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Overcoming Fear of the Dentist

| April 12, 2007

Why is it that so many people become scared at the thought of going to the dentist? Some degree of fear is understandable, but when that fear turns into dread, a person might actually have a phobia.

When people put off going to the dentist because they are so afraid of what may or may not happen their teeth are at significantly increased risk of developing decay. Left untreated, tooth decay can damage not only the tooth but the underlying roots and gums. If gingivitis develops and isn’t treated, it can develop into periodontis, gum disease that can become so bad that the gums and underlying bone structure are no longer capable of holding teeth in place.

If you feel stressed or tense before your appointment at your dental clinic, worrying excessively and even losing sleep, or if you become sick to your stomach while waiting in the dentist’s office or while looking at the assortment of instruments or the staff in their white lab coats, you might benefit from knowing how to overcome this type of fear.

Fear is a common emotion and almost everyone fears something whether it’s spiders or flying or standing before a large crowd. Therefore, understand that fear isn’t something to hide or feel embarrassed about. Instead, admit you’re afraid because there are tools that can help alleviate this fear.

Communication is one of the best tools there is for overcoming your fear of the dental visit. Modern dentistry has advanced to the point where many of the procedures are performed without pain. This is important to know and your dentist can explain what’s going to happen inside your mouth in precise detail, if your dentist realizes that such communication will help alleviate your fears.

Knowing what’s happening may make you feel more in control of the situation. Another way to feel more in control is to agree upon a hand signal you can give the moment you want the dentist to stop. Communicating with someone else’s hands inside your mouth is difficult so a hand signal can definitely help.

Also available at the dentist’s office are different pain medications and numbing creams that you can be given. The options range from localized topical numbing creams to anesthesia to sedation. If you can’t relax because you’re worried about feeling pain, then let the dentist do something so that you won’t feel it.

There are also various techniques to help you relax that you can employ. You can distract yourself by listening to music, watching television or daydreaming. A technique called guided imagery helps you create in great detail an image of a more pleasant environment. A dental assistant can help you create this image by suggesting situations which you then visualize. You’ll be so busy creating the perfect mental image that you might even forget that your teeth are being worked on!

For intense dental phobia, consider finding a dentist that practices hypnosis or acupuncture. And if your fear is so bad that you can’t even make a dental appointment, you might benefit from therapy or participation in a support group.

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Dental Insurance in the United States

| April 8, 2007

In the United States, dental care is not something that the government offers to all of its citizens. There is government assistance available to those who qualify such as those whose income falls below a certain level, and some of the elderly.

But aside from those few programs, an individual’s dental care is either partially or fully covered by an insurance plan. Or, if the individual has no insurance coverage, the individual assumes the responsibility for paying all dental care costs as well as any costs assumed by his or her family.

Available dental care options vary widely and depend on the individual’s personal situation. If employed, the employer might offer some type of dental coverage plan. Unfortunately, the cost of providing dental insurance to employees is high and many employers are finding it difficult financially to offer dental coverage as a benefit.

When employers do offer their employees dental coverage, costs typically are shared between employee and employer. Those Americans who are self-employed or whose employers do not offer dental coverage can purchase a dental insurance plan on their own, for which there is generally an associated monthly fee. Or they can forgo the purchase of a dental plan and instead pay all costs for dental services as they are incurred.

There is no general answer to what is covered by a dental plan. What is covered by one dental plan may or may not be covered by another. And while one dental plan might cover 100% of the costs of a particular service, another might only cover 70% with the remaining 30% to be paid for by the patient.

Most dental plans will offer some level of coverage for preventative dental services such as 2 check-ups per year. Services covered at a twice-yearly dental exam typically include cleaning, examination, x-rays and a fluoride treatment.

Under the terms of most dental plans offered in the US, any follow-up work that may be needed as a result of such examination will only partially be covered by the plan. Examples of those services include but are not limited to fillings, crowns, root canals, anesthesia and sealants.

As far as what is not covered by dental plans in the United States, most will not cover any type of service considered cosmetic. That includes such services as teeth whitening, orthodontic work, dental implants and, unless they’re deemed medically necessary, crowns.

If an employer is offering dental coverage, the employee will complete the application form at the place of employment. After completing the application the employee will have coverage according to the company’s enrollment policy.

If an individual is purchasing his or her own dental plan, the Internet is a good place to start the search. There it’s easy to compare the costs and coverage of the various dental plans offered to individuals. Application typically can happen online, or the individual can call a special number to apply. After paying the applicable fees and upon approval, that individual can begin making appointments for dental services.

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Dental Care - Flossing

| April 3, 2007

Brushing your teeth properly is an effective way of removing plaque, that sticky white substance that grows in between and along the bottom of teeth and along the gum line. But rarely will tooth brushing alone remove all plaque, no matter how good a job you do.

To ensure you remove every bit of plaque from your teeth, you’ve got to remember to floss. While most people will make the effort to brush in the morning and at night, few take that extra step of flossing. Rather than flossing daily, they’ll floss weekly or worse, they just don’t floss at all.  Your dental hygienist will be able to tell whether you are flossing  or  not when you go for your  dental checkup.

Flossing takes a bit of time and a lot of coordination which probably is why so many choose to skip this step. But like any habit, if you’re willing to practice and repeat the process, in a few weeks you’ll be flossing daily like a pro.

As you chew your food, some of it gets trapped in the spaces between teeth. The closer the space, the more difficult those particles are to remove with the bristles of a toothbrush. And when it comes to the molars, it’s difficult to position the toothbrush so that it adequately gets between them.

When you floss, you wrap what looks like a length of thread around one or more fingers on both hands, and then work the thread up into the crevices between teeth. You don’t use normal sewing thread as that could damage the gums. Instead you use floss, which can either be uncoated or coated with a wax. To add a bit of excitement to the task, floss now comes in a variety of flavors and some brands even resist shredding!

As you move the floss back and forth, and up and down  in the space between teeth, that action loosens the plaque from those hard-to-get-at spaces that toothbrush bristles can’t reach.

Some people wrap floss around their fingers while others just hold it between their fingers. How it’s held doesn’t matter as long as you have a firm grip and a segment that you can work with. With a back and forth motion, gently work the floss in between two teeth. This protects gums. Then wrap floss around an inside edge of a tooth by making a ‘c’ shape with the floss. Moving gently from base of tooth to gum line, use the floss to scrape the plaque from the tooth. Repeat for all teeth and don’t forget the molars. Flossing those teeth can be awkward at first, but it’s absolutely necessary.

You need only floss once a day, so choose morning or evening and stick with that routine. You may wish to floss more often, especially after eating popcorn or other foods that tend to stick between teeth. Floss isn’t expensive so use as much as you need, as often as you need.

Never rush your flossing session and never floss aggressively. Both can cause gums to bleed or become damaged. You actually want to avoid coming into contact with the gums as much as possible.

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