Blacklisted by Best Dentist

I’m afraid I’ve been blacklisted by the best dentist in the area. He came highly recommended by several of my friends. They’ve all been to him for various cosmetic procedures, from whitening through veneers, and everyone says such wonderful things about him. Maybe I built him up too much in my mind, but I recently went in for a consultation about having my teeth fixed up a bit. I have some awkward spacing and one tooth is a little twisted. I wanted to have them straightened out and whitened. Everything seemed fine. I met him and thought he was fantastic. He talked up veneers and I felt great. But, then his assistant came in after and gave me the estimate—it was thousands more than I could afford. I asked if there were alternative solutions and the girl huffed at me a bit and then went and got the dentist. He came back and basically told me that if I didn’t want to do it his way, I shouldn’t be in his office.

I was devastated. I really thought this guy would be great, but I can’t afford to go through with the treatment and my friends keep asking me when I’m going in to see him. I have absolute faith in his capabilities, I just wish he’d work with me on treatment. Is there any way to salvage this?

Thanks,

Anonymous In MA

Dear Anonymous,

Woman giving thumbs up in a dental chair
How do you know if you have the best dentist for your needs?

Let’s be realistic for a moment here. If he was the best dentist, would he be treating you this way? The answer is no.

He’s Not Taking Good Care of You

Perhaps he has amazing artistic skill and can craft beautiful smiles, but that’s only half the battle. Being able to make patients feel comfortable and helping them get around their barriers is equally important. In your case, cost is a barrier.

A good dentist would understand this and pitch solutions that work within your limitations. Perhaps you might be better getting six porcelain veneers instead of two or four. Maybe that is the best way to improve your smile. At the same time, maybe two will provide you with adequate results and be a bit more affordable. Or, perhaps Invisalign combined with teeth whitening is a better option for your budget. There are always multiple approaches. If he isn’t willing to explore them with you, he’s not doing you justice.

You Can Find a Better Dentist

Go have a consultation with another dentist and be upfront about your budget from the onset. A great dentist will go over your options with you. For what it’s worth, you don’t have to explain to your friends why you’re seeing someone else. The prior office has an obligation to keep your information confidential, so unless you tell your friends why you left, they never need to know.

This blog is sponsored by Salem Dentist Dr. Burba.

Are There Soft Dentures?

I’m looking for something to help with my dentures. The way they are on the roof of my mouth hurts. Do they make a soft kind of denture?

Lisa

Dear Lisa,

An illustration of both a denture and a dental implant

There are soft liners for dentures. This is what is typically called a soft denture. However, while they are a tad more comfortable, they have limitations. They’re both more expensive and do not last as long. They are also harder to keep clean.

Unfortunately, I don’t know of a denture that is pliable, which it sounds like you’re asking for. This is because the denture needs a firm frame both to fit right and to help with chewing.

The Solution When Dentures aren’t for You.

I’m going to suggest you switch to implant supported dentures. These won’t require you to have a plate at all. Instead, the dentures are attached to the implants. It is much more secure than removable dentures. You’ll find it will also increase your quality of living, including your chewing capacity.

There’s an even more important benefit. When your teeth were removed, your body began to resorb the minerals in your jawbone to use elsewhere. It does this because it strives to be efficient and recognizes you no longer have any teeth roots there. The big problem with that is as your minerals leave, your jawbone shrinks. This is known as facial collapse. Eventually, you won’t have enough jawbone left to even support your dentures.

Having dental implants there, signals to your brain that there are still roots there. leaving your jawbone intact.

This blog is brought to you by Salem, MA Dentist Dr. Randall Burba.

Will Dental Insurance Cover Dental Implants

I am losing my teeth and would like to get dental implants. I think I’m a candidate but wondered if dental insurance will cover it?

Ben

Dear Ben,

Three parts of a dental implant
The three parts of a dental implant

It’s good that you’re looking at dental implants to replace your teeth, especially if you’re talking about replacing all your teeth. While dentures are much less expensive, they have quite a few problems.

Problems with Dentures

  • They’re removable so there will, out of necessity, be times you won’t have teeth.
  • They slip and slide allowing food to get underneath them.
  • No matter how well fitting they are, your chewing capacity is reduced by 50% or more.
  • It causes facial collapse.

Dentures and Facial collapse

A woman's profile twice, one with facial collapse, one after
Wearing Dentures Leads to Facial Collapse

When your teeth are removed, your body recognizes there are no longer any roots of your teeth and concludes you don’t need that bone to secure them. In an effort to be efficient, your body will begin to resorb the minerals in your jawbone to use elsewhere. This causes your jawbone to slowly shrink. After about 10 or so years, you won’t have enough jawbone left to even retain a denture and they will constantly fall out. This is called facial collapse.

Having dental implants placed will prevent all of the problems faced with dentures. They secure your dentures restoring your ability to chew. Because they’re permanently secured, you’ll never have to go without teeth. Their most important benefit is the prevention of facial collapse. Because you have prosthetic roots placed, your body interprets that as your teeth still being in place and it will leave the minerals in your jawbone alone, keeping it completely intact.

Dental Insurance for Dental Implants

One thing to remember when it comes to any type of insurance is they are a business. The goal of any business is to make money. While many plans will cover a portion of dental implants, it is not likely to be much. They generally only cover the basic replacement for your teeth. That would mean a partial denture or full removable dentures depending on the number of teeth you’re losing.

It sounds like you don’t have insurance yet and are looking for a plan in order to get your implants. One thing to be aware of is many plans will only cover your checkups and cleanings at first and have a certain number of months you have to wait until you can claim any coverage for other services.

Most dentists expect payment in two different stages when it comes to dental implants. The first installment is paid during the surgical portion. The second installment won’t be expected until it is time to get your implant crowns/dentures.

This blog is brought to you by Salem, MA Dentist Dr. Randall Burba.