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The Most Affordable Dental
Insurance
The answer may surprise you!
Recently, a great deal of attention is being placed on
economizing in all different aspects of life. Some people have
even considered cutting back in the area of health care by
putting off routine maintenance care. While this is a little
like playing Russian roulette when it comes to dental health --
for reasons I’ll explain shortly -- there may be a better way
to dodge the financial bullet. And it may be a much simpler
one.
After almost twenty years of practice I have seen people
consider all sorts of ideas to deal with rising dental costs.
Often, people become fixated upon dental insurance as the
primary solution to the majority of their dental needs. Because
dental insurance generally tends to be pretty expensive
relative to what it pays out, especially if you are buying it
yourself, patients that rely on it exclusively often end up
worse than when they started. Dental insurance typically has
waiting periods before it can be used, during which time
existing conditions advance, becoming more expensive.
In these cases, you have to wonder - if the premiums are
costing you more than what the company pays you back - what’s
the point? Obviously, this arrangement is a much better deal
for the insurance company than for the patient. Let’s also
consider that when I first started practice, dental insurance
maximums averaged $1,000 to $2,000 annually. Twenty years
later, they average . . . $1,000 to $2,000 annually. If
insurance kept up with inflation alone, the annual maximum
should easily be over $5,000. Don’t hold your breath for that
one though. Patients would be better off just setting aside the
amount they pay for premiums. They usually come out better in
the end.
Putting off dental care often becomes more costly to patients
for several reasons. Firstly, many dental conditions are
actually painless in the early stages. Periodontal disease is a
prime example. This is a condition in which the bone
surrounding the teeth becomes lost, leading to a variety of
circumstances including bleeding gums, loose teeth, bad breath
and, eventually, tooth loss. It is the number one reason that
people loose teeth world-wide. For the most part, it doesn’t
hurt. When it does, if it does, it is usually too late. The
tooth or teeth have to come out.
Likewise, dental decay usually doesn’t hurt in the early stage.
Actually, I’ve lost count of the number of times it didn’t hurt
in the advanced stage either - but this is usually the point at
which the patient becomes aware of a problem. A piece of the
tooth breaks off, or they actually experience pain. The tragedy
of this scenario is that when it reaches this stage teeth often
end up requiring more expensive root canal therapy or
extraction. Dental costs can very quickly escalate as much as
ten times from the cost of a simple filling to what it costs to
complete a root canal and crown.
So what do you do? Focus upon prevention.
Here is a true story I hope will leave as big impression upon
you as it did me at the time:
When I was a dental student, I recall a lecture give by one of
my professors in which he made a powerful point on the subject
of prevention. The seminar dealt with the subject of
prosthetics - more specifically, the fabrication of crowns and
bridges. This professor, however, was one of those rare
dentists who actually had two recognized specialties. He was a
professor of prosthetics, but he was also a periodontist. While
this was a crown and bridge lecture, he taught us a very
valuable periodontal lesson.
Here’s what he did. The seminar was pretty informal at this
point. The professor told us he was going to put up some slides
of patients and have us guess their ages - just by looking at
their x-rays and then at pictures of their gums. As a student,
I remember thinking this was a refreshing little game and most
of the class was doing quite well calling out the ages. Looking
at the x-rays, we would evaluate bone levels, tooth eruption
patterns, tooth wear, number of restorations and similar
factors to make our “guess.” Then we would look at the color
and texture of the gums and appearance of the smile and offer
up our estimate. The professor would then show us the face of
the patient and tell us their age. This went on for a while and
we all did pretty well.
He then put up the next slides and guesses rang out:
“twenty-five,” “thirty,” “twenty-seven,” went the typical
guesses. I don’t think I can remember seeing a single filling
on those slides, though there could have been. Nothing changed
when he showed us a picture of the gums. They looked like a
teen-ager’s. Then he put up a picture of the face. The person
pictured was obviously in their late seventies, maybe even
early eighties.
Dead silence. Then there was a small commotion and most of the
class pointed out that the slides got mixed up.
The professor paused, and said “No. This is correct. Let me
tell you how I can be sure. This is a picture of my father.
Those are actual x-rays and a recent picture of his gums. How
is it that he has such excellent oral health?”
He then went on to tell us how when his father was a younger
man, he had a visit with his dentist and he complained to him
that whenever he ate, he would get food stuck between his
teeth. His father wanted to know if there was anything he could
do about it, because it was pretty annoying.
The dad’s dentist thought about it for a second and told him:
“Well, I’ll tell you what I do when that happens to me. I go
over to my wife’s sewing kit and take out a piece of silk
thread and just pass it between my teeth.” As a student, I
wondered when floss became invented. Evidently, it just wasn’t
popular back in those days.
In any case, our professor went on to explain that his father
did exactly that after every meal since he was a young man. His
gums, teeth and bone levels were almost unchanged. That’s what
he had to show for his efforts.
I filed the image in the back of my mind, but I have to be
honest - I didn’t exercise the same level of commitment - just
yet.
Oh, sure, I brushed, watched what I ate, and took vitamin and
mineral supplements. But my flossing was sporadic. That is,
until I really started looking at what happened to my patients
and how those who flossed performed against those who didn’t.
If you asked me today: do I floss regularly? Absolutely. You
can’t buy cheaper dental insurance.
Flossing benefits your gums, your breath, your teeth, your
lungs, your heart - in short, you.
Do you know that probably up to a third of the cavities I treat
happen between the teeth? This is why regular exams are so
important. You simply can’t see this area. For that matter,
without x-rays, neither can I in most cases. But my point here
is simply this: even if you brush after every meal and snack,
without flossing this area never gets cleaned. Why would anyone
become surprised that an area that never got cleaned could
decay over time?
There are all sorts of reasons people don’t like to floss, but
the reasons to do it are actually pretty compelling and very
cost-effective. Think it over. Maybe floss is the most
affordable dental insurance. . . .
by Richard J. Walicki, D.M.D. - May 17,
2009
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Dr. Richard J. Walicki is a Philadelphia dentist providing both
general and cosmetic dentistry services.
Source: http://www.ToothWiz.com
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