Dental Implants & Sedation
Posts for: August, 2018
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.
Will 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.
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.
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.
MetLife Dental Insurance overview
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.
Sedation and General Anesthesia Dentistry Cost
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.
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.
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?
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
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.