Welcome to DentalOpinions.com, your trusted source for valuable insights and information on all things related to oral health and dental care. Our mission is to provide comprehensive guidance to help you make informed decisions about maintaining your oral health, navigating dental insurance options, and accessing essential dental services. Whether you’re seeking expert opinions, practical tips, or the latest updates in the field of dentistry, DentalOpinions.com is your go-to resource for empowering yourself with the knowledge and tools necessary to prioritize your dental well-being.

A recent report by CareQuest Institute for Oral Health® shed light on the concern about the lack of dental insurance coverage among adults in the United States. According to their latest findings from the third annual State of Oral Health Equity in America (SOHEA) survey, an estimated 68.5 million adults in the US are currently without dental insurance. The number is expected to reach 91.4 million by the end of 2023, which is even more alarming. This increase is due to a combination of factors, including the potential loss of coverage for additional household members and the ongoing Medicaid redetermination process.

The report highlights the pressing need to address the disparities in oral healthcare access nationwide. It underscores the urgent need for initiatives and policies to bridge the gaps in dental insurance coverage and ensure more individuals have access to essential oral health services. This data is a stark reminder of the existing inequities in oral health care and the critical need for comprehensive solutions to rectify this issue.

Addressing the Critical Need for Expanded Dental Insurance Coverage in the United States

The lack of dental insurance coverage can significantly affect an individual’s ability to access and afford essential dental care. Without adequate insurance, many people are inclined to visit the dentist less frequently and may even defer necessary dental treatments due to cost concerns.

When individuals do not have dental insurance, the financial burden of dental care falls squarely on their shoulders. As a result, they may perceive routine dental check-ups and treatments as unaffordable luxuries rather than essential aspects of their overall health and well-being. Lack of dental insurance often leads to a cycle of neglecting oral health, which can ultimately result in more severe and costly dental issues down the line.

Moreover, the absence of insurance coverage can deter individuals from seeking preventive care, such as regular cleanings and check-ups, which are crucial for maintaining good oral health and addressing potential issues before they escalate, which can lead to more serious dental conditions. More extensive dental care needs could have been prevented or mitigated through timely and consistent preventive dental care.

It’s essential to recognize that dental health is an integral part of overall health, and neglecting dental care due to lack of insurance can have far-reaching consequences. We must advocate for policies and programs that aim to expand access to affordable dental insurance and promote public awareness about the importance of regular dental care. By addressing the barriers to dental insurance coverage, we can empower individuals to prioritize and maintain their oral health, improving overall well-being and reducing long-term healthcare costs.

Empower Your Oral Health: The Benefits of HMO Dental Insurance Plans

Cost is a significant consideration, and an HMO insurance plan could be viable option. HMO plans typically cost around $20.00 per month for an individual and $45.00 for a family of three or more. One of the significant advantages of HMO plans is that they often provide free preventive care, including basic cleanings, office visits, and bitewing X-rays. By emphasizing preventive care, HMO plans can help individuals avoid the need for more expensive dental services in the future.

When cost is a concern, it’s crucial to weigh the benefits of consistent, affordable coverage against potential future expenses. Individuals and families can access essential preventive dental care without incurring significant out-of-pocket costs by opting for an HMO plan. This proactive approach to oral health not only saves money in the long run but also promotes overall well-being by preventing the development of more serious dental issues.

In addition to the financial advantages, HMO plans offer a network of dental professionals, ensuring that individuals receive care from qualified providers. This network-based approach also streamlines scheduling appointments and accessing necessary treatments, fostering convenience and efficiency in managing oral health needs.

Individuals and families can prioritize preventive dental care by considering an HMO insurance plan without shouldering substantial financial burdens. Investing in regular dental check-ups and preventive treatments through an affordable HMO plan empowers individuals to take charge of their oral health, ultimately leading to improved well-being and reduced long-term healthcare costs.

The Importance of Dental Insurance Coverage: Addressing Disparities and Promoting Oral Health

Taking care of your dental health is crucial, even if you don’t have dental insurance. Neglecting your oral health can lead to many issues, from tooth decay and gum disease to more severe conditions that require costly and invasive treatments. You risk experiencing pain, discomfort, and potential long-term health problems without regular dental care.

Poor dental care can result in cavities, which can lead to tooth pain, sensitivity, and difficulty eating. Untreated cavities can progress to more severe infections, requiring root canals or tooth extraction. Additionally, neglecting oral hygiene can contribute to gum disease, which affects your teeth and gums and is linked to systemic health issues such as heart disease and diabetes.

If you lack dental insurance or struggle to afford dental care, there are still ways to prioritize your oral health. Many communities offer low-cost or free dental clinics that provide essential services such as cleanings, fillings, and extractions. These resources can help you maintain your dental health without breaking the bank.

Another option is to look for dental schools in your area. Dental schools often provide supervised treatment by students at a reduced cost, allowing individuals to access quality care at a more affordable price.

Some dentists also offer payment plans or sliding scale fees based on your income, making dental care more accessible to those without insurance. It’s essential to communicate with dental providers about your financial situation and explore all available options for affordable care.

Moreover, prioritizing preventive care at home is crucial. Brushing your teeth at least twice daily, flossing regularly, and using mouthwash can help prevent cavities and gum disease. A healthy diet low in sugary and acidic foods also contributes to maintaining good oral health.

Taking proactive steps to address your oral health, even without insurance, is essential for your overall well-being and can save you from more significant dental issues and expenses in the long run. You can maintain good oral health and avoid complications by exploring affordable care options and prioritizing preventive measures.

Understanding the Key Terms Used

In the post, several keywords highlight the importance of addressing disparities in oral healthcare access and expanding dental insurance coverage in the United States. Some key terms include:

1) CareQuest Institute for Oral Health: The CareQuest Institute for Oral Health is an organization focusing on improving oral health access and equity in the United States. They conduct research and publish reports to shed light on the state of oral health, including issues related to dental insurance coverage, disparities in access to oral healthcare, and the importance of preventive dental care. The institute also advocates for initiatives and policies to expand access to affordable dental insurance and promote public awareness about the significance of regular dental care.

2) Lack of Dental Insurance Coverage: Having a lack of dental insurance coverage means that individuals do not have an insurance plan specifically designed to help cover the costs associated with dental care. Not having dental insurance means paying for all dental treatments and services out of pocket, which can become a financial burden. Without dental insurance, individuals may be more inclined to forgo regular dental check-ups and necessary treatments due to the cost concerns, potentially impacting their oral health in the long run.

3) State of Oral Health Equity in America (SOHEA) survey: The State of Oral Health Equity in America (SOHEA) survey is an annual report conducted by the CareQuest Institute for Oral Health®. The survey aims to examine and analyze oral health and dental care access across the United States. It provides insights into disparities in dental insurance coverage, oral healthcare access, and the prevalence of oral health issues among adults. The SOHEA survey sheds light on the challenges faced by millions of Americans in obtaining essential dental services and highlights the pressing need for policies and initiatives to address these disparities and improve oral health equity.

4) Disparities in Oral Healthcare Access: Disparities in oral healthcare access refer to differences or inequalities in the availability and accessibility of oral healthcare services among different populations or communities. These disparities can be influenced by various factors such as socioeconomic status, geographic location, cultural barriers, and insurance coverage. When certain groups face barriers to accessing oral healthcare, it can result in unequal treatment and outcomes, ultimately affecting a population’s overall oral health equity.

5) Preventive Dental Care: Preventive dental care refers to maintaining good oral hygiene and attending regular check-ups with a dentist to prevent oral health problems before they develop or worsen. This type of care includes daily brushing and flossing, professional dental cleanings, routine dental exams, and X-rays. Preventive dental care can help identify and address dental issues early, ultimately reducing the risk of more severe problems in the future.

6) HMO dental insurance plans: HMO dental insurance plans are managed care plans in which you choose a primary dentist from a network of providers. This primary dentist coordinates all of your dental care and referrals to specialists. HMO plans typically require you to pay a copayment for each visit or service, and you may be responsible for all costs if you see a dentist outside of the network. These plans often prioritize preventive care and may cover several cleanings and exams each year at low or no cost to you. Remember that coverage and costs can vary, so reviewing the details of any specific plan you’re considering is essential.

7) Network of dental professionals: A network of dental professionals refers to a group of dentists, orthodontists, oral surgeons, and other dental specialists who are contracted with a specific dental insurance plan or dental network. When you have dental insurance, you may be required to visit dentists within the insurance company’s network to receive maximum benefits and coverage. This network helps access quality dental care while controlling costs for the insurance company and the insured individual.

8) Dental school: A dental school is a specialized educational institution that offers programs and training for individuals pursuing a career in dentistry. These schools provide comprehensive education and hands-on training in oral health, dental care, and dental procedures. Students at dental schools learn about oral anatomy, dental hygiene, dental procedures like fillings and root canals, and preventive dental care. Upon completion of their program, graduates of dental schools typically receive a degree in dentistry and are eligible to pursue licensure to practice as a dentist.

9) Gum disease: Gum disease, also known as periodontal disease, is an infection of the gums that can damage the soft tissue and bone that support the teeth. It is usually caused by poor oral hygiene habits that allow bacteria in plaque to remain on the teeth and infect the gums. Gum disease can lead to tooth loss and other health problems if left untreated. Maintaining good oral hygiene through regular brushing, flossing, and dental check-ups is vital to prevent gum disease.

10) Systemic health issues: Systemic health issues refer to health conditions that affect the entire body rather than a specific organ or body part. These conditions can be related to the immune, circulatory, or endocrine systems and have wide-ranging effects on overall health. Examples of systemic health issues include diabetes, high blood pressure, and autoimmune diseases. If you have concerns about your health, it’s essential to consult with a healthcare professional for personalized guidance.

Dental Insurance Plans for Affordable and Accessible Dental Care

Maintaining good oral health doesn’t solely depend on dental insurance, but it makes quality dental care more affordable. At DentalOpinions.com, we offer a variety of dental insurance plans designed to make dental care accessible for everyone. Whether you need a basic check-up or more comprehensive dental work, we have the right plan. If you have any questions or are considering purchasing dental insurance, please don’t hesitate to contact our office at 310-534-3444. We are dedicated to helping you find a plan that perfectly aligns with your dental care requirements and budget.

Thank you for taking the time to read this content. Please do not hesitate to reach out if you have any further questions or require additional information. We appreciate your attention and hope that you found the content valuable.

Individual dental insurance is probably one of the most widely adopted private insurance types. Our individual dental insurance plans provide you with the coverage you need to promote good dental health. Since obtaining an individual dental insurance plan is very affordable, many people choose to take responsibility for that coverage either as a stand-alone policy or as a supplement to their group dental coverage. If you are a self-employed person and have had the misfortune of visiting a dentist, you will immediately realize the importance of buying individual dental insurance coverage. Individual dental insurance plan help and information – InsuranceCompany.com is a specialist in dental insurance and dental discount plans, vision and prescription coverage programs for individuals. We have been serving the dental insurance community since 1983, you will find our licensed dental insurance agents are well informed and ready to assist you. Compare dental insurance plans and decide which one is right for you and your family. Many of our dental plans have next day benefits including vision and prescription. InsuranceCompany.com offers quotes for individual insurance plans including an option to compare dental national coverage plans. Remember, buying dental insurance does not have to be a painful process. We offer individual dental insurance benefit coverage in all 50 states. Insurance company is a national leader of dental health and related products with an e-market place to compare affordable dental insurance from the nations largest dental companies.

Individual dental insurance plan is a very great way to cover yourself at reduced costs.  With dental insurance plans for you and your family, we can help make it easier to keep your smile healthy.  Our individual dental insurance plans provide you with the coverage you need to promote good dental health.  We feature a wide variety of dental insurance plans.  Some dental plans are administered by Delta Dental Insurance Company, part of the nation’s oldest and largest dental benefits system. For your dental health, you need to take care of two things — Your daily dental teeth care: A well planned dental insurance plan.  We will provide you with that information, what are the most affordable dental insurance plans around, making terms such as insurance quotes, direct reimbursement, family discount options, financial availability and premium capitation a breeze.  There is a difference between traditional dental insurance plans and discount plans.

How to find dental insurance for your denti-cal plan can be found at CaliforniaDentalInsurance.com – Federal law governing the provision of dental services to children under Medicaid’s Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program requires that dental services be provided in accordance with a dental periodicity schedule.

This schedule must recommend treatment intervals that meet reasonable standards of dental practice, as determined by the State after consultation with recognized dental organizations involved in child health care, and at such other intervals that are medically necessary to determine the existence of a suspected illness or condition.

The dental periodicity schedule reflects the ages and intervals at which a child should receive specified dental services, not when a referral should take place. Following consultation with the California Dental Association (CDA), California Society of Pediatric Dentistry (CSPD) and American Academy of Pediatric Dentistry (AAPD), Denti-Cal has elected to use the attached periodicity schedule recommended by AAPD (reproduced with permission). The rationale supporting the procedures recommended in the periodicity schedule can be found on the AAPD Web site at http://www.aapd.org/media/Policies_Guidelines/G_Periodicity.pdf.

Although Denti-Cal supports the intervals recommended in the AAPD Periodicity Schedule, please be aware that the Manual of Criteria contained in the Provider Handbook governs Denti-Cal policy with respect to which procedures are benefits and the frequency at which they are allowable. For questions, please contact the Denti-Cal Telephone Service Center at (800) 423-0507.

http://www.denti-cal.ca.gov/provsrvcs/bulletins/Volume_26_Number_7.pdf

Providing oral care to people with intellectual disability requires adaptation of the skills you use every day. In fact, most people with mild or moderate intellectual disability can be treated successfully in the general practice setting. This booklet will help you make a difference in the lives of people who need professional oral care.

Intellectual disability is a disorder of mental and adaptive functioning, meaning that people who are affected are challenged by the skills they use in everyday life. Intellectual disability is not a disease or a mental illness; it is a developmental disability that varies in severity and is usually associated with physical problems. While one person with intellectual disability may have slight difficulty thinking and communicating, another may face major challenges with basic self-care and physical mobility.

For more information see http://www.nidcr.nih.gov/OralHealth/Topics/DevelopmentalDisabilities/PracticalOralCarePeopleIntellectualDisability.htm

Dental insurance available through InsuranceCompany.com

The National Call To Action To Promote Oral Health is addressed to professional organizations and individuals concerned with the health of their fellow Americans.  It is an invitation to expand plans, activities, and programs designed to promote oral health and prevent disease, especially to reduce the health disparities that affect members of racial and ethnic groups,  poor people, many who are geographically isolated, and others who are vulnerable because of special oral health care needs.  The National Call To Action To Promote Oral Health, referred to as the Call To Action, reflects the work of a partnership of public and private organizations who have specified a vision, goals, and a series of actions to achieve the goals.  It is their hope to inspire others to join in the effort, bringing their expertise and experience to enrich the partnership and thus accelerate a movement to enhance the oral and general health and well-being of all Americans.

For more information see http://www.surgeongeneral.gov/topics/oralhealth/nationalcalltoaction.html

Sponsor: InsuranceCompany.com – dental insurance starting with the kids…

Careington dental plan is also known as Careington International offers dental individual plan, dental family plan and dental group individual, dental group family and group plan vision. Careington dental plan is a well known and widely trusted name when it comes to dental insurances and plans. Careington dental plan, today, is much sought after for its quality services in dental care.

Careington Dental Plan: Includes x-rays, exams, cleanings, fillings, extractions, root canals, crowns, bridges, dentures, oral surgery, children’s dentistry, Orthodontics, Periodontics, Endodontics, and more. Over 7 million members join the Careington Dental Plan. CAREINGTON was among the first to offer quality dental plans at a discount, we have had years to develop an extensive provider panel, with over 35,000 participating dentists. Immediate access available to the Careington dental plan You can include your parents and other family members under certain conditions.

Save 20% to 60% on most dental procedures including routine oral exams, unlimited cleanings, and major work such as dentures, root canals and crowns. The CAREINGTON dental plan is backed by our SATISFACTION GUARANTEE. We have carefully selected the combined Careington Dental Plan and EyeMed Vision Care, two of the nations largest and best providers in their area of specialty.

For more information on Careington Dental Plan see the InsuranceCompany.com article

If you’re a student at a college or university, you may be required to buy dental insurance for students. Student dental insurance means insurance mainly for college and university students.  Many students need to apply for dental insurance separately from their health insurance.  This article gives detailed information regarding dental insurance for students.

Student Dental insurance coverage – The Basics

Dental insurance coverage for college students is often undervalued.  College student dental insurance plans are generally a great financial help when a son or daughter goes to a university and is no longer covered by the family insurance plan.  Student dental insurance will be an important part of securing health care for a pupil, especially  if there has been a history of problems in the past.  Parents and students will need to review several student dental insurance policies.  Gather information on student dental insurance is just the beginning of learning about practical living and budgets.  The Internet can be a good place to begin research for college student dental insurance plans and policies especially at InsuranceCompany.com

Finding Dental Insurance for Students – Dental Insurance Company

Student health and dental insurance is usually offered by schools through insurance companies.  The school you attend might offer a student dental insurance scheme or student capitation dental insurance scheme.  With this type of student dental insurance, you may have to pay a monthly or yearly fee.  Student dental insurance may be purchased on line, a local agent, or through your school.  Student dental insurance is more affordable than individual insurance plan.  Student dental insurance is one of the most affordable insurance plans available since special student discounts may apply.

Its important to get the facts right before you start at a new school, so the tip is to ask your school what type of student dental insurance that they offer.  This is why it is important to continue oral health coverage or to obtain one the these student dental insurance policies for your child going to a university.  Whether you’re searching for student dental insurance or family dental insurance, we can help you find the dental health plan you need.

Student Dental Insurance – Customer Service Department

Our customer service department is ready to assist you with any questions you may have and help you purchase an employer, family or individual dental insurance plan today.  We provide access to many of the largest, most recognized individual dental insurance networks in the nation.

InsuranceCompany.com is a specialist in dental insurance, dental discount plans, vision and prescription coverage programs for individuals, families and groups. We have been serving the dental community since 1983, you will find our licensed dental insurance agents are well informed and ready to assist you. Compare dental insurance plans and decide which one is right for you and your family.

Many of our dental plans have next day benefits including vision and prescription. InsuranceCompany.com offers quotes for individual and family dental insurance plans including an option to compare dental national coverage plans. Remember, buying dental insurance does not have to be a painful process. We offer dental benefit coverage in all 50 states.

I hope this student dental insurance information has helped you and your family. For more information see InsuranceCompany.com
Dr. David Blunt

Dental implants are natural-looking replacements for missing teeth due to periodontal disease or an injury. Dental implants are so natural-looking and feeling, you may forget you lost a tooth. Dental implants look and feel like your own teeth. They are extremely naturalistic, and those who receive dental implants often do not notice a difference in the oral function after the surgery has healed.

Implants can replace removable bridges or dentures, or they can be used to stabilize and secure the denture, making it much more comfortable. Dental implants are very durable and will last many years. Implants offer stability because they fuse to your bone. Dental Implants replace individual teeth and partial bridges in the upper and lower jaws. Implants are very durable, will last many years, and require the same “maintenance” as real teeth, including brushing, flossing and regular dental check-ups.

For more information see: InsuranceCompany.com

Dental sealants are thin plastic coatings that are applied to the grooves on the chewing surfaces of the back teeth to protect them from tooth decay.  Dental sealants are effective in preventing dental caries in the occlusal (chewing) and other pitted and fissured surfaces of the teeth.  Dental sealants were assessed in permanent molars (occlusal and buccal surfaces in lower molars and occlusal and lingual surfaces in upper molars), premolars (occlusal surface), and upper lateral incisors (lingual surface).

For more information see: InsuranceCompany.com

After Sen. Harry Reid was able to bribe and cajole 60 Democrat and Independent Senators to vote for “cloture” and pass the Senate version of ObamaCare, Sen. Jim DeMint (R-SC) engineered an “objection to the appointment of the conferees”. What that means is this: The U.S. Constitution, in Article I, Section 7.2, specifies that every bill has to pass both houses of Congress before it can be signed into law. However, it has to be the exact same bill that passes. That usually means that, when a bill is amended in one house (like the Senate amended the House bill, in order to get the 60 votes needed to pass it), a “conference committee” is appointed with members of both houses to “iron out” the differences, and then each house votes on the final compromise bill with no amendments allowed.

That’s what usually happens… BUT NOT THIS TIME!

THIS TIME, Republican Leader McConnell (at the behest of Sen. DeMint) actually objected to the appointment of the conferees — something that’s almost never done. That means that the Senate ObamaCare bill must be amended on the House floor to gain the votes they need to pass it on the House floor. And because of Sen. DeMint’s objection to the appointment of the conferees, there will be no conference, or conference report. Democrats can resort to a fallback: they can propose a motion to appoint conferees, but that motion is subject to filibuster. It would likely require three separate cloture votes just to pass the motion to appoint conferees! So — the Senate bill goes back to the House, which will have to debate it all over again… including amending it.

If the House amends the Senate bill, they then have to send the amended bill back to the Senate — where all the 60 vote margin cloture votes still apply — cloture on the motion to proceed, cloture to end the filibuster, and cloture on any amendment.

And you can bet that the House WILL amend the Senate bill. There are PLENTY of disagreements among Democrats in the House over Harry Reid’s compromise bill, in areas like abortion, the public option, illegal immigrant coverage, taxation of union health care plans, and the degree of subsidy available for purchase of health care. Any ONE of these can SINK Obamacare!

On abortion, the Senate bill contains massive abortion funding by virtue of the Nelson-Reid abortion language in the bill that allows states to force taxpayers to fund abortions with government funds. It also contains the Mikulski amendment, which would allow the Obama administration to define abortion as “preventative care” and force insurance companies to use taxpayers’ premiums to pay for them. The House initially approved its bill on a three-vote margin only because it contained the Stupak amendment to ban abortion funding. Now, with the Senate’s Nelson-Reid language and Mikulski amendment in place, a group of 10-12 pro-life Democrats led by Rep. Bart Stupak of Michigan may very well REVOLT on supporting the bill, unless the Stupak amendment is added to the Senate version of the legislation. And if the Stupak amendment is added, that would probably prompt some pro-abortion Democrats to vote against the bill. RESULT: OBAMACARE DIES.

Source: Socialized Health Care Can STILL Be Stopped — Click Below to Tell Congress to VOTE NO on ObamaCare:
https://secure.conservativedonations.com/rm_obamacare/?a=3506

Your dentist uses root canal treatment to find the cause and then treat problems of the tooth’s soft core (the dental pulp). Years ago, teeth with diseased or injured pulps were removed. Today, root canal treatment has given dentists a safe way of saving teeth.

What is the dental pulp?

The pulp is the soft tissue that contains nerves, blood vessels and connective tissue. It lies within the tooth and extends from the crown of the tooth to the tip of the root in the bone of the jaws.

What happens if the pulp gets injured?

An abscessed (infected) tooth caused by tooth decay. When the pulp is diseased or injured and can’t repair itself, it dies. The most common cause of pulp death is a cracked tooth or a deep cavity. Both of these problems can let germs (bacteria) enter the pulp. Germs can cause an infection inside the tooth. Left without treatment, pus builds up at the root tip, in the jawbone, forming a “pus-pocket” called an abscess. An abscess can cause damage to the bone around the teeth.

Why does the pulp need to be removed?

When the infected pulp is not removed, pain and swelling can result. Certain byproducts of the infection can injure your jaw bones. Without treatment, your tooth may have to be removed.

What does treatment involve?

Treatment often involves from one to three visits. During treatment, your general dentist or endodontist (a dentist who specializes in problems of the pulp) removes the diseased pulp. The pulp chamber and root canal(s) of the tooth are then cleaned and sealed.

Here’s how your tooth is saved through treatment:

1. First, an opening is made through the crown of the tooth.
2. An opening is made through the crown of the tooth into the pulp chamber.
3. The pulp is then removed. The root canal(s) is cleaned and shaped to a form that can be filled.
4. The pulp is removed, and the root canals are cleaned, enlarged and shaped.
5. Medications may be put in the pulp chamber and root canal(s) to help get rid of germs and prevent infection.
6. A temporary filling will be placed in the crown opening to protect the tooth between dental visits. Your dentist may leave the tooth open for a few days to drain. You might also be given medicine to help control infection that may have spread beyond the tooth.
7. The pulp chamber and root canals are filled and sealed.
8. The temporary filling is removed and the pulp chamber and root canal(s) are cleaned and filled.
9. In the final step, a gold or porcelain crown is usually placed over the tooth. If an endodontist performs the treatment, he or she will recommend that you return to your family dentist for this final step.
10. The crown of the tooth is then restored.

How long will the restored tooth last?

Your restored tooth could last a lifetime, if you continue to care for your teeth and gums. However, regular checkups are necessary. As long as the root(s) of a treated tooth are nourished by the tissues around it, your tooth will remain healthy.

Please note: The ADA does not provide specific answers to individual questions about fees, dental problems, conditions, diagnoses, treatments or proposed treatments, or requests for research. Information about dental referrals, complaints and a variety of dental procedures may be found here. You can also refer to our Frequently Asked Questions page for answers to common questions.

Source: http://www.ada.org/public/topics/root_canal_faq.asp

Denti-Cal is the dental care segment of the Medi-Cal program. Denti-Cal is administered by a private managed care plan, Delta Dental. Delta Dental’s primary function is to process claims and treatment authorization request (TARs) submitted by providers for dental services performed for Medi-Cal beneficiaries. The most recent contract between California Department of Health Services (DHS) and Delta Dental was signed in 1998.

Eligibility, administration and scope of services is governed by Welfare and Institution Code 14000 et seq. And Title 10 and Title 22 of the California Code of Regulations. Additional guidance about the program is provided in the Denti-Cal Provider Manual.

Eligibility

Individuals who are enrolled in the Medi-Cal Program are eligible to receive dental services provided by Denti-Cal. Eligibility is verified through presentation of a Beneficiary Identification Card, known as a BIC card. Certain limitations in access to dental services may apply to the following beneficiaries:

Upon verifying eligibility in Medi-Cal, a provider cannot bill a beneficiary for any part of the charge for a Medi-Cal covered service, except to collect copayments or share of cost. Providers can request payment of share of cost. Additionally, providers can input information about incurred medical expenses into the AEVS system (Automated Eligibility Verification System), which can help a beneficiary satisfy his/her share of cost obligation.

Services

Generally, Denti-Cal covers inpatient and outpatient services “which are reasonable and necessary for the prevention, diagnosis, and treatment of dental disease, injury or defect.” A number of dental services, including emergency and diagnostic services, including examinations, radiographs, biopsies and dental prophylaxis, are covered without prior authorization. Denti-Cal services are provided through fee-for-service as well as managed care arrangements. In the fee-for-service system, beneficiaries can access any dental provider who participates in Medi-Cal in their geographic area. In managed care, beneficiaries are restricted to those providers participating in the dental plan.

Additionally, in the fee-for-service system, approval of some services must be sought through a Treatment Authorization Request (TAR). In managed, care approval of certain services is provided by the health plan through its pre-authorization process. Some services, such as cosmetic procedures, experimental procedures that increase vertical dimension or restore occlusion, are excluded from coverage by Denti-Cal.

Source: http://www.caortho.org/insurance/dentical.cfm

Dental Officer, GS-680-12/13. Dental Officers are responsible for the full range of dental care provided to inmates, including prevention, diagnosis and treatment of diseases, injury, and deformities of the oral cavity.

Qualifications: Basic qualification requirements: Applicants must have a degree in dental surgery (D.D.S.) or dental medicine (D.M.D.) from a school approved by the Council on Dental Education, American Dental Association (ADA), or other dental school, provided the education and knowledge acquired was substantially equivalent to that of graduates from an ADA-approved school. Applicants must also be currently licensed to practice dentistry in a state, the District of Columbia, or Puerto Rico. In addition to the basic qualifications, applicants at the GS-12 level must also possess two years of professional dentistry experience and/or training; or superior academic ability defined as that demonstrated by an intern, who on the basis of an evaluation of all interns who have completed training in the same hospital or in the same kind of internship program over the past 5 years, would fall into this category. Applicants at the GS-13 must have three years of professional dentistry experience and/or training to at least that of a Board eligible. Experience and/or training must be in one of the following: post-licensure professional experience in the general practice of dentistry; approved internship training; approved residency training; graduate-level study in an accredited dental school; post-licensure professional experience in a specialized area of practice; or other advanced study or training outside of dental school or hospital creditable towards satisfaction of training program requirements for Board eligibility.

How to Apply: Search USAJobs for vacancies (series number GS-0680), or view Health Services Vacancies.

Source: http://www.bop.gov/jobs/job_descriptions/dental_officer.jsp

The excitement about the AAPD Head Start Dental Home Initiative is spreading throughout the dental community. Various state activities have resulted in many unsolicited letters from providers requesting participation in the initiative. These sentiments are well expressed in one, quoted by Alabama State Leader, Dr. Charles Hall, “we would gladly consider any initiative with the Head Start that would result in improved dental health care for the children of this county and the surrounding counties.”

AAPD State Leaders have expressed a great deal of gratitude to Head Start programs who have reached out for assistance. The dedication to improving the oral health of Head Start children expressed by Head Start staff is creating a momentum in many states in both the Head Start and dental communities. This cooperation is reflected in the experience of Montana State Leader Dr. Kevin Rencher, “I am most impressed by the need expressed by grantees. They are desperate to receive better dental care for their children. I think by getting that feeling across to the dental community, the desire to help is dramatically increased!”

Please contact your state leader if you would like more information about how you can be involved in the AAPD Head Start Dental Home Initiative. A complete list of our State Leaders, along with their contact information, is available on this Web site: http://www.aapd.org/headstart/

The Council of State Governments (CSG), coordinator of the Criminal Justice/Mental Health Consensus Project, will continue to provide technical assistance to BJA Mental Health Court Program grantees planning, implementing, evaluating, and sustaining their Mental Health Courts. In addition, they will provide similar assistance to nongrantee mental health courts and to other court-based initiatives to improve the response to people with mental illness in the criminal justice system.

The focus of this year’s technical assistance will be on helping court-based initiatives fully integrate their activities with other similar programs in the jurisdiction. To achieve this goal, CSG will make available the following forms of support:

• Convene a national conference for court-based programs to improve the response to people with mental illness including mental health courts. 
• Maintain a web site dedicated to mental health courts, which also serves as a clearinghouse of information for anyone working in the criminal justice system seeking to improve the response to people with mental illness in the justice system. 
• Provide onsite and offsite technical assistance to grantees and nongrantees. 
• Develop a network of demonstration mental health courts, which will provide peer-to-peer support for courts seeking to improve their response to this population. 
• Coordinate technical assistance efforts with the Substance Abuse and Mental Health Services Administration and its TAPA and GAINS Centers for technical assistance to provide assistance on mental health services and jail diversion strategies. This includes support for the Judges Leadership Initiative, which seeks to build leadership in the judiciary to effectively address the community and consumer needs of those with mental illness in the criminal justice system. 
• Develop and disseminate a written product identifying and explaining the essential elements of a mental health court. 
• To develop written publications on key issues related to justice and mental health collaboration. Current publications include: What Is a Mental Health Court? (under development); Navigating the Mental Health Maze; and A Guide to Collecting Mental Health Court Outcome Data.

For more information on technical assistance available under this program, visit the BJA Mental Health Courts Program page at www.consensusproject.org and/or register for the Consensus Project e-newsletter.

Source: http://www.ojp.usdoj.gov/BJA/grant/mentalhealth.html

Understanding the beginning of TMJ

The temporomandibular joint connects the lower jaw, called the mandible, to the bone at the side of the head—the temporal bone. If you place your fingers just in front of your ears and open your mouth, you can feel the joints. Because these joints are flexible, the jaw can move smoothly up and down and side to side, enabling us to talk, chew and yawn. Muscles attached to and surrounding the jaw joint control its position and movement.

     

When we open our mouths, the rounded ends of the lower jaw, called condyles, glide along the joint socket of the temporal bone. The condyles slide back to their original position when we close our mouths. To keep this motion smooth, a soft disc lies between the condyle and the temporal bone. This disc absorbs shocks to the jaw joint from chewing and other movements.

The temporomandibular joint is different from the body’s other joints. The combination of hinge and sliding motions makes this joint among the most complicated in the body. Also, the tissues that make up the temporomandibular joint differ from other load-bearing joints, like the knee or hip. Because of its complex movement and unique makeup, the jaw joint and its controlling muscles can pose a tremendous challenge to both patients and health care providers when problems arise.

Autism: Dental Health Problems

People with autism experience few unusual oral health conditions. Although commonly used medications and damaging oral habits can cause problems, the rates of caries and periodontal disease in people with autism are comparable to those in the general population. Communication and behavioral problems pose the most significant challenges in providing oral care.

DAMAGING ORAL HABITS are common and include bruxism; tongue thrusting; self-injurious behavior such as picking at the gingiva or biting the lips; and pica–eating objects and substances such as gravel, cigarette butts, or pens. If a mouth guard can be tolerated, prescribe one for patients who have problems with self-injurious behavior or bruxism.

DENTAL CARIES risk increases in patients who have a preference for soft, sticky, or sweet foods; damaging oral habits; and difficulty brushing and flossing.

• Recommend preventive measures such as fluorides and sealants.
• Caution patients or their caregivers about medicines that reduce saliva or contain sugar. Suggest that patients drink water often, take sugar-free medicines when available, and rinse with water after taking any medicine.
• Advise caregivers to offer alternatives to cariogenic foods and beverages as incentives or rewards.
• Encourage independence in daily oral hygiene. Ask patients to show you how they brush, and follow up with specific recommendations. Perform hands-on demonstrations to show patients the best way to clean their teeth. If appropriate, show patients and caregivers how a modified toothbrush or floss holder might make oral hygiene easier.
• Some patients cannot brush and floss independently. Talk to caregivers about daily oral hygiene and do not assume that they know the basics. Use your experiences with each patient to demonstrate oral hygiene techniques and sitting or standing positions for the caregiver. Emphasize that a consistent approach to oral hygiene is important–caregivers should try to use the same location, timing, and positioning.

Cerebral Palsy: Dental Health Care

People with cerebral palsy may present with physical and mental challenges that have implications for oral care. Before the appointment, obtain and review the patient’s medical history. Consultation with physicians, family, and caregivers is essential to assembling an accurate medical history. Also, determine who can legally provide informed consent for treatment.

The different TYPES OF CEREBRAL PALSY are classified according to associated motor impairments:

Spastic palsy presents with stiff or rigid muscles on one side of the body or in all four limbs, sometimes including the mouth, tongue, and pharynx. People with this form of cerebral palsy may have legs that turn inward and scissor as they walk, or arms that are flexed and positioned against their bodies. Many also have intellectual disability, seizures, and dysarthria (difficulty speaking).

Dyskinetic or athetoid palsy is characterized by hypotonia and slow, uncontrolled writhing movements. People with this type of cerebral palsy experience frequent changes in muscle tone in all areas of their bodies; muscles may be rigid during waking hours and normal during sleep. Dysarthria is also associated with this type.

Ataxic palsy is marked by problems with balance and depth perception, as well as an unsteady, wide-based gait. Hypotonia and tremors sometimes occur in people with this rare type of cerebral palsy.

Combined palsy reflects a combination of these types.

Everyone who has cerebral palsy has problems with movement and posture. Observe each patient, then tailor your care accordingly.

• Maintain clear paths for movement throughout the treatment setting. Keep instruments and equipment out of the patient’s way.

• Positioningfor treating a patient in a wheelchair.  Note the support asliding board can provide.  Sliding or transfer boards areavailable from  home health care companies.

  Some patients cannot be moved into the dental chair but instead must be treated in their wheelchairs. Some wheelchairs recline or are specially molded to fit people’s bodies. Lock the wheels, then slip a sliding board (also called a transfer board) behind the patient’s back to support the head and neck.

• If you need to transfer your patient from a wheelchair to the dental chair, ask about special preferences such as padding, pillows, or other things you can provide to ease the transition. The patient or caregiver can often explain how to make a smooth transfer. (See Wheelchair Transfer: A Health Care Provider’s Guide, also part of this series.)

UNCONTROLLED BODY MOVEMENTS are common in people with cerebral palsy. Their limbs move often, so providing oral care can be difficult. When patients with cerebral palsy attempt to move in order to help, their muscles often tense, increasing uncontrolled movements.

• Make the treatment environment calm and supportive. Try to help your patient relax. Relaxation will not stop uncontrolled body movements, but it may reduce their frequency or intensity.
• Place and maintain your patient in the center of the dental chair. Do not force arms and legs into unnatural positions, but allow the patient to settle into a position that is comfortable and will not interfere with dental treatment.
• Observe your patient’s movements and look for patterns to help you anticipate direction and intensity. Trying to stop these movements may only intensify the involuntary response. Try instead to anticipate the movements, blending your movements with those of your patient or working around them.
• Softly cradle your patient’s head during treatment. Be gentle and slow if you need to turn the patient’s head.
• Exert gentle but firm pressure on your patient’s arm or leg if it begins to shake.
• Try to keep appointments short, take frequent breaks, or consider prescribing muscle relaxants when long procedures are needed. People with cerebral palsy may need sedation, general anesthesia, or hospitalization if extensive dental treatment is required.

PRIMITIVE REFLEXES are common in many people with cerebral palsy and may complicate oral care. These reflexes often occur when the head is moved or the patient is startled, and efforts to control them may make them more intense. Three types of reflexes are most commonly observed during oral care.

Asymmetric tonic neck reflex: When a patient’s head is turned, the arm and leg on that side stiffen and extend. The arm and leg on the opposite side flex.

Tonic labyrinthine reflex: If the neck is extended while a patient is lying on his or her back, the legs and arms also extend, and the back and neck arch.

Startle reflex: Any surprising stimuli, such as noises, lights, or a sudden movement on your part, can trigger uncontrolled, often forceful movements involving the whole body.

• Be empathic about your patient’s concerns and frustrations.
• Minimize the number of distractions in the treatment setting. Movements, lights, sounds, or other stimuli can make it difficult for your patient to cooperate. Tell him or her about any such stimulus before it appears. For example, tell the patient before you move the dental chair.

MENTAL CAPABILITIES vary. Many people with cerebral palsy have mild or moderate intellectual disability, but only 25 percent have a severe form. Some have normal intelligence.

• Talk with the parent or caregiver to determine your patient’s intellectual and functional abilities, then explain each procedure at a level the patient can understand. Allow extra time to explain oral health issues, instructions, or procedures.
• Use simple, concrete instructions and repeat them often to compensate for any short-term memory problems. Speak slowly and give only one direction at a time.
• Demonstrations can make patients more cooperative. For example, turn on the saliva ejector so the patient can hear it and feel it at the corner of the mouth. Then slowly introduce it inside the mouth, being careful not to trigger a gag reflex.
• Be consistent in all aspects of oral care. Use the same staff and dental operatory each time to help sustain familiarity. Consistency leads to improved cooperation.
• Listen actively, since communicating clearly is difficult for some–show your patient whether you understand. Be sensitive to the methods he or she uses to communicate, including gestures and verbal or nonverbal requests.

SEIZURES may accompany cerebral palsy, but can usually be controlled with anticonvulsant medications. The mouth is always at risk during a seizure: Patients may chip teeth or bite the tongue or cheeks. Patients with controlled seizure disorders can easily be treated in the general dental office.

• Consult your patient’s physician. Record information in the chart about the frequency of seizures and the medications used to control them. Determine before the appointment whether medications have been taken as directed. Know and avoid any factors that trigger your patient’s seizures.
• Be prepared to manage a seizure. If one occurs during oral care, remove any instruments from the mouth and clear the area around the dental chair. Attaching dental floss to rubber dam clamps and mouth props when treatment begins can help you remove them quickly. Do not attempt to insert any objects between the teeth during a seizure.
• Stay with your patient, turn him or her to one side, and monitor the airway to reduce the risk of aspiration.

VISUAL IMPAIRMENTS affect a large number of people with cerebral palsy. The most common of these defects is strabismus, a condition in which the eyes are crossed or misaligned. People with cerebral palsy may develop visual motor skills, such as hand-eye coordination, later than other people.

• Determine the level of assistance your patient requires to move safely through the dental office.
• Use your patients’ other senses to connect with them, establish trust, and make treatment a good experience. Tactile feedback, such as a warm handshake, can make your patients feel comfortable.
• Face your patients when you speak and keep them apprised of each upcoming step, especially when water will be used. Rely on clear, descriptive language to explain procedures and demonstrate how equipment might feel and sound. Provide written instructions in large print (16 point or larger).

HEARING LOSS and DEAFNESS can be accommodated with careful planning. Patients with a hearing problem may appear to be stubborn because of their seeming lack of response to a request.

• Patients may want to adjust their hearing aids or turn them off, since the sound of some instruments may cause auditory discomfort.
• If your patient reads lips, speak in a normal cadence and tone. If your patient uses a form of sign language, ask the interpreter to come to the appointment. Speak with this person in advance to discuss dental terms and your patient’s needs.
• Visual feedback is helpful. Maintain eye contact with your patient. Before talking, eliminate background noise (turn off the radio and the suction). Sometimes people with a hearing loss simply need you to speak clearly in a slightly louder voice than normal. Remember to remove your facemask first or wear a clear face shield.

DYSARTHRIA is common in people with cerebral palsy, due to problems involving the muscles that control speech and mastication.

• Be patient. Allow time for your patient to express himself or herself. Remember that many people with dysarthria have normal intelligence.
• Consult with the caregiver if you have difficulty understanding your patient’s speech.

 

GASTROESOPHAGEAL REFLUX sometimes affects people with cerebral palsy, including those who are tube-fed. Teeth may be sensitive or display signs of erosion. Consult your patient’s physician about the management of reflux.

• Place patients in a slightly upright position for treatment.
• Talk with patients and caregivers about rinsing with plain water or a water and baking soda solution. Doing so at least four times a day can help mitigate the effects of gastric acid. Stress that using a fluoride gel, rinse, or toothpaste every day is essential.

 

Record in the patient’s chart strategies that were successful in providing care. Note your patient’s preferences and other unique details that will facilitate treatment, such as music, comfort items, and flavor choices.

Before the appointment, obtain and review the patient’s medical history. Consultation with physicians, family, and caregivers is essential to assembling an accurate medical history. Also, determine who can legally provide informed consent for treatment.

 Talk with the parent or caregiver to determine your patient’s intellectual and functional abilities, and then communicate with the patient at a level he or she can understand.

• Use a “tell-show-do” approach to providing care. Start by explaining each procedure before it occurs. Take the time to show what you have explained, such as the instruments you will use and how they work. Demonstrations can encourage some patients to be more cooperative.

BEHAVIOR PROBLEMS –which may include hyperactivity and quick frustration–can complicate oral health care for patients with autism. The invasive nature of oral care may trigger violent and self-injurious behavior such as temper tantrums or head banging.

• Plan a desensitization appointment to help the patient become familiar with the office, staff, and equipment through a step-by-step process. These steps may take several visits to accomplish.
  • Have the patient sit alone in the dental chair to become familiar with the treatment setting. Some patients may refuse to sit in the chair and choose instead to sit on the operator’s stool.
  • Once your patient is seated, begin a cursory examination using your fingers.
  • Next, use a toothbrush to brush the teeth and gain additional access to the patient’s mouth. The familiarity of a toothbrush will help your patient feel comfortable and provide you with an opportunity to further examine the mouth.
• When the patient is prepared for treatment, make the appointment short and positive.
• Pay special attention to the treatment setting. Keep dental instruments out of sight and light out of your patient’s eyes.
• Praise and reinforce good behavior after each step of a procedure. Ignore inappropriate behavior as much as you can.
• Try to gain cooperation in the least restrictive manner. Some patients’ behavior may improve if they bring comfort items such as a stuffed animal or a blanket. Asking the caregiver to sit nearby or hold the patient’s hand may be helpful as well.
• Use immobilization techniques only when absolutely necessary to protect the patient and staff during dental treatment–not as a convenience. There are no universal guidelines on immobilization that apply to all treatment settings. Before employing any kind of immobilization, it may help to consult available guidelines on federally funded care, your State department of mental health disabilities, and your State Dental Practice Act. Guidelines on behavior management published by the American Academy of Pediatric Dentistry (www.aapd.org) may also be useful. Obtain consent from your patient’s legal guardian and choose the least restrictive technique that will allow you to provide care safely. Immobilization should not cause physical injury or undue discomfort.
• If all other strategies fail, pharmacological options are useful in managing some patients. Others need to be treated under general anesthesia. However, caution is necessary because some patients with developmental disabilities can have unpredictable reactions to medications.

People with autism often engage in perseveration, a continuous, meaningless repetition of words, phrases, or movements. Your patient may mimic the sound of the suction, for example, or repeat an instruction over and again. Avoid demonstrating dental equipment if it triggers perseveration, and note this in the patient’s record.

UNUSUAL RESPONSES TO STIMULI can create distractions and interrupt treatment. People with autism need consistency and can be especially sensitive to changes in their environment. They may exhibit unusual sensitivity to sensory stimuli such as sound, bright colors, and touch. Reactions vary: Some people with autism may overreact to noise and touch, while exposure to pain and heat may not provoke much reaction at all.

• Use the same staff, dental operatory, and appointment time to sustain familiarity. These details can help make dental treatment seem less threatening.
• Minimize the number of distractions. Try to reduce unnecessary sights, sounds, odors, or other stimuli that might be disruptive. Use an operatory that is somewhat secluded instead of one in the middle of a busy office. Also, consider lowering ambient light and asking the patient’s caregiver whether soft music would help.
• Allow time for your patient to adjust and become desensitized to the noise of a dental setting. Some patients may be hypersensitive to the sound of dental instruments.
• Talk to the caregiver to get a sense of the patient’s level of tolerance. People with autism differ in how they accept physical contact. Some are defensive and refuse any contact in or around the mouth, or cradling of the head or face. Others find such cradling comforting.
• Note your findings and experiences in the patient’s chart.

UNUSUAL AND UNPREDICTABLE BODY MOVEMENTS are sometimes observed in people with autism. These movements can jeopardize safety as well as your ability to deliver oral health care.

• Make sure the path from the reception area to the dental chair is clear.
• Observe the patient’s movements and look for patterns. Try to anticipate the movements, either blending your movements with those of your patient or working around them.

SEIZURES may accompany autism but can usually be controlled with anticonvulsant medications. The mouth is always at risk during a seizure: Patients may chip teeth or bite the tongue or cheeks. People with controlled seizure disorders can easily be treated in the general dental office.

• Consult your patient’s physician. Record information in the chart about the frequency of seizures and the medications used to control them. Determine before the appointment whether medications have been taken as directed. Know and avoid any factors that trigger your patient’s seizures.
• Be prepared to manage a seizure. If one occurs during oral care, remove any instruments from the mouth and clear the area around the dental chair. Attaching dental floss to rubber dam clamps and mouth props when treatment begins can help you remove them quickly. Do not attempt to insert any objects between the teeth during a seizure.
• Stay with your patient, turn him or her to one side, and monitor the airway to reduce the risk of aspiration.

Record in the patient’s chart strategies that were successful in providing care. Note your patient’s preferences and other unique details that will facilitate treatment, such as music, comfort items, and flavor choices.

A variety of symptoms may be linked to TMJ disorders. Pain, particularly in the chewing muscles and/or jaw joint, is the most common symptom. Other likely symptoms include:

• radiating pain in the face, jaw, or neck,
• jaw muscle stiffness,
• limited movement or locking of the jaw,
• painful clicking, popping or grating in the jaw joint when opening or closing the mouth,
• a change in the way the upper and lower teeth fit together.