Tuesday, May 16, 2017

Sedative filling dental code d2940

The sedative filling dental code is d2940

The sedative filling dental code has not changed from d2940 but the definition has changed somewhat.  D2940 dental code use is still the same.

What is the ADA description of dental code d2940?

The current description for a sedative filling from the ADA is below.

D2940 dental code protective restoration

Direct placement of a restorative material to protect tooth and/or tissue form. This procedure may be used to relieve pain, promote healing, and prevent further deterioration. Not to be used for endodontic access closure, or as a base or liner under restoration.

sedative filling dental code d2940

Clarification of the sedative filling dental code shows that it is not an endodontic access closure filling or a final liner or base.  Typical materials that dentists use are IRM, Cavit, and glass ionomers.

When does a dentist use a sedative filling?

Typically, we use dental code d2940 when there is a lot of decay and we are unsure how the tooth will do after the decay removal. We also use the sedative filling dental code when doing extensive decay control before making a definitive plan or we use it on an emergency basis.

Will insurance pay for dental code d2940?

The answer like many less often utilized codes is maybe.  Some plans do not allow you to perform another dental procedure on the same tooth for 30-90 days.  Some have restrictions on how often an individual tooth can receive that filling.  If you use some other restorative or endodontic code on the same tooth on the same day, d2940 payment will be denied by insurance.

What fee should I charge for sedative filling dental code d2940?

You can charge whatever you want for this procedure but it is traditionally not a very high fee.  I use fair health consumer to help dictate some of my fees but the fee for dental code d2940 is too low in my opinion.  We charge around $150 in 2017, which is definitely still a huge money.

What is the sedative filling dental code for a primary tooth?

The dental code d2941 is what we use to code for a sedative temporary filling on a primary tooth.

D2941 dental code interim therapeutic restoration: primary dentition –

Placement of an adhesive restorative material following caries debridement by hand or other method for the management of early childhood caries. Not considered a definitive restoration.

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Saturday, May 13, 2017

Preventative Care and Wheaton Orthodontics

Preventative Care and Wheaton Orthodontics

Preventative care is a crucial part of your mouth’s health. When you neglect to care for your teeth and gums regularly, you are putting yourself at risk for more severe problems. Some of these problems may have long term or permanent effects and could also impact more than your oral health. There are many forms of preventative care and a lot of those can be taken care of at home.

Brushing and flossing daily are the most obvious forms of home preventative care. Brushing in fact is the most important aspect of preventative care. This helps remove any debris from meals and helps freshen your breath. Flossing daily is also highly recommended. Flossing allows you to get into the places your toothbrush just can’t reach.

Another important step with preventative care is to visit your dentist twice a year for check-ups. This will allow them the opportunity to see if there are other issues that may be in need of addressing such as braces with our Wheaton orthodontics services. If you haven’t had a routine check-up for an extended period of time or are in need of scheduling a check-up, call us at Bauer & Bauer today at 630-665-5550.

Establish Good Oral Habits

Establishing good oral habits and a routine is imperative to your oral health and your overall health. It is especially important to establish these good habits in young children. Inform them on the importance of good oral hygiene and the detrimental effects of not maintaining your oral health. At the same time, you don’t want to frighten your child, especially when it comes time for their routine dental check-up.
Do not make a big deal of going to the dentist with your children. Dental anxiety can cause you and your child to avoid going to the dentist, potentially leading to more serious oral health issues in the future. Visiting the dentist every six months will help curb dental anxiety and will help prevent more severe issues that could make a dental visit, unpleasant.

Why Preventative Care is Important

Routine check-ups provide your dentist to also check and see if your teeth are in need of Wheaton orthodontics services. If orthodontist services are needed, then you will need to schedule a consultation about what our Wheaton orthodontics services are needed. The process will begin with a 3D x-ray.

This allows for the position of your teeth to be further evaluated to then take the best course of action on how to correct the positioning of your teeth. Diagnosis and planning your treatment help our Wheaton orthodontics services give you the best treatment plan possible.

Braces may be necessary after your Wheaton orthodontics consultation, but there’s no need to fear if you need braces. At Bauer & Bauer we offer and are proud to use Damon ® brackets. The brackets are passive and use less friction while moving your teeth. With Damon® brackets, the self-ligating technology also helps shorten the time you need your braces.

Preventative care, especially for children can help identify problems that can become far more severe if not treated in a timely fashion. If issues are discovered early on then, there is a high likelihood they will not need surgery later down the road. There are jaw and bite discrepancies that tooth movement alone can’t fix. In order to fix these problems, Wheaton orthodontics is used to prepare the jaws for surgical procedures to help properly place the jaw and correct the bite.

Invisalign Wheaton Orthodontics

Braces aren’t for you? You’re looking for a less noticeable option to correct your teeth? Well here at Bauer Smiles, Invisalign Wheaton is a part of our orthodontics services. There is an if with Invisalign and that is they are great at fixing minor crowding and rotating teeth. However, you will get most of the benefits of conventional braces with a much less noticeable tool. Another great thing about Invisalign is that they can be removed if needed.

The Benefits of Preventative Care

Having good dental hygiene can greatly reduce the risks of getting gingivitis, cavities, periodontitis and other oral health problems. Preventative care along with routine check-ups can help your dentist identify problems earlier on and recommend our Wheaton orthodontics services. Some other issues that can arise from poor dental hygiene are diabetes, heart disease, osteoporosis, respiratory disease and even cancer. So, preventive dental care actually does a lot for your overall health.

For more information on our preventative services and other dental services contact us today at 630-665-5550.

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Friday, May 12, 2017

Preventative Care Wheaton Dentists

Preventative Care Wheaton Dentists

Preventative care is a crucial part of your mouth’s health. When you neglect to care for your teeth and gums regularly, you are putting yourself at risk for more severe problems. Some of these problems may have long term or permanent effects and could also impact more than your oral health. There are many forms of preventative care and a lot of those can be taken care of at home.

Brushing and flossing daily are the most obvious forms of home preventative care. Brushing in fact is the most important aspect of preventative care. This helps remove any debris from meals and helps freshen your breath. Flossing daily is also highly recommended. Flossing allows you to get into the places your toothbrush just can’t reach.

Another important step with preventative care is to visit your dentist twice a year for check-ups. If you haven’t had a routine check-up for an extended period of time or are in need of scheduling a check-up, call us at Bauer & Bauer today at 630-665-5550.

Preventative Care

 

Establish Good Oral Habits

Establishing good oral habits and a routine is imperative to your oral health and your overall health. It is especially important to establish these good habits in young children. Inform them on the importance of good oral hygiene and the detrimental effects of not maintaining your oral health. At the same time, you don’t want to frighten your child, especially when it comes time for their routine dental check-up.

Do not make a big deal of going to the dentist with your children. Dental anxiety can cause you and your child to avoid going to the dentist, potentially leading to more serious oral health issues in the future. Visiting the dentist every six months will help curb dental anxiety and will help prevent more severe issues that could make a dental visit, unpleasant.

The Benefits of Preventative Care

Having good dental hygiene can greatly reduce the risks of getting gingivitis, cavities, periodontitis and other oral health problems. Some other issues that can arise from poor dental hygiene are diabetes, heart disease, osteoporosis, respiratory disease and even cancer. So, preventive dental care actually does a lot for your overall health.

For more information on our preventative services and other dental services contact us today at 630-665-5550.

The post Preventative Care Wheaton Dentists appeared first on Wheaton Dentist, Orthodontist, Pediatric Dentist.

Saturday, May 6, 2017

All on 4 dental implants cost

How much does the all on 4 dental implants cost?

The is no question that the all on 4 or more procedures are expensive. The first thing most patients need to know it what the all on 4 dental implants cost.  They run from about $20,000 up to $50,000 per arch if you get into bone grafting and individual porcelain teeth.  This post will talk about both the standard all on 4 dental implants cost and the variances that can increase that cost.  We also discuss how much those increases are.

What are the options and how does that impact the all on 4 dental implants cost?

The standard acrylic or composite all on 4 prosthesis.

The standard all on 4 process includes four dental implants and an acrylic denture that is built around a titanium frame.  This process is usually around $20-25,000 if done in one location.  If you split the procedure up and go to two different doctors you can expect to pay around $30,000 for the all on 4 from start to finish.  Many places offer to complete the entire process in one location with one or a team of doctors.  Going to different locations costs more because both places need to make a profit.  Having two offices also increases the chances for miscommunications.

We charge $20-22,000 for the all on 4 from start to finish.  This includes all extractions, bone removal, and dental implants.  We actually rarely place 4 implants, instead we place some extra ones just in case something was to ever happen to one of the other ones.  The cost also covers the temporary denture that attaches to the dental implants on the day of the surgery.  The fee includes the final denture that is actually not acrylic but nano-composite teeth on a titanium bar.

The all on 4 made of one piece with porcelain teeth is one upgrade.

This option allows for more esthetic teeth as someone is making the teeth from porcelain.  We use either a titanium, CrCo, or or zirconia as a base and then add porcelain to the outside.  This increases the cost in our office by about $5,000 per jaw so the total will be $25-27,000.  This fee represents a situation where we complete the entire procedure in our office. If you use multiple locations/doctors, then you will pay more.

The benefit of this option is esthetics and possible longevity.  I say possibly because there is no doubt that the teeth will hold up better than the acrylic or composite teeth but if and when damage occurs it is not good. This procedure is similar to bridge work dentists have done for ages but things can break. Depending on where the break occurs it can be rather expensive to fix.  A zirconia bar, which is becoming more popular, can break.  If it does break the entire thing may need to be redone and cost $15,000 or more.

all on 4 dental implants cost

All on 4, well really all on 6, made of one piece with porcelain teeth. Top and bottom are same.

 

An all on 4 dental implants cost when making with individual porcelain teeth is more but is also the best.

This is highest level upgrade.  It consists of a frame made from some sort of metal and individual crowns made on top.  We make the teeth the same way we make dental crowns that you may currently still have. What is nice about this is that if something is to break in the future it costs the same as a dental crown on normal teeth and we can fix this relatively easily without any major disruption to your life.  Many of the issues with the other types of all on 4 require us to remove the all on 4 and send it to the lab.  That is not he case with this all on 4.

The cost in our office for this option is $28-35,000. Again this covers all the steps and temporary fabrication as well.

How do we break down the all on 4 dental implants cost?

Some offices, like ours, use an all inclusive fee that coves everything from extractions, bone grafting and dental implants to the temporary and final all on 4 made for you.  If you are looking at multiple offices then the fee will be split between the offices, usually a surgical portion and a restorative portion.  The cost for both tends to be about the same number, but you will definitely pay more at two offices then you will at just one. We can break down the procedure into individual dental codes and charge that way.  However, doing that would be significantly more expensive but you could use fair health consumer to check the fees for your area.

What is the breakdown of all on 4 dental implants cost?

We don’t really breakdown the fee into individual procedures except for submitting to dental insurance. However, since this an expensive procedure your dental insurance will be maxed out.  Although dental insurance can help, do not count on it for much as most maximums are $1-2,000 per year.

 

All on 4 dental implants cost a lot of money.  What are the financing options?

If you pay the entire amount up front and in full you get a 5% discount.  We do some in house payment plans but the patients pays the balance off at each step.  We also have a secure link to our lending company where they offer several options.  The company we use, Lending Club, only does a soft pull on your credit.  This means it will not impact your credit history if you fill out the form.  We also work with Care Credit.  Although they do not do a soft pull, some people already have this program set up from some other health care costs.

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Friday, April 28, 2017

3D printed dental implant surgical guides

What are the options and techniques for a 3D printed dental implant surgical guide?

What are the options for surgical guides if don’t print own?

$35 to scan satone model and print surgical guide. 3-5 day turn around

Dominion Milling Center will print a surgical guide for you for $35.  Need scan of teeth no model printing.

 

What are the 3D printing in office surgical guide options?
Never absolute precision in CBCT. Most systems have 20-30% barium sulphate acrylic scan prosthesis (not Nobel that uses gp). If partially edentulous may not need at all, use teeth as reference.

Types – with any of these types it helps to have holes in guide or drill holes self to ensure fully seating. Post 35

  1. Tooth born=most accurate
  2. Tissue born
  3. Bone born

Companies

  1. SimPlant – Facilitate (bone guide available)
  2. NobelGuide/NobelClinician
  3. 3D Diagnostix (bone guide available)
  4. Sicat – Sirona
  5. VIP3 – Biohorizons (no pilot)
  6. Blue Sky Plan (bone guide available)
  7. CoDiagnostix
  8. Cybermed – OnDemand (bone guide available)
  9. iGuide by iDent
  10. EasyGuide by Keystone dental (pilot only)
  11. gonyX by Straumann
  12. Guided Surgery Solutions
  13. Anatomage – InVivo5 (bone guide available)
  14. 360 Imaging
  15. Canada Bay
  16. Implant Concierge
  17. Jurim Dental Studio
  18. Nemotec
  19. nSequence Great bone guide system
  20. Ottawa Dental Lab
  21. Swiss Meda/SMOP
  22. GuideSMILE V2R Biomedical Great pin referenced provisional in use Tischler article in dentalcetoday

Indications

  1. 3 or more implants in a row
  2. Proximity to vital structures, adjacent teeth
  3. Questionable bone volume (significant soft or hard tissue defects)
  4. Implant position critical to restorative success
  5. Flapless plan
  6. Multiple unit or complete arch immediate restorations planned

94% patients have some form of nonodontogenic pathology!! List is here

Large volume CBCT has 2.7-25 times radiation pano, kind of useless since we use limited image.
CBCT is about 20% conventional CT in radiation
Thyroid collar can reduce exposure by 40%
CAS (carotid artery stenosis) found in pano is about 2-5%. Duplex ultrasound is gold standard to confirm

Place cotton roll under upper lip before CBCT to prevent shadowing.

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Friday, April 21, 2017

Venous lake 2 week healing

How does a venous lake heal?  Venous lake 2 week healing

Want to know what venous lake 2 week healing looks like?  Check out our photo below or click the link at the bottom for more before and after venous lake lesions.

A little history of our treatment of the venous lake.

We have been treating venous lakes lesions for over 6 years now and are having very good success.  This is a new treatment thus we can not say for sure that the lesions will never return but it appears in that at the 5 year mark we have complete elimination for a high percentage of our patients.  Only about 5% of the patients have needed a second treatment to date.  My guess is that at the 5 year mark that number may be closer to 10% as the years pass.

How quickly does a venous lake heal?

The primary factor in how quickly the venous lake will heal is how deep it is.  Although the depth and width do usually correspond that is not always the case.  The healing process is very similar to a burn and is usually in between a first and second degree burn in terms of healing.  For a smaller venous lake, again by smaller I really mean shallower, you can expect more of a first or minor second degree burn. For a deeper and larger venous lake expect a second degree burn healing time.  Similar to a second degree burn we expect your venous lake lesion to heal in 2-3 weeks.  However, a larger lesion may take longer.  During the healing process the area does not look very nice.  In fact it typically looks worse during the healing process.

Medium size venous lake 2 week healing on a recent patient.

Unlike most of our patients, Greg didn’t have to travel far to see us.  I would classify his lesion as a medium size venous lake.  Remember this sizing has more to do with how deep it is than how wide it is.

venous lake 2 week healing

Venous lake 2 week healing

Overall he is very happy with his results.  I typically ask patients to send a photo to us at 3 weeks but Greg was thrilled with his 2 weeks results.  A lesion like this I really do not expect to recur at all but can only speak to our treatments 5 year success rates.  To see more of our venous lake treatments click the link here or go to our venous lake page.

 

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Tuesday, April 18, 2017

Tooth tattoo

Interested in getting a tooth tattoo

A tooth tattoo is not actually a tattoo on your tooth but rather artwork that is part a dental crown or dental veneer.  The artwork gets painted onto a dental crown before finishing firing the porcelain.  A dentist will usually, but not always, need to get you numb.  Next the dentist will prepare the tooth by removing some of the outside layer of the tooth structure.  The steps are not any different than the steps a dentist takes to create a dental crown.  The difference is the artist making the crown paints the tattoo before baking the porcelain crown.

We have a video on the first phase of treatment on our dental crown page.   The second phase for you are a patient is when you return to get your artwork.  We cement the dental crown in after verifying the fit.  After that you are done!

tooth tattoo

Want to know the tooth tattoo cost?

In our office the fee has a range that depends on how complex the image you want is and how many colors the image has.  The more complex the more it costs and the more colors cost more as well.  It’s important to try to keep the image simple as possible.  This is because the image will be very small and thus will be hard to see if made too intricate.  The fee ranges from about $1,600 to $2,000.  This fee is for a tooth tattoo on a single crown or veneer and includes the price of the crown or veneer.

To see what a crown or veneer costs in your area we recommend you check out the fair health consumer website. The dental code you need to type in is D2740.  Since most people are doing this for a tooth that needs a crown, dental insurance will cover some of this fee.  However, any insurance will cover the fee at a much lower percentage as they will not pay anything towards the up charge for the art work.  Our up charge from a single unit veneer is about $100-500.  These prices are 2017 fees.

What kind of artwork can you have on your tooth tattoo?

You can have anything you want as a tooth tattoo.  However, the art must be simple enough to show on a very small surface area.  Logos are probably the easiest thing to do.

 

Many labs offer tooth tattoos but I like one particular artist.

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