plans designed to assist you with dental care costs. Contact our office at 310-534-3444 if you have any questions or want to purchase dental insurance. We are here to help you find a dental insurance plan that best fits your dental care needs.

Question: I am 35, a full-time worker with health and dental insurance; however, my dental insurance does not offer benefits for adult braces. I would not mind getting another dental insurance plan alone, but I want to ensure it has some benefits for adult braces. I also would like Invisalign as they are clear and less in your face, but I am willing to have regular braces if that is all the insurance plan offers. What types of dental insurance plans provide adult braces?

Reply: Welcome to DentalOpinions.com. If you’re considering getting adult braces and looking into dental insurance, it’s essential to pay close attention to the terms and conditions of each plan. While some dental insurance plans cover adult braces, many only provide orthodontic dental services to minors. Fully understanding the coverage of the plan you’re considering is crucial.

It’s worth noting that most dental insurance plans only cover basic metal braces for adults. However, there might be better options than these traditional braces for adults. If you’re interested in clear braces, Invisalign, or other specialty treatments not covered by your insurance, an alternative worth exploring is a dental discount plan.

These plans offer savings on braces for all age groups, giving you the power to choose the best option for your needs. They could save you money, especially if an orthodontic dentist within the plan provides the specific services you’re looking for.

By carefully considering your options and understanding the coverage available, you can make an informed decision that best fits your needs and budget. Feel free to explore alternative solutions like dental discount plans to ensure you get the orthodontic treatment that’s right for you.

Comprehensive Dental Coverage Options at DentalOpinions.com

Are you looking for dental coverage that suits your needs? Look no further! At DentalOpinions.com, we provide a comprehensive range of options, including dental insurance and dental discount plans. Choosing the right dental insurance or dental discount plan can be daunting, considering various factors such as coverage, cost, and benefits. Our knowledgeable staff is here to guide you through the process and address any queries.

With our dental insurance, you can gain peace of mind knowing that your dental expenses are covered, allowing you to prioritize your oral health without financial worry. On the other hand, our dental discount plans offer discounted rates on a wide array of dental procedures, making quality dental care more accessible and affordable.

When considering your current dental needs, our team is dedicated to assisting you in selecting the most suitable plan. Whether you need routine check-ups, specialized procedures, or emergency care, we have covered you, ensuring you feel cared for and supported in your decision-making process.

Do not hesitate to call our office at 310-534-3444 to speak with our friendly staff and take the first step toward securing your best dental plan. Your oral health is our priority, and we are committed to helping you make an informed decision for a confident smile. We look forward to hearing from you and helping you take the first step towards a confident smile.

Dental Insurance and Discount Plans for Adult Orthodontic Treatment

Dental discount plans can be an excellent way to save money on adult braces while allowing you to choose the type of braces you want. These plans work by offering discounted rates on a wide range of dental procedures, including orthodontic treatments such as adult braces.

With a dental discount plan, you can receive significant savings, generally around 30% or more, on the cost of adult braces compared to paying the total price out of pocket. The savings can make orthodontic treatment much more affordable and accessible, especially if your regular dental insurance does not cover adult braces.

One of the key advantages of dental discount plans is that you can choose the type of braces that best suits your needs. For example, a dental discount plan can help make this advanced treatment more affordable if you prefer Invisalign for its discreet appearance and convenience. Alternatively, if you opt for traditional metal braces, you can still enjoy the cost savings provided by the discount plan.

For instance, let’s say the standard cost of Invisalign treatment is $5,000, but with a dental discount plan, you could receive a 25% discount, bringing the cost down to $3,750. This significant price reduction demonstrates the financial benefits of enrolling in a dental discount plan for adult orthodontic treatment, especially when most dental discount plans run around $10 – $15 monthly.

Ultimately, dental discount plans help you save money on adult braces and empower you to choose the type that aligns with your preferences and needs. This flexibility and cost-effectiveness make dental discount plans attractive for individuals seeking affordable orthodontic care without sacrificing quality or choice.

Dental Insurance and Orthodontic Options for Adult Braces: Exploring HMO Plans and Beyond

A dental HMO insurance plan can be appealing when considering adult braces. Many HMO plans that offer orthodontic services also extend these benefits to adults, not just children. However, it’s essential to note that HMO plans generally only cover basic metal braces and may not include Invisalign or other advanced orthodontic treatments. Therefore, it’s crucial to carefully review and verify the coverage of each plan you consider.

One of the critical advantages of HMO plans is their low monthly cost. This affordability can make orthodontic treatment more accessible to individuals seeking to straighten their teeth as adults. Additionally, HMO plans typically do not have waiting periods for major dental care needs, providing you with timely access to necessary treatments.

While HMO plans may have limitations regarding the types of orthodontic treatments covered, their cost-effectiveness and immediate access to care make them a compelling option for many individuals. At DentalOpinions.com, we understand the importance of finding the right dental insurance plan to fit your specific needs.

Don’t hesitate to contact our friendly staff at 310-534-3444 to start your journey toward a confident and healthy smile. Your oral health is our priority, and we’re committed to supporting you every step of the way. We look forward to assisting you and helping you find the perfect dental plan for your adult orthodontic treatment.

Understanding Orthodontic Coverage and Insurance PPO Options for Adult Braces

Regarding PPO and Indemnity dental insurance plans and orthodontic services, many plans provide coverage for children up to age 18. However, the plans that provide coverage for adult braces typically base their Usual, Customary, and Reasonable (UCR) rates on the cost of metal braces. As a result, if they cover 50% of the price, it’s up to what is considered fair and reasonable for metal braces. The upside is that if you want Invisalign, there may be some coverage, but only up to the cost of metal braces.

PPO and Indemnity insurance plans for braces may have a lifetime maximum limitation. For example, even if your PPO plan has a $2000 maximum limitation per person per calendar year, there might be a lifetime maximum for orthodontic services. A lifetime maximum means that the plan will only pay up to a certain amount for orthodontic services over your lifetime, regardless of the annual maximum. For instance, if your plan has a $2000 yearly limit but a lifetime maximum of $1000 on orthodontics, the plan will pay $1000.00 for orthodontic services, no matter your annual maximum.

It’s crucial to carefully read the plan’s terms and conditions to confirm the benefits of orthodontic care. If you are considering getting adult braces and are exploring dental insurance options, it’s essential to fully understand the coverage limitations and ensure that the plan meets your needs.

When evaluating dental insurance plans for orthodontic coverage, it’s important to consider the UCR rates, coverage for alternative treatments like Invisalign, and any lifetime maximum limitations that may impact the extent of coverage for orthodontic services.

By thoroughly exploring and understanding the various coverage options available, you can make an informed decision that aligns with your orthodontic needs and helps you achieve the smile you desire.

We hope this information helps you find the right dental insurance or dental discount plan that suits your needs for adult braces. If you have any further questions or need assistance, feel free to reach out to us at 310-534-3444. Your oral health and confident smile are our top priorities, and we look forward to helping you make an informed decision.

Question: Must you always have your wisdom teeth removed? I need clarification on the concept of having your wisdom teeth removed. Do you always have to have them removed? I just started having my bottom wisdom teeth come out, but they seem fine. They do not hurt me and, as far as I can tell, are coming out straight.

So why remove them just because? My dentist said they can start to cause problems, but if they are not causing problems now, why take them out? As you can see, I do not want to have any extractions. One is because of the cost, and two is because I only see the point if they are necessary. Lastly, there is a pain issue after having wisdom teeth removed.

Reply: Many people wonder if they must always have their wisdom teeth removed. As someone who has just started experiencing the emergence of their bottom wisdom teeth, you may also be curious about this. It’s essential to understand that wisdom teeth are the last set of molars to come in, usually between the ages of 17 and 25. These teeth can become impacted, meaning they grow at an angle, pushing against other teeth and causing pain and discomfort. Sometimes, they can cause gum disease, tooth decay, and even cysts. 

You’ve noticed that your wisdom teeth are coming out straight and aren’t causing pain or discomfort. So, why should you remove them? Your dentist has mentioned that they may cause problems, but why bother with extraction if they’re not causing any issues now? Not all wisdom teeth require extraction, and it is essential to note this. However, discussing this with your dentist and getting their professional opinion is best. They may suggest removing your wisdom teeth as a preventative measure to avoid future problems or leaving them if they aren’t causing any issues. 

You’re hesitant about undergoing the procedure, primarily due to the cost and the fact that you don’t see the point of getting it done unless necessary. It’s understandable to be concerned about the price, but keep in mind that leaving impacted wisdom teeth untreated can lead to more expensive and painful dental problems down the line. Ultimately, the decision to remove your wisdom teeth is yours, but it’s essential to consider your dentist’s advice and the procedure’s potential long-term benefits.

Understanding Wisdom Teeth: When to Extract and When to Keep Them

Wisdom teeth can cause a lot of confusion among dental patients. They are often a point of concern due to their potential to cause pain and discomfort, but many people are unsure whether or not they need to have them extracted. Here are some points that can help break down why you may need to pull a wisdom tooth and when you may not have to do so:

Reasons for extraction:

•  Impacted wisdom teeth that are growing at an angle, pushing against other teeth and causing pain and discomfort

• Wisdom teeth that are causing gum disease, tooth decay, or cysts: Wisdom teeth, also known as third molars, can cause gum disease, tooth decay, or cysts when they don’t have enough room to grow correctly. When wisdom teeth don’t fully emerge from the gums, they can create pockets where bacteria can grow, leading to gum inflammation and infection. Additionally, wisdom teeth can push against neighboring teeth, causing crowding and making it harder to clean teeth properly, leading to tooth decay. In some cases, wisdom teeth can also form cysts. Cysts are fluid-filled sacs that can damage the surrounding bone and teeth. It is essential to monitor the growth of wisdom teeth and consult a dentist if any issues arise.

•  Crowding, misalignment, or other orthodontic issues: Wisdom teeth, also known as third molars, can cause crowding, misalignment, or other orthodontic problems because they often don’t have enough room to emerge correctly in the mouth. Crowding can cause wisdom teeth to become impacted, meaning they cannot fully emerge from the gum line. When this happens, they can push against other teeth, causing them to shift out of alignment and creating crowding in the mouth. In some cases, wisdom teeth can also cause damage to adjacent teeth or lead to infection and inflammation in the gums. For this reason, many dentists recommend having wisdom teeth removed to prevent these issues from occurring.

Reasons for not extracting:

• Wisdom teeth that come in straight and do not cause pain or discomfort
•  Wisdom teeth that are fully functional and can be adequately cleaned
• Wisdom teeth that do not pose any risk to the patient’s dental health

Generally, it is best to consult a dentist to determine whether or not wisdom teeth should be extracted. A dentist can assess the patient’s overall dental health, the position of the wisdom teeth, and the potential risks associated with leaving them in place. It is essential to consider the dentist’s professional opinion while deciding what will be best for your long-term dental health.

Understanding Wisdom Teeth Removal: Procedure, Recovery, and Aftercare

Wisdom teeth removal is a standard dental procedure that many people undergo. This procedure is usually recommended by a dentist or oral surgeon when the wisdom teeth do not have enough space in the mouth to grow properly. It may cause problems like pain, infection, or damage to adjacent teeth. The wisdom teeth removal process involves several steps, from the initial consultation to post-operative care. This article will discuss each step in detail to help you understand what to expect during the procedure and how to take care of yourself afterward.

The process of wisdom teeth removal usually involves the following steps:

1. Consultation: The first step is to consult with a dentist or oral surgeon to determine whether you need to have your wisdom teeth removed. During your consultation, the dental professional may conduct a physical examination and take X-rays to evaluate the position of your teeth and assess any potential complications. This thorough evaluation will help the dental professional determine the best course of action for you, whether removing your wisdom teeth or pursuing alternative treatments. It’s always important to seek the advice of a professional to ensure the best outcome for your dental health. 

2. Anesthesia: Anesthesia is essential to the wisdom teeth removal procedure. Before the procedure begins, you will be given a local anesthetic to numb the area around the tooth. The anesthetic will help ensure you don’t feel any pain during extraction. Sometimes, you may also receive a sedative to help you relax during the procedure. 

The type of anesthesia used depends on your specific situation and the dentist’s recommendation. Local anesthesia is the most common type used for wisdom teeth removal. It is a numbing agent injected into the gum tissue around the tooth, numbing the area. Sometimes, the dentist may use general anesthesia, which puts you to sleep during the procedure. General anesthesia is for more complex extractions or if the patient has a high level of anxiety about the procedure.

Sedation is also an option for patients who are anxious or nervous about the procedure. There are different levels of sedation, including minimal sedation, moderate sedation, and deep sedation. Minimal sedation involves the use of nitrous oxide, which is also known as laughing gas. This type of sedation helps the patient to relax and feel more comfortable during the procedure. Moderate sedation, also known as conscious sedation, involves a medication that is given through an IV. This type of sedation puts the patient in a semi-conscious state, but they can still respond to commands. Deep sedation is the highest level of sedation and involves placing the patient to sleep during the procedure.

Discussing your anesthesia options with your dentist before the procedure is essential to determining the best method for you. Your dentist will consider your medical history, anxiety level, and the complexity of the extraction when making a recommendation. With the proper anesthesia, you can ensure a pain-free and comfortable wisdom teeth removal experience. 

3. Extraction:  Extraction of wisdom teeth typically involves a surgical procedure. Once the anesthesia has taken effect, the dentist or oral surgeon will make an incision in the gum tissue to access the tooth. They may also need to remove any bone blocking the tooth or cut the tooth into smaller pieces to facilitate its removal. 

Once the tooth is accessible, the dentist will use forceps to loosen it from the socket and remove it. This process can sometimes be uncomfortable, but the anesthesia should help minimize any pain or discomfort. 

After removing the tooth, the dentist cleans the area and places gauze over the socket to control bleeding. They may also stitch the gum tissue to promote healing.

4. Sutures: After removing the tooth, the dentist or oral surgeon may need to place stitches to close the wound. These stitches will dissolve over time.

5. Recovery: After the procedure, it is common to experience some swelling, discomfort, and bleeding. The dentist or oral surgeon will provide instructions for managing these symptoms, such as applying ice packs, taking pain medication, and avoiding smoking and drinking through a straw.

It is also essential to keep the extraction site clean to prevent infection. The dentist or oral surgeon will provide instructions on how to do this, such as rinsing with salt water or using special mouthwash.

Most people can resume normal activities within a few days of the procedure, but the area may take several weeks to heal fully.

6. Aftercare:  Following the dentist or oral surgeon’s aftercare instructions is essential to ensure proper healing and prevent complications. The aftercare instructions may include:

• Taking any prescribed medications as directed
• Eating soft foods and avoiding crunchy or hard foods for a few days
• Avoiding smoking and drinking alcohol
• Rinsing the mouth with salt water or using a special mouthwash
• Brushing and flossing gently around the extraction site
• Attending follow-up appointments with the dentist or oral surgeon to monitor healing progress and remove stitches.

It’s important to closely follow your dentist’s instructions for aftercare to ensure a smooth recovery.

Factors Affecting the Cost of Wisdom Teeth Extractions without Dental Insurance

The cost of wisdom teeth extractions without dental insurance can vary depending on various factors, such as the location, the complexity of the procedure, and the dentist’s experience. The average cost can range from $225 to $800 per tooth. However, some dentists may charge more or less than the average cost. It’s best to consult a dentist in your area for a precise cost estimate based on your case. 

There are a few ways to make wisdom teeth extractions more affordable if you don’t have dental insurance. One option is to shop around and compare prices at different dental clinics to find the most affordable option. Some clinics may offer payment plans or discounts for patients paying out of pocket. Another option is to look into dental schools or clinics associated with dental schools, where students may perform the extraction under the supervision of licensed professionals at a lower cost. You could also consider applying for a dental credit card or financing to spread out the cost of the extraction over a more extended period.

Factors Affecting the Cost of Wisdom Teeth Extractions without Dental Insurance

The average savings of having wisdom teeth extraction with dental insurance can be up to 50% or more. However, it is essential to check with your dental insurance provider to see your specific coverage and if there are any out-of-pocket expenses.

Having dental insurance can help cover the cost of wisdom teeth extractions, which can be expensive without coverage. Without insurance, patients are responsible for the total cost of the procedure, which can range from several hundred dollars per tooth, depending on the complexity of the extraction.

Additionally, dental insurance can help cover other dental services necessary before or after wisdom teeth extractions, such as X-rays, consultations, and follow-up appointments. Insurance can help patients avoid unexpected costs and ensure they receive the care they need for their dental health.

It’s essential to review the details of any dental insurance policy before undergoing wisdom teeth extractions to understand what services are covered, any deductibles or copays, and any restrictions or limitations. Patients should also consult with their dentist to determine the best course of action for their dental health and any potential complications or risks of the procedure.

Having dental insurance before undergoing wisdom teeth extractions helps patients save money and ensure they receive the necessary care for their dental health. It’s essential to review the details of any insurance policy and consult with a dentist to determine the best course of action for your dental needs.

Understanding the Importance of Wisdom Teeth Extraction: Risks and Benefits Explained

In closing, it is essential to understand that wisdom teeth can cause dental problems if left untreated. While not all wisdom teeth require extraction, it is crucial to consult your dentist to understand the potential risks of keeping your wisdom teeth. If you experience pain or discomfort in your wisdom teeth, it is best to seek professional advice to determine whether extraction is necessary. Remember that the decision to remove your wisdom teeth ultimately lies with you, but it is essential to consider the potential long-term benefits and risks. By being proactive and discussing your options with your dentist, you can make an informed decision that will help you maintain good dental health.

DentalOpinions.com – Your Comprehensive Resource for Dental Insurance Plans and Procedures

DentalOpinions.com is a comprehensive resource for consumers seeking information and reviews on dental plans and procedures. The site provides consumer opinions for dental insurance plans, dental plan procedures, dentists, and the various dental plans sold on the internet, including dental discount plans, reduced dental fee for service, PPO dental insurance plans, DHMO, and dental insurance indemnity products for individual and family dental plans. 

One of the standout features of DentalOpinions.com is the free dental insurance quotes available to consumers. These quotes can be obtained by calling the office at 310-534-3444, where a representative can provide a quote over the phone and help individuals select the best dental insurance plan for their needs. With a wide range of dental insurance plan types, individuals can compare plans and choose the one that works best for them.

In addition to providing free dental insurance quotes, DentalOpinions.com offers a wealth of information and resources on dental care and insurance. The site focuses on affordability and accessibility, which may be helpful for those seeking cost-effective dental options. Whether someone is looking for information on a specific procedure or wants to read consumer reviews on a dental insurance plan, there is something for everyone on DentalOpinions.com.

DentalOpinions.com also prides itself on providing excellent customer service. Its office hours are from 8 a.m. to 4 p.m. M—F, and representatives are available to answer any questions and help individuals navigate the often-confusing world of dental insurance. By offering valuable resources, personalized support, and a wide range of dental insurance plan options, DentalOpinions.com is an excellent resource for anyone seeking affordable and accessible dental care.

Multiflexdental.com announced today that their dental insurance indemnity plans were now available in 45 states. Indemnity dental insurance is true insurance and not a discount dental plan that is offered by most of the dental web sites on the internet. The Multiflex dental plans offer the insured good dental benefits while not having to close a network dentist. One can choose any dentist they want said Dr. David Blunt, while offering low monthly premium payments.

For more information see: MultiflexDental.com

Individual dental insurance is probably one of the most widely adopted private insurance types. Our individual dental insurance plans provide you with the coverage you need to promote good dental health. Since obtaining an individual dental insurance plan is very affordable, many people choose to take responsibility for that coverage either as a stand-alone policy or as a supplement to their group dental coverage. If you are a self-employed person and have had the misfortune of visiting a dentist, you will immediately realize the importance of buying individual dental insurance coverage. Individual dental insurance plan help and information – InsuranceCompany.com is a specialist in dental insurance and dental discount plans, vision and prescription coverage programs for individuals. We have been serving the dental insurance community since 1983, you will find our licensed dental insurance agents are well informed and ready to assist you. Compare dental insurance plans and decide which one is right for you and your family. Many of our dental plans have next day benefits including vision and prescription. InsuranceCompany.com offers quotes for individual insurance plans including an option to compare dental national coverage plans. Remember, buying dental insurance does not have to be a painful process. We offer individual dental insurance benefit coverage in all 50 states. Insurance company is a national leader of dental health and related products with an e-market place to compare affordable dental insurance from the nations largest dental companies.

Individual dental insurance plan is a very great way to cover yourself at reduced costs.  With dental insurance plans for you and your family, we can help make it easier to keep your smile healthy.  Our individual dental insurance plans provide you with the coverage you need to promote good dental health.  We feature a wide variety of dental insurance plans.  Some dental plans are administered by Delta Dental Insurance Company, part of the nation’s oldest and largest dental benefits system. For your dental health, you need to take care of two things — Your daily dental teeth care: A well planned dental insurance plan.  We will provide you with that information, what are the most affordable dental insurance plans around, making terms such as insurance quotes, direct reimbursement, family discount options, financial availability and premium capitation a breeze.  There is a difference between traditional dental insurance plans and discount plans.

IndividualDentalInsuranceTexas.com announces new dental web site for personal dental insurance plans. This Texas directory can be searched by state and you can select “individual” and get the list of just those companies that provide individual dental insurance in your state.  You can select “individual” and get the list of just those companies that provide individual dental insurance or discount plans in your state.  Dental insurance plans that are designed to cover patient’s dental treatment costs come in two forms-individual dental insurance and group dental insurance.You should try to get quotes from the different Texas dental insurance providers for your individual dental insurance.  These online multiple quotes will help you to zero in on the policy that might be the right individual dental insurance for you needs.  Just like any other insurance the higher premium you pay for your individual dental insurance the greater will be the extent of the treatments, you will higher limits and more choices in terms of dentists and treatments.

Check the background of the best individual dental insurance companies first.  If they are making the customers to jump through hoops to get their legitimate claims settled, then it is an individual dental insurance company you have to avoid at all costs.  Basically all individual dental insurance, both fee-for-service (indemnity) and managed care policies, will impose a 6- to 18-month waiting period for most or all procedures, which means services won’t be covered until after you’ve owned your policy for that long.

How to find dental insurance for your denti-cal plan can be found at CaliforniaDentalInsurance.com – Federal law governing the provision of dental services to children under Medicaid’s Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program requires that dental services be provided in accordance with a dental periodicity schedule.

This schedule must recommend treatment intervals that meet reasonable standards of dental practice, as determined by the State after consultation with recognized dental organizations involved in child health care, and at such other intervals that are medically necessary to determine the existence of a suspected illness or condition.

The dental periodicity schedule reflects the ages and intervals at which a child should receive specified dental services, not when a referral should take place. Following consultation with the California Dental Association (CDA), California Society of Pediatric Dentistry (CSPD) and American Academy of Pediatric Dentistry (AAPD), Denti-Cal has elected to use the attached periodicity schedule recommended by AAPD (reproduced with permission). The rationale supporting the procedures recommended in the periodicity schedule can be found on the AAPD Web site at http://www.aapd.org/media/Policies_Guidelines/G_Periodicity.pdf.

Although Denti-Cal supports the intervals recommended in the AAPD Periodicity Schedule, please be aware that the Manual of Criteria contained in the Provider Handbook governs Denti-Cal policy with respect to which procedures are benefits and the frequency at which they are allowable. For questions, please contact the Denti-Cal Telephone Service Center at (800) 423-0507.

http://www.denti-cal.ca.gov/provsrvcs/bulletins/Volume_26_Number_7.pdf

Medi-Cal Dental plans are becoming ever popular in meeting the needs of medicare customers and patients. We found that CaliforniaDentalInsurance.com had the most dental insurance plan options available on the internet. The problem medi-cal recipients were facing is that they had to meet certain monthly threshold requirement.

I spoke with Dr. David Blunt, CEO of DEL AMO Insurance Services, Inc., located in Harbor City who offers custom tailored dental insurance programs for medi-cal clients. Dr. Blunt said “we can offer the dental client a custom plan that will meet their specific financial threshold requirement using a licensed insurance dental plan company.”

Medi-Cal clients can reach InsuranceCompany.com at 310-534-3444 during regular business hours.

Yes — Most dental plans will cover this but it depends on several factors that only the dentist can help you evaluate. For a list of dental plans see InsuranceCompany.com, BestDentalPlans.com or Dental4Less.com they seem to have been around awhile on the internet and are reputable companies.

Here are some symptoms of this disease… Symptoms are often not noticeable until the disease is advanced. They include:

* Bad breath that won’t go away
* Red or swollen gums
* Tender or bleeding gums
* Painful chewing
* Loose teeth
* Sensitive teeth

Image of Tooth AnatomyAny of these symptoms may signal a serious problem, which should be checked by a dentist. At your dental visit:

* The dentist will ask about your medical history to identify underlying conditions or risk factors (such as smoking) that may contribute to periodontal disease.
* The dentist or hygienist will examine your gums and note any signs of inflammation.
* The dentist or hygienist will use a tiny ruler called a ‘probe’ to check for periodontal pockets and to measure any pockets. In a healthy mouth, the depth of these pockets is usually between 1 and 3 millimeters.
* The dentist or hygienist may take an x-ray to see whether there is any bone loss.
* The dentist may refer you to a periodontist, a specialist who treats gum diseases.

Source: http://www.nidcr.nih.gov/nidcr2.nih.gov/Templates/CommonPage.aspx?NRMODE=Published&NRNODEGUID={CE246689-D899-4CC7-B68A-805AD910F4E7}&NRORIGINALURL=%2foralhealth%2ftopics%2fgumdiseases%2fperiodontalgumdisease.htm&NRCACHEHINT=Guest#whatCauses

California has a new dental insurance website: IndividualDentalInsuranceCalifornia.com — This is some of the information they posted on the website. Individual Dental Insurance California Plans, California Individual Dental Plans, Individual Discount California Dental Plans, California Dentists: Dental insurance is divided into two categories, individual dental insurance and family dental insurance. If you are a self-employed person and have had the misfortune of visiting a dentist, you will immediately realize the importance of buying individual dental insurance coverage.  Today there are several companies throughout the USA offering other types of  dental plans as opposed to the individual dental insurance.

• Many people suffer from dental problems and have to spend considerably for treatment.  If you have heard of California dental plans, you may wonder why this option is better than other dental plans.  If your employer does not provide it, an individual dental insurance plan is something that you should consider purchasing.  There are many reasons why you may need to purchase supplemental dental insurance.  Don’t wait until you already have problems with your teeth to get dental insurance.

Dentists who participate in discount dental plans provide services at 30% or more below retail prices.  Once you know what you want-co-pay amounts, PPO, HMO, discount plan, family plan or individual coverage-it’s time to find a California dental insurance provider. California is also known for its climate, which is diverse in nature, state also witness’s divergent population living in California, having 58 counties in all.

California is well endowed with terms of dental insurance companies.  California dental plan provides you with dental discount plan, these plans are not insurance plan, here you can visit your participating dentist almost immediately and can save a hand full of money on your over all dental care procedures.  If you have heard of  Individual California dental plans, you may wonder why this option is better than other dental plans.  Finding low cost dental insurance in California is one part of the battle, but you also need to find the right fit PPO or HMO and family dental insurance in California vs. Dental insurance companies in California will design discount plans for groups, families and individuals.

If you’re a student at a college or university, you may be required to buy dental insurance for students. Student dental insurance means insurance mainly for college and university students.  Many students need to apply for dental insurance separately from their health insurance.  This article gives detailed information regarding dental insurance for students.

Student Dental insurance coverage – The Basics

Dental insurance coverage for college students is often undervalued.  College student dental insurance plans are generally a great financial help when a son or daughter goes to a university and is no longer covered by the family insurance plan.  Student dental insurance will be an important part of securing health care for a pupil, especially  if there has been a history of problems in the past.  Parents and students will need to review several student dental insurance policies.  Gather information on student dental insurance is just the beginning of learning about practical living and budgets.  The Internet can be a good place to begin research for college student dental insurance plans and policies especially at InsuranceCompany.com

Finding Dental Insurance for Students – Dental Insurance Company

Student health and dental insurance is usually offered by schools through insurance companies.  The school you attend might offer a student dental insurance scheme or student capitation dental insurance scheme.  With this type of student dental insurance, you may have to pay a monthly or yearly fee.  Student dental insurance may be purchased on line, a local agent, or through your school.  Student dental insurance is more affordable than individual insurance plan.  Student dental insurance is one of the most affordable insurance plans available since special student discounts may apply.

Its important to get the facts right before you start at a new school, so the tip is to ask your school what type of student dental insurance that they offer.  This is why it is important to continue oral health coverage or to obtain one the these student dental insurance policies for your child going to a university.  Whether you’re searching for student dental insurance or family dental insurance, we can help you find the dental health plan you need.

Student Dental Insurance – Customer Service Department

Our customer service department is ready to assist you with any questions you may have and help you purchase an employer, family or individual dental insurance plan today.  We provide access to many of the largest, most recognized individual dental insurance networks in the nation.

InsuranceCompany.com is a specialist in dental insurance, dental discount plans, vision and prescription coverage programs for individuals, families and groups. We have been serving the dental community since 1983, you will find our licensed dental insurance agents are well informed and ready to assist you. Compare dental insurance plans and decide which one is right for you and your family.

Many of our dental plans have next day benefits including vision and prescription. InsuranceCompany.com offers quotes for individual and family dental insurance plans including an option to compare dental national coverage plans. Remember, buying dental insurance does not have to be a painful process. We offer dental benefit coverage in all 50 states.

I hope this student dental insurance information has helped you and your family. For more information see InsuranceCompany.com
Dr. David Blunt

Dental sealants are thin plastic coatings that are applied to the grooves on the chewing surfaces of the back teeth to protect them from tooth decay.  Dental sealants are effective in preventing dental caries in the occlusal (chewing) and other pitted and fissured surfaces of the teeth.  Dental sealants were assessed in permanent molars (occlusal and buccal surfaces in lower molars and occlusal and lingual surfaces in upper molars), premolars (occlusal surface), and upper lateral incisors (lingual surface).

For more information see: InsuranceCompany.com

Denti-Cal is the dental care segment of the Medi-Cal program. Denti-Cal is administered by a private managed care plan, Delta Dental. Delta Dental’s primary function is to process claims and treatment authorization request (TARs) submitted by providers for dental services performed for Medi-Cal beneficiaries. The most recent contract between California Department of Health Services (DHS) and Delta Dental was signed in 1998.

Eligibility, administration and scope of services is governed by Welfare and Institution Code 14000 et seq. And Title 10 and Title 22 of the California Code of Regulations. Additional guidance about the program is provided in the Denti-Cal Provider Manual.

Eligibility

Individuals who are enrolled in the Medi-Cal Program are eligible to receive dental services provided by Denti-Cal. Eligibility is verified through presentation of a Beneficiary Identification Card, known as a BIC card. Certain limitations in access to dental services may apply to the following beneficiaries:

Upon verifying eligibility in Medi-Cal, a provider cannot bill a beneficiary for any part of the charge for a Medi-Cal covered service, except to collect copayments or share of cost. Providers can request payment of share of cost. Additionally, providers can input information about incurred medical expenses into the AEVS system (Automated Eligibility Verification System), which can help a beneficiary satisfy his/her share of cost obligation.

Services

Generally, Denti-Cal covers inpatient and outpatient services “which are reasonable and necessary for the prevention, diagnosis, and treatment of dental disease, injury or defect.” A number of dental services, including emergency and diagnostic services, including examinations, radiographs, biopsies and dental prophylaxis, are covered without prior authorization. Denti-Cal services are provided through fee-for-service as well as managed care arrangements. In the fee-for-service system, beneficiaries can access any dental provider who participates in Medi-Cal in their geographic area. In managed care, beneficiaries are restricted to those providers participating in the dental plan.

Additionally, in the fee-for-service system, approval of some services must be sought through a Treatment Authorization Request (TAR). In managed, care approval of certain services is provided by the health plan through its pre-authorization process. Some services, such as cosmetic procedures, experimental procedures that increase vertical dimension or restore occlusion, are excluded from coverage by Denti-Cal.

Source: http://www.caortho.org/insurance/dentical.cfm

Dental Officer, GS-680-12/13. Dental Officers are responsible for the full range of dental care provided to inmates, including prevention, diagnosis and treatment of diseases, injury, and deformities of the oral cavity.

Qualifications: Basic qualification requirements: Applicants must have a degree in dental surgery (D.D.S.) or dental medicine (D.M.D.) from a school approved by the Council on Dental Education, American Dental Association (ADA), or other dental school, provided the education and knowledge acquired was substantially equivalent to that of graduates from an ADA-approved school. Applicants must also be currently licensed to practice dentistry in a state, the District of Columbia, or Puerto Rico. In addition to the basic qualifications, applicants at the GS-12 level must also possess two years of professional dentistry experience and/or training; or superior academic ability defined as that demonstrated by an intern, who on the basis of an evaluation of all interns who have completed training in the same hospital or in the same kind of internship program over the past 5 years, would fall into this category. Applicants at the GS-13 must have three years of professional dentistry experience and/or training to at least that of a Board eligible. Experience and/or training must be in one of the following: post-licensure professional experience in the general practice of dentistry; approved internship training; approved residency training; graduate-level study in an accredited dental school; post-licensure professional experience in a specialized area of practice; or other advanced study or training outside of dental school or hospital creditable towards satisfaction of training program requirements for Board eligibility.

How to Apply: Search USAJobs for vacancies (series number GS-0680), or view Health Services Vacancies.

Source: http://www.bop.gov/jobs/job_descriptions/dental_officer.jsp

The excitement about the AAPD Head Start Dental Home Initiative is spreading throughout the dental community. Various state activities have resulted in many unsolicited letters from providers requesting participation in the initiative. These sentiments are well expressed in one, quoted by Alabama State Leader, Dr. Charles Hall, “we would gladly consider any initiative with the Head Start that would result in improved dental health care for the children of this county and the surrounding counties.”

AAPD State Leaders have expressed a great deal of gratitude to Head Start programs who have reached out for assistance. The dedication to improving the oral health of Head Start children expressed by Head Start staff is creating a momentum in many states in both the Head Start and dental communities. This cooperation is reflected in the experience of Montana State Leader Dr. Kevin Rencher, “I am most impressed by the need expressed by grantees. They are desperate to receive better dental care for their children. I think by getting that feeling across to the dental community, the desire to help is dramatically increased!”

Please contact your state leader if you would like more information about how you can be involved in the AAPD Head Start Dental Home Initiative. A complete list of our State Leaders, along with their contact information, is available on this Web site: http://www.aapd.org/headstart/

The Council of State Governments (CSG), coordinator of the Criminal Justice/Mental Health Consensus Project, will continue to provide technical assistance to BJA Mental Health Court Program grantees planning, implementing, evaluating, and sustaining their Mental Health Courts. In addition, they will provide similar assistance to nongrantee mental health courts and to other court-based initiatives to improve the response to people with mental illness in the criminal justice system.

The focus of this year’s technical assistance will be on helping court-based initiatives fully integrate their activities with other similar programs in the jurisdiction. To achieve this goal, CSG will make available the following forms of support:

• Convene a national conference for court-based programs to improve the response to people with mental illness including mental health courts. 
• Maintain a web site dedicated to mental health courts, which also serves as a clearinghouse of information for anyone working in the criminal justice system seeking to improve the response to people with mental illness in the justice system. 
• Provide onsite and offsite technical assistance to grantees and nongrantees. 
• Develop a network of demonstration mental health courts, which will provide peer-to-peer support for courts seeking to improve their response to this population. 
• Coordinate technical assistance efforts with the Substance Abuse and Mental Health Services Administration and its TAPA and GAINS Centers for technical assistance to provide assistance on mental health services and jail diversion strategies. This includes support for the Judges Leadership Initiative, which seeks to build leadership in the judiciary to effectively address the community and consumer needs of those with mental illness in the criminal justice system. 
• Develop and disseminate a written product identifying and explaining the essential elements of a mental health court. 
• To develop written publications on key issues related to justice and mental health collaboration. Current publications include: What Is a Mental Health Court? (under development); Navigating the Mental Health Maze; and A Guide to Collecting Mental Health Court Outcome Data.

For more information on technical assistance available under this program, visit the BJA Mental Health Courts Program page at www.consensusproject.org and/or register for the Consensus Project e-newsletter.

Source: http://www.ojp.usdoj.gov/BJA/grant/mentalhealth.html

Understanding the beginning of TMJ

The temporomandibular joint connects the lower jaw, called the mandible, to the bone at the side of the head—the temporal bone. If you place your fingers just in front of your ears and open your mouth, you can feel the joints. Because these joints are flexible, the jaw can move smoothly up and down and side to side, enabling us to talk, chew and yawn. Muscles attached to and surrounding the jaw joint control its position and movement.

     

When we open our mouths, the rounded ends of the lower jaw, called condyles, glide along the joint socket of the temporal bone. The condyles slide back to their original position when we close our mouths. To keep this motion smooth, a soft disc lies between the condyle and the temporal bone. This disc absorbs shocks to the jaw joint from chewing and other movements.

The temporomandibular joint is different from the body’s other joints. The combination of hinge and sliding motions makes this joint among the most complicated in the body. Also, the tissues that make up the temporomandibular joint differ from other load-bearing joints, like the knee or hip. Because of its complex movement and unique makeup, the jaw joint and its controlling muscles can pose a tremendous challenge to both patients and health care providers when problems arise.

Autism: Dental Health Problems

People with autism experience few unusual oral health conditions. Although commonly used medications and damaging oral habits can cause problems, the rates of caries and periodontal disease in people with autism are comparable to those in the general population. Communication and behavioral problems pose the most significant challenges in providing oral care.

DAMAGING ORAL HABITS are common and include bruxism; tongue thrusting; self-injurious behavior such as picking at the gingiva or biting the lips; and pica–eating objects and substances such as gravel, cigarette butts, or pens. If a mouth guard can be tolerated, prescribe one for patients who have problems with self-injurious behavior or bruxism.

DENTAL CARIES risk increases in patients who have a preference for soft, sticky, or sweet foods; damaging oral habits; and difficulty brushing and flossing.

• Recommend preventive measures such as fluorides and sealants.
• Caution patients or their caregivers about medicines that reduce saliva or contain sugar. Suggest that patients drink water often, take sugar-free medicines when available, and rinse with water after taking any medicine.
• Advise caregivers to offer alternatives to cariogenic foods and beverages as incentives or rewards.
• Encourage independence in daily oral hygiene. Ask patients to show you how they brush, and follow up with specific recommendations. Perform hands-on demonstrations to show patients the best way to clean their teeth. If appropriate, show patients and caregivers how a modified toothbrush or floss holder might make oral hygiene easier.
• Some patients cannot brush and floss independently. Talk to caregivers about daily oral hygiene and do not assume that they know the basics. Use your experiences with each patient to demonstrate oral hygiene techniques and sitting or standing positions for the caregiver. Emphasize that a consistent approach to oral hygiene is important–caregivers should try to use the same location, timing, and positioning.

Cerebral Palsy: Dental Health Care

People with cerebral palsy may present with physical and mental challenges that have implications for oral care. Before the appointment, obtain and review the patient’s medical history. Consultation with physicians, family, and caregivers is essential to assembling an accurate medical history. Also, determine who can legally provide informed consent for treatment.

The different TYPES OF CEREBRAL PALSY are classified according to associated motor impairments:

Spastic palsy presents with stiff or rigid muscles on one side of the body or in all four limbs, sometimes including the mouth, tongue, and pharynx. People with this form of cerebral palsy may have legs that turn inward and scissor as they walk, or arms that are flexed and positioned against their bodies. Many also have intellectual disability, seizures, and dysarthria (difficulty speaking).

Dyskinetic or athetoid palsy is characterized by hypotonia and slow, uncontrolled writhing movements. People with this type of cerebral palsy experience frequent changes in muscle tone in all areas of their bodies; muscles may be rigid during waking hours and normal during sleep. Dysarthria is also associated with this type.

Ataxic palsy is marked by problems with balance and depth perception, as well as an unsteady, wide-based gait. Hypotonia and tremors sometimes occur in people with this rare type of cerebral palsy.

Combined palsy reflects a combination of these types.

Everyone who has cerebral palsy has problems with movement and posture. Observe each patient, then tailor your care accordingly.

• Maintain clear paths for movement throughout the treatment setting. Keep instruments and equipment out of the patient’s way.

• Positioningfor treating a patient in a wheelchair.  Note the support asliding board can provide.  Sliding or transfer boards areavailable from  home health care companies.

  Some patients cannot be moved into the dental chair but instead must be treated in their wheelchairs. Some wheelchairs recline or are specially molded to fit people’s bodies. Lock the wheels, then slip a sliding board (also called a transfer board) behind the patient’s back to support the head and neck.

• If you need to transfer your patient from a wheelchair to the dental chair, ask about special preferences such as padding, pillows, or other things you can provide to ease the transition. The patient or caregiver can often explain how to make a smooth transfer. (See Wheelchair Transfer: A Health Care Provider’s Guide, also part of this series.)

UNCONTROLLED BODY MOVEMENTS are common in people with cerebral palsy. Their limbs move often, so providing oral care can be difficult. When patients with cerebral palsy attempt to move in order to help, their muscles often tense, increasing uncontrolled movements.

• Make the treatment environment calm and supportive. Try to help your patient relax. Relaxation will not stop uncontrolled body movements, but it may reduce their frequency or intensity.
• Place and maintain your patient in the center of the dental chair. Do not force arms and legs into unnatural positions, but allow the patient to settle into a position that is comfortable and will not interfere with dental treatment.
• Observe your patient’s movements and look for patterns to help you anticipate direction and intensity. Trying to stop these movements may only intensify the involuntary response. Try instead to anticipate the movements, blending your movements with those of your patient or working around them.
• Softly cradle your patient’s head during treatment. Be gentle and slow if you need to turn the patient’s head.
• Exert gentle but firm pressure on your patient’s arm or leg if it begins to shake.
• Try to keep appointments short, take frequent breaks, or consider prescribing muscle relaxants when long procedures are needed. People with cerebral palsy may need sedation, general anesthesia, or hospitalization if extensive dental treatment is required.

PRIMITIVE REFLEXES are common in many people with cerebral palsy and may complicate oral care. These reflexes often occur when the head is moved or the patient is startled, and efforts to control them may make them more intense. Three types of reflexes are most commonly observed during oral care.

Asymmetric tonic neck reflex: When a patient’s head is turned, the arm and leg on that side stiffen and extend. The arm and leg on the opposite side flex.

Tonic labyrinthine reflex: If the neck is extended while a patient is lying on his or her back, the legs and arms also extend, and the back and neck arch.

Startle reflex: Any surprising stimuli, such as noises, lights, or a sudden movement on your part, can trigger uncontrolled, often forceful movements involving the whole body.

• Be empathic about your patient’s concerns and frustrations.
• Minimize the number of distractions in the treatment setting. Movements, lights, sounds, or other stimuli can make it difficult for your patient to cooperate. Tell him or her about any such stimulus before it appears. For example, tell the patient before you move the dental chair.

MENTAL CAPABILITIES vary. Many people with cerebral palsy have mild or moderate intellectual disability, but only 25 percent have a severe form. Some have normal intelligence.

• Talk with the parent or caregiver to determine your patient’s intellectual and functional abilities, then explain each procedure at a level the patient can understand. Allow extra time to explain oral health issues, instructions, or procedures.
• Use simple, concrete instructions and repeat them often to compensate for any short-term memory problems. Speak slowly and give only one direction at a time.
• Demonstrations can make patients more cooperative. For example, turn on the saliva ejector so the patient can hear it and feel it at the corner of the mouth. Then slowly introduce it inside the mouth, being careful not to trigger a gag reflex.
• Be consistent in all aspects of oral care. Use the same staff and dental operatory each time to help sustain familiarity. Consistency leads to improved cooperation.
• Listen actively, since communicating clearly is difficult for some–show your patient whether you understand. Be sensitive to the methods he or she uses to communicate, including gestures and verbal or nonverbal requests.

SEIZURES may accompany cerebral palsy, but can usually be controlled with anticonvulsant medications. The mouth is always at risk during a seizure: Patients may chip teeth or bite the tongue or cheeks. Patients with controlled seizure disorders can easily be treated in the general dental office.

• Consult your patient’s physician. Record information in the chart about the frequency of seizures and the medications used to control them. Determine before the appointment whether medications have been taken as directed. Know and avoid any factors that trigger your patient’s seizures.
• Be prepared to manage a seizure. If one occurs during oral care, remove any instruments from the mouth and clear the area around the dental chair. Attaching dental floss to rubber dam clamps and mouth props when treatment begins can help you remove them quickly. Do not attempt to insert any objects between the teeth during a seizure.
• Stay with your patient, turn him or her to one side, and monitor the airway to reduce the risk of aspiration.

VISUAL IMPAIRMENTS affect a large number of people with cerebral palsy. The most common of these defects is strabismus, a condition in which the eyes are crossed or misaligned. People with cerebral palsy may develop visual motor skills, such as hand-eye coordination, later than other people.

• Determine the level of assistance your patient requires to move safely through the dental office.
• Use your patients’ other senses to connect with them, establish trust, and make treatment a good experience. Tactile feedback, such as a warm handshake, can make your patients feel comfortable.
• Face your patients when you speak and keep them apprised of each upcoming step, especially when water will be used. Rely on clear, descriptive language to explain procedures and demonstrate how equipment might feel and sound. Provide written instructions in large print (16 point or larger).

HEARING LOSS and DEAFNESS can be accommodated with careful planning. Patients with a hearing problem may appear to be stubborn because of their seeming lack of response to a request.

• Patients may want to adjust their hearing aids or turn them off, since the sound of some instruments may cause auditory discomfort.
• If your patient reads lips, speak in a normal cadence and tone. If your patient uses a form of sign language, ask the interpreter to come to the appointment. Speak with this person in advance to discuss dental terms and your patient’s needs.
• Visual feedback is helpful. Maintain eye contact with your patient. Before talking, eliminate background noise (turn off the radio and the suction). Sometimes people with a hearing loss simply need you to speak clearly in a slightly louder voice than normal. Remember to remove your facemask first or wear a clear face shield.

DYSARTHRIA is common in people with cerebral palsy, due to problems involving the muscles that control speech and mastication.

• Be patient. Allow time for your patient to express himself or herself. Remember that many people with dysarthria have normal intelligence.
• Consult with the caregiver if you have difficulty understanding your patient’s speech.

 

GASTROESOPHAGEAL REFLUX sometimes affects people with cerebral palsy, including those who are tube-fed. Teeth may be sensitive or display signs of erosion. Consult your patient’s physician about the management of reflux.

• Place patients in a slightly upright position for treatment.
• Talk with patients and caregivers about rinsing with plain water or a water and baking soda solution. Doing so at least four times a day can help mitigate the effects of gastric acid. Stress that using a fluoride gel, rinse, or toothpaste every day is essential.

 

Record in the patient’s chart strategies that were successful in providing care. Note your patient’s preferences and other unique details that will facilitate treatment, such as music, comfort items, and flavor choices.