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Visiting Soulsmile: Your Questions Answered

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Visiting Soulsmile: Your Questions Answered

ashland dental office

Hello and happy summer! We hope everyone has been enjoying the weather here in the Rogue Valley. We're particularly fond of afternoons at Emigrant Lake. Coming from the crowded state of California, we are always surprised at how few people are out on the lake, even in the middle of summer. Oh well - more fun for us!

We've noticed that we get asked a lot of the same questions by prospective patients when they first call in. We thought we'd gather a list to answer them in a blog. 

Do you accept ______ insurance?

The easy answer is that we accept any insurance that allows you to choose your own dentist. My advice to friends and family when they have questions about their dental insurance is to request a copy of their benefits and become familiar with them. It is surprising how many patients are never given a copy of their benefits! Unfortunately, there are HUNDREDS of dental plans out there and they change yearly. A dental office will usually know the basics of your plan, but knowing the nuances yourself can answer a lot of questions. Most likely, you're looking for a section of your benefits titled "Out of Network". A lot of people are surprised to find that going to an out-of-network dentist may only cost them $20 more, but can mean a HUGE difference in the quality of care they receive. 

Currently, we are IN network with Delta (aka Moda), Regence (aka Blue Cross Blue Shield) and Cigna. However, there are even some plans within those companies where they do not let you choose your own provider. So check out your benefits for the best answers! Feel free to ask us your questions too. 

How much does _______ cost?

We are as transparent with costs for our services as possible and are certainly able to give you an estimate. The only problem is, without seeing what's going on in your mouth, its hard to know exactly what you need. Here are some common services we get asked about:

  • A crown is usually $1,100. But in some cases, the tooth has worn down enough or has had a root canal and needs a $200 build up too. This is so the crown has something to secure it to.
  • Fillings cost between about $100-300 depending on how many surfaces it needs to cover.
  • Invisalign is $4700.
  • A cleaning is $111. Unless you have periodontal disease and need a deeper cleaning called Periodontal Maintenance, that is $160. 

Sometimes the best price to ask about is your initial exam (we usually run great specials!). From there we can see what you need and discuss costs. There are ways to work within any budget!

Do you offer payment plans?

Yes! We work with a third party service called CareCredit. They allow you to finance healthcare service, similar to using a credit card. They even offer no interest plans if its paid off within a certain time frame, usually a year. You can learn more or even apply on their website. We can also help you with the process in our office.

What will happen at the first visit?

First, you'll be greeted by our friendly team. Then, you'll be seated in our conference room to fill out welcome forms. We've had them laminated to eliminate paper waste. They are scanned into our computer when we're done and then erased for the next guest. You'll then be escorted to a treatment room by one of our awesome dental assistants. There, they'll take records. Most commonly this consists of not only xrays, but also digital images. Patients love that high resolution photography allows us to show you what we see. This way you can make more informed decisions about your dental care. Our assistants are highly trained and will often start the conversation about your dental health - if anything is bothering you, what they are seeing, your goals for your oral health, etc. Dr. Kivel will then do an in depth oral examination and review of records. He will present a comprehensive overview of your teeth and gums and if there is any recommended treatment. The main goal of this appointment is to give you any information you might want to know about your mouth, but most importantly - find out what you want and how we can help. Sometimes this means nothing at all! Other times, it means simply addressing any obvious decay or how your smile can look its best. It really is all up to the patient and what they want. 

I just need a cleaning. Can I make an appointment for that only?

The state of Oregon actually requires that dentists perform an oral exam on a patient before assuming care for them. It makes sense! How can we even provide the best type of cleaning for a patient before we know what they need? So at Soulsmile, you'll first have an exam with Dr. Kivel and his assistants to see how things are going before booking a cleaning with our fantastic hygienists. 

Do you offer consultations or second opinions?

Yes and yes! Anyone with more general questions about bigger treatment plans, cosmetics, treatment proposed by another dentist, etc, is welcome to come in to meet Dr. Kivel and an assistant for a free 15 minute consultation. This type of appointment is also useful for patients with dental anxiety who simply want to meet the team and check out the office before making their first appointment. 

Have any other questions? You can contact us directly or leave it in the comments if you'd like us to add it to the blog article. Thanks for your interest in Soulsmile. 

 

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Periodontal Disease and Treatment

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Periodontal Disease and Treatment

Background and Diagnosis

Periodontal disease is a bacteria-related inflammatory disease of the gums, the cementum that covers the root, the periodontal ligament and the bone around the tooth. Periodontitis can lead to pain, smell and tooth loss; in addition, it has been linked to heart disease and several other dangerous systemic conditions.

To determine if you have periodontal disease, and the extent of its progression, we begin by using a dental instrument to measure the pocket depth between your gums and your teeth. Ideally, the pocket depths around the teeth will range between 1 and 3 millimeters (mm). Gingivitis will appear as swollen gums and reveal pockets up to 4 mm.  Both can be remedied by a simple cleaning.

Periodontitis, however, will be accompanied by red, irritated, bleeding, sometimes sore gums or pus and pockets deeper than 5 mm. Xrays of periodontitis will often show hardened calculus around the teeth and may even show the bone loss itself. A more detailed cleaning is in order to address periodontitis.

A great deal more is learned about the specific causes and circumstances surrounding each patient’s condition during the treatment itself.

Treatment

To treat periodontitis, we remove the deposits of calcified plaque called calculus or tartar and any other bacterial toxins which become ingrained under the gumline and into the root surfaces. The process, known as scaling and root planing (“SRP”), utilizes ultrasonic and hand scaling instruments, ideally while the patient is under local anesthesia. Just a few areas are focused on at a time until a “deep” cleaning is achieved.  

In addition, the placement of a medicine called Arestin into pockets 5mm or greater is recommended. This medicine eliminates the harmful bacteria for 45 days following SRP.

Immediately following SRPs, it is recommended that patients use a Chlorhexidine Rinse, an antibacterial mouthwash that helps to control and kill the bacteria in your mouth that cause gum disease. We recommend that you rinse with chlorhexidine after brushing your teeth for one week following SRP and after future dental visits.

Existing bone loss related to periodontitis will not return with SRP.  But, SRP’s and a few changes to your routine cleaning protocol described below will help you keep your teeth for life.

After Care

Instead of a simple cleaning (“Adult Prophylaxis”), Periodontal Maintenance describes the type of routine office cleanings following SRP.  It is considered a basic service by insurance.

Periodontal Maintenance removes plaque and tartar from above and below the gumline, down the length of each tooth to where the root, gum and bone meet. Rough areas of the roots are maintained smooth, pocket depths are carefully monitored, and inflamed pockets are irrigated with antibacterial medicines if necessary.

After SRP treatment, most patients choose to have their teeth cleaned every 3 or 4 months to match the complexity of their dental condition that led to the periodontitis in the first place.  These factors include their natural plaque and tartar accumulation, bleeding, inflammation, pocket stability, the quality of their anticipated home care and their overall health risk factors.

Lastly, with a few meaningful changes to your at-home cleaning routine, periodontitis can be kept under control.  Brushing for two full minutes twice daily with an Philips Sonicare toothbrush and flossing once a day is usually adequate.  For difficult areas, christmas tree brushes (“proxy brushes”), enlarged floss (“super floss”) and Philips Airfloss are excellent aids. Consistent behavior change is the most important element in maintaining long term periodontal health.  Smoking has also been shown to contribute to periodontitis.

Related Pricing

*Dental insurance plans will often cover all or part of these costs.

More Information

Have more questions? We want you to have a complete understanding of your oral health and how to best maintain or improve it. You may want to do some research on your own.  Here are several internet search terms to help you get started:

  • Periodontitis
  • Gum disease
  • Link of periodontitis to systemic health
  • Scaling and Root Planing
  • Periodontal Maintenance
  • Arestin
  • Chlorhexidine rinse
  • Philips Sonicare
  • Philips Airfloss
  • Scaling and root planing and insurance
  • Reasons for tooth loss
  • Cause of bleeding gums
  • Risk of deep periodontal pockets
  • Periodontal surgery
  • Options for missing teeth
  • Dentures
  • Implants
  • Implants with periodontitis

 

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