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Medical Forum / General / Dentistry / November 2006

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Peridontal disease ... cleanings thereafter are maintenance? ie. higher cost?

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robert.nicholson@gmail.com - 01 Nov 2006 08:48 GMT
So my wife has been diagnosed with Peridontal disease before and had
scaling performed to correct it and today when she goes to the dentist
she's given a regular cleaning and I'm told that it's more expensive
because the dentist has to charge it as it were a non-preventative
maintence cleaning and that any future cleaning has to be considered
the same. Now the dentist said to her that everything is perfect and
she has no problems so why is she (I) penalized by having to pay the
extra cost for a "maintenance" cleaning?

Note: my insurance will incure a $50 deductible whenever the work is
non-preventative.

Secondly, we had both had the same number of visits and both at the
same times. Yesterday my visit was a regular cleaning that took one
hour and hers was 30 minutes. Also xrays were taken for me but not for
her. I find this unusual. I would have expected them to take her xrays
too since it's been 1.5 years since they were last taken.
Mark & Steven Bornfeld - 01 Nov 2006 18:14 GMT
> So my wife has been diagnosed with Peridontal disease before and had
> scaling performed to correct it and today when she goes to the dentist
[quoted text clipped - 13 lines]
> her. I find this unusual. I would have expected them to take her xrays
> too since it's been 1.5 years since they were last taken.

    There could be a valid rationale as to why a periodontal maintenance
visit is billed differently from a conventional cleaning.  However,
rational or not, it is a convention in insurance coverage, together with
5 year frequency limits for crowns and 6 month frequency limits for
checkups.
    Insurance companies try to put things in neat little boxes, and as you
can see people and their clinical conditions and optimal treatment do
not always fit into these neat little boxes.
    As far as x-ray frequency, that is a clinical judgement.  Some patients
need to be checked and x-rayed more frequently based on an evaluation of
need.  You should ask this perfectly valid question to your dentist.

Steve
Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

support@konae.com - 07 Nov 2006 01:39 GMT
Loads of periodontal information at the American Academy of
Periodontology:
http://www.perio.org/

There is also a contact form:
http://www.perio.org/contact-aap.htm
_____________________________

Colin
http://www.geodentist.com

> So my wife has been diagnosed with Peridontal disease before and had
> scaling performed to correct it and today when she goes to the dentist
[quoted text clipped - 13 lines]
> her. I find this unusual. I would have expected them to take her xrays
> too since it's been 1.5 years since they were last taken.
 
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