Friday, November 30, 2012

Dentist Alpharetta: How much do Veneers Cost?


So how much do dental veneers really cost? The cost for porcelain veneers varies widely. They can run anywhere from $925 to $2,500 per tooth. There are several reasons for the difference in cost and it also varies widely across the United States.  And yes, one might consider veneers to be quite expensive but they do offer several benefits.  One of which is a distinctly improved smile.
First, lets discuss what porcelain veneers are.  Porcelain veneers are extremely thin custom made covers for the front surface of the teeth. They can be made from porcelain or direct composite resin.  Although porcelain veneers are more expensive than composite, they last much longer and are more stain resistant.  Traditional composite veneers last on average between five and seven years while porcelain veneers last between 10 and 18 years.
Veneers are used for a variety of purposes. They can be used to fix chipped or broken teeth or teeth that have become discolored by root canal work, excessive fluoride, or drugs such as tetracycline. Porcelain veneers can also be used to correct misaligned teeth or teeth with gaps between them.  But the most common reason for veneers is cosmetic. They can be used to change the length, shape, size and color of teeth. In effect, they can be used to create a designer smile.
There is also a difference in cost between having the procedure done in a metropolitan area versus a small town. Another cost variation is the difference in cost from one ceramics lab to the next. The number of veneers done also affects cost. A single veneer usually is more expensive per tooth than a set of veneers.
Because veneers are considered a cosmetic procedure, they generally are not covered by insurance. In some cases, depending on the insurance company and the policy coverage they may be eligible for a dental discount. Again, the amount and availability of this discount varies widely.  In special circumstances some insurance may pay up to 50% depending on the type of policy. To offset the high cost of veneers, most dentists offer special payment plans.
Getting dental veneers is a multi-step process. The initial visit usually consists of a consultation and depending on the dentist and the amount of work to be done, x-rays and/or impressions of the teeth may be done at this time.  On the first working visit the dentist will remove approximately 1/2 millimeter of enamel from the tooth or teeth to be veneered and make a model to send to the lab that will make the veneer.  This is most often done with a local anesthetic. Normally it takes one to two weeks to construct the veneers.  During the next visit, the veneer is temporarily placed to check for proper color and fit.
The tooth that is to receive the veneer is then cleaned, polished, and etched. The etching roughens the surface of the tooth for better adhesion of the veneer. The veneer is cemented into place and a follow up visit to check placement and adhesion may be required.
How long do porcelain veneers last?  They can last between five and ten years or more, depending on how you take care of them. But at some point they probably will need to be replaced. Just like real teeth, porcelain veneers need to be thoroughly brushed and flossed daily.
Your smile is the first thing people notice about you which is the primary reason people want porcelain veneers.  If we can be of service or you have any questions, please feel free to contact us.
Novy Scheinfeld, DDS, PC
290 Carpenter Drive, 200A
Atlanta (Sandy Springs), GA 30328
404-256-3620

Thank you for all your referrals.  We truly appreciate them.
Information included is not dental or medical advice.  For your specific information
 be sure to consult your dentist.
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Thursday, November 29, 2012

Dentist Sandy Springs: How Much does a Dental Crown Cost?


Dental crowns cost anywhere between $900.00 and $1600.00 each depending on the tooth to being restored. In addition, the cost will vary depending on materials, complexity and the dentist's training and experience and to some degree the location of the practice.  Insurance may pay part of a crown's cost if it's obviously needed for medical reasons, but usually crowns are covered only on a limited basis per year.  Depending on the customers’ needs and wishes, partial and full crowns made of various materials may be utilized.  Crowns are made of gold, porcelain, resin or porcelain-fused-to-non-precious-metal.  A tooth-shaped cap (the crown) covers the entire surface of a tooth, adding strength, durability and stability. This usually requires two office visits; first to prepare the tooth, make an impression and install a temporary crown. The impression is sent to a dental laboratory or manufactured in-house with the use of a CAD aided milling machine to create the permanent crown, which is installed during the second appointment.

There's often an initial office visit ($65-$102) and X-rays ($85-$135).  One must not forget that there are additional costs that contribute to the overall price involved in crowns, aside from the material and type of crown chosen which are beyond the patient’s control.  A large share of undervalued costs goes toward the treatment itself, lab and production costs for the crown, aftercare and the like.

Dental care on a whole is often considered expensive, but with proper care a crown may last 10 or more years.  Depending upon the general wear and tear a crown is exposed to and how well you keep your teeth free of plaque, it could last indefinitely.  With somewhere between 10 and indefinitely, the investment becomes rather modest, if not inexpensive.

If we can be of service or answer any of your questions please do not hesitate to give us a call.

Novy Scheinfeld, DDS, PC
290 Carpenter Drive, 200A
Atlanta (Sandy Springs), GA 30328
404-256-3620

Thank you for all your referrals.  We truly appreciate them.
Information included is not dental or medical advice.  For your specific information
 be sure to consult your dentist.

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Dentist Vinings: How much do dental fillings cost?


The cost of a filling can vary greatly, depending on who you go to, the type of filling and degree of restoration required.   An amalgam ("silver/mercury filling") is cheaper than a composite (white/resin filling), but will last significantly longer if you are unconcerned about aesthetics and the back and forth debate over whether or not amalgams may be linked to other health issues.  The US Food and Drug Administration (FDA) and the American Dental Association (ADA) found there is no danger from an amalgam filling, but some specialists and consumers remain unconvinced by the findings.

One of the ways to find out the actual range of cost is to just call a local dentist from the internet and ask them.  You are going to find some hesitancy to quote over the phone because each person presents a different set of restorative circumstances, but you should be able to get a range of costs or a free consultation.

While costs vary from one area to the next and from one office to the next, the cost of typical amalgam filling ranges from approximately $75 to $175 per filling, whereas a composite resin filling ranges from $125 to $300 for a single surface restoration.  You should expect about 3 to five years (possibly 7 years) of use from the composite and as many as 20 years or longer from an amalgam restoration.  Actually a well-cared-for amalgam filling can last a lifetime, so the expensiveness of the filling really becomes a minor consideration.

Restorative circumstances are going to vary from tooth to tooth and decay may be found in one small spot or throughout a tooth. The restorative fees are based on the number of surfaces needing filling in a single tooth.  A silver amalgam filling on one or two surfaces averages $75 to $175, while for three or more surfaces it could go as high as $120 to $300 or more.  The same type of logic follows with respect to composite restorations.  Since composite resin fillings are more time consuming and require greater skills to completion they are more expensive than amalgam fillings and weigh in on the more expensive side of caries restorations.
Typically dental insurance covers most or all of the costs of a silver amalgam filling, but only 50 to 80 percent of the cost of a composite filling because the higher charge for the tooth-colored material is considered a cosmetic option. One exception is when an old amalgam filling is cracked or broken and is replaced with a composite filling.

Your dentist should be advising you of the type of filling based on the size of the cavity and the location of the tooth in your mouth.  Amalgams are more likely to be placed in the back of your mouth while composites are more likely to be used on more-visible front teeth. WebMD.com gives an overview of typical filling procedures and Colgate.com lists pros and cons of different types of fillings.
Amalgam Advantages
  • Amalgam fillings are strong and can withstand the forces of chewing.
  • They are relatively inexpensive and last a long time, compared with alternatives.
  • An amalgam filling is completed in one dental visit.
Amalgam Disadvantages
  • Amalgam doesn't match the color of your teeth.
  • Healthy parts of your tooth often must be removed to make a space large enough to hold an amalgam filling.
  • Amalgam fillings can corrode or tarnish over time, causing discoloration where the filling meets the tooth.
  • A traditional amalgam filling does not bond (stick) to your tooth, so the cavity preparation developed by your dentist requires undercuts or ledges to provide retention of the filling.  Your dentist may have to remove additional tooth structure to establish good retention for the filling.  
  • Some people may be allergic to mercury or be concerned about its effects, although research shows the amount of mercury exposure from fillings is similar to what people get from other sources in the environment.
Composite Advantages
  • Your fillings will match the color of your teeth and therefore undetectable.
  • A filling should be completed in one dental visit.
  • Composite fillings can bond directly to the tooth, making the tooth stronger than it would be with an amalgam filling.
  • Less drilling is involved than with amalgam fillings because your dentist does not have to shape the space as much to hold the filling securely.  The bonding process holds the composite resin in the tooth.
  • Indirect composite fillings are heat and light cured increasing their strength.
  • Composite resin can be used in combination with other materials, such as glass ionomer, to provide the benefits of both materials.
Composite Disadvantages
  • Although composite resins have become stronger and more resistant to wear, they generally don’t last as long as amalgam fillings under the pressure of chewing.
  • The composite may shrink when placed; this can lead to more cavities in the future in areas where the filling is not making good contact with your tooth.
  • This restoration takes more time and skill to place because they are usually placed in layers. The increased time and labor involved also contribute to the higher cost (compared with amalgam fillings).
  • Indirect fillings and inlays take at least two visits to complete. Your dentist takes impressions at the first visit and places the filling or inlay at the second visit.
  • In large restorations, composites may not last as long as amalgam fillings.
The trick is to find a qualified, well trained dentist, and that requires you to educate yourself about the dentist you choose and a basic knowledge about dentistry.  If we can be of service or answer any questions or concerns please feel free to contact us, we’re just a stone’s throw from Cobb County.

Novy Scheinfeld, DDS, PC
290 Carpenter Drive, 200A
Atlanta (Sandy Springs), GA 30328
404-256-3620
info@rightsmilecenter.com

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Wednesday, November 28, 2012

Dentist Marietta: 9 Facts about Dental Implants


Many people are unaware of the consequences of losing their teeth or the effects of wearing partial or full dentures upon their jaws and bones. When teeth are lost, the surrounding bone immediately begins to shrink [atrophy]. Implant treatment, for tooth replacement therapy, can be the optimal treatment plan. Here are some important facts to take into consideration.

 Wearing dentures [plates] accelerates bone loss, and old dentures become loose because of this bone loss. It is possible to watch and wait for bone to disappear to the point where treatment success of any kind is in doubt.

 At the end of a five-year period, only 40% are still wearing the original partial denture made for them. This is not a great testimonial for value and utility. Those lucky enough to have a functioning partial denture after 5 years are still losing valuable supporting bone.

 Of those patients who wear a partial denture, 50% chew better without it.

 One study showed that after 8 years, 40% of the supporting teeth [abutments] that the partial hooks onto were lost through tooth decay or fracture.

 Patients with natural teeth can bite with about 200 pounds of force. Denture wearers can bite with approximately 50 pounds of force. Those wearing dentures for 15 years or more can bite with only about 6 pounds of force, and their diet and eating habits have had to been modified accordingly.

 The average lower full denture shifts from side to side during chewing and is a significant problem that new denture wearers must get use to and accept.

 Denture wearers have decreased nutritional intake, a ten year shorter life span, and 30% of denture wearers can only eat soft foods.

 The single tooth implant success rate is above 98%, and unlike a bridge, the teeth adjacent to the implant are no more at risk than if no teeth were missing.

 Implant-supported bridges or dentures have 95% success rates over 10 years without the severe loss of supporting bone.

For bone maintenance, the health of adjacent teeth, the longevity of the restoration and patient comfort, implant therapy is the treatment of choice. Implants can restore chewing function to the equivalent of someone with natural teeth. If you have questions or want to know if you are a good candidate for implant tooth replacement therapy, please contact us.

Novy Scheinfeld DDS PC
290 Carpenter Drive, 200A
Atlanta (Sandy Springs), GA 30328
(404) 256-3620
info@rightsmilecenter.com
www.rightsmilecenter.com

Thank you for all your referrals.  We truly appreciate them.
Information included is not dental or medical advice.  For your specific information
 be sure to consult your dentist.
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Tuesday, November 27, 2012

Dentist Vinings: How Much Do Dental Implants Cost?


If you are trying to figure out the ins and outs of  implants verses the older more conventional methods of tooth replacement, the cost of dental implants at first blush may appear higher, and therefore, unaffordable to most people.  But appearances can be deceiving if you examine the beneficial differences and the time involved by your specialist.  While I have written on those issues before, let’s explore other aspects of price and how different dental implants may differ very significantly depending on different factors.

The real concern for the patient is ‘where and how’ to find a low cost quality dental implant, and is most likely the driving adjective ‘low cost’ a result of the perception by the patient that teeth are utilitarian to their daily life.  Quite the contrary, that’s really not the case.  To put the cost into perspective, all the while considering that your teeth aren’t really as appreciated as much as they should be, let’s examine what goes into the cost of a dental implant.

4 Factors that Drive the Cost of Dental Implants:

The Material:
The traditional materials – prices of cobalt-chromium alloy and titanium are not the same.  Implants from cobalt-chromium (CC) alloy rods are cheaper than comparable titanium implants, but when it comes to zirconium dioxide, then cost of a dental implant may appear to be cost prohibitive to the patient.  But, depending on where the implant is being placed, you may end up with a less than satisfactory result with the less expensive CC implant.

The Size:
This case is a significant factor.  The bigger the implant, the more material, the more it costs, but also the more it may do.  Also, special coatings applied to the surface of the implant, contribute to better osseo-integration with the bone, will affect the cost of the dental implant.

The Manufacturer:
Different manufacturers put different prices on similar rods made from the same material. Some manufacturers include some kind of an extra charge in the dental implant’s price for their brand name. This is a lot more esoteric and therefore harder to explain.   It’s like trying to explain the difference between Polo and Hanes T-shirts.

Finally, it may depend on where your dentist gets his implants from.  And this factor may be a function of how motivated your dentist is in providing you with the best implant material for the least amount of cost to you.  Some of that may just end up being economies of scale by your provider.  Does your dental provider have contacts directly with manufactures in China or Israel, where the dental implant cost can be significantly reduced, while the indirect purchase of dental implants from U.S dental suppliers may ratchet up the price?

If the price is too good to be true?

The cost of an dental implant starts from around $1,500 up to $5,000.00 .  Anything less may be an indicator that you’re getting an inferior product or one not designed for a particular location in your mouth.  Short term, the implant device may appear to be fully functional.  But if we look at the cost and the cost of other materials for dental implants compared to their operational life, the difference may be likened to the difference between Toyo’s and Michelin tires.  Here again you may get what you pay for and the initial cost may appear affordable, but in the  long term you are going to get a better result with respect to how it functions and how long it lasts if your provider installs Michelins.

A lot of your choice and cost may depend on the choice of your provider.   It’s not to say the more you spend the better you will be.  Rather, a reputable practitioner, who is truly trained in the placement and restoration (and this may be two providers), may be a significant factor in what you end up with and what it costs.  Trust and reputation are the more difficult factors to define for the patient.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620



Thank you for all your referrals.  We truly appreciate them.

Information included is not dental or medical advice.  For your specific information

 be sure to consult your dentist.

Related articles



·    Dentist Sandy Springs: Success Rates of Dental Implants (therightsmile.wordpress.com)

Wednesday, November 14, 2012

Dentist Sandy Springs: Alert - Denied Dental Procedures


A denied dental procedure does not mean the procedure wasn’t necessary.  It just means your insurance carrier won’t cover it as a benefit of your plan.  Limitations in an employer’s group policy most likely result in these noncovered procedures.  This is a huge problem for your healthcare provider, because your care provider is trying to do what you need and not what is paid for by your insurance carrier.  To compound these denials, some policies are designed such that they do not allow the dentist charge you for certain procedures.  However, that does not mean your dentist can avoid the procedure because it may be absolutely necessary as a part of your treatment.  This scenario has left your dentist wondering whether or not you will pay for the services being rendered because your insurance carrier is denying a necessary procedure and lack of patient understanding.  And finally, this scenario has left your dentist perplexed as to how to overcome the perception by patients that they are not being honest with them.

The solution is patient ‘push back’ for the coverage you’re entitled to.  Patients need to question, if not challenge the benefits they have paid for but have been denied.  And patients need to recognize that the contractual relationship is between you and your insurance provider, not your dentist and your insurance provider.  Your dentist has absolutely not leverage with your insurance carrier.

Hopefully, this is a little helpful in understanding the difficulties in receiving your full insurance benefits.   If we can answer any of your concerns or questions, please feel free to contact us.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200B

Atlanta (Sandy Springs), GA 30328

404-256-3620



 

Thank you for all your referrals.  We truly appreciate them.

Information included is not dental or medical advice.  For your specific information

 be sure to consult your dentist.

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Tuesday, November 13, 2012

Dentist Vinings: What you probably don’t know about Cosmetic Dentists


It seems to be prevalent in that most dentists these days are calling themselves cosmetic dentists, but there is no cosmetic specialty in dentistry.   And quite frankly, all dentistry is cosmetic.   I don’t know anyone who took the ‘ugly’ teeth class in dental school, because it doesn’t exist.  Regardless, the fact remains that the majority of dentists are general dentists, but call themselves ‘cosmetic dentists’.   They all have undergraduate degrees with either a BA or BS and at least four years of dental school with either a DDS or a DMD as the result.  But not one of them has a ‘cosmetic specialty’ in dentistry.   Those dentists who choose to make the claim do so by virtue of deciding to focus on cosmetics in their general practices.   The American Dental Association (ADA) only has nine recognized post dental degree dental specialties and cosmetic dentistry is not one of them.  These specialties range in one to six years of advance training beyond dental school.  At the end of their post doctorate degree, these dentists receive additional certifications in their respective specialties, thus becoming what should be considered experts within their fields of dentistry.   Some are either board eligible or board certified.  These ADA specialties are:

Dental Public Heath, Oral and Maxillofacial Pathology, Radiology and Surgery, Orthodontics, Endodontics, Pediatric Dentistry, Periodontics, and the least known, Prosthodontics.

Prosthodontics: (crown, bridge, and implants) A Prosthodontist has a dental specialty license pertaining to the diagnosis, treatment planning, rehabilitation and maintenance of the oral function, comfort, appearance and health of patients with clinical conditions associated with missing or deficient teeth and/or oral and maxillofacial tissues using biocompatible substitutes. Most dentists are not trained prosthodontic graduates of a dental school - rather they take short continuing education and utilize trial and error experience to be able to understand how size, shape, color and symmetry all work together to create what a prosthodontist is trained in their post graduate work.   On the other hand, the prosthodontist is trained at a university to create the smile that implements the use of veneers, crowns, bridges and the increasingly more common procedure of dental implants to ensure that the right smile is achieved, both functionally and aesthetically beautiful.  If anyone has a specialty in cosmetic dentistry, it would be the prosthodontist.  So when you are seriously looking for a cosmetic dentist, look for a prosthodontist.

Novy Scheinfeld, DDS, PC
290 Carpenter Drive, 200A
Atlanta (Sandy Springs), GA 30328
404-256-3620



 

Thank you for all your referrals.  We truly appreciate them.

Information included is not dental or medical advice.  For your specific information

 be sure to consult your dentist.

 

Related articles


Monday, November 12, 2012

Dentist Vinings: Why you might be better off seeing a Prosthodontist


(Prosthodontist = ADA accredited cosmetic dentist)

Prosthodontic dentists are with the passage of time gaining popular recognition as patients become more familiar with the advances in dentistry and how they can enhance their everyday lives. They are expert dentists with a post graduate ADA recognized degree centered around a complete knowledge of dentistry,  where function and beautification of teeth are combined in the final result.

There are a lot of people in this world who just weren’t born with beautiful smiles or for other circumstances ended up with damaged teeth.  Some inherited stains from medicines their parents took prior to child birth, while others developed discolorations through the years that make their appearance unattractive whenever they open to either to talk or smile. These people can be helped by  dentists who specialize in the cosmetic restorations that provide methods, procedures and plans which ultimately improve their personality as much as it improves their mouth.

The first advantage of a prosthodontist is time related.  As a result of their training and experience with difficult cases modern techniques take much less time in the beautification of the teeth as compared to older ordinary dentistry.  Techniques and procedures as common as in house whitening which takes only couple of hours as opposed to otherwise days of the repeated home bleaching have become fairly common place and routine in the restoration of a smile.

Another major change related to teeth are implants. In the past there had been an extensive time period involved in replacing missing teeth.  Now, while still a complex procedure there are alternatives that with significant preparation allow for teeth to be implanted in a day and utilized by the patient shortly thereafter.

Finally, technology often comes into play with veneers which are made up of a special material and again while technique sensitive are very easy to incorporate into quick and favorable results.  The combination of all of these techniques rest comfortably within the purview of a prosthodontist’s training and expertise.  A comprehensive approach by a prosthodontist is the best way to get your inner confidence boosted and your personality improved.

 

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Sandy Springs, GA 30328

404-256-3620



 

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