Cosmetic Dentistry and Reality TV (video)

Cosmetic dentistry and reality TV makeover showsMany reality TV shows feature dramatic makeovers that include cosmetic dentistry.

This survey found that half (54%) of dentists think this has increased patient demand for cosmetic dental work.

“It has made more people more aware of the cosmetic dentistry options,” said one dentist.

Another dentist was more skeptical. “These days, any dentist who does an all porcelain crown is calling himself a cosmetic dentist, with or with out any formal dental continuing education programs.”

“I’m more concerned about commercial advertisements from products like Lumineers and Invisalign,” added another.

Read more: Has the Media Increased Patient Demand for Cosmetic Dentistry?

Best Braces Dentist: A Family Dentist or an Orthodontist?

Should GPs do ortho? 74% of general dentists think so, but only 4% of orthodontists agreeIs the best braces dentist a GP or a specialist? It all depends on who you ask.

Three out of four general dentists think it’s appropriate for GPs to do orthodontics, but a mere 4% of orthodontists surveyed agree. In fact, 41% of orthodontists say they’re the ones who should be doing virtually all ortho work.

“The training is often minimal and results often are not retained,” said one dentist. “I just think it is better to leave the specialties to the specialists.”Should general dentists do ortho?

Here are some dentist comments on general dentists and orthodontics.

  • “Case selection is critical and should be based upon the knowledge and skill of the GP.” (Florida dentist)
  • “Some orthodontists resent GPs doing their own ortho. Why is that? I have never met a single oral surgeon, endodontist, or prosthodontist that had a problem with my practice desires. It could be a matter of greed or pride. You make the call.” (Georgia dentist)
  • “Those who are doing it hopefully have a good lawyer on their side.” (Kentucky dental implant dentist)
  • Invisalign is becoming the latest malpractice issue. Too many GPs are doing it and getting into trouble!” (Florida dentist)
  • “General dentists don’t have the proper knowledge to perform orthodontics. ‘Little knowledge is dangerous.'” (New York dentist)
  • “Would you send your wife to a family physician for her brain surgery?” (Orthodontist)
  • “As long as they stay within their level of training and they refer when appropriate.” (Texas pediatric dentist)
  • “The quality of GP ortho is directly related to the quality and quantity of the dental CE. Most GP ortho CE courses are cursory and superficial. Only one or two are a true continuum that mimics an ortho residency.” (Alaska dentist)
  • “Diagnosis is the most difficult part. Once you have the background, the rest is easy.” (New York dentist)
  • “With proper training, any GP should be able to perform any procedure, whether it is endo, ortho, dental implants, etc.” (Prosthodontist)
  • “Every orthodontist is being asked to help or bail out GP cases as they often underestimate the complexity of cases and or are tackling more complex cases than they should due to economic pressures.” (California orthodontist)
  • “GPs see relapse on a regular basis after ‘specialist’ treatment.” (Maryland dentist)
  • “No different than a GP doing endodontics, prosthodontics, pedodontics, oral surgery or perio.” (Florida pediatric dentist)
  • “Bad ortho can ruin a patient’s dentition.” (Georgia periodontist)
  • “It’s not rocket science.” (Australia dentist)

Read more about dental braces: General Dentists Do Orthodontics, But Orthodontists Aren’t Sure They Should

Invisalign Cost: Invisalign Braces Fee Analysis

According to the Invisalign website, the national average cost for Invisalign treatment ranges from $3,500 to $8,000, with the national average at about $5,000.

The Wealthy Dentist conducted a survey to determine what dentists and orthodontists are charging for Invisalign.

The results from the survey revealed that Invisalign treatment costs an average of $4,622 when provided by a dentist and $6.945 when treated by a specialist.

“We adjust our cost according to how long treatment takes. Times can range from 5 – 18 months (rarely more). We are willing to “deal” on Invisalign because the actual Dr. time is so minimal,” reported a Minnesota dentist.

The cost of Invisalign treatment is on average $500 higher than the cost for regular braces treatment. The dentists who responded to this survey noted that the higher cost reflects the lab fee that they pay for the Invisalign trays.

Here’s a sample of what dentists had to say about the cost of Invisalign treatment:

“I take into consideration material cost of impressions for both initial and refinement, the lab cost and shipping. We charge $5,000 for a full treatment.” (Georgia dentist)

“I have wrestled with the most appropriate fee levels for Invisalign for a long time. We have historically kept the cost of a ‘full’ treatment a bit higher than traditional orthodontia. Although the ‘full’ treatment cost is $5800 — I charge $3200 for express.” (Washington orthodontist)

“Specialists usually get ‘tougher’ cases, so they charge more. We have three fee structures for simple, medium, and complex.” (California dentist)

“My Invisalign rep suggests that I should lower my fees or offer financing that takes a bite out of my profit due to the economy, but I don’t see them lowering their lab fees to me!” (Illinois dentist)

“I hate how high the lab fee is!” (General dentist)

“Invisalign pre-treatment of prosthetic cases greatly reduces the complexity and cost of many restorative challenges. Talk about a revenue enhancer! Invisalign is the best thing this GP has added to the bag of tricks in the last 4 years!” (Florida dentist)

“I am thinking of lowering my fees to compete with the general dentists in the area …” (Oregon orthodontist)

“Clear Choice is much lower in cost to the dentist (and the cost savings can be passed along to the patient). Clear Choice appears to be just as good, if not better than Invisalign. I’m so fed up with Invisalign and our local rep is not very helpful either.” (Ohio prosthodontist)

“Our cost includes whitening and first set of retainers, which we make in house.” (Connecticut dentist)

“There is no free lunch!” (Ohio dentist)

For more on this survey see: Fees for Invisalign Treatment Average $4,622 – $6.945

Braces Cost: Braces Fee Survey Analysis Results

cost of braces fee analysisThe Wealthy Dentist conducted a braces survey asking doctors how much they charge for braces.

We found that general dentists charge an average of $4350 for orthodontia work, while orthodontists charge $5141.

Some orthodontists felt that braces should cost more.

“The average price should be $7500-8500 based on inflation. Unfortunately, managed care practices and #$&!@!! general dentists are screwing up pricing. In turn, this ‘trickle down effect’ will only hurt dentists who should be getting $1800 for a crown!” expressed a Colorado orthodontist.

Location is factor that can influence the cost of braces. California is known for being one of the most expensive states for dental treatments in general, and braces are no different.

Suburban dentists’ braces fees have increased to match their urban counterparts, which is a change in the last two years.

Here a few comments from doctors:

“We do Invisalign at a lower cost but only if it is minor movement with treatment taking only a couple of months.” (Pennsylvania dentist)

“My cases are treated with better and more individualized diagnosis, and finish with better facial aesthetics, better occlusion, a better smile line and better function.” (Illinois orthodontist)

“The cost of braces depends on the type and length of treatment.” (New Jersey orthodontist)

“Well-trained GP’s are fully capable of providing orthodontic services!” (Ohio dentist)

“We only do Invisalign.” (General dentist)

The Journal of Clinical Orthodontics conducted an orthodontic practice study in 2007 on the average cost of braces in the United States. The study found that for comprehensive treatment of orthodontics the costs averaged $5,354 for adults and $4,914 for children.

Has the cost of braces remained flat or increased in your area over the last four years?

For more on this survey see: Braces Cost an Average of $4,350 at General Dentist

General Dentists Offer a Variety of Orthodontic Options to Patients

orthodonic options Recently the American Association of Orthodontists (AAO) reported that over one million adults are wearing braces. New technologies have widened the options for braces and made them attractive to dental patients of all ages.

No longer do patients fear having a “mouth full of metal.”

We conducted a survey that asked dentists what type of orthodontic options they now offer at their practice.

This was their response –

  • Conventional braces — 22%
  • Ceramic braces — 19%
  • Lingual braces — 6%
  • Invisalign® — 22%
  • Inspice ICE® — 4%
  • ClearCorrect® — 10%
  • Simpli 5® — 6%
  • Smart Moves® — 4%
  • RW II® — 3%
  • Red White & Blue® — 4%

“I have done orthodontics as a GP for 24 years.” (General dentist)

“Patients value the option of avoiding bands and brackets.” (Urban dentist)

“I prefer fixed orthodontia, as it is easier to keep the patient compliant.” (North Carolina dentist)

“Pre-treating arch discrepancies including posterior cross bites with removable orthopedic appliances allow you to finalize many cases with Invisalign®.” (California dentist)

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