Dental Problems

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Rajaah

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Lost a front tooth this week. Pretty much just ignored it because I'm too busy to worry about it, but it needs to be dealt with. Had this happen about 15 years ago and got an implant at the time for a grand total of about $1200. Nowadays apparently the same thing costs like 3 or 4 thousand? WTF.

Heard there are a lot of "implant studies" at dental schools in cities and whatnot and you can get one for half price at one of those places. Even half price would be kind of nuts though. I hear Costa Rica (and probably a bunch of other places) does implants super-cheap. Given how much plane tickets cost these days, if I have to fly back and forth to, say, Germany, the plane tickets will cost like 4x as much as the actual implant I'm getting.

So no matter what I'm basically getting fucked by the current feeding frenzy of inflation. Costa Rica might be easier since it's almost a domestic flight.

Any dental insurances out there that cover implants? Even if so, I'm guessing they won't do it for a pre-existing condition. I've got a couple of molars that need to be replaced eventually so I might as well get on a better insurance regardless. What I have now covers root canals and crowns which is nice, but doesn't help when a tooth is straight-up missing.

Well, haven't looked into much yet. Any solutions?
 
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Goatface

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this was one of the top search results
clicked on a few, closest places didn't have anything about their clinic. just randomly click on a few, vcu (richmond,va) talks a lot about their clinic but only price i can find is $80 1st visit. Louisville ky has a pdf about prosthodontic clinic saying cost estimates after an exam and not everyone are accepted as students need variety of problems. it also has this
1704563205327.png

another one, said they only take low income. guess just check to see if anything in your area.
 
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Rajaah

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this was one of the top search results
clicked on a few, closest places didn't have anything about their clinic. just randomly click on a few, vcu (richmond,va) talks a lot about their clinic but only price i can find is $80 1st visit. Louisville ky has a pdf about prosthodontic clinic saying cost estimates after an exam and not everyone are accepted as students need variety of problems. it also has this
View attachment 507655
another one, said they only take low income. guess just check to see if anything in your area.

So far the impression I'm getting is that I'm completely f*****ed. Well, time to empty my wallet for some dental practice.
 

sleevedraw

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Any dental insurances out there that cover implants? Even if so, I'm guessing they won't do it for a pre-existing condition. I've got a couple of molars that need to be replaced eventually so I might as well get on a better insurance regardless. What I have now covers root canals and crowns which is nice, but doesn't help when a tooth is straight-up missing.

Many dental plans do, but:
(a) it's usually considered major restorative, so expect 60% plan pay/40% out of pocket when in network at best, and
(b) if you get an individual dental plan, there is typically a one year elimination period where coverage on major restorative is reduced or nonexistent, and
(c) you may need to contend with a preexisting condition clause as you stated (not all plans exclude, but some do), and
(d) unlike post-Obamacare health insurance, dental insurance has annual benefit maximums, so the plan "shuts off" after paying a certain amount per year, typically $1000-$1500. Implants are expensive, so there's a pretty good chance you may hit the benefit maximum.

Check out Aetna; you get free CVS Carepass along with it, which gives you $10/mo at CVS, so it helps defray the cost a bit. Their vision plan is also very good if you need it, and you can bundle to save a bit. Humana has a good rep too, but they tend to be pretty pricey. Dental Dental traditionally has had a wide network, but a lot of dentists have been dropping off their network due to allegedly anticompetitive practices, especially DD of California (like Blue Cross, Delta is a consortium of individual state companies that sell products under the Delta name, not one company.)

I'm always happy to help you evaluate insurance if you decide to go that route.

If you don't want insurance, your best bet (if you can't find a cheap dental school) is finding a small, independently owned dentist office (not a Monarch Dental or SmileGeneration), and telling them up front that you'll be cash pay. Many of them will be willing to cut you a discount because they don't want (from their perspective) the headache of dealing with insurance claims.
 
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Seven Out

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Look up Los Algondones. Crazy dental hub just over the border in Mexico. I had a friend that would get all his work done there to save money.
 

Lanx

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Check out Aetna; you get free CVS Carepass along with it, which gives you $10/mo at CVS, so it helps defray the cost a bit. Their vision plan is also very good if you need it, and you can bundle to save a bit.
i have aetna, are we talking like free yearly eye exams? (actually i think i pay 15$ upfront, actually i should have it scheduled this month) or like if i get old man cataracts i'll be good?
 

sleevedraw

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i have aetna, are we talking like free yearly eye exams? (actually i think i pay 15$ upfront, actually i should have it scheduled this month) or like if i get old man cataracts i'll be good?

Every company sells multiple insurance products, so it's very difficult for me to tell how good your specific coverage is without seeing your summary of benefits or contract (devil is always in the details with insurance), but as a whole, Aetna has a pretty wide network, and they have good customer service ratings (at least as far as insurance companies go.)

This is the product Aetna directly sells to individuals in Texas. Employer sponsored coverage pretty much always has better costs and allowances than individuals because companies negotiate as a group of people instead of just one person. But for individuals, this is pretty good.

1704755730561.png


Routine eye exam for zero copay is good; I've seen copays of $10 or $15 before. I wouldn't say outstanding, because a lot of plans offer zero copay exams, but it's on the better side. Bear in mind a lot of optometrists want you to do retinal scanning, which usually adds a $39 copay to the base cost. You can refuse and probably should unless you have a history of diabetes, glaucoma, retinopathy, etc. in your family.

Frame allowance of $130 is a little low (I usually see around $150), but not awful. Doable at Costco.

Lens copay of $25 is about average.

Cataracts usually fall under medical insurance instead of vision insurance because they need to be addressed by an ophthalmologist (not an optometrist) and surgically corrected.
 
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Rajaah

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Any brit advice, Chris Chris ?

I'd try going to Heidelberg Germany, where I nearly went to medical school before I pussied out.

Not sure what their prices are these days but they have a lot of great dental clinics that seemed way more affordable than the US and probably more competent.

Look up Los Algondones. Crazy dental hub just over the border in Mexico. I had a friend that would get all his work done there to save money.

Thanks for the heads up. I was thinking about going to Costa Rica, but it'd be a lot easier to go to San Diego and just bop southeast a bit to that place.

$750 for an implant there is pretty solid. US price is more like $3200. Apparently a full arch (four I think) of implants is $2500. Maybe I'll just get all four front teeth replaced since the 3 that are left are pretty beat up too. Hate to get rid of perfectly good roots though and there's no guarantee any of this will work out, not like Mexico has a malpractice department or anything.

But yeah, when I'm around San Diego I'll see about bopping over and getting this done.

There's a news report about the place that says "It's better to pay a little more and get dental work done in the US where it's safer" and I'm thinking.... no shit, but also, a little more? $3200 versus $750 isn't a little more. American medical prices are a joke.
 

Rebroholm

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Dental problems can be a real pain. I’ve been there, and it’s no fun at all. I think it’s super important to find a good dentist who makes you feel comfortable. It might be worth checking out some options if you’re dealing with things like toothaches or sensitivity. I heard about a place called www.socalsleepdentistry.com , and they focus on making visits as relaxed as possible, especially for those who get a bit anxious about it. Plus, they have some great options for sleep dentistry if you need it. Remember, getting on top of those dental issues is never too late. Take it one step at a time, and don’t hesitate to ask for help.
 
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Rajaah

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It went. They got me on what is essentially half an Invisalign with a built-in tooth for a few months, with the plan being to do an implant once it's spaced correctly. Expensive but whatever. I'll get it replaced for real when I have the time and energy.
 
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Haus

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Yeah, I'm going through a dental nightmare right now of sorts...

I had an old crown on a root canal I had done around 20 years ago come off... When it came off I was eating and I bit down and it chipped a tooth under it.

So I find a new dentist near me (old dentist has long since retired), luckily he seems pretty cool. He tells me he needs to redo some of the build up and put a new crown on the one where the crown came off, so cool.

While waiting for the perm crown to get in the chipped tooth becomes a broken tooth as it had a filling I got when I was a teenager in it and suddenly I had half a tooth there. Go back in... He's able to "salvage" the tooth by essentially root canaling it. so now I have a new root canal on the bottom. My molars are moderately messed up because my wisdom teeth, when they came in, came in perpendicular essentially, and did damage. Also seemed to have damaged my nerves around there because almost nothing causes me any form of tooth pain.

While doing this he does a general check up and xrays of the whole shebang. On the other side of my mouth he sees where I got a root canal when younger (crappy teeth seem to run in my family no matter what, Dr once postulated it might have been something genetic with calcium uptake, who knows...). And there was a small gap near the seating where the crown met the tooth. He tells me it's an "eventually you'll want to get that looked into, it might cause problems".

"Eventually" caught up to me last week. Seems that gap allowed a small amount of decay to start inside the crown, where it ate away at the underlying tooth. That crown pops off with the "build up" the old dentist did in it. (starting to wonder if my old, now gone, dentist was a shitty dentist...) The tooth feels like just an empty space to me with a tiny ridge of the tooth exterior around the edge. As a temp fix I throw down some instamorph. That's a plastic that goes molten around 150 degrees, incredibly useful when I'm tinkering and need to make a quick plastic cover/part, and I saw a post on it where a hockey player used it to make a temp bridge when he lost an incisor until he could get to the dentist. So I melt around a fingernail sized piece of it, put a small ball of that inside the crown, press it down into place, smooth the extrusion around it, and it's held up perfectly and working.

Go back into dentist. I want him to take a look and figure out what happened. Find I can pop the crown and instamorph binding out like it was essentially a bridge. He is amused at how well it works. Looks more in depth... He'll need to clean up some of the decay, but thinks there's enough tooth left in good condition to save. But my dental insurance is tapped for the year. So he asks me if I can put the crown back in with the plastic, which I do there since he was able to microwave me a glass of water to remelt it. Now I have an appointment first week in January to get that one fixed.
 
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moonarchia

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I had a whole dental odyssey of my own this year. Turns out not seeing a dentist in 30 years had the expected results. Some root canals, 1 molar yeeted and replaced with a bridge. A couple crowns and a filling.
 
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Rangoth

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Spend 3k to go on vacation in Peru, friend had a new tooth put in same day for 80 bucks about 6 years ago!