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Old 01-09-2008, 08:48 PM   #31
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Originally Posted by jpmcgrew View Post
I think thats because the dentist wants to address the more worse tooth first the back teeth need it because more bacteria is back there and it gets worse quick the front teeth are cosmetic unless its another issue. You really dont want to lose any of your back or side teeth if you do then you get a domino effect where all your teeth start falling sideways as the missing tooth is not there to hold the all the other teeth together.
But it's MY money and my mouth and I'm not paying for my back teeth to be pulled and wait 6 months for anything to happen when I can pay now and at least be able to smile. In my opinion, my front teeth are far more important than pulling my back teeth that aren't causing health problems. And front teeth aren't just cosmetic, the have to bite food and can chew if necessary, but if they don't fix them, they are going to end up having to be pulled too.
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Old 01-09-2008, 08:57 PM   #32
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Well, as far as the money thing, sure, anyone should be notified in advance. But as I mentioned earlier, once you reach the nerve, you cant turn back. It would be wrong to fill a tooth with a nerve exposure, and sometimes it is impossible to see the severity of the lesion prior to starting. That is why i try my best to give all options prior to starting a procedure. Medicine isnt an exact science so sometimes the unexpected happens.

As for why do molars before the front teeth. One main reason is that the back teeth stabilize your bite and keep the front teeth from hitting each other too hard. Back teeth are for grinding, chewing, force .. Front teeth ( incisors) are meant to incise, or cut, but into..... Obviously many people have different bites, and the rules dont apply %100 to everyone, but if you fix the front teeth and dont have a stable posterior bite, the heavy forces on the front teeth could fracture the new crown, bonding whatever ... remember , porcelain is basically glass, and will shatter under extreme, unwanted and poorly directed force. If there is a stable bite, and it is only one molar that is a problem, sure, why not do the anterior teeth first. But the bite must be evaluated first to ensure a successful case. Im very sure you can find someone to do what you want which would give you immediate satisfaction, but by cutting corners, may not last as long as the dentist who wanted to do it ' the right way' I think if the dentist decides to do things a certain order, especially if it is not the order the patient wants, then it should be explained why he/ she chooses to do it that way. Remember , it is your body, your health, your insurance and your money, so you do have the right to know and the right to ask. But there usually are reasons for why we do what we do.

Quick example: A person who only has front teeth ( no back teeth) will continuously put too much pressure on their front teeth. because most peoples front teeth have a slight over bite ( which is normal) , this excessive force continuously pushes upper teeth outward causing bone loss and movement and spaces between the teeth. If this same person has some back teeth to prevent the front teeth from hitting too hard, the problem could have been avoided.
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Old 01-09-2008, 09:01 PM   #33
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But it's MY money and my mouth and I'm not paying for my back teeth to be pulled and wait 6 months for anything to happen when I can pay now and at least be able to smile. In my opinion, my front teeth are far more important than pulling my back teeth that aren't causing health problems. And front teeth aren't just cosmetic, the have to bite food and can chew if necessary, but if they don't fix them, they are going to end up having to be pulled too.
I understand exactly what you are saying. What it really gets down to is how expensive it is to get any kind of dental work so you hafto pick and choose whats important to you. I really do wish it was more affordable I would go more often if I could afford it. I remember in my early 30s just barely having enough money to get one front tooth bleached but it was soo important to me. I know what it means to have a great smile and the stress of trying to come up with money just to get by.
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Old 01-09-2008, 09:10 PM   #34
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One more quick thing. Unless someone presents with an emergency, the first visit is usually to get updated x-rays, overall exam and to provide a treatment plan. Usually the treatment plan will consist of a few different options , some being better, more expensive and more functional. The difference in time to complete and cost can be huge. A denture can cost a few thousand dollars and take a few visits to complete where implants can cost 10's of thousands of dollars and take a year to complete. Many times ill listen to what the patients needs, desires are . Ill give them a ball park figure. And when they tell me at the end of he visit which options they are most interested in, ill have a printout of all the procedures and costs available for them to take home, read over and compare. Ill print out all options if they like. Also, we will do our best to give and idea of what the insurances will cover. Unfortunately, it could take a few weeks for the insurance companies to receive, review and get back to us so an exact figure on what insurance would pay may take some time. Also, usually there is a maximum the insurance will pay , like $2000 + or - . So in a case that is $5000, even if insurance will cover all the procedures, once they reach $2000, they stop payment. Sure , it is sometimes an option to break it up over two years to maximize the benefits.

If the patient doesnt like what they have been presented, or doesnt like the office , or wants a second opinion, they have the legal right to get copies of the x-rays ( may be charged a small duplicating fee like $25 ) and get copies of the notes faxed to another dentist. So i guess what im saying is, go for a consult. Get everything in writing and explained. Go for a second or third opinion if desired.

Its bad enough we have to deal with people who openly claim they hate us and the experience, why would we also want to piss them off by not telling prices or by doing other unethical things ?? I know i dont do it, but there are all kinds out there. So, as a consumer, which is basically what you are, ask questions, get the info and make an educated decision.
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Old 01-09-2008, 09:18 PM   #35
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Well, as far as the money thing, sure, anyone should be notified in advance. But as I mentioned earlier, once you reach the nerve, you cant turn back. It would be wrong to fill a tooth with a nerve exposure, and sometimes it is impossible to see the severity of the lesion prior to starting. That is why i try my best to give all options prior to starting a procedure. Medicine isnt an exact science so sometimes the unexpected happens.
I guess you aren't understanding my issue/question. What gives them the RIGHT to be nasty to me when I don't have more than the amount they originally told me to bring? IMO NOTHING. They have no right to have an attitude because they didn't call me before proceeding and then expecting me to have more than they told me three separate times. I still owe them and will never pay because of the attitude they gave me.


Quote:
Originally Posted by larry_stewart View Post
As for why do molars before the front teeth. One main reason is that the back teeth stabilize your bite and keep the front teeth from hitting each other too hard. Back teeth are for grinding, chewing, force .. Front teeth ( incisors) are meant to incise, or cut, but into..... Obviously many people have different bites, and the rules dont apply %100 to everyone, but if you fix the front teeth and dont have a stable posterior bite, the heavy forces on the front teeth could fracture the new crown, bonding whatever ... remember , porcelain is basically glass, and will shatter under extreme, unwanted and poorly directed force. If there is a stable bite, and it is only one molar that is a problem, sure, why not do the anterior teeth first. But the bite must be evaluated first to ensure a successful case. Im very sure you can find someone to do what you want which would give you immediate satisfaction, but by cutting corners, may not last as long as the dentist who wanted to do it ' the right way' I think if the dentist decides to do things a certain order, especially if it is not the order the patient wants, then it should be explained why he/ she chooses to do it that way. Remember , it is your body, your health, your insurance and your money, so you do have the right to know and the right to ask. But there usually are reasons for why we do what we do.

Quick example: A person who only has front teeth ( no back teeth) will continuously put too much pressure on their front teeth. because most peoples front teeth have a slight over bite ( which is normal) , this excessive force continuously pushes upper teeth outward causing bone loss and movement and spaces between the teeth. If this same person has some back teeth to prevent the front teeth from hitting too hard, the problem could have been avoided.
Again, kind of not the question. If it's MY money and MY mouth, why is it "either do this or we won't treat you?" Because here it is 6 months later and I still haven't had ONE tooth fixed because they won't do what I want done. It's my money and you're providing a service, I should have some control. As it is, my control is getting nothing done since they won't fix what I have the money to fix. I don't have anything other than stubs in the back anyway, why not prop the front teeth and then I'll feel like it's worth fixing the back? I am not going to have $5,000 extra dollars this year, why not do what will make me feel better instead of forcing me to feel worse about myself?

Sorry, Larry, this is just very frustrating and very personal to me. A week from today I have to greet over 750 people and I won't even be able to smile at them because I don't have money coming out my tush to pay for all this up front.
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Old 01-09-2008, 09:23 PM   #36
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I understand %100, and to be perfectly honest, Im sure there is some solution to make things cosmetically acceptable without doing it in the proper order. Without knowing the the exact condition it is impossible to comment on anyones situation. But im we are force with many different situations, most not being ideal, and we do have to ' bend ' the rules to each individual case. I cant answer for the path that they took. Hopefully everything will work out in the end.
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Old 01-09-2008, 09:39 PM   #37
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Larry, oil changes don't hurt. Of course I take my car in to be fixed. It may pain the car but I feel nothing except in the pocket and I'm willing to do that.
From the dentist pulling at my cheek, and tugging at it like I was a little school boy and a big old man was yanking as he remembered from his own youth, why did he do that when prepping me for the dang needle? Oh then, he takes out the needle, at this point I have white knuckles and he starts rubbing HARD on my cheek back and forth back and forth, like trying to break up the nov and make it spread out or something. Sheesh, I was sore for days, when I looked closer in the mirror at my darling puss, I WAS BRUISED on my cheek where he'd rubbed so hard over and over again. His lady's poked me on various occasions trying to get out the cement that they'd or someone had left in there. Can they not see my gums and teeth and cheeks are in the way? Do they just prod to hurt me? I'm thinkin oh yeah...
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Old 01-09-2008, 09:45 PM   #38
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Ive had my dentist accamodate me big time by grinding down 2-3 teeth at a time as I live in a very isolated place and it is a 4 hour drive just to get to him but he also knew I could take it.Then he would make sure to get the lab to get my crowns made on time. I think that comes with living in the South West where some people live so far away from anything.
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Old 01-09-2008, 09:58 PM   #39
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Larry, oil changes don't hurt. Of course I take my car in to be fixed. It may pain the car but I feel nothing except in the pocket and I'm willing to do that.
From the dentist pulling at my cheek, and tugging at it like I was a little school boy and a big old man was yanking as he remembered from his own youth, why did he do that when prepping me for the dang needle? Oh then, he takes out the needle, at this point I have white knuckles and he starts rubbing HARD on my cheek back and forth back and forth, like trying to break up the nov and make it spread out or something. Sheesh, I was sore for days, when I looked closer in the mirror at my darling puss, I WAS BRUISED on my cheek where he'd rubbed so hard over and over again. His lady's poked me on various occasions trying to get out the cement that they'd or someone had left in there. Can they not see my gums and teeth and cheeks are in the way? Do they just prod to hurt me? I'm thinkin oh yeah...
How long ago was that? Dentists dont do that now, if so you have the wrong dentist. They were trying in those day by pulling the cheek and rubbing to do exactly what you said distribute the Novocaine. Now they just do do tiny injections wait a bit and continue further slowly until they get where they need to be, no pain at all.
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Old 01-09-2008, 10:18 PM   #40
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Larry, oil changes don't hurt. Of course I take my car in to be fixed. It may pain the car but I feel nothing except in the pocket and I'm willing to do that.
LEFSElover, I don't think I've spent $5000 on my car in service in 10 years let alone in the span of only 6 months. Heck, for 5 Grand I could own a new car that wouldn't take 5 grand in repairs in the next 10 years and I could finance it for $100 a month.
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