OUR BLOG: Tooth Wisdom

Posts for tag: oral surgery

By Drs. Stone, Trowbridge, Field & Diamantis
March 10, 2016
Category: Oral Surgery

Before dental implants became a popular way to replace missing teeth, bridges and dentures were the only way to restore a patient’s ability to chew properly and speak clearly after having teeth extracted. However, if a patient is a candidate for dental implants, this can be the most reliable and practical long term solution. Dental Implants are an excellent replacement for your real teeth

The actual implant replaces the root of your tooth, and once surgically placed into the mouth, can hold the new tooth in place for years, and often for a lifetime. It will feel as strong and solid as your own tooth. In addition, your implant will help maintain the health of neighboring teeth, which are prone to shift or move when there are empty spaces beside them. 

Implants have the following advantages:

  • They are strong, and look and feel just like natural teeth.
  • Placing implants requires three stages, placement of the implant into the jaw, healing time and placement of the finished tooth. However, these stages can sometimes be combined into one visit. This is determined on a case by case basis.
  • Implanted teeth will not move or slide, and do not require any adhesive to keep in place.
  • Implants should be brushed and flossed along with other teeth to maintain their health and longevity, but do not require any specialized treatment or care.

Bone Grafting

Because the implant is placed directly into the jaw, just like a natural tooth, it is important that the bone is strong enough to hold it.  After a tooth is removed, the bone around that tooth weakens, especially over time, and needs to be strengthened again before the implant and new tooth are placed. This can be accomplished through a bone grafting procedure.  During this simple and painless procedure, the oral surgeon will add bone to the jaw near the implant site. This new bone will fuse with the existing jaw bone, creating a strong base for the new tooth.

Dental Implants may initially be more expensive than bridges or dentures; however they are much longer lasting and more comfortable. It can sometimes take several visits to complete the implant process, especially if bone grafting is required. However, in the long run, implants are the closest thing to real teeth, and will give patients with missing teeth their smiles – and their lives – back.

To learn more, or to see if you are a candidate for dental implants, Contact Us to schedule a consultation.

By Drs. Stone, Trowbridge, Diamantis and Field
December 28, 2015
Tags: insurance   financing   oral surgery  

Insurance and financing can be tricky roads to navigate, and ...
there’s no easy answer to the question “Is my treatment or procedure covered?”  However, you can arm yourself with information to make the road a little smoother.  

Follow the guidelines here to ensure you get the most out of your insurance coverage, or help you determine the financing options that best meets your needs. An informed patient understands that your treatment plan and your financial plan go hand in hand.

For Patients with Insurance

If you have insurance, and you need to visit an oral surgeon, the first step is to contact your insurance company, and/or speak to the person responsible for benefits at your company. Here’s a list of questions you should ask before seeking treatment:

  • Has your insurance coverage changed since the last time you submitted a claim (or will it change at the start of the year) and how do those changes impact you?
  • If you are a new employee, when does your insurance become active and what, if any, waiting periods apply for specific procedures?
  • Which practices and doctors accept your insurance?
  • Does your plan allow you to go out-of-network so you can be treated by the provider of your choice?  
  • Are there restrictions or exclusions to your coverage that you need to be aware of?
  • If you are seeking treatment for a condition diagnosed in the past, will the insurance company still cover your treatment plan?
  • What out-of-pocket expenses can you expect to incur, or will you need to pay up front and wait to be reimbursed by your insurance carrier?
  • Since some oral surgery procedures may be covered under medical and dental insurance, how and under which plan will your claims be billed?

Remember that the insurance contract is between the patient and the carrier, and while the doctor or practice will work with the insurance company to maximize the insurance benefits, your actual coverage will be defined and limited by the insurance carrier.  

Insurance companies will never guarantee coverage for any procedure until they have processed the claim for the actual services performed.  Even if the treatment plan hasn’t changed, the estimate of benefits is just that – an estimate.  Your doctor recommends treatment based on the needs of the patient, but medical necessity may be defined differently by your insurance company.  They make the final determination whether the treatment is covered under your policy at the time the claim is filed.

For Patients Without Insurance

If you don’t have insurance, there are other options, such as a third party financing plans or pre-tax savings plans, which can be used to cover out of pocket medical expenses.

  • Third party companies, such as CareCredit, allow you to finance your medical expenses for a low or deferred interest rate, and can be used for most medical and dental expenses. Again, while your provider may work with a third party payer, the contract and payment arrangements are between the patient and the finance company.
  • Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA) allow you to put a certain amount of pretax dollars aside to cover deductibles and other expenses not covered by insurance. FSA plans are administered through your employer, and HSA plans may possibly be offered through your employer.  Before setting up one of these plans, make sure you understand the rules and restrictions so you know exactly how they can benefit you.

The key to ensuring you know what to expect is to be an informed consumer and patient. Asking questions, and understanding your insurance or financing plan, are the best ways to avoid unexpected out-of-pocket expenses.  

The Treatment Coordinator in your oral surgery office will assist you with navigating insurance information,  as well as the pre-approval and prior authorization  processes; but the more you understand before you come into the office, the fewer surprises you are likely to encounter.