NYC Doorman Suspended for Having Bad Breath

Neglect Your Oral Health – Get Suspended from Your Job?Bad Breath is a big problem

Like so many other New York City apartment buildings, Gracie Garden Apartments has a doorman to greet and assist residents and guests. But 60-year-old Jonah Seeman was recently suspended without pay on account of his bad breath.

The realty company that manages the building claims that “severe breath odor” has been a recurring problem for Seeman, a fact the doorman denies. “What are you putting me through?” asked Seeman, who supports his elderly mother. “It’s the holiday season.”

For now, Seeman is taking a double-pronged approach. He’s filed a complaint with his union, and he’s also started brushing more and avoiding onions and garlic.

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Orthodontic Braces: Taxpayers Spent $424 Million for Children in Texas

Orthodontic Braces: Taxpayers Spent $424 Million for Children in TexasIn June of this year, The Wealthy Dentist published a story about Taxpayers footing the bill for orthodontic braces in Texas.

In Texas, Medicaid pays dentists for orthodontics per procedure, instead of a lump sum for the “finished mouth” of straight teeth.

This has made Medicaid orthodontia a lucrative dental business in Texas.

WFAA-TV of Texas has been investigating this story for the last six months and has uncovered hundreds of millions of dollars of questionable Medicaid spending on dental braces for children in Texas. Their news reports prompted federal investigators to now audit the Texas Health and Human Services Commission, which controls the Medicaid funds.

According to the WFAA website –

In a letter to the state, the Inspector General says it will examine the “authorization process for orthodontic treatment” under Texas Medicaid. “The objective of our audit,” the letter continues, “is to review the State’s controls to ensure that only medically necessary orthodontic cases are paid.” The time period covered by the audit is September 1, 2008 through May 28, 2011.

The new station’s investigation revealed that during that period, Texas taxpayers spent $424 million on orthodontic braces for children under Medicaid. Taxpayers spent $100 million in 2008, $140 million in 2009, and $184 million in 2010, state records show.

Texas dentist, Dr. Christine Ellis, who teaches at UT Southwestern Medical Center, has twice traveled to Washington in an attempt to convince lawmakers to scale back Texas Medicaid orthodontics payments and divert funds for more pressing dental needs.

Her attempts fell on deaf ears. According to the WFAA-TV article, Ellis said, “There’s no response. No one is putting the brakes on this thing.”

Billy Millwee of the Texas Health and Human Services Commission is now telling WFAA-TV that if taxpayers money has been lost, the Attorney General might take action to get it back. He went on to say that Texas will have a new managed care Medicaid dental program beginning next spring.

For more on this story see: Feds Investigate Texas Dental Medicaid Program and Taxpayers Footing the Bill for Braces in Texas.

Dental Braces: Are General Dentists Capable of Straightening Teeth? (video)

Dental Braces: Why Many General Dentists Prefer to Do Braces (video)Straight teeth are hugely desirable in our culture, but who is the right doctor to straighten a dental patient’s teeth with braces?

An orthodontist or a general dentist?

One general dentist, who refers out all orthodontia cases said, “I believe that only a good orthodontist can get really good, long-lasting results.”

Another general dentist, who refers out very few cases said, “I do all my own orthodontics and I believe the average general dentist is fully capable.  It’s just that at dental school it is instilled in us to refer and not touch it!”

The Wealthy Dentist conducted a survey that asked dentists what percentage of orthodontic patients they refer out.

To hear the results of the survey and how dentists responded, Click on Play —

What are your thoughts on general dentists placing braces?

Still Not Enough Dentists in England

Solution: Import Dentists from Eastern Europe

It’s hardly news that the UK’s National Health Service is not meeting the dental needs of most residents. Amidst all the confusion, a few bold entrepreneurs are fixing to make a handsome profit by offering private dental care to those who can’t get in to see an NHS dentist.

Fergus and Judith Wilson own property valued in the hundreds of millions of dollars, and they’re planning to increase their fortune even further by opening a chain of private 24-hour dental clinics across the UK that will charge less than other private competitors.

With a serious shortage of dentists in the UK, the Wilsons have come up with an innovative way to staff their clinics: they’re planning to recruit up to 1,000 Eastern European dentists. Their first clinic will open soon near Kent, boasting an impressive roster of 150 dentists.


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Periodontal Examinations: Dentists Recommend More Than 1 a Year

periodontal disease Dentists perform periodontal examinations once a year, we found in our recent survey, with some dentists preferring to do this procedure twice a year or more.

In fact, 14 percent of the dentists we surveyed are likely to recommend periodontal exams every three months.

“It should be done every time the patient comes in even if they see the dentist,” advised one dentist, “Generally, the patient should be seen 4 times a year.”

The respondents to this survey tended to perform periodontal examinations at least once a year.

43% recommend periodontal examinations once a year
33% recommended periodontal examinations at least twice a year
14% recommend periodontal examinations four times a year
9% recommended periodontal exam frequency on the need of their patients

Here are some comments from dentists:

“For periodontal maintenance complete charting should be done every three months.” (Florida periodontist)

“We probe at each cleaning visit, so the frequency varies based on the needs of the patient, ie: either 4x, 3x, or 2x per year.” (Arizona dentist)

“I recommend 3 to 4 times per year depending on the patient that I have diagnosed with having a case type III or higher.” (Illinois dentist)

“For the average healthy patient – once a year. For the patient with active periodontitis – every appointment.- For the patient with perio who has been been controlled for at least a year – annual full probes, and spot probes at other appointments.” (General Dentist)

“This all depends on the patient’s periodontal health. We do periodontal probings at each new patient exam and all recall/recare appointments with the RDH.” (Kentucky dentist)

“A four-month recall for adults is best!” (Virginia dentist)

“If a patient has aggressive periodontitis, we probe more frequently, and have the periodontist check the patient annually as well.” (Texas dentist)

“My hygienists probe at each hygiene appointment –every 3-4 months for perio patients.” (General dentist)

Read more: Periodontal Exams Should Be Done Every Time A Patient Sees The Dentist.

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