Dental Implants & Sedation Blog

Posts for: August, 2018

By Max Arocha DMD
August 18, 2018
Category: Uncategorized
Tags: LANAP   gum laser surgery  

As of 2018 below are our most commonly asked questions on Gum Laser Surgery and periodontal laser treatment.

How long does Laser gum surgery take to perform?

In many cases, we can do the LASER treatment in one long session of 2-3 hours. Sometimes, it can be split up into two sessions of 1-1.5 hours one week apart.

LANAPWill periodontal Laser treatment hurt?

No, we always get our patient numb for LASER periodontal treatment just like we would if patients were to get a small cavity filled. We use local anesthesia. Our patients normally have good dental experience during laser dental procedures. Some discomfort may be present after laser periodontal gum surgery.

How far are you located in Fort Lauderdale?

Our Plantation office is part of west Fort Lauderdale. We are about 15 minutes west of downtown Fort Lauderdale or about 8 miles away.

What is the difference between LANAP® and REPAIR ® laser gum therapy?

They are both FDA approved laser treatment for periodontal disease. Both laser procedures are specifically designed for the treatment of periodontal disease. LANAP®: Laser-assisted new attachment procedure and REPAIR®. In addition, REPAIR® has also FDA approval for removing periodontal bacterial calculus (tartar) under the gums. Calculus (calcified tartar) is the source of all periodontal disease. Both LANAP® and REPAIR® laser periodontal surgery provides a much improve methods for saving teeth with moderate and advanced periodontal disease.

How soon after Laser periodontal surgery can I go back to work and family responsibilities?

LASER surgery enables people to get on with their lives with minimal disruption. With Laser periodontal surgery there is a fast recovery time. You might leave the office "numb" but this wears off after a short period of time and you should feel little or no discomfort. A few patients come to mind who, shortly after laser surgery, have traveled, made public or TV appearances or business deals, taken care of children, worked with heavy equipment, performed an airplane pilot or professional musicians.

How much is laser periodontal treatment?

Each patient is different and the fee depends on the severity and extent of the periodontal disease. It varies significantly from about $400 for a severe single tooth to about $4,300 for the whole mouth or four quadrants of Laser periodontal treatment. 

Does insurance cover laser gum surgery?

Yes, most insurance does cover a percentage associated with LASER gum surgery, just like they would with conventional "gum surgery". Maria, at the office, can help you with the insurance paperwork.

Can a patient make payments for the periodontal services such as laser surgery, implants or conventional surgery?

Yes. We offer to finance through the American Dental Association's approved financing programs. Call Maria for details.

How would a dentist determine whether I might be a candidate for laser gum surgery?

By conducting a thorough clinical exam and reviewing a full mouth series digital X-rays.

gum laser treatment

What is the advantage of laser surgery over "conventional" gum surgery? Are the results better than conventional surgery?

With laser periodontal surgery, there is no cutting or stitching of the gums, and therefore, minimal post-operative discomfort. In our office, we are finding the results have been great.

Are you available to give lectures on periodontal laser procedures?

Yes, Dr. Max Arocha has been invited to present his techniques and knowledge on Laser periodontal surgery to dentists at the World Clinical Laser Institute in San Diego, CA.

I take blood thinners. Do I have to get off these medications before the laser surgery?

No, one of the advantages of laser surgery is that patients don't have to stop their medications as with conventional gum surgery. This eliminates the risk of discontinuing these medications.

Will I have gum recession after the laser surgery?

No, LASER surgery does not cause any recession of the gums around the natural teeth or crowned teeth. However, once the inflamation that comes from the bacteria gum infection is remove you may notice a sligh and mild recession. 

Do I have to follow a special regimen after the laser surgery is completed?

Yes, Dr. Max Arocha will review with you the suggested regimen of cleaning, follow-up and home care instructions.

I see that there are connections between heart attacks, cardiovascular disease, premature births and numerous other medical conditions with "unstable" periodontal disease. Does this laser surgery help?

Yes, LASER energy kills bacteria that cause gum disease. These are the same bacteria that have been linked to a number of medical conditions.

I understand that it is hard to determine the price without seeing a patient, but if you were to compare laser to conventional periodontal surgery as an average, is it higher in cost or lower in cost, and by what percent?

A laser is normally lower in cost than conventional surgery. However, it varies among clinicians and locations.

Do dental insurance policies cover your services?

Most dental insurance plans cover periodontal therapy. We are the in-network provider of most insurance. Please call Maria, so she can check your policy for further details.

Is it ever possible to treat and heal gum pockets as serious as 6 without surgery?

Yes, it is possible in most cases to treat periodontal pockets of 6mm and more.

Can I get laser surgery or treatment even though I have braces?

Yes, it is possible to have laser treatment with braces. We would recommend a thorough clinical exam and radiographs to confirm this mode of treatment. Having periodontal issues during orthodontic treatment is a concern, but intervention is usually successful and oftentimes done with the laser.

Do some problems still, require conventional gum surgery?

Yes. We still use conventional procedures in some clinical circumstances, but even during these procedures, we utilize the laser as much as possible. This reduces after surgery discomfort for our patients.


By In-network provider
August 18, 2018
Category: Uncategorized

MetLife Dental Insurance overview

metlife fort lauderdale dentist

Metlife can help you maximize your oral health and minimize out-of-pocket costs for routine dental check-ups, crown, caps, root canals, teeth removal and dental implants procedures and most things in between.

As of 2018, dental PPOs insurances like MetLife offers a broader selection of dentist providers than HMO managed-care plans. With a MetLife PPO, the patient pays for covered services after it receives a bill, which means that you may have to pay up front and then obtain reimbursement from your insurance carrier later.

You are free to choose any dentist you like from either the in-network or out-of-network lists, and you receive an agreed-upon level of benefits from the insurer according to the list you use. These types of policies are popular among both employer-provided and individual dental insurance plans like MetLife because they offer the customer flexibility and freedom.

You may go to any dentist, however, for maximum MetLife benefits at the lowest cost visit a participating network dentist.

What's the benefit of seeing an in-network MetLife dentist?

If your dentist is not in the network with MetLife you still recieve benefits, but you will pay higher out-of-pocket costs for the dental services.

MetLife dentist in-network Vs MetLife dentist out-network

If you choose a dentist from within the MetLife network, you receive the full benefits available under the policy. If you visit a dentist outside the network, you are still eligible for insurance coverage, but the benefits are often restricted, resulting in greater out-of-pocket costs for you.

What dental service are covered under MetLife dental?

There are certain services under your MetLife Dental plan that will have a copayment and frequency limitation. As an example, standard plans include frequency limitations for the following procedures: Exam, cleanings and x-rays. Standard plans includes copayments for the following procedures wisdom teeth extractions, root canals, white fillings, porcelain crowns, periodontal (gums) treatment, dentures and others. For more detailed information on service cover by your plan contact our office or MetLife customer service.in-network metlife dentist


By General Anesthesia
August 18, 2018
Category: Uncategorized

Sedation and General Anesthesia Dentistry Cost

sleep dentist

As of 2018, the cost of general anesthesia to performed sleep dentistry range from $400 to $600 per hour. This includes the cost of drugs administered and recovery time. On average, the patient can expect to spend about $500/hr plus the dentistry treatment rendered. The cost mostly depends on the duration of the dental treatment. In general, the longer and more dental procedures that are required the lower the cost of the hourly rate.

In-office general anesthesia has proven a useful and cost-effective means to assist phobic patients, those afraid of the dentist, the behaviorally or medically challenged, as well as those with gagging problems, so these patients can receive dental care.

Sedation and General Anesthesia Dentistry

While it is generally accepted that the prevalence of dental caries is decreasing, there remain an important group of adults who have high treatment needs and for whom general anesthesia provides a useful treatment option. The general anesthesia or sleep dentistry approach pain management in dentistry includes pharmacological techniques that are used to modify anxiety and pain in the dental patient.

Although most patients can be successfully treated without its use, general anesthesia has been an important part of dentistry since the 1840s. The general anesthesia that's used in dentistry is typically less invasive than its use in the rest of the medical world; unlike with other types of surgery, oral, periodontal and implant surgeries do not typically require the use of paralytic drugs and consequently can be administered without the additional use of an intubation tube that facilitates breathing.

There are also similarities between medical and dental general anesthesia - like its medical counterpart, the use of this anesthetic method in dentistry render the patient totally unconscious and unable to feel pain during dental procedures.  

In this unconscious state, there is also an absence of fear and anxiety; it's for this reason that general anesthesia is sometimes used not only for complex and long dental treatment but is also recommended for adults who experience acute dental anxiety and phobia.

sedation dentist

The administration of conscious IV sedation and general anesthesia is an integral part of our dental practice serving the city of Fort Lauderdale. Our practice is committed to the safe and effective use of these modalities by appropriately certified and trained dentists and staff.

Dentist who works with patients under General Anesthesia in Broward County (Fort Lauderdale area)

It is a highly regulated area of dentistry in Florida. Beyond appropriate education and training for the administering dentist, general anesthesia regulations also commonly address requirements for safety equipment and auxiliary personnel.

Our dental clinic follows the American Dental Association guidelines for the administration of general anesthesia by our dental anesthesiologist and staff.

General Anesthesia Vs Local anesthesia

It's important to remember that general anesthesia is not the name of the drug that's being administered. Instead, it differentiates itself from local anesthesia in that it numbs the body and puts the mind to sleep. Most commonly given by means of an intravenous (IV) or as an inhalant, general anesthesia describes a mixture of potent drugs that are used to induce a sleep-like state in those to whom it's given.

If you're considering to "go under," keep in mind that the effects of general anesthesia may take several hours to wear off. Plan ahead: Dental anesthesiologists typically require a patient to arrange for a ride home and a few hours of aftercare following procedures in which general anesthesia is used. If you are not able to make appropriate ride-accommodations or do not have a companion to stay with you at your home for a few hours following your surgical procedure, your dental anesthesiologist may recommend a longer stay at the office to ensure complete recuperation from the anesthetics used.


August 18, 2018
Category: Uncategorized
Tags: Untagged

Sedation Dentist

A Sedation dentist for patients, in the Fort Lauderdale area, who has a history of psychological or physical trauma that prevents them from receiving needed dental treatment?

Oral Sedation

Patients who wish to remain conscious during treatment, sedation dentistry offers a safe and reliable technique for making dental visits comfortable and relaxing without putting the patient to sleep. Thanks to mild oral sedation pill, an alternative to IV sedation and general anesthesia.

How Oral Sedation Works

This type of sedation dentistry begins when the doctor administers a small, custom-prescribed pill shortly before treatment. Soon after swallowing the pill, the patient eases into an anxiety-free state. Patients who undergo oral Sedation Dentistry remain aware of their surroundings and yet feel calm and relaxed throughout their time in the treatment chair.

Many patients find that oral sedation dentistry allows them to undergo dental treatments and procedures they would have never before been able to tolerate. Oral sedation dentistry is an especially promising alternative for our younger patients or for people whose dental anxiety may only be exacerbated by the use of numbing injections or IV sedation. If you live in the Fort Lauderdale area interested in learning more about oral sedation dentistry call the number above.

IV Concious Sedation Dentistry

sedation dentistry

IV concious sedation dentistry allows patients to undergo one or more procedures while they remain sedated of anxiety. This effect is achieve by using intravenous medication to calm the patient into a sedated state for the duration of the treatment. A state-of-the-art monitoring equipment is use to ensure that patients are always safe and comfortable, and all of the anesthesiology is administered by Florida board-certified dentist in IV concious Sedation.

IV sedation is indicated when the patient is apprehensive and/or does not want to remember anything when going to the dentist.

IV Sedation Dentistry Applications and Benefits

For many patients, a typical IV sedation dentistry visit may include deep cleanings, crowns and multi-specialty treatments such as as gum surgery, root canal, and dental implants. The anesthesia techniques selection is based on each individual's needs and desires.

The most obvious advantage of conscious IV aneshesia is to allow the patient to undergo multiple dental procedures, all while been sedated. In general, these sedated patients do not want to remember anything when going to the dentist.

Inhalants Sedation (Gas)

Instead of receiving medication intravenously through a vein, patients can opt to receive their sedation medication through the simple process of inhalation (anesthetics in the form of gas). A small mask attached to a tube is placed over the patient’s nose in order to administer the gas medication. Nitrous oxide, which is more commonly referred to as laughing gas, is one of the most common types of inhalants used in dentistry.


By Max Arocha DMD
August 18, 2018
Category: Uncategorized

What is the cost of dental implants?

As of 2018 in the U.S., the cost of dental implants treatment ranges from $1,700 to $2,000, with the national average at about $1,800. For instance, average dental implants cost in Fort Lauderdale, FL is $1,700.

dental implant cost

 

Dental implant treatment can vary depending on your needs. Of course, a dental implant dentist will be able to fully determine the cost, which is based on the specifics of your individual dental needs. These factors can include the complexity of your case and how long a dental implant treatment will take.

Dental Implant Payments Options and Financing.

Should the cost of dental implants prove prohibitive for an individual, there are options to consider that can put dental implants within reach. We have found that LendingClub online application is fast and easy. It takes just minutes, with no impact on your credit score. Financial times have changed, and credit scores are no longer a main factor for patient dental implant procedure financing. You can instantly review the loan offers that you qualify for, and you'll never need to visit a branch to complete your application.

all on 4 financing

Our dental office is affiliated with LendingClub for dental implant treatment. LendingClub can finance over $20,000 plus for upper and lower jaw full mouth teeth replacement. All LendingClub financing payment plans feature an affordable fixed rate, which means your monthly payment does not increase. In addition, you can prepay your loan at any time and there's never a prepayment penalty or fee.

With this type of dental implants financing plan, patients can break up the total cost of the procedure into a series of monthly payments. Click on the LendingClub logo above to apply online and check your options in just minutes. Please note: (Under doctor name you must enter: " max arocha ")

Does my dental insurance cover dental implants?

Dental insurance plans may cover on average $400 - 800 towards dental implant cost just as they would with other teeth replacement treatments like dental bridgework. Either your dentist insurance provider or your dental insurance carrier can help you to determine the exact dental coverage for your dental implant treatment based on you dental insurance coverage policy. If your dental insurance does not cover all of your dental implant treatment costs or if the cost of a dental implant is a concern for you, talk to your dental implant dentist provider about payment options - many dental implant dentists offer flexible and affordable monthly payment plans and financing, many with no down payment and no interest. About one-half of dental implant patient use financing options to spread their dental implant treatment costs over time.

The cost the insurance companies would cover on dental implants depends on many variables including the location of the tooth and the number of teeth. Because most dental insurance plans do not cover this cosmetic procedure, we can only give an estimated average insurance coverage for dental implant  which is about 600 per implant.

Look younger with Dental Implants

You can look younger and feel healthier with dental implants. Dental implants are like having a new set of natural teeth. You can enjoy the comforts of healthy eating, speaking and socializing without the embarrassment of missing teeth or “slipping” denture and partials. According to American Dental Association, a dental implant offers comfort, stability and is a dental restoration that is the closest thing to a natural tooth.

In a survey of more than 50,000 adults, only one-third of respondents were aware that missing teeth can alter facial contour. But that is only half the story. And what you do not know can hurt you. Chewing, talking, laughing and even kissing are a few instances when the role of healthy teeth is often taken for granted, until one or more teeth are damaged or lost.

Over time, even a single missing tooth can lead to bone loss which, in turn, can alter your jaw structure, cause teeth to shift and can actually change the shape of your face. Once the tooth roots are no longer in place, bone recession in that area can gradually develop into a “sunken” appearance prematurely aging your face.

Tooth replacement that also replaces your tooth root is necessary to maintain proper facial contour. Dental implants are the only tooth replacements that substitute your tooth’s crown and root.

According to the American Academy of Implant Dentistry, dental implants should always be considered as an option to replace a failing or missing tooth.

Tooth replacement is not just a cosmetic fix. Studies have shown that failing to replace lost teeth can also affect your eating habits, speech, self-esteem, quality of life and your overall health. Missing teeth that are not replaced can limit your diet to softer foods lacking of proper nutrition which can lead to weight problems, digestive disorders, diabetes and cardiovascular disease. Dental implants allow you to eat foods that can enhance your health.

Why compromise your health, give up your favorite foods, or look older than you are, when you may not have to.

Dental implants are the next best thing to your natural teeth. Until you have experience tooth loss or having to adjust to partials or dentures you probably take for granted the simple pleasures of eating and tasting. Did you know that you can not fully taste food without “chewing awareness”? No matter how juicy that steak is or how tasty that spaghetti sauce might be, the eating experience goes beyond the mechanics of placing food in your mouth and chewing it.

dental implants benefits

Your gums, teeth, and palate (roof of your mouth) each play a part in how your brain processes chewing forces and food tastes. When your gum surfaces, teeth and palate are covered by dentures or partial, chewing reception is altered dulling your sense of taste.

The good news is dental implants help maintain normal “chewing awareness”. So if enjoying mouthwatering meals is an important part of your life, here’s just one more reason to consider the advantage of dental implants.

Dental implants are second to none. No other tooth replacement compares to the look, feel and function of dental implants. The good news is most people are candidates for this exciting, time-tested and proven treatment option. In addition, in dental implants treatment no other teeth are involved but the missing teeth.

Things to Know about Implant Costs

Before stating with a dental implant procedure, there are a few factors to know and consider regarding the cost of dental implants and payment options. It is always a helpful to sit down with your dentist for a consultation to discuss all of your options.

  • Dental implants may be covered by insurance, and the average price for a dental implant ranges between $1700 to $2000 for a single tooth.
  • With proper oral hygiene, implants offer longevity; once they are placed, dental implants can last for many years.
  • It may be possible to reduce the overall cost of the dental implant procedure, as the timing of can affect out of pocket cost.  The implant procedure is typically a two-part process that consists of placing the implant; four month later the implant is restore with a crown (cap) or bridge. By scheduling the first procedure at the end of the calendar year, and then having the implant restored the following year, this allows you to use two years’ worth of pretax flexible spending mony through your employer.  And if dental insurance covers a portion of the cost, you won’t go over the yearly limit. Remember, insurance available coverage does not roll over to the next year. With dental insurance is either use it or loose it.

Payment Options

Since a portion of the dental implant procedure is typically an out-of-pocket expense, patients can pay for treatment with:

  • Cash
  • Personal checks
  • Credit cards
  • A health care financing plan through CareCredit
  • An employer-sponsored flexible spending account

Patients that opt to pay for treatment with a financing plan should pay attention to the interest rate and penalties associated with the payment plan. Patients should try to find a plan that offers low interest rates, and pay each monthly installment on time to avoid additional fees.

Learn More about Dental Implant Prices and Payment Options

Several payment options are available to make having your best implant treatment possible. To learn more about how to make the best financial decision regarding your dental implants, book an appointment with the knowledgeable staff of Dr. Arocha’s practice today. Together, we can sit down to thoroughly go over your various payment options so that you can decide what option is ultimately best for you.

Here are some of the many benefits of dental implants

  • Dental implants look and feel more like your natural teeth
  • Dental implants improved chewing ability
  • Dental implants provide better nutrition and health
  • Dental implants avoid facial bone loss
  • Dental implants boost self-confidence
  • Dental implants improve speech

Dental Implants Frequently Asked Questions.

What are the dental implants?

Dental implants are substitutes for the roots and crowns of missing teeth. They act as an anchor for one or a series of replacement teeth or can be used to anchor bridges and dentures.

Am I a candidate for dental implants? 

According to American Dental Association, candidates for dental implants need to have healthy gums and adequate bone to support the dental implant. A thorough evaluation by your implant dentist will help determine whether you are a good candidate for dental implants.

Dental implant patients are of all ages and dental implants may be the right choice for anyone missing one or more teeth due to dental injury, gums disease or dental cavity. Dental implant is especially practical for patients who can no longer wear removable dentures. A complete oral exam, dental x-rays, dental and medical health history are necessary to determine if you are a candidate for dental implants.

Do I have enough gums and bone to hold a dental implant?

It is important for a dental implant patient to have enough bone to support the dental implant. If you do not have enough bone, there are many safe and effective ways to correct bone deficiency.

Why replace my missing tooth in the back if I can't see it?

For one thing, if you lose an upper tooth, you essentially lose the chewing function of that tooth and the one just below it. In addition, when you don’t replace a missing tooth, excessive force is then placed on adjacent teeth and may lead to tooth fractures and tipping. By ignoring damaged or missing teeth, you leave yourself prone to further tooth loss, teeth shifting, crowded teeth, speech problems, diet restrictions and other dental complications.

Facts and figures about dental implants

  • More than 4 millions people have dental implants and that number is growing by over 500,000 a year
  • Dental implants have been used for over 50 years.
  • In some cases, the cost of a single tooth implant is less than the cost of a fixed three unit dental bridge. (a fixed three unit bridge is needed to replace a single missing tooth)
  • Unlike dental bridgework, dental implants don’t require the reduction of healthy adjacent teeth.
  • Dental implants are considered more predictable than dental bridgework and root canals treatments.



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Tuesday:9:00 AM - 5:00 PM
Wednesday:9:00 AM - 5:00 PM
Thursday:9:00 AM - 5:00 PM
Friday:9:00 AM - 2:00 PM
Saturday:Closed
Sunday:Closed

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