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Dental Care For Seniors: Frequently Asked Questions

Seniors are the fastest-growing age group in the U.S., in part because medical advances and preventive care are extending life and the quality of it. As the baby boomer generation ages, the senior population is swelling, along with their interest in maintaining healthy bodies and lifestyles. Good oral health is important to overall health and seniors must stay on top of their dental care. It is now possible to keep natural teeth and good dental hygiene plays a vital role in keeping that smile.

Dental Decay and Gum Disease

Talk to your dentist about the proper care of your teeth. Brushing twice a day and flossing regularly are the most important steps you can take to keep your teeth and gums healthy and maintain that smile. If age is causing your gums to recede, clean your teeth thoroughly, but be careful not to irritate or tear the gums. A receding gum line may also expose sensitive portions of teeth; careful brushing is important, as are toothpastes that offer sensitivity protection. If you have difficulty using a toothbrush or floss because arthritis or a stroke has impaired your agility, ask your dentist to recommend commercial products that will make the tasks easier. Bleeding or sensitive gums, constant bad breath, receding gums, and loose teeth are all symptoms of gum disease, which can hasten tooth loss. If you spot these symptoms, talk with your dentist about them before they cause pain and deterioration.

Watch Your Mouth!

After a lifetime of chewing and biting, many seniors have dentures, bridges, crowns, and, of course, their fair share of fillings. Over time, even the best dental hardware can wear out. If you feel changes in your mouth, particularly when you are eating, brushing, or flossing, bring them to your dentist's attention. You may take medications or have a medical condition that results in dry mouth. Saliva production is important to good oral health: it keeps the mouth moist, washes away food particles, and protects against decay from plaque. Enlist the help of your dentist, and ask about artificial saliva products so that you don't have to worry about giving a big smile.

Maintaining Your Dental Investment

Don't stop caring for your teeth and mouth at this stage of the game! Keeping your teeth healthy means greater comfort and enjoyment as you eat, laugh, and speak. Good preventive care will give you something to really smile about!

Brian J. Gray, DDS, MAGD, FICO

Dental Information, The Costs Associated With Root Canal Treatment

What are the Costs Associated with Root Canal Treatment?

There are many factors that affect the costs and payment associated with root canal treatment. Each patient and tooth presents a different set of circumstances. Generally the cost of root canal treatment is directly related to the chair time necessary to perform the treatment as well as to the costs of the dentist staff, training, and technology that the dentist has available when performing the procedure. Be sure to ask your dentist about dental financing credit, dental treatment financing, or if there is a possible loan for dental work available.

There are many factors that influence the amount of chair time necessary to treat any particular tooth:

• The position of the tooth in the mouth.
• The number of roots and the number of canals within these roots.
• Root curvatures and the length of the roots.
• The presence or absence of calcifications within the root canal space.
• Special dental considerations. For example, it may be more difficult for the dentist to work through an existing crown or a bridge than to work on a tooth with only a small previous filling. Also, some teeth may have been severely broken down by past dental disease and these may have to be "built-up" before root canal treatment can even be started so that an aseptic field can be established and maintained during treatment.

In addition to the chair time involved for treatment, other factors are also taken into consideration when determining a fair fee for root canal treatment:

• The cost of technology. Dentists who use state-of-the-art technology for certain procedures have invested in microscopes, computer digital radiography, ultrasonics, and specialized training courses for themselves and for their staff. The costs of these items are shared by those patients who benefit from them.
• The costs of the dental office overhead include staff, rent, and supplies in addition to many other expenses. These costs vary significantly in different areas of the country.
• Fees vary among practitioners due to differences in their endodontic treatment philosophies, which in turn dictate the chair time required, the materials selected, and the technologies utilized.

In conclusion, there can be marked discrepancies in the fees charged for root canal treatment by different dentists. Ultimately, the best value for care is treatment that is done once and works over a period of many years. Conversely, the most expensive dental treatment is the treatment that may cost less initially but does not work predictably and needs to be redone one or more times. The wise dental consumer does not make a treatment decision on the basis of cost alone.

Will Insurance Cover the Cost of Root Canal Treatment?

Dental insurance will usually help with a portion of the endodontic treatment fee. A variety of dental insurance plans are available. A specific benefit package is selected contractually by each employer for the benefit of the employees. Some benefit packages may restrict or not recognize certain procedures, while in other instances the yearly maximums are unrealistic for anything other than the most basic care. The dentist will make a professional judgment and treatment recommendation based on what is best for the patient, not on what is best for the for-profit insurance company. The total fee is the patient's responsibility but the dental office will work with the insurance carrier to get the maximum contracted benefit. The patient should speak with the dental treatment coordinator before treatment begins in an attempt to estimate the available insurance benefit. Be sure to ask your dentist about patient financing, dental treatment financing, dental credit cards, or if there is a possible loan for dental work available.

by Clifford J. Ruddle, DDS, in collaboration with Philip M. Smith, DDS

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.