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Medical Forum / General / Dentistry / February 2005

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Opinions requested: Hyrax/Invisalign to treat crossbite

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Don Karnage - 27 Feb 2005 05:37 GMT
Hey everyone
I was wondering if I could get some opinions from a few of the orthodontists
here.  This seems like the only place where I can be guaranteed to get a
neutral and objective opinion..  Anyway, I have been contemplating dental
treatment for a while but wasn't sure what my best option was.  I think I
have a slight crossbite and some mild crowding on my bottom teeth...maybe a
little underbite too.  I'd like to add that my dentist has never suggested
orthodontic treatment in any my cleaning visits and that it's actually my
parents that are encouraging it.  This being the case, I really have no idea
how severe or minor my case is, or if it's even necessary.

I have been to two orthodontists recently - the first being a doctor who
claims to have completed more invisalign treatments than any other doctors
in the country.  Everything about his practice seemed highly unprofessional
from a medical standpoint (including his marketing gimmicks that started off
with a 10 min. invisalign promotional video), so I left without any
intention of pursuing it further.  The second one that I visited today
seemed much more promising, but I still wanted to get a second opinion just
in case!  It's amazing what one bad apple can do to your faith in the field.
I'll do my best to transcribe the treatment and the cost that's written on
the contract, so can someone please tell me if it sounds reasonable?

Prelim ortho diag:  TMJ.WNL/ [illegible] L2 li. .g. . .x Bite / Cl III edge
to edge bite

Prelim ortho treatment plan: Hyrax/Invisalign

Fee schedule (2 Parts)

Partial Treatment (I'm guessing Hyrax)
Diag records: $275
Appliance placement: $450
Treatment subtotal: $725

Full Treatment (I'm guessing Invisalign)
Diag records: $1400+
Initial banding: $1850+
Monthly fee: quarterly visits at $500/Q --> $3000 total
Treatment subtotal: $6350

Total: a little more than $7000

As far as I know at this point, the invisalign treatment will begin after
the 4 month hyrax treatment.  Is there anything else I should ask him/her
before I go ahead with this?  I'm not even sure how much or if my insurance
will cover this. Do you think the cost is reasonable?  Thanks in advance for
any help!

Regards,

Yuto S.
leaderdmd@juno.com - 27 Feb 2005 06:36 GMT
I am a general dentist.  I do not provide orthodontic treatment, but I
know a thing or two.

1.  the fees are reasonable for Boston, Ma.  Fees can vary dramatically
depending on location and provider.

2.  Invisalign treatment does not include "initial banding".  That
would be the application of the orthodontic brackets that you are
trying to avoid by having the more expensive Invialign treatment.  I
think that there may be a semantics problem or a misunderstanding of
another sort.

Did your dentist or orthodontist discuss the advisability of surgical
treatment after the orthodontic treatment for your Class III occlusion?

Call your insurance company to find out what they cover.  If you get an
answer you like, write down the name of the person who gave you the
info, the date and time of the call.  The information may already exist
in writing in your insurance brouchure.

David Leader, DMD
Malden, ma.
Yuto Shinagawa - 27 Feb 2005 17:00 GMT
Thanks for a quick reply.  I'm surprised you figured out I was in Boston.
Is the "initial banding" the same thing as the Hyrax that's written on my
treatment plan?  All I remember my orthodontist telling me is that he/she
didn't want to cut any corners by going straight to invisalign, so that a
preceding 4-month Hyrax treatment would be the preferred treatment plan.  I
guess I'm not too familiar with the procedure to be a 100% sure.  By the
way, I wasn't told anything about options involving surgical treatment.
Once again, thanks for your help.

-Yuto S.

> I am a general dentist.  I do not provide orthodontic treatment, but I
> know a thing or two.
[quoted text clipped - 18 lines]
> David Leader, DMD
> Malden, ma.
Joel M. Eichen - 27 Feb 2005 17:26 GMT
>Thanks for a quick reply.  I'm surprised you figured out I was in Boston.
>Is the "initial banding" the same thing as the Hyrax that's written on my
>treatment plan?  All I remember my orthodontist telling me is that he/she
>didn't want to cut any corners by going straight to invisalign, so that a

What is Hyrax? I know Hydrox, the cookie, but HYRAX?

Joel

**

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>preceding 4-month Hyrax treatment would be the preferred treatment plan.  I
>guess I'm not too familiar with the procedure to be a 100% sure.  By the
[quoted text clipped - 25 lines]
>> David Leader, DMD
>> Malden, ma.
Joel M. Eichen - 27 Feb 2005 11:18 GMT
>I have been to two orthodontists recently - the first being a doctor who
>claims to have completed more invisalign treatments than any other doctors
>in the country.

Yes but how does he compare to the doctors who practice in the city.?
Yuto Shinagawa - 27 Feb 2005 17:48 GMT
I don't think he met up to my standards/expectations regardless of how many
doctors I compared him to - whether it was with all the doctors in the
country, city, or neighborhood.

Thanks,
Yuto S.

> >I have been to two orthodontists recently - the first being a doctor who
> >claims to have completed more invisalign treatments than any other doctors
> >in the country.
>
> Yes but how does he compare to the doctors who practice in the city.?
W_B - 27 Feb 2005 16:35 GMT
>Hey everyone
>I was wondering if I could get some opinions from a few of the orthodontists
>here.  This seems like the only place where I can be guaranteed to get a
>neutral and objective opinion.

Well, the $wire benders$ are taught that they are kewl.
Nothing could be further than the truth.

Sorry Orthos, don't have much compassion for your
self aggrandizement.

BTW did yer wire bender stuff for 5+ yrs in a clinic.
Bored the hell out of me.

Dat's why WB leaned toward endo.

--
W_B

wubbabubbazG@RBAGEyahoo.com
Take out the G'RBAGE
Steven Bornfeld - 27 Feb 2005 16:54 GMT
>>Hey everyone
>>I was wondering if I could get some opinions from a few of the orthodontists
[quoted text clipped - 6 lines]
> Sorry Orthos, don't have much compassion for your
> self aggrandizement.

    I think Dan and Charlie missed that course.

Steve

> BTW did yer wire bender stuff for 5+ yrs in a clinic.
> Bored the hell out of me.
[quoted text clipped - 6 lines]
> wubbabubbazG@RBAGEyahoo.com
> Take out the G'RBAGE

Signature

Cut the nonsense to reply

carabelli - 27 Feb 2005 17:37 GMT
>>Hey everyone
>>I was wondering if I could get some opinions from a few of the
[quoted text clipped - 4 lines]
> Well, the $wire benders$ are taught that they are kewl.
> Nothing could be further than the truth.

I agree, don't need to be taught - it is a innate characteristic

> Sorry Orthos, don't have much compassion for your
> self aggrandizement.

I missed that class - It interfered with a tee time

> BTW did yer wire bender stuff for 5+ yrs in a clinic.
> Bored the hell out of me.

Sentenced to community service where you??

> Dat's why WB leaned toward endo.

I've seen chimpanzees do endo after watching short DVD

carabelli
W_B - 27 Feb 2005 20:46 GMT
>I've seen chimpanzees do endo after watching short DVD
>
>carabelli

'twas a ortho porno...

...lame a.s wire bender...

<8^]]>

--
W_B

wubbabubbazG@RBAGEyahoo.com
Take out the G'RBAGE
carabelli - 27 Feb 2005 17:32 GMT
"Don Karnage" <don_karnage@hotmail.com> wrote...........................

so can someone please tell me if it sounds reasonable?

> Prelim ortho diag:

Depends, a little steep where I am at but not unreasonable.  How old are you
and what part of the country are you located.

It's hard to say from here - I would need to see you in person, or at the
very least some diagnostic records.

Time for a third or fourth opinion.

carabelli

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