Come visit us at www.rondentist.com

Come visit us at www.rondentist.com

Monday, July 15, 2019

Do I need a Crown after Root Canal Treatment

Do I need a Crown after Root Canal Treatment

This is not the first time I have written on this subject and I keep getting asked this same question.
I understand the question.  People have had their root canal treatment and their tooth no longer hurts so why should they have this expensive treatment called a crown.  I mean they have just paid enough for the root canal. and the filling.
Well, this past week, another patient of mine came in who had his root canal done a few months ago and the tooth was cracked.  Nothing I could do and I had to extract the tooth.  Only problem was that this tooth was his last molar on one side and it held his partial denture.  Now that the tooth is gone he has a real issue holding that denture.  We have repaired the denture to have it hold better but a solution that will let him hold the denture at least the way it was is going to be expensive.
Yes you need the crown after the root canal treatment.  It will save you money in the long run.

Enjoying dentistry in Hamilton Ontario Canada

All the best

Dr Ron Barzilay

www.rondentist.com

PS. any questions, just send them as a comment

Thursday, May 23, 2019

My Insurance! My Insurance! My Insurance! - Do you know anything about your insurance?



This is a true story.
A patient of ours was in the other day.  We had just made  new dentures for him and his wife.
We said we would send it to his insurance company to see if they would pay but he right away knew that they would not pay since he didn't have coverage for dentures.  Of course, shortly after that we heard from the insurance company that he has no coverage for dentures (major coverage).
He did tell us that he pays $170 dollars a month for only dental insurance for himself and his wife.
$2040 dollars a year for him and his wife and there was no major coverage.
My staff were flabbergasted.  They almost never have fillings to do and their cleanings amount to about 2 months of their premiums
So they pay their premiums faithfully every month but never get value.  In other words, in their case, it is not worth it to get insurance. Pay your dental bills out of pocket and they would be left with a larger sum of money in their pockets.
   Is this the case for everyone?  Of course not but it was the case for them.  Many people when they come to see me, say that they haven't been to the dentist for years because they didn't have dental insurance so they couldn't afford it.  I always explain to them that dental insurance costs money and that if they put that same money aside to go to the dentist they would be surprised by what value they get.
    The morals of the story?
 1. Check what you are actually getting when you buy dental insurance.  How much does it cost and is it really worth it.
2.  You can still go to the dentist even if you don't have insurance.

All the best

Dr. Ron Barzilay

Having fun practising dentistry in Hamilton Ontario Canada

www.rondentist.com

PS. If you have any questions just send a reply to the post.

Wednesday, April 24, 2019

Sometimes a small change can make a big difference

This patient came in and nothing really bothered her.  I suggested that we could make her smile look a little more aesthetic especially where she had some discoloration and old fillings on the roots on her upper left side.  They were visible in the smile.

I took out the old fillings and placed some white fillings.  We also covered up some of her discolored roots and then we got this....


She was very happy with the result.  It didn't take us very long to do and a much nicer smile.
Doing this is really a lot of fun.

Having fun doing dentistry in Hamilton Ontario Canada
If you have any questions don't hesitate to ask.
All the best
Dr. Ron Barzilay

Monday, November 12, 2018

What can I do with my Peg Lateral?

What is a peg lateral?  A peg lateral is an incisor that has not developed properly.  It is the tooth beside the central incisor and it usually is small and pointy, hence the name peg lateral.
Aesthetically it just doesn't look right.  So what can be done?
    There are a few options.
1)   extract the tooth and move the teeth behind forward.  This is done many times when a child is having orthodontics.  The only problem is the tooth behind is usually a larger size than the tooth it is replacing and sometimes it doesn't come out that great.  Sometimes it comes out just fine.
2)  extract the peg lateral then replace it with an implant.
3)  leave the peg lateral in place and just build it up to look like a normal tooth.

I like option 3 although it is not always easy but when done well can give a very nice result.




All the best
Dr Ron Barzilay

Wednesday, November 7, 2018

MY SMILE LOOKS TERRIBLE BUT I CAN'T AFFORD THE DENTISTRY - WHAT CAN I DO?

My smile looks terrible, so I don't smile any more.  I can't afford the dentistry.  What can I do?

How many times do I get asked this question!  Usually it is from a new patient who I have never seen before and they have come in to see what we can do about their smile.
So many people assume that it is just to expensive so they never come in and even ask the question.  That is the worst situation because for many people the fix really isn't that bad or that expensive.  You really need to ask the question so that you can get an answer.
Many people assume that things are terrible when the solutions are often small and simple.
There are of course cases that are more complicated and more expensive but let's go over some cases and see some solutions.  Of course I can in no way cover all the possible scenarios but here are just a few easy ones.
"My teeth are yellow and they embarrass me".  The solution is teeth whitening!  From in office to buying whited strips at Walmart.  Both work well and you can keep your cost low.
"Crooked teeth".  I always wanted straight teeth but couldn't afford it.  I refer to the orthodontist.  The typical case is $6-7,000 dollars (CDN).  The people I work with ask for a deposit then they put you on a payment plan for about 2 years so it works out to about $200 dollars a month after the deposit.  Sometimes, if patients are hard up for the deposit then I will speak to the Orthodontist and sometimes I can get the deposit  waved and get them more payments.
Now comes the tricky stuff where it is more difficult to give you an idea of cost without seeing the case.
Sometimes a patient needs all their teeth out and new dentures made.  The cost of the extractions will depend on how many teeth are left and how difficult the extractions.  Then the cost of new dentures.  There are some extra costs, not really hidden as your dentist will discuss these with you before you start.  No dentist likes to get into a situation of  "I didn't know" or " you didn't tell me".  These costs include things such as immediate denture cost (denture going in at time of extraction) and reline costs (to make the denture fit the gums after a few months).  Also a possible remake of the denture if it still doesn't fit well because the gums need time to settle to their final shape after the extractions.  If you can wait two to three months after the extraction to make the dentures you can save yourself a lot of these costs.

These are before and after dentures. Not bad!

Of course not everyone needs dentures. Some people just need to replace there existing fillings and make them look good.
Here we just cleaned the gums and so you can see the red line around the gums disappear and now look pink. We replaced the fillings in her four front teeth and just did a better job.  The result was great.  The cost including the cleaning was about $1200.
   Of course I am cherry picking here.  There are cases which are a lot more expensive but if you don't ask you won't know.  Perhaps your solution is not as complicated as you thought it would be.

All the best
Dr. Ron Barzilay
www.rondentist.com

enjoying dentistry in Hamilton Ontario

If you have any questions, just send them as a comment to the blog and I will reply.

Wednesday, May 30, 2018

I DON'T GRIND MY TEETH AT NIGHT!! WHY DOES MY DENTIST SAY I NEED A NIGHT GUARD?

     Many times we tell people that they are grinding their teeth at night and they really don't believe us.  Many times they will outright say that " they are not grinding their teeth!"  I think they would like to ad that "by the way Doc.. I think you are nuts!"
     I understand where they are coming from.  I would think it is a little weird too.  Nothing bothers me and nobody has ever mentioned it to me so how could I be grinding?  I mean, I would know!!!
     Well here is the thing, when your dentist looks at your teeth we see things that you don't.   When we look at your back teeth and we see that these teeth are flat when they should have hills and valleys, we know you are grinding.  When we can see the yellow dentin layer of your teeth and there is no more outer white enamel layer then we know you have ground away the enamel of your teeth.
    From regular eating, it would take about 100 years to grind away 1 mm of tooth structure.  In patients who grind we see mm's of tooth structure missing.  Patients who grind their teeth can be any age.  From children to teenagers to the elderly.  Even in young teenagers we can see a large amount of tooth structure missing.  Sometimes people hear us grinding, sometimes no one hears us.  All this grinding is done while we sleep.  This tooth grinding is called Bruxism.
    Why do we grind?  There are a number of theories but I haven't seen a definitive answer that I can give you yet.
    By the way, many people do know that they grind because in the morning they wake up and their jaw is sore or perhaps they have pain in their joint or perhaps their teeth are tender or perhaps they wake with headaches.
   So what do we do for people who grind their teeth?  In general, we fabricate a Nightguard.  This is a plastic guard that you wear at night so that you grind on the plastic and not on your teeth.  This will preserve your tooth structure and relieve the pressure on your muscles of mastication and your temporomandibular joint (jaw joint)!  This usually gives relief  from sore muscles of the jaw and headaches that occur as a result of the grinding.
     If any of this sounds familiar and you have some questions then discuss it with your dentist. or leave a comment on the blog and I will answer any question you may have.

All the best

Dr. Ron Barzilay

www.rondentist.com

enjoying dentistry in Hamilton Ontario!!

Tuesday, October 31, 2017

YOU CAN STILL GO TO THE DENTIST EVEN IF YOU DON'T HAVE DENTAL INSURANCE

I had two emergency patients come in this past week and both said the same thing, "Doc, I haven't been to the dentist for years because I don't have insurance."
I wrote a similar blog about 5 years ago but I felt that I need to say a number of things regarding not having dental insurance.  I wrote similar things in my blog back then but because this happens so often I felt that I need to write again on this subject so that if someone is not going to see the dentist because they don't have dental insurance, maybe they will read this and change their minds.

This is exactly what I told those patients when they said they couldn't go to the dentist because they didn't have insurance.
1.  Here you are and you don't have insurance.  So actually when you want to go you can go.
2.  You will pay more now than if you had regular dental care since now, things will be more complicated.
3.  When you haven't taken care of your teeth for years and you finally get insurance, don't think that it will cover the cost of large amounts of dentistry.  Remember, most plans have maximums after which you are paying out of pocket.  Not all plans cover major work such as crowns which you now may need since your mouth is falling apart.  Again, this will be out of pocket.
4.  Regular dental care is much cheaper than emergency dental care.  Regular care will allow you to do a small filling in a tooth versus a root canal, buildup and crown at 10 times the cost because you waited.  We all understand that we need to change the oil in our cars from time to time.  We all understand that it is cheaper to change the oil than the engine.
5.  If you think you couldn't afford the regular care then take a little more time between appointments to help you financially. ( But still go from time to time!)
6.  Don't forget that you pay for your dental benefits!  Your employer removes a certain amount monthly for your benefits from your paycheck.  So even when you get benefits you are still paying for them.  If you don't have benefits then perhaps put aside the amount you think your employer would remove monthly and then you are saving for your own dental benefit.


I never tell someone what they can or cannot afford, since I can never put myself in their shoes.  What I do try to do is to help people look at this problem from a different perspective which I hope will help them in the long run save their teeth.

Having fun in Hamilton Ontario Canada

All the best

Dr. Ron Barzilay

www.rondentist.com