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We are in-network with many insurance plans in Colorado
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Find a Dentist covered by GEHA near you
Filter based on your personal care preferences from our 69 doctors across Colorado and Missouri.
Dr. Jason Stott
Doctor of Dental Surgery State University of New York at Buffalo, 2013
You can find me at:
My name is Dr. Jason Stott. I started Open and Affordable Dental and Braces in 2014. I am from Fairfield, Montana, a rural town of 600 people in Northern Montana. I grew up on a dairy farm and have always wanted to be a rural dentist. The goal of Open and Affordable Dental and Braces is to create a small-town atmosphere, where we work hard to make you feel comfortable. My wife Ana Lucia and I have 4 children: Skyler, Yasmeen, Joaquim, and Jason Jr. I love Colorado and have lived here since 2000.
Dr. Jeremy Barkoff
Doctor of Dental Surgery University of Colorado School of Dentistry, 2016
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My name is Dr. Jeremy Barkoff. I was born and raised in Albuquerque, New Mexico, and I fell in love with Colorado when I moved here in 2006. In our free time, my wife Annie and I enjoy traveling, rock climbing, skiing, and of course country dancing.
Dr. Annie Bielinski
Doctor of Dental Surgery University of Colorado School of Dentistry, 2017
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My name is Dr. Annie Bielinski. I grew up in my family's dental practice in Chicago, where both of my parents, aunt, and grandpa were dentists. I fell in love with small town Colorado when I moved to Basalt in 2005. I graduated dental school from The University of Colorado and have a passion for helping people with dental anxiety. On my days off you can find me in the mountains with my husband Jeremy, skiing, swing dancing, or eating tacos.
Dr. Kim Nhi Lisa Van
Doctor of Dental Surgery University of Colorado School of Dentistry, 2017
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My name is Dr. Kim Nhi Lisa Van. I am a Colorado native, originally from Lakewood, CO. I graduated from the University of Colorado School of Dental Medicine and joined Open and Affordable Dental in 2017. I am fluent in Vietnamese and in my free time I enjoy hiking and staying active. My favorite hobby is cooking and I LOVE going on food adventures! My passion in dentistry is to provide for the community and give them the best smile possible.
Dr. Josh Piper
Doctor of Dental Surgery University of Missouri KC School of Dentistry, 2018
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My Name is Dr. Joshua Piper. I grew up in central Kansas where I graduated top of my class at the University of Missouri Kansas City Dental School. My wife Libby and I have twins. In my free time, I enjoy doing outdoor activities with my family. I love golfing and hiking. I strive to deliver patient centered care that is individually tailored to each and every person. I love getting to know each patient and creating a warm and welcoming atmosphere.
Dr. Gavin Whitman
Doctor of Dental Surgery University of Colorado School of Dentistry, 2018
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My name is Dr. Gavin Whitman. My wife Kathryn and I love to explore the outdoor wonders of Colorado. We enjoy spending time with our daughter Willa, taking her on adventures. I feel honored to serve the La Salle community and the greater Northern Colorado area. I pride myself on offering a welcoming, judgment-free environment for my patients to achieve their dental goals.
Dr. Igor Traktinskiy
Doctor of Dental Surgery University of Colorado School of Dentistry, 2016
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My name is Dr. Igor Traktinskiy. I grew up in Colorado where I went to college and dental school at the University of Colorado. When not working, I like to travel and hike with my wife Nancy. My passion in dentistry is helping individuals overcome their barriers to achieve their ideal smile.
Dr. Simone Leonard
Doctor of Dental Surgery University of Colorado School of Dentistry, 2019
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My name is Dr. Simone Leonard. I am a Colorado native who loves hiking, biking, skiing, and doing everything Colorado, especially with my dog Teddy! I was captain of my tennis team in college and played professionally for a few years after college. Most of all, I love dentistry, and helping people and their families become the healthier and happier version of themselves!
Dr. Mei Saelee
Doctor of Dental Surgery University of Colorado School of Dentistry, 2019
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My name is Dr. Mei Saelee. I grew up in Alaska and fell in love with Colorado when I attended dental school at the University of Colorado. I have two children, Aeson and Mina. My husband Rocky and I love spending time in the outdoors with them. I love helping patients achieve their ideal smile in an inviting and calm atmosphere.
Dr. Connie Lan
Doctor of Dental Surgery University of Colorado School of Dentistry, 2019
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My name is Dr. Connie Lan. I’m from Seoul, South Korea and grew up in the beautiful desert of Phoenix, AZ. I graduated from The University of Colorado School of Dental Medicine and furthered my education at The University of Texas Health Science Center at Houston, completing an Advanced Education Program in General Practice. My patients value that I make every effort to create the best possible dental experience by helping them feel welcome, comfortable, and appreciated. I love using my knowledge and training to customize treatment to each patient’s unique needs and creating lifelong doctor-patient relationships.
Dr. Wesley Stanton
Doctor of Dental Surgery University of Colorado School of Dentistry, 2020
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My name is Wesley Stanton. I am a Colorado native and love all the outdoor activities Colorado offers. In my free time, I love to ski, fish and BBQ grill. I attended the University of Colorado for both my undergraduate and graduate studies. I am passionate about providing the gentlest dental care possible and creating a relaxing, no-stress and comfortable environment for my patients.
Dr. Meg Dinkel
Doctor of Dental Surgery University of Colorado School of Dentistry, 2021
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My name is Dr. Meg Dinkel. Although my three siblings and I grew up all over (Go Navy!), Colorado has always been my family’s home base—both sets of my grandparents are from Colorado (Arvada and Golden). I studied at the University of Denver before graduating from the University of Colorado School of Dental Medicine. I love spending quality time with my family. I enjoy long walks, thought-provoking podcasts, beautiful bike rides, paddle-boarding, and rollerblading. One of my greatest joys is dentistry. I love helping my patients reach their dental goals and maintaining healthy & happy smiles that last a lifetime!
Dr. Mark Velemirovich
Doctor of Dental Surgery University of Colorado School of Dentistry, 2021
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My name is Dr. Mark Velemirovich. I am from Thompson, Manitoba, Canada, a small mining town near the arctic circle. My wife, Kelsey, and I have called Colorado home since 2010 and have since welcomed our two children, Myles and Leah, to our family. We love to take advantage of the beautiful outdoors Colorado has to offer and are avid skiers and hikers. I love dentistry and working with patients to help them achieve their ideal smile.
Dr. Ryan Koster
Doctor of Dental Surgery University of Colorado School of Dentistry, 2021
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My name is Dr. Ryan Koster. I am from Missoula, Montana and fell in love with Colorado when I moved here for dental school. In dental school I met my fiancée, Emma. In our free time, we enjoy mountain biking, snow and water skiing, hiking, and everything outdoors. We also love to meet new people and learn from their experiences. It is my passion to help patients achieve their ideal smile and oral health in the most comfortable environment possible.
Dr. David Chen
Doctor of Dental Surgery University of Colorado School of Dentistry, 2018
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Hello! My name is David Chen. I grew up in Colorado. I’ve traveled a bit but Colorado always keeps bringing me back. I’m always trying to find time to ski, mountain bike, and shoot hoops. I also love good TV, music and movies, and I listen to all kinds of podcasts and audiobooks. I’m a huge fan of the Nuggets and Broncos, and the Rockies and Avs are cool too. Dentistry is an incredible field that keeps me inspired and itching to learn, and I want to make you as comfortable as possible at all times when we’re trying to achieve your dental goals, whatever they may be. Hope to meet you soon!
Dr. Apurv Jhawar
Doctor of Dental Surgery University of Colorado School of Dentistry, 2017
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My name is Dr. Apurv Jhawar. I’m originally from India. I relocated to the United States to pursue my passion for dentistry where I completed my dental education at the University of Colorado. I am dedicated to providing compassionate care and helping patients achieve their dental goals at Open and Affordable Dental. Our practice values treating patients with the same level of warmth and attention we would extend to our loved ones. Beyond dentistry, I enjoy spending quality time with my wife, Cesaria, our daughter, Eloise, and our dog, Fendi. I love to stay active through workouts and indulge in travel whenever possible.
Dr. Fadi Zrik
Doctor of Dental Surgery Virginia Commonwealth University School of Dentistry, 2021
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My name is Dr. Fadi Zrik. I grew up on the east coast and fell in love with the mountains learning to ski and dirt bike. I moved to Colorado in 2021. I strive to make your dental visits as easy and comfortable for you as possible while tailoring your dental care specifically to your needs in order to create your perfect smile.
Dr. Rachel Hain
Doctor of Dental Surgery University of Texas Health Science Center at San Antonio, 2018
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My name is Rachel Hain. I lived all my life in Texas before moving to Colorado with my husband and two pups in 2019. Like most, we came for the great outdoors. I also love the arts, be it music, theater or painting.
Dr. Isabelle Rusden
Doctor of Dental Surgery University of Colorado School of Dentistry, 2022
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My name is Dr. Isabelle Rusden. I grew up in Fort Collins and love the Northern Colorado area! I studied at Marquette University before graduating from the University of Colorado School of Dental Medicine. My husband Daniel and I enjoy spending time outdoors hiking, camping, paddle boarding and skiing. We are avid travelers and love to scuba dive. My passion in dentistry is helping patients achieve their ideal smiles. I strive to be a gentle dentist and treat my patients like family. I am honored to serve the La Salle community.
Dr. Ty Weisenburger
Doctor of Dental Surgery University of Colorado School of Dentistry, 2022
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My name is Dr. Ty Weisenburger. I graduated from the University of Colorado School of Dental Medicine in 2022. I am committed to always provide the highest quality dental care to all my patients. It is my responsibility to ensure that my patients are treated like family & friends. In my personal time, I enjoy anything related to health, fitness & entrepreneurship. Family is my #1, my wife and I have two amazing kids and two puppies. I have lived all over the world including Mexico, Poland, California, Florida, Utah, and I now call Northern Colorado my home.
Dr. Anthony Dang
Doctor of Dental Surgery University of Colorado School of Dentistry, 2022
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My name is Dr. Anthony Dang. I am a Colorado native coming from Aurora, Colorado. I grew up playing basketball and tennis, where my love of pickleball has come into fruition recently. I love exploring countries and trying new cuisines. I strive to provide patient-centered oral care while fostering meaningful relationships. I am honored to help patients reach their ideal smiles.
Dr. Girma Seyoum
Doctor of Dental Surgery University of Colorado School of Dentistry, 2013
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My name is Dr. Girma Seyoum. I am originally from Ethiopia but I’ve lived in Colorado for over 25yrs. I love Colorado and glad to call it home (Go Broncos). I am fluent in Amharic and in my free time I enjoy spending time with my family. I graduated from the University of Colorado School of Dental Medicine in 2013 and have been working to serve the underserve community at Denver Health and Colorado Coalition for the Homeless for the past 8 years. I’m excited to continue my journey at Open and Affordable Dental treating my patients like my friends and family. My wife Tsion and I have twin daughters: Maya and Grace.
Dr. Patrick Hoblitzell
Doctor of Dental Medicine University of Louisville, 2017
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My name is Dr. Patrick Hoblitzell. I grew up in the suburbs of Cincinnati, Ohio. I attended the University of Louisville in Kentucky for my degree in Biomedical Engineering. It was during my time in college that I first became impassioned about the dental field. After suffering a sports injury leaving both of my adult front teeth fractured, I realized the transformative power of dentistry first-hand when they were repaired with crowns by my hometown dentist. I strive to provide that same life changing treatment for my patients whether they require comprehensive dental care or minor aesthetic procedures. I attended dental school at my undergraduate alma mater, the University of Louisville School of Dentistry, where I earned my DMD. After dental school, I moved to Missouri where I practiced dentistry briefly before making Colorado my permanent home. Outside of work, I enjoy the outdoors and spending time in the mountains skiing in the winter and hiking during the summer. I love rock climbing, lifting weights, and running in my free time.
Dr. Carmeliza dela Paz
Doctor of Dental Surgery University of Colorado School of Dentistry, 1998
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I was born in Chicago, Illinois but raised in Southeast Denver since 1974. After completing my undergraduate degree at Regis College, I went on to the University of Colorado where I earned my Doctorate in Dental Surgery in 1998. With over two decades of experience in dentistry, I have learned the importance of fostering success in others so that they may see success in themselves. This philosophy is the cornerstone of my patient-centric approach to dentistry. I strive to provide my patients with a custom-tailored experience by listening to their clinical and emotional needs to create a safe and comfortable environment where patients feel like they can participate in their care. When I am not practicing dentistry, you can find me spending time with my husband Michael and our two sons, Dominic and Matteo. My family and I enjoy attending sporting events, going on road trips, and trying out the new restaurants that pop up around Denver.
Dr. Makenna Fopma
Doctor of Dental Surgery University of Colorado School of Dentistry, 2023
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My name is Dr. Makenna Fopma. I am a Colorado native, originally from Broomfield, CO. I studied at the University of Sioux Falls completing a degree in Biology and playing collegiate volleyball before returning home to complete my DDS at the University of Colorado School of Dental Medicine. My husband Kevin and I absolutely love living in this beautiful state. We enjoy walking our two huskies Rocky and Glacier, as well as attending Colorado Avalanche games on the regular. I love spending quality time with my family, soaking up Colorado sunshine, going to church, eating yummy food, and reading! Dentistry and transforming smiles is my passion. It brings me so much JOY to be able to serve and connect with my patients on a personal level and help them reach their dental goals!
Dr. Ginneth Mackenzie
Doctor of Dental Surgery University of Colorado School of Dentistry, 2023
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My name is Dr. Ginneth Mackenzie. I was born in Colombia and moved to Colorado over 20 years ago. I completed my undergraduate degree in Biology at CU Denver and then went on to earn my dental degree at CU School of Dental Medicine. I hope to work together with my patients to improve their oral health and well-being using science, art, and compassion to create beautiful and functional solution to dental problems. When I'm not working, I like to spend time with my family and friends. I'm a homebody who enjoys reading, watching movies, playing board games, and cooking. Although, I no longer play as much as I used to, I enjoy sports including soccer, volleyball, and tennis. I also like to try new foods from different cuisines and cultures, and it is my favorite part about traveling. I'm always open to new experiences and learning new things.
Dr. Clara Nghiem
Doctor of Dental Surgery University of Colorado School of Dentistry, 2023
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Hi there! I’m Dr. Clara Nghiem, but I just go by Dr. Clara. I was raised in Colorado and am proud to call this state home. In our free time, my husband Art and I enjoy spending time with family, skiing, golfing, traveling, cooking, reading, and finding a new project around the house. I’ve wanted to be a dentist since I was a little girl, so I’m living my dream every day as I serve my Brighton community.
Dr. Dani Ortiz
Doctor of Dental Surgery University of Colorado School of Dentistry, 2023
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My name is Dr. Dani Ortiz. I was born in Mexico and moved to the Florida Keys when I was very young. Growing up on an island allowed me to embrace a laid-back lifestyle and instilled in me an appreciation and love for nature and the simple pleasures in life. I received my Bachelors in Exercise Physiology at Florida State University and a Masters in Medical Sciences at the University of South Florida. I attended the University of Colorado School of Dental Medicine, where I discovered a passion for working with underserved communities. My dental philosophy is to provide a warm welcoming environment to take care of my patient’s dental needs. I believe in educating my patients to empower them to making the best decisions for their unique dental journey. Outside of dentistry, I am a devoted dog/cat mom with a love for baking, snowboarding, and traveling.
Dr. Faith Meyer
Doctor of Dental Surgery University of Colorado School of Dentistry, 2023
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My name is Faith Meyer and I am a Colorado native born and raised in Denver. I am a passionate outdoors woman and spend my free time skiing, hiking and sailing with my husband, Alex, and daughter, Sasha. As a dentist, I strive to provide quality, patient centered care and work with patients to achieve their oral health goals.
Dr. Felecia Parker
Doctor of Dental Surgery University of North Carolina School of Dentistry, 1994
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I'm Dr. Felecia Parker. Originally from North Carolina, I graduated from the University of North Carolina at Chapel Hill. Go Tar Heels! Colorado has always held a special place in my heart, and in 2014, my family and I decided to make it our home. I enjoy the simple things in life with my wonderful husband, Vince. We love taking walks in nature, going to beaches, bowling and spending time together. Our family includes three daughters, two dogs, and a cat. Being a dentist is my true passion because I believe a smile can transform lives. Helping my patients take care of their teeth and witnessing the life-changing self-confidence they gain from beautiful smiles brings me great joy. Listening to my patient's concerns and desires is crucial. It allows me to create a personalized plan to restore their teeth and guide them in maintaining optimal dental health throughout their lives. Together, let's unleash the power of your smile!
Dr. Brenda Batres
Doctor of Dental Surgery University of Colorado School of Dentistry, 2023
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Hello! My name is Brenda Batres. I was born in California and grew up in Colorado Springs, Colorado. My family is from Mexico and have been fortunate enough to spend many summers and holidays in my parents’ hometown. I love to travel with my husband, and I also enjoy spending time with my three beautiful nieces. As a dentist, I strive to provide an atmosphere that is welcoming to my patients where we can work together to achieve the best oral health.
Dr. Courtney Santistevan
Doctor of Dental Surgery University of Colorado School of Dentistry, 2023
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My name is Courtney Santistevan. I grew up in a small town in eastern Colorado, attended college in Lindsborg, Kansas where I played softball and then attended University of Colorado School of Dental Medicine. My husband, Joe, and I have 2 kids, Emileigh and Mavric. On our free time, we enjoy exploring this beautiful state. I have always enjoyed living and working in rural Colorado. I am honored to serve my community and strive to provide the best care possible.
Dr. Jina Zrik
Doctor of Dental Surgery Virginia Commonwealth University School of Dentistry, 2023
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Hello! My name is Dr. Jina Zrik. I come from a tight-knit family of two incredible parents and two older brothers who mean the world to me. I grew up in Virginia after emigrating from Syria at the age of one. I earned my Doctor of Dental Surgery Degree from Virginia Commonwealth University School of Dentistry. I have always had a passion for fixing things and helping people, and I fell in love with dentistry after volunteering in college at a free clinic where dental care was provided to people who did not have insurance and couldn’t afford any treatment. One of my favorite aspects of being a dentist is getting to know all of my patients and keeping up with them over the years of treating them and their wonderful family members. If I’m not at work, I’m probably in the gym lifting weights, trying to find new delicious restaurants with my amazing husband, playing video games, watching sports, or spending time with my beautiful family!
Dr. Thuy Trang
Doctor of Dental Surgery University of Colorado School of Dentistry, 2023
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My name is Dr. Thuy Trang. I was born and raised in Denver and completed all of my schooling here. I graduated from CU Boulder with a Bachelors in Integrative Physiology. I am also a recent graduate of CU School of Dental Medicine. I am excited to have the privilege of serving my community and taking care of you. When I'm not in the office, you will find me roller skating, crocheting, reading, spending time with loved ones or travelling the world!
Dr. Samyak Shah
Doctor of Dental Surgery NYU College of Dentistry, 2022
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Hey there, my name is Dr. Samyak Shah. I grew up in Florida and where I graduated from the University of Florida. I went on to attend the New York College of Dentistry in Manhattan, NY. Whether it's a routine check-up or finding a creative solution to a dental challenge, my goal is to bring a smile to your face and try and make your visit as painless as possible. In my free time I love working out, wood working, hiking, climbing, and making pizza!
Dr. Nibal Zrik
Doctor of Dental Surgery Virginia Commonwealth University School of Dentistry, 2021
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My name is Dr. Nibal Zrik and I grew up in northern Virginia and attended VCU School of Dentistry. My wife and I moved to Denver to enjoy the incredible outdoor lifestyle that Colorado has to offer. In my free time I enjoy skiing, dirt biking, mountain biking, and fly fishing. I have wanted to become a dentist since I had a terrible toothache at the age of fifteen. I love what I do and pride myself on making every patient feel comfortable and respected.
Dr. Bryan Romero
Doctor of Dental Surgery University of Colorado School of Dentistry, 2022
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Hello, I'm Dr. Bryan Romero, a 2022 graduate of CU Anschutz School of Dental Medicine. Born and raised in Albuquerque, NM, I'm passionate about dentistry and creating smiles. I believe in fostering a comfortable and open environment for my patients, where they can freely discuss their oral health needs. Just like you, I value the power of a great smile and the positive impact it can have on one's life. Beyond dentistry, my spouse and I share a love for travel, electronic music events, and exploring new culinary delights. We find joy in adventures, whether it's hiking in the Rockies or savoring exotic dishes from around the world. Our two miniature dachshunds are also an integral part of our lives, bringing joy and laughter to our daily routines. Much like my approach to patient care, I'm always eager to explore and discover. Let's work together on your smile journey!
Dr. Katie Fay
Doctor of Dental Surgery University of Colorado School of Dentistry, 2021
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My name is Dr. Katie Fay and I am from Kansas City. I moved to Denver seven years ago to attend the University of Colorado School of Dental Medicine and decided to stay. I enjoy playing with my corgi, Lentil, hiking, reading, and practicing Spanish. I am passionate about helping people achieve their perfect smile and providing the highest quality of care to each and every patient.
Dr. Cody DelReal
Doctor of Dental Surgery University of Colorado School of Dentistry, 2022
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My name is Dr. Cody DelReal. I am Colorado born, raised, and trained. I grew up in this beautiful state playing football, basketball and track and field. I love to spend time with my beautiful wife and son. I am currently an avid disc golfer and spend my leisure time playing in tournaments. My passion in dentistry comes from the ability to help others achieve confidence in their smile and to provide a support system for patients to achieve their oral health goals.
Dr. Neha Toshniwal
Doctor of Dental Surgery University of Colorado School of Dentistry, 2016
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My name is Dr. Neha Toshniwal. I grew up in India and practiced dentistry there before moving to the US. I completed my dental education in the US at University of Colorado School of Dental medicine. I worked as a dentist in Utah and Washington before moving back to Colorado. I love dentistry and have great passion to give my patients happy and healthy smiles. When I am not working I love traveling, hiking and spending time with my husband and my son.
Dr. Justin McPhee
Doctor of Dental Surgery Virginia Commonwealth University School of Dentistry, 2021
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My name is Justin McPhee. I grew up on the east coast in Virginia, going to school at Virginia Tech (Go Hokies!) and then VCU School of Dentistry to complete my DDS degree. Spending free time mountain biking, skiing, climbing and dirt biking, my wife Allison and I knew Colorado was our new home. My passion for dentistry started as early as third grade when I was a dentist for Halloween. This passion and love for the field has only grown the more I am able to help patients feel comfortable in the dental chair, work together to better their oral health, and address concerns important to them. I pride myself in treating everyone as if they were family and creating a welcoming environment in the office.
Dr. Kevin Stolk
Doctor of Dental Medicine Roseman University of Health Sciences, 2023
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Before becoming a Dentist, I spent several years in the construction industry building houses and doing remodels with my Dad and siblings. During those years, I found a love for problem solving, fixing things, and making them look beautiful which I believe guided me to a career in Dentistry. I graduated with a Bachelor’s degree in Exercise Physiology from BYU- Idaho and received my Dental Training at Roseman University in Utah. I love creating functional/beautiful smiles and working with patients daily to help them reach and maintain their optimal oral health. Being from Colorado, I am beyond excited that I get to serve the community that I grew up in. I graduated from Coronado High School in Colorado Springs where I met my wonderful wife and now, we have 4 kids, and we are living out our dream back at home. In my free time I enjoy playing a variety of sports with my family and friends. I love basketball, volleyball, soccer, tennis, disc golf and golf. When the weather is nice my family likes being outdoors. We enjoy fishing, camping, and hiking.
Dr. Nisa Far
Doctor of Dental Surgery University of Colorado School of Dentistry, 2024
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Hi! My name is Dr. Nisa Far! I grew up right here in Colorado and, like a true Colorado Native, I completed my undergrad, master in public health degree, and dental school all at the University of Colorado. In our free time, my husband and I love traveling, hiking, trying new foods, and spending time with our family, friends, and community. As a dentist, I work hard to ensure that every visit is a positive, reassuring experience. It’s important to me to empower my patients with the knowledge and care they need to maintain excellent oral health!
Dr. Vakhtang Huhua
Doctor of Dental Surgery University of Colorado School of Dentistry, 2024
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My name is Dr. Vakhtang Huhua. I am originally from Sochi, Russia, but I have lived in Colorado for almost all of my life. I am fluent in Russian and am a first generation college graduate. I graduated from the University of Colorado Boulder and received my Doctor of Dental Surgery degree from the University of Colorado School of Dental Medicine. When I’m not practicing dentistry I enjoy reading, being active in the mountains, going to the gym, traveling, and spending time with my friends and family. I’m passionate about helping my patients restore their confidence and feel healthy and comfortable again. I’m excited to help you improve your health and your smile while feeling valued and cared for!
Dr. Jason Lindsay
Doctor of Dental Surgery University of Colorado School of Dentistry, 2024
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My name is Dr. Jason Lindsay. I am married to my high school sweetheart Courtney and we have three children who we love spending time with. We love Colorado and both grew up just minutes away. I have worked in the dental field for over 10 years and have loved creating long-term relationships with people by helping them achieve their ideal smile and be healthier. I treat everyone like family and bring a gentle, compassionate touch to my work.
Dr. Isabel Schmidt
Doctor of Dental Surgery University of Colorado School of Dentistry, 2024
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My name is Dr. Isabel Schmidt, but you can call me Dr. Bell! I am a proud Kansas girl who moved to Colorado when I started dental school. I graduated from the University of Colorado School of Dental Medicine and I am so excited to get started working at Aurora South! In my free time I enjoy playing sudoku, watching my favorite youtubers and going to concerts. Ever since I was young, I knew I wanted to live a life of service. Dentistry has given me the perfect avenue to do so while creating a positive environment for my patients.
Dr. Lam Huynh
Doctor of Dental Surgery University of Colorado School of Dentistry, 2024
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My name is Dr. Lam Huynh. I am a Colorado native and was born and raised in Lakewood, CO. I graduated from the University of Colorado School of Dental Medicine. As a dentist, I strive to provide compassionate dentistry by helping patients achieve their dental goals in a welcoming environment. In my free time, you can find me outside hiking, playing tennis, or reading. I am honored to serve my community!
Dr. Kyle Parmley
Doctor of Dental Surgery University of Colorado School of Dentistry, 2024
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Hey there, my name is Dr. Kyle Parmley, and I am a Colorado boy born and raised. I attended the University of Colorado Boulder for my undergraduate education (Go Buffs!), followed by dental school at the University of Colorado School of Dental Medicine. In my free time I love skiing, mountain biking, and spending time with my friends and family. As a dentist I take great pride in the small details, strive to help my
patients achieve their goals, and aim to provide an exceptional patient experience.
Dr. Sarah Li
Doctor of Dental Medicine University of Pennsylvania School of Dental Medicine, 2024
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My name is Sarah Li. I’ve lived in several states but I grew up in Colorado and I’m excited to finally be back! I completed my undergraduate degree at Cornell University and my dental training at the University of Pennsylvania. As a dentist I want to create an environment where every patient feels like their wants and needs are being heard. Each patient deserves to understand what is happening in their mouth, be educated on their options, and have the power to choose what they want for their oral health. I’m thrilled to be able to offer my services to the community of Open and Affordable Dental and Braces!
Dr. Alexa Mejorada
Doctor of Dental Surgery University of Colorado School of Dentistry, 2024
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Hi, I'm Dr. Alexa Mejorada! Born in Mexico and raised in Colorado, I’m fluent in Spanish and love connecting with our diverse community. I enjoy staying active with workouts and hiking when I'm not in the office. I'm also an avid reader and enjoy cooking, especially trying new recipes from different cultures. My passion in dentistry is providing transparency and education to my patients while delivering the highest-quality dental care. I strive to empower my patients to make informed decisions, ensuring they feel comfortable and confident throughout their oral health journey.
Dr. Sami Sarabadani
Doctor of Dental Surgery Rutgers School of Dental Medicine, 2014
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My name is Dr. Sami Sarabadani. I hold a Doctor of Dental Surgery (DDS) and a Master of Dental Clinical Sciences (MDS) with a specialization in Orofacial Pain from Rutgers University. This specialty enables me to effectively manage a wide range of orofacial pain conditions, including TMD (TMJ Disorder), headaches, and sleep disorders. Having lived in Iran, the UAE, New Zealand, Australia, and the United States, I have developed a broad perspective and a deep appreciation for the diverse cultures of my patients. Dentistry is more than just a career for me; it’s a true passion. Outside of work, I am dedicated to maintaining a healthy lifestyle and particularly enjoy swimming as part of my regular exercise routine.
Dr. Allison Steinbeck
Doctor of Dental Surgery University of Washington School of Dentistry, 2024
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Hello! My name is Dr. Allison Steinbeck. I grew up in Alaska and am excited to move to Colorado to continue exploring the mountains. I received my bachelor's degree from Gonzaga University and my Doctor of Dental Surgery degree from the University of Washington. In my free time, I enjoy hiking, fishing, trying new restaurants, and spending time with family. I love dentistry because it allows me to work with my patients to improve their confidence and health. My top priority is to create a welcoming and comfortable environment for all my patients, ensuring they feel at ease during every visit.
Dr. Amanda Kelly
Doctor of Dental Surgery University of Michigan School of Dentistry, 2024
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Hello my name is Dr. Amanda Kelly. I grew up in Western Michigan along the beautiful shores of Lake Michigan. I began my education at Michigan State University where I received my bachelors degree in nutritional sciences before attending the University of Michigan School of Dentistry. My husband Peter and I have traveled many times to Colorado for the great outdoors before deciding to call it home. In my free time I enjoy snowboarding, mountain biking, hiking, camping, traveling and taking my miniature dachshund named Sasha on walks. As your dental provider, I strive to foster a welcoming and safe environment for all my patients where together we can achieve your oral health goals by providing the highest quality of care.
Dr. Sam Lovejoy
Doctor of Dental Medicine Roseman University of Health Sciences, 2018
You can find me at:
Hi! My name is Dr. Sam Lovejoy. I am originally from Centennial Colorado, and I went to Dental School at Roseman University. In my free time, I like to be with my wife, Hannah, and our 3 kids, Harley, Dottie, and Daisy. I have served 20 years in the US Army reserve and am very proud of my service to our Country. I am honored to be trusted with your family’s Dental health.
Dr. Jacky Ani Akmakjian
Doctor of Dental Medicine Missouri School of Dentistry and Oral Health, 2021
You can find me at:
My name is Dr. Jacky Ani Akmakjian and I grew up here in Fort Collins. At work I go by Dr. Ani to make things easier. I attended CU Boulder for undergrad and I went to dental school in Missouri where I lived and practiced for 7 years before making my way back home. I love spending time with family and my dogs. Yoga and gardening are my main hobbies. You can expect compassionate care from me as your dentist as well as upfront and honest communication about what the best long-term options are for you.
Dr. Emma Bockrath
Doctor of Dental Surgery Ohio State University College of Dentistry, 2023
You can find me at:
Hi, I’m Dr. Emma Bockrath! I grew up in Dayton, Ohio with 3 sisters and 1 brother, and graduated from the Ohio State College of Dentistry. Building trusting relationships with my patients and helping them achieve healthy, confident smiles is my favorite part of being a dentist. I ensure to tailor each appointment to not only address my patients’ specific concerns, but to also make them feel comfortable and at ease. Outside of the office, I am often immersing myself in the incredible outdoor adventures this state offers—whether it’s hiking fourteeners, rock climbing, or snowboarding, I love it all! When I am not in the mountains, I enjoy cooking, finding a new craft, and going on morning walks to a coffee shop with my golden retriever, Moose!
Dr. Josh Goodman
Doctor of Dental Medicine University of Connecticut School of Dental Medicine, 2021
You can find me at:
My name is Dr. Josh Goodman. I was born and raised in Bedford, MA, and later moved to Charleston, SC, where I studied Biology and Neuroscience at the College of Charleston. I graduated from the University of Connecticut School of Dental Medicine. Afterward, I completed a General Practice Residency at the Michael E. DeBakey Veterans Affairs Medical Center in Houston, TX. I’m passionate about building strong relationships with my patients rooted in trust and communication, providing comprehensive personalized care, and helping every patient achieve their dream smile. Outside of work I love skiing, fitness, tennis, cooking, traveling, and spending time outdoors.
Dr. Thomas “Chandler” Kleine
Doctor of Dental Surgery University of North Carolina School of Dentistry, 2022
You can find me at:
My name is Dr. Chandler Kleine and I grew up in Virginia Beach, Virginia. My passion for dentistry started when I got a job working at a dental office during high school. I went to dental school at the University of North Carolina at Chapel Hill where I met my wife who is a Pediatric Dentist. When we are not seeing patients, my wife and I love to spend time outdoors with our dog Scottie enjoying the amazing activities Colorado has to offer. While at work I strive to make every patient feel at home and provide high quality care in a stress-free environment.
Dr. Luke Sanders
Doctor of Dental Surgery University of Tennessee College of Dentistry, 2021
You can find me at:
My name is Dr. Luke Sanders. I am an Arkansas native and grew up in Conway, a small college town where I attended the University of Central Arkansas. I then graduated from the UTHSC College of Dentistry in Memphis, Tennessee just across from Sun Studios, where Elvis recorded at least 24 songs. I am most passionate about treating my patients like family and making sure they are comfortable. Outside of dentistry I love to go hiking, backpacking, camping, snow skiing, cooking, reading, and trying out new places to eat with friends and family.
Dr. Jeff Burwinkel
Doctor of Dental Surgery Ohio State University College of Dentistry, 2024
You can find me at:
Originally from Dayton, Ohio, I completed my undergraduate studies at the University of South Carolina before earning my Doctor of Dental Surgery degree from The Ohio State University. I am passionate about providing high-quality, patient-centered dental care and helping people achieve healthy, confident smiles. Outside the office, I enjoy spending time outdoors—whether it's skiing, rock climbing, or exploring new trails on my bicycle.
Dr. Reza Khademi
Doctor of Dental Medicine Nova Southeastern University College of Dental Medicine, 2024
You can find me at:
My name is Reza Khademi. I was born and raised in Iran and moved to Florida at the age of 17 to pursue my dental education. I earned my dental degree in South Florida and later relocated to Colorado to begin my practice. Outside of work, I enjoy exploring new restaurants and playing basketball with my partner, Ella. What drew me to Open and Affordable is the opportunity to deliver essential dental care with both efficiency and compassion, while maintaining a high standard of clinical expertise.
Dr. Nick Childs
Doctor of Dental Surgery University of Utah School of Dentistry, 2025
You can find me at:
Hey there! I’m Dr. Nick Childs. I grew up in Portland, Oregon, went to BYU–Idaho for undergrad, and finished dental school at the University of Utah. These days, I’m excited to be here in Colorado and part of a growing dental practice. Outside of work, I’m usually out exploring, trying new food spots, or hanging with friends and family. I’m all about making dental visits as comfortable and low-stress as possible. I want every patient to feel heard, informed, and confident in the care they choose. I treat everyone like family and do my best to create a space where people feel welcome, understood, and cared for.
Dr. John Esquivez
Doctor of Dental Surgery University of Colorado School of Dentistry, 2025
You can find me at:
My name is Dr. John Esquivez. I’m originally from Arizona and earned my degree in Medicinal Biochemistry from Arizona State University before graduating from the University of Colorado School of Dental Medicine. I’ve been working in the dental field for over 12 years now, and it’s more than just a career for me, it’s something I truly love. I’m passionate about dentistry and deeply committed to providing honest, compassionate care to every patient I see. My goal is always to treat people with the same respect and integrity I’d want for my own family. When I’m not in the office, my greatest joy is spending time with my wife and our three amazing kids. Being a husband and father is at the core of who I am. I try every day to show up for them with intention, love, and patience. I am always striving to be the best I can be for them, just as I do for my patients.
Dr. Evan Wright
Doctor of Dental Surgery University of Alabama at Birmingham, 2023
You can find me at:
My name is Dr. Evan Wright, and I grew up in Huntsville, Alabama where I attended Auburn University for my undergraduate degree, and then the University of Alabama at Birmingham for dental school. My fiancée, Lauren, and I met in dental school at UAB. We enjoy traveling, exploring the outdoors, and pickleball. I am excited to help my patients achieve their cosmetic and oral health goals!
Dr. Brandon Halmaghi
Doctor of Dental Surgery University of Colorado School of Dentistry, 2025
You can find me at:
My name is Dr. Brandon Halmaghi. I’m originally from Michigan and earned a degree in Human Biology from Michigan State University before completing dental school at the University of Colorado. In my free time, I enjoy playing golf, watching football, and making music. I’m passionate about delivering compassionate, high-quality care and helping patients achieve healthy, confident smiles.
Dr. Jamie Mason
Doctor of Dental Surgery University of Colorado School of Dentistry, 2025
You can find me at:
Hi, my name is Dr. Jamie Mason. I grew up in San Diego – but left the coast to come to school in the mountains. I graduated from CU Boulder with a BA in Chemistry and Neuroscience and minor in Biochemistry. I taught high school biology and AP chemistry for a few years before attending dental school at the University of Colorado School of Dental Medicine. In my free time, I love doing all outdoor Colorado things – mountain biking, snowboarding, trail running, camping, and more. My utmost goal is to make every visit a stress-free, calm, and positive experience while providing you with the highest standard of care. See you soon!
Dr. Ruhullah Muhtat
Doctor of Dental Medicine University of Montreal, 2025
You can find me at:
My name is Dr. Ruhullah Muhtat. I grew up in Montreal, where I graduated from the University of Montreal in 2025. I am fluent in French, which has allowed me to connect with a diverse range of people throughout my career. Outside of work, I enjoy staying active at the gym or exploring the city of Denver. What I love most about dentistry is the opportunity to create a safe, welcoming environment for every patient. There’s nothing more rewarding than knowing I’ve made a positive impact on someone’s life.
Dr. Emily Pellegrino
Doctor of Dental Medicine Western University of Health Sciences in California, 2025
You can find me at:
Hi, I’m Dr. Emily Pellegrino. I’m originally from Charlotte, North Carolina, where I developed a love for southern hospitality and the natural beauty of the Blue Ridge Mountains. I’m now excited to call Colorado home and to be starting this next chapter with my husband and our two adorable pups. I earned my Bachelor of Science in Biological Sciences from the University of South Carolina and went on to complete my Doctor of Dental Medicine at Western University of Health Sciences in California. Dentistry has always been more than just a profession for me—it’s a way to connect with people and help them feel confident in their smiles. I believe every smile tells a story, and I’m passionate about making each one a little brighter. I value building genuine relationships with my patients and empowering them to take charge of their oral health in a supportive, comfortable environment. When I’m not in the office, you can usually find me out on a hiking trail, curled up with a good movie, or planning my next travel adventure.
Dr. Victoria Bosch
Doctor of Dental Medicine University of Florida College of Dentistry, 2025
You can find me at:
Hello, I’m Dr. Victoria Bosch, a Florida native and graduate of University of Florida College of Dentistry who dreamed of moving towards the mountains. I love hikes with breathtaking views, exploring new cultures around the world, and snuggling up with my 13 year old orange cat, Annie Potts, to watch a good culinary competition show. My passion for dentistry stems from the power and importance of a smile—how it builds connection, confidence, and comfort. As a dentist today, I’m dedicated to ensuring that each patient receives gentle, thoughtful care in a positive environment that eases anxiety and builds trust.
Dr. Jordan Suarez
Doctor of Dental Medicine University of Florida College of Dentistry, 2025
You can find me at:
My name is Dr. Jordan Suarez. I was born in Colombia, but have called the Sunshine State my home for most of my life. I graduated from the University of Florida College of Dentistry and am now looking forward to a new adventure! Driven by my love for the outdoors, I’m excited to make Colorado my new home. I’m passionate about helping patients achieve healthy, confident smiles and am committed to providing gentle, compassionate care while making every dental visit a positive experience. Outside of the office, I enjoy staying active through workouts, playing soccer and pickleball, and traveling whenever I can.
Dr. Zachary Quinonez
Doctor of Dental Surgery Creighton University School of Dentistry, 2025
You can find me at:
Hi, I’m Dr. Zachary Quinonez. I was born and raised in Portland, Oregon, and completed both my undergraduate and dental education at Creighton University in Omaha, Nebraska. Outside of dentistry, I enjoy spending time outdoors with my fiancée and playing basketball with friends. What I love most about dentistry is the opportunity to make an immediate, meaningful impact—helping someone who walks in with a problem, but leaves with a solution. I’m excited to care for every patient who walks through my door. Go JAYS!
Dr. Alyssa Erisman
Doctor of Dental Surgery University of Colorado School of Dentistry, 2025
You can find me at:
Hi there! My name is Dr. Alyssa Erisman. I was born and raised in California and
have called Colorado home since 2017, where I live with my husband, Kyle, and
our Yorkie puppy, Murphy. I graduated from the University of Colorado Boulder
and attended dental school at the University of Colorado School of Dental
Medicine. My own smile journey, starting with being born missing several adult
teeth, showed me how deeply a dentist can impact someone’s confidence and
self-esteem. It taught me that transforming a smile can truly change someone’s
entire outlook on life, and it’s what inspires me to provide that same experience
to every patient I meet.
Dr. Joonas Koski
Doctor of Dental Medicine Augusta University Dental College of Georgia, 2025
You can find me at:
Hi I’m Dr. Joonas Koski! I have spent most of my life in Georgia, but after meeting my fiancée Laura in Colorado, I fell in love with the state. Together, we spend our free time traveling and exploring the great outdoors with our dog Otis. He might not look like it, but he is a true mountain dog at heart! I strive to be a gentle, compassionate dentist to create the most comfortable experience possible for my patients. It is an honor to be your dental provider, and I pride myself in treating all of my patients like family.
Dr. Cindy Nguyen
Doctor of Dental Medicine University of Alabama at Birmingham School of Dentistry, 2025
You can find me at:
Hi, I’m Dr. Cindy Nguyen! I grew up in the charming town of Fairhope, Alabama, and completed my undergraduate studies at Auburn University before earning my dental degree from the University of Alabama at Birmingham. My favorite part of being a dentist is building lasting, trusting relationships with my patients and helping them achieve healthy, confident smiles. When I’m not in the office, you’ll find me out on a neighborhood walk with my dog Gordie, watching college football, or enjoying a game of pickleball!
How to see a dentist who accepts GEHA
1. Tell us about yourself
Let us know your dental needs and location (e.g., Denver East or Denver West). We’ll match you with an in-network GEHA dentist near you.
2. Get dental care at a convenient location
With 25+ offices in the Denver area, you’ll visit a clinic close to home. All dentists are experienced and GEHA-approved.
3. Use your GEHA insurance
Relax knowing your dental care is covered. We verify GEHA benefits ahead of your visit, so there are no surprises.
Our team of doctors can treat all areas of your dental health
Our team of DDS are skilled in numerous specialties. Whether your needs revolve around dental surgery, cosmetic dentistry, braces or navigating a complex dental procedure, our professionals are prepared to provide the right dental service.
Tooth Decay
Tooth decay occurs when plaque bacteria break down sugars in the mouth, producing acid that erodes the enamel. If untreated, it can lead to cavities, infections, or even tooth loss. It's the most common dental problem across all age groups.
Misalignment
This refers to crooked teeth, crowding, overbites, underbites, or spacing issues. Malocclusion can impact bite function, jaw health, and appearance. It's often treated with braces, aligners, or other orthodontic solutions.
Impacted/Eruption Issues
Impacted teeth fail to fully emerge into the mouth, most commonly wisdom teeth. This can cause pain, infection, or crowding of other teeth. In children, eruption issues can delay or misalign the development of permanent teeth.
Gum Disease
(Gingivitis/Periodontitis)
Gum disease is an infection of the tissues that hold your teeth in place. It begins as gingivitis (swollen, bleeding gums) and can progress to periodontitis, where the gums pull away and bone is lost. This is a leading cause of adult tooth loss.
Tooth Infection/Abscess
An untreated cavity or trauma can allow bacteria to reach the inner pulp of the tooth, causing inflammation or infection. This can lead to severe pain, swelling, or abscess formation and often requires root canal treatment or extraction.
Tooth Loss/Missing Teeth
Tooth loss can result from decay, gum disease, injury, or aging. It can affect speech, chewing, and self-esteem, and may lead to shifting teeth and jawbone loss if not replaced with implants, bridges, or dentures.
Tooth Damage
Teeth can crack, break, or wear down due to injury, grinding (bruxism), or decay. Damage may cause pain or sensitivity and can weaken the tooth structure. Treatment includes crowns, fillings, or extractions depending on severity.
Cosmetic Dentistry
Stained, discolored, or uneven teeth are common cosmetic concerns. While not always medically necessary, many people seek treatment to improve their smile with whitening, veneers, aligners, or other aesthetic solutions.
How Our Dentists Can Help Manage Your Dental Health
Personalized Preventive Dental Care
At Open and Affordable Dental and Braces, we take a proactive approach to your oral health. Our team works with you one-on-one to identify lifestyle habits and oral hygiene practices that can help prevent cavities, gum disease, and other common dental issues. From nutrition tips to daily care routines, we offer tailored guidance to support long-term dental wellness.
Convenient Locations Near You
With over 25 locations across the Denver metro area and throughout Colorado, high-quality dental care is always close by. No need to travel far, we’re in your neighborhood and ready to serve individuals and families with affordable, accessible dentistry.
Does my insurance cover dental care?
We offer a complimentary benefits check before any visit with our offices. Enter your details, including the insurance company information, and we can help build a comprehensive treatment plan focusing on your specific needs and dental goals during your visit.
Why Book With Us?
Access to top-rated dentists who accept GEHA
Quick appointment confirmation
Help with insurance verification and benefits
Multiple convenient locations in Colorado and Missouri
Our Locations
Open and Affordable Dental and Braces, with several convenient locations, has been a cornerstone of dental care in Colorado since 2014. Discover the reason behind thousands of positive reviews from our satisfied patients throughout Colorado and beyond. Experience our exceptional dental care that keeps Colorado smiling.
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What are the care instructions for my occlusal guard or night guard?Using an occlusal night guard properly is important to ensure it effectively protects your teeth and lasts a long time. Here are some general instructions: Insertion: Place the night guard over your upper or lower teeth, depending on your dentist's recommendation. Make sure it fits snugly and comfortably. Wear Time: Wear the night guard every night while you sleep. It may take a few nights to get used to wearing it. Cleaning: Rinse your night guard with warm water immediately after removing it from your mouth. Brush it gently with a soft toothbrush and non-abrasive toothpaste or soap. Avoid using hot water, as it can warp the guard. Drying: Allow the night guard to air dry completely on a clean surface before storing it. Do not use a towel, as it can harbor bacteria. Storage: Store the night guard in its case when not in use. Keep the case in a cool, dry place, away from direct sunlight and pets. Deep Cleaning: Soak the night guard in a denture-cleaning solution or a mixture of vinegar and hydrogen peroxide once a month to remove any buildup. Regular Check-ups: Bring your night guard to your dental appointments so your dentist can check its condition and make any necessary adjustments. Avoid Damage: Do not chew on the night guard, expose it to extreme temperatures, or use abrasive cleaners. Following these instructions will help maintain the effectiveness and longevity of your occlusal night guard. If you have any specific concerns or questions, it's always best to consult your dentist.
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Do you fabricate night guards, if so how much do they cost?If you are experiencing jaw pain, tooth sensitivity, noticing tooth movement, or are seeing wear on the biting surfaces of your teeth, a night guard might be indicated. A night guard is similar to a sports guard and can be fabricated to be used on your upper or lower jaw. A night guard helps in a few ways. First, it will redistribute the forces so that one tooth doesn't take the brunt of your clenching or grinding. Second, it will psychologically prevent your mouth from continuing to clench as it notices something in between your teeth. This allows the jaw to relax instead of grinding all night long. Third, it can act as an orthodontic retainer and prevent your teeth from moving while you sleep. We recommend our in-office night guards because they are custom made and are soft on the inside and hard on the outside. They should last at least 5 years. We don't recommend the ones you can buy over the counter because they are made of a softer material that your mouth treats as gum and so you'll end up chewing on them all night long, making the problem worse. Many of the soft night guards are too soft and end up on the pillow at night, or as your dog's newest toy. Hard-soft night guards delivered in our clinic usually cost between $300-$425 depending on how much your insurance picks up. We always give you the cost of any procedure before beginning.
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Are dental bridges permanent?Dental bridges are meant to be a permanent replacement for a tooth that has anchor teeth on both sides. Many factors affect your ability to retain your bridge including home care, diet, and quality of the anchor teeth. Studies have show dental bridges have a long duration, including a 74% success rate at 15 years.
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What are dental bridges?A bridge is used to replace a missing tooth. A bridge can be a non surgical alternative to an implant. A bridge uses two adjacent anchor (abutment) teeth to hold one or more false (pontic) teeth. A bridge anchor tooth is prepared just like a crown, by removing some of the enamel.
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How much does a bridge cost?A bridge typically costs between $450 and $900 per unit (number of abutment plus pontic teeth). A significant amount of this cost may be covered by your insurance reducing the cost to $225 - $600 per unit depending on your insurance. We always give you the cost of any procedure before beginning. Check out our comprehensive guide on dental bridge costs.
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Do you do cosmetic dentistry including crowns, bonding, veneers and/or implants?We absolutely do cosmetic dentistry including crowns, veneers, bridges, bonding, and/or implants. If you are looking to improve your smile, make an appointment with any of our doctors to go over your options to get the smile you want.
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How much is a 3D image of a tooth?The cost of a 3D dental image varies, depending on the clinic and the specific area being scanned. It's generally more expensive than traditional X-rays but offers more detailed information.
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How much does a 3D x-ray or CBCT (Cone Beam Computer Tomography) cost?A CBCT usually cost between $300-$400 minus what your insurance pays. We always give you the price of any procedure with an estimated insurance coverage before starting any procedure.
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Is a 3D dental scan necessary?A 3D dental scan is recommended for complex cases, such as implant planning, orthodontic treatment, or detailed diagnostic analysis. It provides comprehensive data not available with standard 2D X-rays.
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What are the benefits of 3D dental imaging?3D imaging provides precise diagnostic information, is comfortable and non-invasive, emits less radiation, facilitates collaborative care with specialists, and offers a comprehensive view of dental structures.
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How long does a 3D teeth scan take?A 3D dental scan is typically quick, often completed in under a minute. The actual scanning process is usually around 20-30 seconds.
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What is dental 3D imaging?Dental 3D imaging, or cone beam computed tomography (CBCT), is an advanced X-ray technology providing detailed images of dental structures in three dimensions. It allows dentists to view teeth, bones, and soft tissues with exceptional clarity.
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Is Open and Affordable Dental and Braces a DSO (Dental Service Organization)?Yes, we are a group of privately owned practices, which is a form of DSO (Dental Service Organization).
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What types of benefits do you offer?Open and Affordable Dental offers a variety of benefits up to and including: dental coverage, medical coverage, 401k, a flexible schedule, on the job training, and fast paced dynamic environment. Some benefits/coverages may vary depending on the location at which you are seeking employment. Stop by an Open and Affordable Dental and Braces office to discuss what benefits they offer today!
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Are you hiring?We are always looking to hire doctors, hygienists, assistants, front office, and practice support staff. Please apply here!
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How can I contact your corporate offices?Our Practice Support Group (corporate) office can be contacted by emailing corporate@openandaffordable.com. For urgent issues, you may call our 24/7 Answering Service by calling 720-580-1117.
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I had a hip/knee replacement. Should I be pre-medicated before my dental visit?In 2015, the ADA changed its protocol for prophylactic antibiotics before dental work for those who have prosthetic joint implants. The ADA states, "In general, for patients with prosthetic joint implants, prophylactic antibiotics are not recommended prior to dental procedures to prevent prosthetic joint infection." If a patient still wants to be pre-medicated or their orthopedic surgeon request they be pre-medicated, we can call in a prescription before the appointment. If you forget, the office can provide antibiotics at your appointment. The antibiotics can be taken up to one hour after your appointment.
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I have COVID-19 symptoms, can I be seen at your office?If you are having COVID-19 symptoms we can see you if you are having a dental emergency. We request that you call your office before your appointment to advise us of your COVID-19 status and symptoms. We request that you use a mask while in the office. If you don't have a mask, we can provide one to you at no cost. If you are arriving by car, we request you stay in your car until we are ready to seat you in the dental chair. Call us when you arrive and we will come get you from the parking lot and provide you a mask if you need. If you are scheduled for a regular dental appointment, it is advised you reschedule a few days in the future when your symptoms have passed. If you have been exposed to COVID-19, but have no symptoms, you may be seen normally.
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When are you open, when are you closed?We are typically open every Monday through Saturday 7:30 am to 7:30 pm. Some offices may open Sundays instead of Saturdays depending on cultural preferences. Offices may open late or close early for weather or staffing related issues. Some newer offices may be closed additional days while their patient base is being established. It is advised to call the office before walking in to ensure their availability.
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Do you offer same-day appointments?Absolutely! It is advisable to call the office ahead of time just in case the office is closed or there are scheduling concerns that may make your wait longer than you'd prefer. If our office is closed or busy, we may direct you to another office that has the ability to see you sooner. Give us a call at 720-580-1117 to see what options are best for your particular situation!
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I am nursing, what concerns should I have?Local anesthetics do not enter breast milk. You may breast feed normally after dental work that requires local anesthetics. The use of antibiotics, Ibuprofen, and Tylenol is generally safe with breastfeeding. If you have been prescribed a narcotic (Tylenol with Codeine, Vicodin, Percocet, or Oxycodone), it is suggested to pump and discard your breastmilk as narcotics can pass into the breastmilk and cause the baby to become very sleepy.
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I am currently undergoing dialasis, when is the best day to have a dental procedure or visit?For individuals on dialysis, it's generally recommended to schedule dental procedures on a non-dialysis day, ideally the day after a dialysis treatment, to minimize potential complications related to blood thinners and other factors. Dialysis patients often receive heparin, a blood thinner, during their treatments to prevent clotting in the dialysis machine. Some dental procedures can cause bleeding, and the anticoagulant effect of heparin can complicate matters. Dialysis helps remove toxins from the blood, and scheduling dental work on a non-dialysis day ensures the patient's blood is cleaner and less likely to have a high concentration of toxins. Dialysis can be physically demanding, so scheduling dental appointments on non-dialysis days can help prevent patient fatigue. Infections from gum disease or advanced tooth decay can prevent someone from being eligible or delay a kidney transplant, so maintaining good oral health is important.
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Do you accept walk-ins?We absolutely can see any patient that has an emergency immediately, in fact you don't need an appointment, simply walk into your closest Open and Affordable Dental office and we will see you as soon as possible, depending on how busy the schedule is. It is advisable to call the office ahead of time just in case the office is closed or there are scheduling concerns that will make your wait longer than you'd prefer. If your closest office is closed or busy, we may direct you to another office that has the ability to see you sooner. We encourage all to schedule their appointment, so we can increase your and everyone else's patient experience. Please call us at 720-580-1117 to be directed to the best location. If you have a non-emergency appointment request, please call your closest office, and we'll see you at your earliest convenient time. You can schedule your appointment via the Book an Appointment button at the top of this page.
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Do you see patients with Trigeminal Neuralgia?We are glad to see patients that have Trigeminal Neuralgia. Understand that severe pain might make you hesitant about treatments, but regular visits are important to prevent more serious issues like cavities or gum disease. We try to start with the least invasive treatments to minimize discomfort. If you have facial weakness or numbness on one side, plaque and calculus may build up more there because it's harder to clean that area. Reduced saliva can also increase the risk of cavities, so your provider may recommend fluoride varnish and daily fluoride treatments to protect your teeth. To make your visits as comfortable as possible, it's best to schedule them during times when your pain is at its lowest or when your medication is at its peak effectiveness. Your provider will also review your health history and medications carefully to choose the best approach for anesthesia, aiming to avoid any extra pain.
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I have a cold sore, should I still be seen for my appointment?Cold sores, also called fever blisters, are caused by the herpes simplex virus type 1. If your cold sore is active or blistered and you have a non emergency appointment, such as a cleaning, you may call in advance and reschedule your appointment. If you arrive for your non emergency appointment with a cold sore, or you want to be seen while you have a cold sore, we can see you. Understand there is a potential that the virus can be spread from its active site to other areas of the face. For emergency appointments, we will see you normally. If your cold sore is not blistered, we will see you for any appointment. We can prescribe you an antiviral medication if needed for your cold sore.
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Which procedures do you perform?As general dentists with access to specialists, we perform all dental procedures including exams, and panoramic, bitewing, and 3D images. We perform cleanings, fillings, root canals, crowns, veneers, bridges, implants, partial dentures, full dentures, and implant retained dentures. We also work with orthodontists who place braces and Invisalign. In short, at Open and Affordable Dental, all of your dental needs can be met.
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I am pregnant, what types of dentistry can/should I do?It is recommended and important to continue your normally scheduled routine cleaning visits during your pregnancy. You may experience increased gingival bleeding while brushing and flossing during your pregnancy. It is important to keep an expectant mother pain free during all trimesters of her pregnancy. There is almost no reason an expectant mother, even in a high risk pregnancy, delay getting a painful tooth fixed. Your dentist will always use FDA Pregnancy Category B (no studies have shown the drug to be detrimental to a growing fetus) local anesthetics. You may be given a local anesthetic, that along with being FDA Pregnancy Category B, has no epinephrin so as to not affect your heart. We usually schedule all non-emergency dentistry either in the 2nd trimester (all fetal organs are developed) or after the pregnancy. Your dentist may elect to not take any routine x-rays during your pregnancy. Discuss with your dentist your pregnancy status at your appointment.
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I have thrush, should I still be seen for an appointment?Oral thrush, also called oral candidosis or candiasis, is a fungal infection. It is not contagious and is usually successfully treated with an antifungal medication. You can be seen normally for all appointments with oral thrush. We can prescribe you an antifungal medication at your appointment.
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I'm taking anticoagulants (blood thinners). What do I need to do before my dental procedure?Anticoagulants (blood thinners) become a concern mostly when extracting teeth, and occasionally before deep cleanings. Alert your dental provider of your anticoagulant use and type before scheduling these appointments. Your dental provider may request you talk with your anticoagulant prescribing doctor to see if modifications need to be made before and/or after your dental procedure. Sometimes the risk of not taking your anticoagulant outweighs the risk of post operative bleeding. Your anticoagulant prescribing doctor or dental provider may elect not to change your regiment. If you are taking Coumadin (generic name Warfarin), it is recommended to have an INR taken 24 hours before your appointment and have a reading of 2.5 or less. If you are taking Xeralto (generic name Rivaraxaban) or Eliquis (generic name Apiaban), your anticoagulant prescribing doctor will need to be aware of the upcoming procedure and will instruct you and your dental provider if or what modifications need to be made. If you take Plavix or Aspirin, modifications to your regiment are rarely needed, but your dental provider will need to know if its use before your dental procedure. More information from the American Dental Association (ADA) about anticoagulants and dental procedures can be found here.
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Are your offices wheel chair accessible?All offices are ADA (American with Disabilities Act) compliant.
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I'm pregnant and am scheduled for a dental procedure, is it safe?It's generally safe to have dental procedures done while pregnant, especially when using lidocaine for local anesthesia. Lidocaine is classified as an FDA Pregnancy Category B medication, meaning it's considered safe for use during pregnancy based on research and studies. We almost always use either lidocaine or prilocaine in all instances regardless of preganacy status. If the procedure is elective, we typically recommend waiting until the second trimester or after delivery to minimize any unnecessary risks or discomfort. Your health and safety are our top priorities. If you have any concerns or questions, please feel free to reach out to your doctor for personalized advice. We're here to ensure your experience is as safe and comfortable as possible.
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I have an impacted tooth and my orthodontist requested I have a bracket placed on it so it can be moved to the correct position.This procedure is called an expose and bond. Your general practitioner or oral surgeon will perform this procedure using local anesthesia to facilitate its movement into the correct position.
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Do you fabricate Orthodontic Retainers, if so how much do they cost?Orthodontic retainers are used to keep your teeth straight, especially after braces or Invisalign. We fabricate orthodontic retainers in-house and can get them back to you within a few days. The cost of orthodontic retainers is $200 per arch, minus what your insurance covers. We always give you the cost of any procedure before beginning.
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Do you remove braces or Invisalign engagers/attachments?Although it's preferred to have your braces or Invisalign engagers/attachments removed by the original doctor who performed your orthodontic case, occasionally patients find themselves in situation where they've moved or lost the relationship with the orthodontic doctor. In these cases we can absolutely remove your braces or Invisalign engagers/attachments. We can also provide you with retainers, so you don't lose the progress you've made with your orthodontics.
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What do braces and Invisalign cost?Typically braces and/or Invisalign cost between $3500 to $6500 for a 24 month treatment. Some treatments can be more or less than this depending on your treatment goals and skeletal configurations. Insurances can pick up a portion of this fee. We always give you the cost of any procedure before beginning.
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What types of guarantees are there for dental work done at your office?We always guarantee all work against manufacturer material defect. Unfortunately dentistry resides in a VERY harsh environment, the oral cavity. Dentistry just like automobile tires can wear down with use. If any of the dentistry we have provided to you does not last, breaks, or gets damaged, please call your office and we'd love to discuss your particular case.
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I have a fixed retainer (permanent retainer or lingual bar) that was placed after I had orthodontics, how long should I keep it on?Your general practitioner may evaluate your permanent retainer to see if it is still working as designed. Occasionally your dentist may suggest it be removed if it is broken, loose, causing unexpected tooth movement, causing excessive tarter buildup, or causing bone loss. If you and your dentist decide to have it removed, it is a quick procedure that does not require you get numb. The decision to have it removed gets easier after you have been using it for 10 years, as your teeth have less chance of moving after 10 years of use. If you are concerned about tooth movement, you may request a clear retainer be fabricated after the fixed retainer is removed to prevent future tooth movement.
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Is deep cleaning your teeth necessary?Deep cleaning becomes necessary for individuals with advanced gum disease. It addresses plaque and tartar below the gumline, targeting potential infection areas.
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How often should teeth cleaning be done?For most individuals, biannual teeth cleanings are recommended. However, your dentist may suggest a more personalized schedule based on your unique dental needs.
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How much does a normal cleaning cost?An adult cleaning costs $100 and a child cleaning costs $67. The exams and x-rays may add an additional $100 to the visit. Almost all insurance plans cover the cost of preventative services such and cleanings and exams at 100% with no deductible. Most individuals and families who don't have insurance sign up for our in-office discount plan as it costs $200 for an individual and $300 for a family. This cost includes the cleaning, exams, and x-rays. We always give you the cost of any procedure before beginning.
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Is it good to do teeth cleaning?Absolutely! Teeth cleaning is essential for maintaining optimal oral health, preventing issues like gum disease, cavities, and bad breath.
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What diseases does teeth cleaning help prevent?Teeth cleaning helps prevent various oral diseases, including gum disease, cavities, and infections. It also contributes to overall well-being by reducing the risk of systemic health issues linked to oral bacteria.
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How much does a deep cleaning cost?A typical deep cleaning or Scaling and Root Planing (SRP) is performed and charged out by quadrants, having four quadrants per mouth. Most deep cleanings cost between $75 and $250 per quadrant. Many dental insurances pick up some or all of this cost. We always give you the cost of any procedure before beginning. You usually are numb for the procedure so we can thoroughly clean under your gums. Deep cleanings help with periodontal disease (bone loss around the teeth), reduce bleeding when brushing, reduce sensitivity, and prevent future loose teeth and tooth loss. After your deep cleaning, your provider may recommend you be seen more frequently to ensure you continuing to eliminate plaque and tarter accumulation.
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Is there a specific toothpaste you recommend?When it comes to selecting a toothpaste, we recommend those that contain fluoride and have the American Dental Association (ADA) Seal of Acceptance. Fluoride is crucial for fighting cavities and strengthening enamel. Here are a few popular recommendations: Sensodyne Pronamel Intensive Enamel Repair is great for cavity protection and enamel repair. Dr. Bronner’s All-One Toothpaste is a natural, fluoride-free option for remineralizing teeth. It also doesn't contain Sodium Lauryl Sulfate (SLS), a common foaming agent in toothpaste that can cause canker sores. Crest Pro-Health offers all-around protection and is effective against plaque and gingivitis. Colgate Total provides comprehensive mouth protection and helps prevent cavities.
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Is it good to get your teeth professionally cleaned?Yes, professional teeth cleaning is highly beneficial. It removes plaque, tartar, and surface stains, contributing to a healthier, brighter smile.
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What is the difference between normal and deep teeth cleaning?Regular teeth cleaning focuses on plaque and tartar above the gumline, while deep cleaning addresses buildups below the gumline, particularly beneficial for those with gum disease.
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Which is less painful, braces or Invisalign?Invisalign is often considered more comfortable than braces. It avoids irritation from brackets and wires and offers a smoother experience with gradual teeth movement.
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How much is Invisalign on average?On average, Invisalign costs between $3,500 and $6,500. The exact cost depends on individual treatment plans and duration. We offer consultations to provide a precise estimate for your case.
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Do you remove braces or Invisalign engagers/attachments?Although it's preferred to have your braces or Invisalign engagers/attachments removed by the original doctor who performed your orthodontic case, occasionally patients find themselves in situation where they've moved or lost the relationship with the orthodontic doctor. In these cases we can absolutely remove your braces or Invisalign engagers/attachments. We can also provide you with retainers, so you don't lose the progress you've made with your orthodontics.
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How effective are clear aligners?Clear aligners, like Invisalign, are highly effective for mild to moderate teeth alignment issues. They offer a discreet and convenient solution for achieving a straighter smile.
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How much money do you need for Invisalign?The cost of Invisalign varies depending on individual cases and treatment duration. On average, it can range from $3,500 to $6,500. We recommend scheduling a consultation for a personalized quote.
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Do you fabricate Orthodontic Retainers, if so how much do they cost?Orthodontic retainers are used to keep your teeth straight, especially after braces or Invisalign. We fabricate orthodontic retainers in-house and can get them back to you within a few days. The cost of orthodontic retainers is $200 per arch, minus what your insurance covers. We always give you the cost of any procedure before beginning.
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Is Invisalign better than braces?Invisalign offers a discreet and convenient teeth-straightening option, often preferred for its aesthetic appeal and removability. Traditional braces, however, might be more effective for complex dental issues. The choice depends on individual dental needs and lifestyle preferences.
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What's cheaper, braces or Invisalign?Traditional braces generally cost less than Invisalign, but prices vary based on specific treatment requirements. Consult with us for a detailed cost comparison tailored to your needs.
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Which is more effective, braces or Invisalign?Both Invisalign and traditional braces are effective for teeth straightening. Invisalign is ideal for mild to moderate alignment issues, while braces may be necessary for more complex dental concerns.
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Do you do cosmetic dentistry including crowns, veneers, bridges, bonding, and/or implants?We absolutely do cosmetic dentistry including crowns, veneers, bridges, bonding, and/or implants. If you are looking to improve your smile, make an appointment with any of our doctors to go over your options to get the smile you want.
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How long does a crown take?If you're considering a dental crown, you might be wondering how long the procedure takes from start to finish. On average, the entire process takes about two weeks for traditional crowns, while same-day crowns can be completed in approximately two hours. This guide breaks down each step of the process, factors that influence treatment time, and innovations that can speed up the procedure.
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Do you offer gold or silver crowns?Typically we use a tooth color material for our crowns called zirconia. If you have a preference towards a gold or silver crown, we can absolutely accommodate your request. You would be responsible for the cost of the gold ($200 upcharge over a zirconia crown) or silver ($100 upcharge over a zirconia crown) used in your crown. Ask your doctor for more information.
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My temporary crown fell off or broke, what should I do?If your temporary crown fell off or broke, it may or may not need to be recemented. If your doctor specifically requested you to be seen if it fell off or broke, call your office to be seen. If you are over the age of 30 and have only slight sensitivity, it may be indicated to simply be careful with the tooth, avoiding hard foods, until your crown seat date. If it falls off and you are extremely sensitive, you may use Ibuprofen to reduce the sensitivity until you can be seen at your office. We strongly prefer you to be seen at your original office for issues with temporary crowns, since your original office has the mold to make a new temporary crown if that is necessary. If you are traveling or do not have the ability to be seen at your office, you may use temporary cement purchased at your local pharmacy to recement the temporary crown.
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What types of guarantees are there for dental work done at your office?We always guarantee all work against manufacturer material defect. Unfortunately dentistry resides in a VERY harsh environment, the oral cavity. Dentistry just like automobile tires can wear down with use. If any of the dentistry we have provided to you does not last, breaks, or gets damaged, please call your office and we'd love to discuss your particular case.
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I have a missing front tooth, what can I do to replace it?There are several great options to replace a missing front tooth. The best option to replace an anterior tooth is an implant. An implant is a titanium screw that replaces your tooth root. A white crown is screwed onto the implant. Implants are the gold standard to replace teeth as they do not involve the adjacent teeth and act as closely to a natural tooth as possible. Bridges can also be used to replace missing teeth. Bridges use adjacent teeth as anchors to replace missing teeth. Bridges require increased maintenance as you will need to floss under them to ensure the anchor teeth do not get cavities. Removable prosthodontics (flippers) can be used to replace a missing tooth. Removable prosthodontics are more cost effective than implants or bridges. Discuss with your provider which tooth replacement option is best for you.
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How much does a crown cost?A crown is an enamel replacement. If a tooth has lost more than 50% of its enamel, you may need a crown. A crown typically costs between $300 and $900. A significant amount of this cost may be covered by your insurance reducing the cost to $300 - $450 depending on your insurance. Some insurances cover the entire cost of crowns. We always give you the cost of any procedure before beginning.
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What is considered a dental emergency?At Open & Affordable Dental & Braces, we consider a dental emergency to be any situation that requires immediate attention to stop bleeding, alleviate severe pain, or save a tooth. This may include severe toothache, a knocked-out or broken tooth, a loose or lost filling, a dental abscess, or any other issue causing extreme discomfort or risk of permanent damage. If you experience any of these symptoms, please contact us immediately so we can provide the necessary care and relief
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What services does Open & Affordable provide as an emergency dentist?Our emergency dental services include treatment for severe toothaches, broken or chipped teeth, knocked-out teeth, and other urgent dental issues. We prioritize addressing dental emergencies promptly and efficiently to alleviate pain and prevent further complications.
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What are your hours for emergency services?Our offices are open from 7:30 am to 7:30 pm Monday through Saturday, except for Sunday when we are closed. However, our Answering Service is available 24/7 via phone, email, and chat to help with any questions or concerns you have outside of those hours.
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Can I use cloves to sooth a tooth ache?Cloves can temporarily sooth a tooth ache because they contain eugenol, which is a natural anesthetic and antiseptic. It is recommended to see a dentist as soon as possible, since a tooth ache usually is a sign of something more serious going on with your tooth and will need a definitive treatment to resolve the source cause of the issue.
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I have tooth sensitivity or a toothache, what should I do?Tooth issues can be caused by a variety of factors. We'll split them up into internal or external factors. Internal: Caries is a bacterial infection into the dentin or soft part of your tooth. Dentin contains nerve endings that if infected can cause sensitivity when a stimulant such as hot, cold, acids, or sugars touch them. Usually a cavity filling is indicated for shallow caries where the sensitivity goes away after the stimulant is removed. If the sensitivity of ache is severe enough where it lingers long after the stimulant is removed or if spontaneous pain and infection within the dentin is present, a root canal is usually indicated. A root canal may also be indicated if the infection is so pervasive that it extends out the end or apex of the tooth and is causing an abscess around the apex of the root of the tooth. In some instances the tooth has been cracked. If the crack is small enough a cavity or crown may help, but if the crack is extensive enough, it may require a root canal. Some cracks that extend below the gumline require the tooth to be extracted. Your dentist will perform various tests to help understand which condition your tooth has. External: If bacteria stays around your tooth long enough it can infect the gum and eventually the bone that holds this tooth. This is called gingivitis when it infects the gum or periodontitis if it infects the bone. Between the bone and the tooth is a ligament called the periodontal ligament (PDL). If any of these structures; gum, bone, or PDL get infected it can have hot, cold, or biting sensitivity. Usually cleaning around the tooth with a dental instrument called a cavitron or a hand scaler may help. Additionally you may be prescribed an antimicrobial rinse and/or an antibiotic to help. If the tooth is loose, it may need to be extracted. Sometimes trauma in the form of clenching, grinding, or bruxism can cause your tooth to hurt. If you have more pain after eating hard food, or if you accidently bite on something hard, it can cause the PDL to become inflamed and cause the tooth to feel hot, cold, and biting sensitivity. Usually a soft food diet for a few days will help. If you clench or grind your teeth and feel sensitivity in the morning or right after the clenching/grinding event, it may be indicated to wear a night guard at night. We recommend a dentist create a hard/soft night guard as it will both psychologically allow your jaw to relax as it understands there is something between your teeth, and it is customized to fit snugly so it won't fall out. A custom night guard will also redistribute the forces so no one tooth is taking the brunt of the clenching/grinding force. Unfortunately store bought night guards are usually too soft to stay in your mouth, and they can cause more harm as your mouth treats them like gum and causes you to grind more. Finally, occasionally a piece of food such as a popcorn kernel will become stuck in your gum and cause pain. You may be able to floss it out, but it may take a professional dental instrument to remove it. Your dentist will perform various tests to help understand which condition your tooth has.
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Will you do a root canal?Absolutely! At Open & Affordable Dental & Braces, we understand that dental emergencies can happen at any time. We are committed to providing high-quality, affordable dental care, including emergency root canal treatments. Our experienced and compassionate dentists are skilled in performing root canal therapy to alleviate pain and save your natural tooth.
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I had a procedure done at one of your offices and am having problems, what should I do?Please call your office as soon as possible to be seen immediately. If it is after hours or you are not able to contact the office, please call our after hours answering service at 720-580-1117 immediately. Your well-being is our top priority.
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I broke my tooth, what options do I have?There are many great options to replace a broken tooth. It may be as simple as a filling or a crown. If the tooth was broken off at the gum line it may need to be extracted and replaced with a partial denture, bridge, or implant. We always give you the cost of any procedure before beginning. Schedule an appointment and we can discuss the best option for you.
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What happens during an oral exam?During an oral exam, the dentist inspects your teeth, gums, and mouth, assesses your bite, checks for signs of oral diseases, and discusses your oral hygiene habits.
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What is included in a dental checkup?A dental checkup usually includes an examination of your teeth and gums, a professional cleaning to remove plaque and tartar, and potentially X-rays to detect issues not visible to the naked eye.
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What is the difference between gingivitis and gum disease?Gingivitis is the early stage of gum disease, characterized by red, swollen, and bleeding gums. If untreated, it can progress to periodontitis, a more severe form of gum disease that can lead to tooth loss and other health issues.
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What does a dental exam consist of?A dental exam typically includes a thorough examination of your teeth, gums, and mouth for signs of decay or disease, a check for oral cancer, and a review of your overall oral health. A dental exam looks for cavities, gum disease, early signs of oral cancer, and any other abnormalities in your mouth that could affect your oral health.
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Can dental exams help prevent gum disease?Yes, regular dental exams can help prevent gum disease by detecting early signs of gum problems and advising on proper oral hygiene.
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How much do dentures cost?Dentures typically cost $750 - $1600 per denture arch, or $1500 - $3200 per pair. Typical insurance may reduce the price of dentures to $500 - $1200 per arch. Some insurances cover the entire cost of dentures. We always give you the cost of any procedure before beginning. Schedule an appointment and we can discuss the best option for you.
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What is the difference between a hard and a soft reline?Dentures can be relined with a temporary soft material or a hard material that is more permanent. Soft relines use a squishy material that comforts the fit between the hard acrylic of your denture and your gums. Soft relines are usually used after extractions while your gums are healing and moving quickly. Once you're fully healed, and/or your denture becomes loose, a hard reline is indicated. Hard relines replace material on the inside of your denture to make the denture fit more tightly. If your denture is over 7 years old, many times a new denture is indicated.
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I have a missing front tooth, what can I do to replace it?There are several great options to replace a missing front tooth. The best option to replace an anterior tooth is an implant. An implant is a titanium screw that replaces your tooth root. A white crown is screwed onto the implant. Implants are the gold standard to replace teeth as they do not involve the adjacent teeth and act as closely to a natural tooth as possible. Bridges can also be used to replace missing teeth. Bridges use adjacent teeth as anchors to replace missing teeth. Bridges require increased maintenance as you will need to floss under them to ensure the anchor teeth do not get cavities. Removable prosthodontics (flippers) can be used to replace a missing tooth. Removable prosthodontics are more cost effective than implants or bridges. Discuss with your provider which tooth replacement option is best for you.
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How much does a one tooth removable partial (flipper) cost?One tooth removable partials or flippers cost between $600 and $1200 depending on the the price your insurance company dictates we have to charge. Most insurances cover removable prosthodontics at 50% after a $50-$100 deductible. Some insurances cover one tooth removable partial (flipper) at 100%. We always give you the cost of any procedure before beginning.
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How much does a denture reline cost?Dentures can be relined with a temporary soft material or a hard material that is more permanent. Typical soft relines cost $100-200 per arch minus what your insurance pays. Hard relines usually cost $200-300 per arch minus what your insurance picks up. We always give you the cost of any procedure before beginning. Schedule an appointment and we can discuss the best option for you.
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Do you fabricate temporary or interim dentures?Many people who have teeth extracted for dentures do not want to leave the clinic without teeth. We have two ways of solving this. First, we can extract all of your teeth behind your canines, let you heal, then start fabricating a final set of dentures. This allows the posterior gums to heal and be in their final configuration and allow you to walk around with your natural anterior teeth before delivering your final denture and allow it to be mostly stable. You'll then have your anterior teeth extracted on the delivery date of your final denture. We call this an immediate hybrid. You might need a reline in the future where your anterior teeth were extracted. You may also decide to get all of your teeth out on delivery date. We would use an interim or temporary denture to use while your gums are healing before making you a final denture. Usually gums take 4 weeks to heal enough to take impressions for final dentures.
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I had a tooth removed and now have a sharp bone spur poking through my gum, what should I do?A bone spur, also known as a dental bone spicule, is a small piece of bone that can form in the gums after a tooth extraction. It is a common occurrence after a tooth extraction and can occur many years after an extraction and is common with those who have mandibular tori. It occurs when the jawbone doesn't properly reshape or it may detach from the extraction site, and bone chips become trapped in the gum tissue. Bone spurs can feel like a sharp bone or an uncomfortable object in the gums, and can cause discomfort or pain while healing. They can also cut the tongue or cheek. Bone spurs may eventually detach from the jawbone and make their way through the gums. This can cause pain and discomfort especially if the patient is using dentures. Most bone spurs that are covered by gum tissue eventually heal over time, sometimes requiring several weeks. If the spur is especially sharp or is exposed through the gum, your dentist may decide with you to clip it off under the gum so the gum can heal over the affected area. If you have a bone spur that is sharp, painful, or sticking through the gum, contact your dentist to schedule it to be removed. This is a simple procedure that can be done with local anesthetic by your general practitioner dentist.
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Is tooth extraction painful?During the extraction, you shouldn't feel pain due to anesthesia, but there might be some pressure. Afterward some discomfort, swelling, and mild bleeding are both normal and manageable with over-the-counter medication.
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I had a tooth extracted or a root canal, what is the best pain management?Recent studies have shown that a mix of NSAIDs (Non-Steroidal Anti Inflammatory Drugs) and acetaminophen are the most effective medicines to address dental pain after a root canal or extraction. Our first line of pain management is this regiment. A copy of our extraction post operative instructions can be found on our Procedure Instructions webpage, which includes all instructions for pain management using the most recent studies available. Dentists and society have a unique challenge in reducing the amount of opioids prescribed and used. Your dentist will make the best decision with you as to the best course of pain management for your particular situation. The link to the study about post operative pain management here can be found at this link.
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I am pregnant, can I get a tooth extracted?It is important to keep an expectant mother pain free during all trimesters of her pregnancy. There is almost no reason an expectant mother, even in a high risk pregnancy, delay getting a painful or infected tooth extracted. Your dentist or oral surgeon will always use FDA Pregnancy Category B local anesthetics. No studies have shown the drug to be detrimental to a growing fetus. You may be given a local anesthetic, that along with being FDA Pregnancy Category B, has no epinephrin so as to not affect your heart. We usually schedule all non-emergency extractions either in the 2nd trimester (all fetal organs are developed) or after the pregnancy. Discuss with your dentist or oral surgeon your pregnancy status at your appointment.
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I recently had an extraction and now I can't open my jaw, what should I do?Trismus, commonly known as lockjaw, is a painful condition where the jaws, or temporal mandibular joint (TMJ) cannot fully open. It can lead to difficulties with eating, speaking, and oral hygiene due to limited mouth opening. Trismus occurs when a person cannot open their mouth more than 35 millimeters (mm). This is very common after extractions especially wisdom teeth as the tissues surrounding the jaw can be inflamed. Your muscles, tendons, and ligaments might be sore from stretching during the extraction. There might also be some infection around the extraction site that can exacerbate the issue. These symptoms will almost always alleviate as soon as the extraction site(s) heal. This can take up to two weeks. Start by sticking to a soft food diet and applying hot then cold compresses for 15 minutes on the TMJ (directly in front of the ear). You may also use Non-steroidal Anti-inflammatory Drugs to alleviate the pain. You may also be prescribed an antibiotic if there is concern about infection. If you are experiencing persistent limited opening or severe pain after your extraction, call the office to obtain direction on how to alleviate your issue.
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I was seen by an Endodontist (root canal specialist), and they recommended getting a tooth extracted. Do I need to be seen by an Oral Surgeon to get the tooth removed?Teeth that are cracked or have a poor to hopeless progosis almost always can be removed by the General Practicioner dentist who referred you to the Endodontist. Even if you were referred to an Oral Surgeon from the Endodontist, it is best to call your General Practitioner to see what direction they prefer since they will be in charge of replacing your tooth and usually can remove the tooth for less than an Oral Surgeon.
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I had a tooth extracted or a root canal, do I need antibiotics?Most routine dental extractions do not require antibiotics. According to the cochrane study linked below, taking antibiotics may help prevent infection after an extraction but the possible adverse effects may outweigh the benefits. As long as you are healthy and do not require antibiotic prophylaxis, your immune system should naturally be able to prevent most infections after the procedure. Taking antibiotics as a just in case may have unintended consequences such as developing antibiotic resistant strains of bacteria. Taking antibiotics too frequently or unnecessarily can create superbugs and when you happen to get an infection and you need the antibiotics to work, they won't work. This is currently a big problem in the medical community. For this reason, even if your tooth has been keeping you up at night but you do not present with a swelling infection or fever, you are not required to take any antibiotics afterwards. We know that you may perceive it as very serious but developing a resistant strain of bacteria is even more serious. In every case we will give you the best course of medicines and protocols to follow to get you healed as quickly as possible. You dictate your own health. The link to review here.
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How much do extractions cost, including wisdom teeth?Typically extractions cost between $100 and $500 dollars per tooth depending on how difficult the tooth is to extract. This varies greatly depending on which insurance you have. Many insurances cover most of an extraction reducing your price to under $75. Some insurances cover the entire cost of extractions. We always give you the cost of any procedure before beginning. Our dentists extract many teeth, and we work with oral surgeons at every office, so we can extract almost any tooth at every location.
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Can I fly after a tooth extraction?Yes, you can fly after a tooth extraction, but it's generally recommended to wait at least 24 to 48 hours before flying. This allows time for initial healing and reduces the risk of complications during the flight. If your extraction was more complex, such as wisdom teeth removal or multiple teeth being extracted, you might need to wait longer—up to a week in some cases. Follow your post-operative instructions. During the flight stay hydrated and avoid using straws to prevent dislodging the clot, bring extra gauze and pain relievers in case of discomfort, and avoid extreme temperature foods or drinks during the flight.
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What should I avoid after a tooth extraction?After an extraction, avoid vigorous rinsing, sucking actions, smoking, alcohol, and hard or crunchy foods. Also, refrain from strenuous activities for a few days.
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I recently had my wisdom teeth removed and am feeling numbness, should I be concerned?5% of patients who have their wisdom teeth removed have altered nerve sensation including numbness due to the nerve being irritated or hurt. Of this 5% of patients with altered nerve sensation, 98% will recover completely. Unfortunately nerves can heal very slowly, sometime requiring a few weeks to several months to completely heal. It is impossible to know which group you fall into until the nerve has healed. It is important to contact the office and provider where you had your wisdom teeth removed if you have numbness or altered nerve sensation . Your provider will want to talk to your personally about your case.
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I had a tooth extracted and the clot came out, what should I do?It is completely normal for the clot that forms after your surgery to come out within 24-48 hours after your surgery. We prefer the clot to stay in the extraction site as long as possible as part of the natural healing after an extraction. This is why we request you refrain from negative pressure such as sucking through straws. Removing the gauze your dentist, surgeon, or you place after your surgery may also adhere to the clot when it is taken out. It may be appropriate to lightly moisten the gauze before placing it over the extraction site so the gauze does not stick to the clot. As long as there is not profuse bleeding after the clot comes out, there is little concern. You may watch the extraction post operative instruction video here.
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How long does a tooth extraction take to complete?The duration of a tooth extraction varies but typically takes about 20-40 minutes, depending on the complexity.
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I had a tooth extracted and I think I have a dry socket and am in extreme pain, what can I do?Dry socket (alveolar osteitis) can happen after tooth extraction. When your dentist or oral surgeon removes a tooth, a blood clot forms in the socket (a hole in the bone where your tooth was). Dry socket happens when that blood clot dislodges (moves) or doesn’t form at all. Without the clot, your bone and nerves are exposed to the oral environment. Dry socket can be painful and delays the healing of the surgical site. Dry sockets can last up to one week. In most cases a dry socket will heal on its own. To speed healing, rinse and clean the socket with salt water. Place gauze over the socket to ease the pain. You may use Ibuprofen to help with the pain. Ice may also be used to relieve the pain. If you cannot tolerate the pain, please call your office as soon as possible to discuss options.
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How long should it take to recover from tooth extraction?Recovery time varies, but most people feel better within a few days. Complete healing of the jawbone and gums may take a few weeks to months.
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Do you replace Amalgam (Silver) fillings?We follow guidelines of the ADA, which states that Amalgam fillings have shown no proven adverse reactions over many studies and years of clinical use. If your silver fillings are breaking down or have recurrent decay around them, it's appropriate to remove them and place another filling. If you as a patient are uncomfortable with amalgam fillings, we would be happy to help you replace them with a material you're more comfortable with.
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How long do tooth fillings usually last?Dental fillings are designed to be durable and long-lasting. The lifespan of a filling depends on factors such as the type of material used, the size of the filling, and oral hygiene practices. On average, amalgam fillings may last 10-15 years, while composite fillings can last 7-10 years or more with proper care.
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How painful are fillings?Modern dental techniques and anesthesia make the process of getting a filling relatively painless. Before the procedure, the dentist will administer a local anesthetic to numb the affected area, ensuring you don't feel pain during the filling. Some patients may experience minor discomfort or sensitivity after the anesthesia wears off, but this is usually temporary and can be managed with over-the-counter pain relievers. If you have concerns about pain, discuss them with your dentist for personalized care.
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How much do fillings cost?Fillings cost between $130 and $342 depending on the number of surfaces and location of the tooth. Most insurances cover fillings at 80% after a $50-$100 deductible for the first filling. We always give you the cost of any procedure before beginning. Learn more about fillings with our detailed breakdown of costs.
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What are fillings used for?Fillings are used to treat cavities (dental caries) by filling the space left after decayed tooth material is removed. They restore the tooth's structure, preventing further decay and preserving its functionality. Fillings can also be used to repair cracked or damaged teeth, restoring both form and function.
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What makes your offices affordable?We strive to make sure your visit is as cost effective as possible. First, we are super preventative dentistry focused and encourage you to be seen at least twice per year. Preventative visits including exams and x-rays are usually covered by your insurance at 100% with no patient copay. These visits allow us (you and us) to catch any problems when they can be easily and more cost effectively addressed. Second, we try to have the latest diagnostic equipment possible at each office so we can catch any issue as soon as possible. You will see large computer screens at each operatory that the patient and provider use to diagnose and decide what to do TOGETHER. Third, we are completely honest with what we treatment plan. It is your oral health, and after we (you and your provider) diagnose your issue together YOU get to decide what to do and when. We NEVER push any treatment, the provider and patient decide together what to do and when. Fourth, our providers make all financial arrangements with our patients. Since our providers know your insurance intimately, they can help you navigate your treatment options to significantly reduce your costs including pushing elective treatment to your next benefit year when you have new insurance benefits. Fifth, we provider many options to split your out of pocket costs into payments. This allows you pay according to your budget. Sixth, we are in-network with almost all insurance companies including Medicare and Medicaid. As your finances and employment changes throughout your life, you do not have to change providers, we will always be in-network with your next insurance provider. Seventh, if you don't have insurance, we have an in-office discount plan that costs $200 for an individual or $300 for a family (you, spouse, and all children up to the age of 26) which covers all of your exams and x-rays and a free cleaning for an entire year. It also gives you a 25% discount for any dental services you may need. Eighth, since we are open six days per week you may be seen after work in the evenings or on Saturdays, which reduces your costs of having to take off work to see the dentist. Being open 72 hours per week allows us to reduce facility costs and those reduced costs are passed onto our patients. If you aren't Open and Affordable you'll be Closed and Expensive :)
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Do you accept Medicare?If you have a Medicare Advantage plan, it often has a dental benefit. At Open and Affordable Dental we do a complimentary benefits check prior to your visit to ensure that our providers are in network for your particular plan. If we find that we are out of network for your plan, we definitely have options for you including a cost-effective in office discount plan that will help greatly reduce your out of pocket cost.
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Do you accept Colorado Medicaid?We absolutely love seeing patients who have Medicaid. Colorado has an amazing adult Medicaid benefit, which provides an unlimited amount for routine care including cleanings, fillings, extractions, root canals, and crowns. Colorado Medicaid also provides an additional unlimited amount for dentures and partial dentures. We try hard take care of all of your dental needs at no cost to you. Children under 21 have an unlimited benefit that allows them to get most all of their dental care at no cost. We would love to take care of all of your dental needs. Please schedule an appointment at any of our offices, we can see you today!
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Do you accept government programs, such as Medicaid, from other states?Unfortunately no, we are not able to accept Medicaid programs from other states. Those benefits must be redeemed in the state in which they are administered.
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I received what looks like a bill from my insurance company. It says I paid the wrong amount at your office. Why is there a difference?Each time a dental claim is processed by your insurance company, they send what's called an Explanation of Benefits (EOB) to both the subscriber and the dentist provider. This is NOT a bill, but simply an explanation about what your dentist provider charged, the amount the insurance paid, and what the patient should have owed for the services rendered. Open and Affordable Dental and Braces does not send bills to patients, unless it's proceeded by a personal phone call. If the amount does not match what you paid, our accounts receivable is already applying any differences to your account, and we will discuss it at your next visit. You may also get a phone call from our office if the amounts don't match. Your insurance may also deny the claim completely. We always give you estimated prices before starting any treatment. Unfortunately, with any insurance, we cannot guarantee the exact amounts on treatment estimates. If you have any questions on your EOB, don't hesitate to talk with our office.
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Do you accept Health Savings Account (HSA) payments?Yes, we absolutely accept HSA payments. If you need a detailed receipt/report to submit to your HSA, please request it at time of payment.
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Do you have payment plans?Yes, we use Care Credit for payment plans. It is a simple 3-minute application. Care Credit allows you to pay for services interest-free over 6 months. We also work with your budget if there is a larger treatment plan and can phase it according to your budget.
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I have PPO insurance, can I purchase your discount plan and get an additional 25% off?In-network insurance companies require dental offices to use the insurance discounted fees and charge patients contracted co-pays. Since insurance carriers provide their own discounted fees to patients, insurance companies do not allow patients to use additional discount plans. If a patient uses all of their benefits, the dental office must charge the insurance dictated discounted fee. For these reasons, there would be no benefit in a patient having PPO insurance and the Open and Affordable Discount Plan.
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What is the Open and Affordable Discount Plan and what is Care Credit, can they be used together?Our discount plan, called the Open and Affordable Discount Plan reduces the price of dentistry done at our offices. It is $200 for an individual and $300 for families with children up to age 26. It includes a free cleaning, free exams and x-rays, and 25% off of any dental care. It is good for one year. Care Credit is a payment method similar to a credit card, but specifically for health and veterinary purposes. It allows you to pay for your dental care over 6 months interest free. You may use Care Credit to purchase both the Open and Affordable Discount Plan and pay for your additional dental needs. You are not allowed to combine the Open and Affordable Discount plan with another PPO or additional discount plan from an outside organization.
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What is included in the $29 exam and x-rays advertised on your website?The $29 promotional price covers a one-time exam and x-rays. This can be for a specific issue with a single tooth or a comprehensive exam and x-rays for all your teeth. A cleaning is an additional $100 for adults or $67 for children, and fluoride treatment costs an extra $55. If you choose to join our practice, our discount plan offers better value: for $200 per year for an individual or $300 for a family (covering everyone up to age 26), it includes all exams and x-rays for the year, one free cleaning, and a 25% discount on any additional dental treatments needed.
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I have an upcoming procedure, are you able to send in a pre-authorization to ensure it is covered?We obtain benefit breakdowns by procedure for all procedures performed by our oral surgeons. We pre-authorize all procedures requiring pre-authorizations by Colorado Medicaid. For all other procedures, we are able to give you the exact dental codes we will be performing and you may call you dental insurance company to obtain coverages and costs. It is advisable to obtain a reference number for your call with your dental insurance company representative to ensure there is documentation about these coverages and costs. We always do a complimentary benefit breakdown before every procedure, which is mostly accurate. Unfortunately being in-network with almost all insurance companies, it is impossible to know every insurance's policy on frequencies, coverages, deductibles, exclusions, and waiting periods. Ultimately the amount you pay to your dentist is dictated by the contract between you and your dental insurance company. This information is communicated back to both your dentist and you through an Explanation of Benefits (EOB) sent by your dental insurance company after the claim as been processed.
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Do you accept NFC, Google Pay, or Apple Pay at your office?All of our credit card terminals are compatible with NFC (Near Field Communication) technology, allowing them to accept payments through services like Google Pay and Apple Pay.
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I have Care Credit but do not have my physical card, what can I do?We are able to look up and charge your Care Credit account by your name and phone number, or with your social security number. Simply alert your office that you don't have your card and we will be happy to accommodate you.
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I have active First Health Colorado (Colorado Medicaid). When I call your office, they say that I'm not active, why?Health First Colorado contracts with Dentaquest, a 3rd party administrator located in Wisconsin, to manage and administer the dental portion of your Health First Colorado benefit. Health First Colorado sends a member status update to Dentaquest that allows Dentaquest to know and publish your status to dental offices. This status has the potential of being delayed from your true Health First Colorado status. As dental offices, we use the Dentaquest portal, not Health First Colorado to verify your Medicaid status. If you believe or know you are active with Health First Colorado but we are showing you as inactive, you may contact either Dentaquest or Health First Colorado to have them update your status sooner than the periodic update. It is advisable to do this a few days before scheduled appointment so you may use your benefits for your visit.
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I received a letter from my insurance company saying they did not receive enough or the wrong information to pay a claim for a procedure I had completed at your office. What should I do?Each time a dental claim is processed by your insurance company, they send what's called an Explanation of Benefits (EOB) to both the subscriber and the dentist provider. We always send as much information possible to ensure the claim is paid and in a timely manner. Unfortunately, insurance companies may request additional information from our office to pay the claim. Most likely we are already working on submitting the additional information requested, but you are welcome to alert us about the issues raised on the EOB. There are occasions your insurance company will wrongly say you do not have coverage when you actually do, in these cases we may have you contact your insurance company or employer to correct your insurance company. Welcome to our world of dealing with insurance companies.
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I have Colorado Medicaid, will they cover the cost of general anesthesia (IV sedation)?Colorado Medicaid will cover general anesthesia (IV sedation) for patients with a medical necessity. This means if you have special needs or autism spectrum disorder, you have a medical necessity to be sedated. Unfortunately, being apprehensive about the procedure does not qualify as a medical necessity. All patients with Colorado Medicaid and a medical necessity to be sedated will be referred by our Oral Surgeons or General Practitioners to a hospital setting for their sedation and procedure. A hospital setting is more appropriate and safe than a dental clinic for those with a medical necessity. Many patients call Colorado Medicaid, and a representative will state that general anesthesia (IV sedation) is a covered procedure, but fail to read to caveat that it requires medical necessity. These representatives unfortunately are not Oral Surgeons nor are they the same people who decide if they will reimburse the Oral Surgeon for the general anesthesia (IV sedation). For these reasons, Colorado Medicaid patients without a medical necessity are asked to pay for their general anesthesia (IV sedation).
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How much does it cost to be seen?Our new patient exam and x-ray costs $29. We always give you the cost of any procedure before beginning.
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Do you accept HMO/DMO plans?Many, but not all HMO/DMO plans require you to use certain doctors, and honestly there aren’t many doctors that take these HMO plans. We always do a courtesy benefits check for your plan to see if we are in-network. As a courtesy to HMO members, who we are not in-network with, we provide our Open and Affordable Discount Plan for your first year at no charge. This is frankly better than your HMO as it includes all your exams and x-rays at no cost for a year. The discount plan also gets you a free simple cleaning. If you do need any dental work it will be discounted by 25%. During your first year, you may choose to apply for a PPO dental insurance plan during the open enrollment period or renew your discount plan for the standard fee when it expires.
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What types of guarantees are there for dental work done at your office?We always guarantee all work against manufacturer material defect. Unfortunately dentistry resides in a VERY harsh environment, the oral cavity. Dentistry just like automobile tires can wear down with use. If any of the dentistry we have provided to you does not last, breaks, or gets damaged, please call your office and we'd love to discuss your particular case.
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I don't have insurance, can I be seen?We gladly accept patients without insurance, in fact we have an in-office discount plan that acts much like insurance. It costs $200 per year for an individual and $300 for a family. The discount plan is valid for one year from the day you sign up. The sign-up process takes 30 seconds, you simply provide your name and birthdate. You receive all of your exams and x-rays for free for a year and a free simple cleaning. If you do need any dental work, that work is discounted by 25%. Your second cleaning for the year is discounted by 25%, costing $75 after the discount.
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What is fluoride?Fluoride is a naturally occurring mineral that is found in all natural water sources. Fluoride may be used to reduce teeth enamel's susceptibility to acid, thus reducing caries. It has been added to public water sources in the United States since 1945 starting in Grand Rapids, Michigan. In parts of the world where public drinking water is not fluoridated it has been added to table salt. Fluoride is also added to many oral hygiene products such as toothpaste and mouth rinse to help reduce caries. Fluoride varnish is applied in dental offices as a supplement to other sources of fluoride.
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Where can I find more information about fluoride?Please read the following articles from the American Dental Association (ADA) about fluoride and its uses: https://www.ada.org/en/resources/community-initiatives/fluoride-in-water/fluoridation-faqs https://www.ada.org/en/resources/ada-library/oral-health-topics/fluoride-topical-and-systemic-supplements
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What is fluorosis and when is too much fluoride a problem?A potential risk of fluoride use is the development of fluorosis, which may result from excessive fluoride ingestion during tooth development. Teeth with fluorosis have white to brown stains integrated into the enamel. Fluorosis of permanent teeth occurs when an excess quantity of fluoride is ingested for a sufficient period of time during the time that tooth enamel is being mineralized. The level of fluoride intake between the ages of about 15 and 30 months is thought to be most critical for the development of fluorosis of the maxillary central incisors. Enamel fluorosis occurs only when primary and permanent teeth are developing. Once teeth erupt, they cannot develop enamel fluorosis. Excess fluoride exposure can be minimized by using the recommended amount of toothpaste and by storing toothpaste where young children cannot access it without parental assistance.
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How does fluoride protect teeth?Before teeth break through the gums (erupt), the fluoride taken in from foods, beverages and dietary supplements makes tooth enamel (the hard surface of the tooth) stronger, making it easier to resist tooth decay. This provides what is called a "systemic" benefit. After teeth erupt, fluoride helps rebuild (remineralize) weakened tooth enamel and reverses early signs of tooth decay. When you brush your teeth with fluoride toothpaste, or use other fluoride dental products, the fluoride is applied to the surface of your teeth. This provides what is called a "topical" benefit.
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Is fluoride toxic?No. Fluoride in water or professionally applied at the recommended level is not toxic according to the best available scientific evidence. Toxicity is related to dose. While large doses of fluoride could be toxic, it is important to recognize the difference between the effect of a massive dose of an extremely high level of fluoride versus the fluoride level currently recommended. Like many common substances essential to life and good health - salt, iron, vitamins A and D, chlorine, oxygen and even water itself - fluoride can be toxic in massive quantities. The single dose (consumed at one time) of fluoride that could cause acute fluoride toxicity is 5 mg/kg of body weight of sodium fluoride. For example, for an average 155 pound adult male, it would require that he consume more than 120 gallons of water or 3 tubes of toothpaste at one time to reach an acute fluoride dose. Kids would need to consume between 50-100% of an entire tube of toothpaste depending on age/weight at one time to reach an acute fluoride dose.
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Why do dental professionals apply fluoride at my visit?Topical fluoride applied during dental visits are more concentrated than rinses and self-applied fluorides. Fluoride mouth rinses and gels have concentrations between 200-900 parts per million. Self-applied fluorides have concentrations between 1,000-5,000 parts per million. Professionally applied fluorides have concentrations between 9,000-12,000 parts per million.
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Do you have grants for implants?While we are unaware of any grants that pay for implants, you may use Care Credit to finance your implants. There are many alternatives to implants that are cost-effective, including, dentures, partials, or bridges.
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Are there any religious or personal preferences to consider?Yes, it's important to discuss any religious or personal preferences with your doctor before the procedure. Some patients may have specific beliefs or preferences regarding the use of human or animal tissues, and your doctor can help you choose the most suitable option.
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What can I expect after the bone graft procedure?After the bone graft, you may experience some soreness, swelling, or bruising at the surgical site. Your dentist will provide specific aftercare instructions, which may include a diet of soft foods, avoiding spicy or hot foods, and not chewing on the surgical site.
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Which type of dental implants are best?The "best" implant depends on individual cases and needs. Endosteal implants are widely preferred for their effectiveness and suitability for most patients, but subperiosteal implants might be recommended in cases where the patient has a shallow jawbone and does not want to undergo a bone graft.
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What is a dental bone graft?A dental bone graft is a procedure that uses bone tissue to help repair and heal around a dental surgery site. It's often used to support dental implants, secure loose teeth, or rebuild bone lost due to gum disease or trauma.
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How long does it take to recover from a bone graft?Recovery time varies, but generally, it takes about 4-6 months for the bone graft to heal and integrate with your existing bone. During this time, you'll need to follow your dentist's care instructions to ensure proper healing.
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Do you perform mini dental implant procedures, and if so, what are the associated costs?Mini dental implants have the same structure as regular implants, but they are smaller. Unlike conventional implants, they consist of a one-piece screw that is less than 3mm in diameter and includes a ball-shaped end protruding from the jawbone. Mini dental implants are placed using less-invasive techniques compared to conventional dental implants. These toothpick-sized implants are positioned over the gum surface when inserted into the bone, whereas conventional implants are placed beneath the gums. Due to the less involved placement process, mini dental implants require less time to receive than regular implants. Dentists can typically place mini implants in a single visit using local anesthesia, and no sutures are needed. In contrast, conventional implants take several months and require at least two dental appointments. Certain treatments may necessitate additional visits for bone grafting to provide sufficient bone support for the implants. Although the cost of mini dental implants can vary, on average, they fall within the range of $500 to $1,500. Rest assured that we always provide a clear cost breakdown for any procedure before initiating treatment.
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Do you place implants, and if so, how much do they cost?Yes, many of our dentists place implants. We also have access to oral surgeons and periodontists who also place implants. Typically implants and the crown that is screwed into them cost $2000-$3500 per tooth. This varies greatly depending on how much bone you have around the implant site and also if it is close to nerves or sinuses. Your insurance may cover some of the implant cost, reducing the total price to $1500 or less. Some insurances cover the entire cost of implants. We always give you the cost of any procedure before beginning.
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I am getting a tooth removed. Do you recommend a bone graft? What are the reasons to get a bone graft?We do recommend a bone graft for any teeth that are being removed, especially if you may get an implant in the future. Additionally, we recommend a bone graft for any teeth that cause bone loss or periodontal disease on adjacent teeth. Bone grafts help maintain the structure and density of your jawbone, providing a stable foundation for future dental implants and preventing further complications associated with bone loss.
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How long do implants actually last?With proper maintenance and care, dental implants can last a lifetime. The longevity of an implant largely depends on good oral hygiene and regular dental check-ups.
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Which type of implant is most commonly used?The most commonly used type of dental implant is the endosteal implant, which is placed directly into the jawbone.
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What types of bone grafts are available?There are three main types of bone grafts used in dental procedures: Autograft: Bone taken from another part of your own body, such as your hip, ribs, or wrist. Allograft: Bone taken from a deceased donor or a cadaver, which is cleaned and sterilized. Xenograft: Bone taken from a different species, usually a cow or pig, which is also processed and sterilized.
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I have a missing front tooth, what can I do to replace it?There are several great options to replace a missing front tooth. The best option to replace an anterior tooth is an implant. An implant is a titanium screw that replaces your tooth root. A white crown is screwed onto the implant. Implants are the gold standard to replace teeth as they do not involve the adjacent teeth and act as closely to a natural tooth as possible. Bridges can also be used to replace missing teeth. Bridges use adjacent teeth as anchors to replace missing teeth. Bridges require increased maintenance as you will need to floss under them to ensure the anchor teeth do not get cavities. Removable prosthodontics (flippers) can be used to replace a missing tooth. Removable prosthodontics are more cost effective than implants or bridges. Discuss with your provider which tooth replacement option is best for you.
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What type of implants do you place and restore?Our dentists and oral surgeons are capable of placing and restoring any modern implant make/model. To increase efficiency and compatibility across offices, we prefer to place Blue Sky Bio BIO|Max implants. Blue Sky Bio BIO|Max implants are prosthetically compatible with the NobelActive® NP platform.
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Are tooth implants painful?Tooth implant surgeries are many times less painful than an extraction. With an extraction, we pull a tooth and leave an open wound in your mouth. With an implant we place a small titanium screw in your jaw and then place a stitch over the surgical site. Many patients have very little post operative pain that can easily be managed with over the counter pain reliever. Discuss with your doctor if you are apprehensive about your implant surgery.
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I had an extraction with a bone graft, how long do I need to wait to get an implant placed?The bone graft that was placed prevents bone from atrophying after the extraction. We do need to ensure the bone has completely grown into the bone grafting site and is of the quality that will hold an implant. We recommend waiting 4 months for a mandibular (lower jaw) bone graft, 5 months for a maxillary (upper jaw) bone graft, and 6 months if you've had a sinus lift. These timeframes give us the best chance of a successful implant.
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Which type of bone graft is best for me?The best type of bone graft depends on your specific situation and preferences. Autografts are often considered the gold standard because they come from your own body and have a lower risk of rejection. However, allografts and xenografts are also effective and may be preferred in certain cases.
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How much does it cost to remove an implant?If an implant becomes loose, your dentist will check to see if it is the implant or the crown that is loose. If it is the crown that is loose, it may simply be tightened if it is screw retained. This can usually be done for a small fee if it was placed by an outside dentist. If it was placed at one of our offices, your dentist will tighten it for free. If the crown is loose and it was cemented, the crown might have to be removed, the abutment under the crown tightened, and a new crown may be fabricated. This costs approximately $900 minus what your insurance will pay. If the implant is loose, your general dentist may decide with you to have you see a specialist to place bone graft around the implant to tighten it. You may also decide with your dentist to remove the implant. The cost of removing an implant varies between $200-$500 depending on the difficulty of the extraction.
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Do you see kids?We love seeing kids of all ages. We have many options to take care of your child if they are apprehensive about the dental office. Parents are allowed and encouraged to be in the operatory with the children. We never push anyone, especially kids, through clinical procedures. The last thing we want is to create emotional scars that last a lifetime. You are the boss during your dental visit, we are just the hands that help. Please schedule an appointment with any of our amazing, caring dentists.
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How do you make dental visits comfortable for kids?We create a kid-friendly environment, use gentle care, and explain procedures in an age-appropriate way to make visits fun and stress-free.
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At what age should my child start visiting the dentist?Your child should have their first dental visit by age 1, or when their first tooth appears, whichever comes first. It is important to introduce them to the dentist at a young age to ensure the best experience for them in the future.
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What dental services do you offer for kids?We provide x-rays, exams, preventive care including fluoride treatments and sealants, braces, teeth extractions, and guidance on building healthy oral habits for children.
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Does laughing gas block pain receptors?Laughing gas has analgesic properties that can minimize the sensation of pain, but it doesn't entirely block pain receptors. It alters the perception of pain, making it more bearable, but it's not a complete anesthetic. At Open and Affordable we will always pair your laughing gas with local anaesthesia, ensuring a pain-free experience.
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Can you still feel pain with laughing gas?While laughing gas helps minimize discomfort and anxiety, it may not entirely eliminate the sensation of pain. It serves as a mild analgesic, providing a more tolerable experience during dental procedures. At Open and Affordable Dental and Braces we will always pair your laughing gas with local anesthesia, ensuring a pain-free experience.
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Do you provide sedation dentistry?We provide a wide variety of ways to allow apprehensive patients to feel comfortable during dental appointments. This may include calming techniques during the procedure, oral sedation, nitrous oxide (laughing gas), or general anesthesia. It is best to meet with your dentist for them to assess the best method to make your visit as pleasant as possible. Know that we never push you through any procedure clinically. You are the boss in the dental chair, we are simply the hands that help. We want you to love coming to the dentist and we'll make sure you're as comfortable as possible.
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Why is laughing gas so fun?Laughing gas is called "laughing" gas because it can induce feelings of euphoria and mild amusement. It interacts with certain neurotransmitters in the brain, promoting a sense of relaxation and joy during its administration.
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Are you asleep with laughing gas?No, laughing gas does not induce sleep. It creates a relaxed and calm state, allowing you to remain conscious and responsive during dental procedures. You can still communicate with your dentist while benefiting from the anxiety-reducing effects.
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I'm super apprehensive about dental procedures, do you sedate for procedures?We provide a wide variety of ways to make you comfortable during your procedure, first of all letting you know that you are completely in control of your procedure. You are the boss, we are simply the hands that help, if there is anything we are doing that you don't like, simply tell us and we'll stop IMMEDIATELY. Beyond re-enforcement, we also provide a wild variety of sedative methods such as nitrous oxide (laughing gas), Halcion, or Valium to help you stay calm during your procedure. If you need to be sedated, we have access to specialists who can sedate you for your procedure. Please discuss your dental anxiety with your doctor to find the best method for you.
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Which Open and Affordable Dental and Braces offices offer nitrous oxide for treatment?Currently nitrous oxide is offered at the following Open and Affordable Dental and Braces offices: Commerce City and Englewood. We encourage you to call ahead and request the use of nitrous oxide to ensure that the dental office can prepare for your visit properly. Nitrous oxide, commonly known as laughing gas, requires specific equipment and setup; so it's essential to confirm its availability to avoid any inconvenience or disappointment on the day of your appointment.
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I am experiencing an altered or metallic taste, what should I do?There can be various causes to altered taste in your mouth. Sometimes this may manifest as a metallic taste. Here are some suggestions for each cause. 1. Recent Surgery or Dental Work: After surgery or dental procedures, residual infection or inflammation may affect taste buds. To manage this, maintain good oral hygiene by flossing, using mouthwash per post operative instructions, and brushing twice a day. Follow all post operative instructions. Saltwater rinses can soothe the mouth during healing. The taste usually resolves as soon as the surgical site heals, which may take a few days to a month depending on the surgery, your age, and health condition. 2. Gum Disease: Gum disease (gingivitis or periodontitis) can impact taste perception. If you have actice infection around your gum, the bacteria can cause a bad taste in your mouth. Regularly brushing teeth and gums, using dental floss, and getting dental cleanings often are crucial. You may benefit from deep cleanings and may also be referred to a gum specialist (periodontist). 4. Cold and other Infections: Colds, sinus infections, and upper respiratory infections can change the taste in your mouth. Nasal drainage, sore throat, and a cough can cause altered or metallic taste in your mouth. 5. Medications: Certain medications for heart conditions, gout, and antidepressants alter taste. Prenatal vitamins, iron, or calcium supplements could also be the cause. Discuss with your primary care provider if any of these could be the cause. 6. Chemotherapy or Radiotherapy: Cancer treatments like chemotherapy or radiotherapy can affect taste buds. 7. Indigestion: Acid reflux or indigestion may lead to altered taste. Address indigestion through dietary changes and antacids; taste should normalize afterward. 8. Pregnancy: Hormonal changes during pregnancy can affect taste perception. Fortunately, taste changes are usually temporary and resolve on their own. Discuss with your dentist if you have altered taste that does not resolve.
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I recently had my wisdom teeth removed and am feeling numbness, should I be concerned?5% of patients who have their wisdom teeth removed have altered nerve sensation including numbness due to the nerve being irritated or hurt. Of this 5% of patients with altered nerve sensation, 98% will recover completely. Unfortunately nerves can heal very slowly, sometime requiring a few weeks to several months to completely heal. It is impossible to know which group you fall into until the nerve has healed. It is important to contact the office and provider where you had your wisdom teeth removed if you have numbness or altered nerve sensation . Your provider will want to talk to your personally about your case.
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I am being sedated for oral surgery, what should I expect after I wake up?Your doctor will monitor you until you are awake. You may need extra oxygen if your blood oxygen level is lower than it should be. Ask your healthcare provider before you take off the mask or oxygen tubing. You may be able to go home when you are alert and can stand up. This may take 1 to 2 hours after you have received moderate sedation. You may feel tired, weak, or unsteady on your feet after you get sedation. You may also have trouble concentrating or short-term memory loss. These symptoms should go away in 24 hours or less.
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What is the most common oral surgery?The most common oral surgery is tooth extraction, including the removal of impacted wisdom teeth. It's a routine procedure for various dental issues.
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How serious is oral surgery?While oral surgery can range from minor to complex, it's generally considered a safe and routine aspect of dental care. Serious complications are rare, especially under the care of experienced oral surgeons.
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I recently had an extraction and now I can't open my jaw, what should I do?Trismus, commonly known as lockjaw, is a painful condition where the jaws, or temporal mandibular joint (TMJ) cannot fully open. It can lead to difficulties with eating, speaking, and oral hygiene due to limited mouth opening. Trismus occurs when a person cannot open their mouth more than 35 millimeters (mm). This is very common after extractions especially wisdom teeth as the tissues surrounding the jaw can be inflamed. Your muscles, tendons, and ligaments might be sore from stretching during the extraction. There might also be some infection around the extraction site that can exacerbate the issue. These symptoms will almost always alleviate as soon as the extraction site(s) heal. This can take up to two weeks. Start by sticking to a soft food diet and applying hot then cold compresses for 15 minutes on the TMJ (directly in front of the ear). You may also use Non-steroidal Anti-inflammatory Drugs to alleviate the pain. You may also be prescribed an antibiotic if there is concern about infection. If you are experiencing persistent limited opening or severe pain after your extraction, call the office to obtain direction on how to alleviate your issue.
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What conditions may prevent me from being able to be sedated or having my surgery?Because our oral surgeons travel between offices, some conditions may prevent you from being sedated or are better seen at a dedicated oral surgery office to manage complications. Please talk with your oral surgeon if you have any of the following conditions: pacemaker, COPD, under 16 years old, excessive blood thinners, high BMI, or sleep apnea. Additionally, your oral surgeon may refer you to a dedicated oral surgery office if your surgery requires extensive follow up and/or grafting.
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I have a mucous cyst or mucocele, what should I do?An oral mucous cyst, also called a mucocele, is a harmless swollen spot on you cheek or lip. They are soft, round, dome shaped, and are moveable and painless. Mucoceles occurs when you damage a salivary duct within your lip or cheek, usually from biting. A mucocele can be removed by an oral surgeon and is usually biopsied. We usually refer you to an oral surgeon with a dedicated office to ensure follow up is available if needed.
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Do they put you to sleep for oral surgery?Depending on the procedure and the patient's needs, various sedation options are available, including local anesthesia, conscious sedation, and in some cases, general anesthesia where the patient is fully asleep.
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My dentist indicated I have potential oral pathology, what should I do?Part of your initial comprehensive and periodic exams include x-rays and inspection of the soft tissues in your mouth including your cheeks, lips, and around the tongue. Your provider will also inspect the lymph nodes under your jaw and your temporal mandibular joint (TMJ). If anything suspicious is found, your provider will discuss options including eliminating the possibility that the pathology is transient, meaning it resolves on its own. A two week follow up appointment may be scheduled to re-evaluate the suspected pathology. If the suspected pathology doesn't resolve within the two weeks or if the suspected pathology has been present for a while, you may be referred to see an oral surgeon or oral pathologist. The suspected pathology may be removed or biopsied. Since follow up is required, a specialist with a dedicated office is usually indicated. Many times oral pathology is benign, but we want to make sure any pathology is addressed in a timely manner. For this reason, we strongly suggest you see your dentist every 6 months. If pathology starts, we can catch it when it's small and more easily treated.
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I think I have tonsil stones or tonsilloliths, what can I do?Tonsil stones, also known as tonsilloliths, are small, pebble-like lumps that form in the crevices of your tonsils. They're made up of hardened minerals (like calcium), food debris, and bacteria. The most common symptom is bad breath, but they can also cause a sore throat, cough, earache, difficulty swallowing, and a feeling of something stuck in your throat. They form when debris gets trapped in the tonsil crypts and calcifies. Factors like poor dental hygiene, chronic tonsillitis, and large tonsils can increase the risk. Many people can remove tonsil stones at home by gargling with warm salt water, using an oral irrigator, or gently nudging them with a cotton swab. In some cases, your dentist may use an instrument to push them out of the tonsil. Call your office, if you feel you have tonsil stones that need to be evaluated or removed.
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How long after sedation can I start breastfeeding again?Our oral surgeons recommend resuming breastfeeding 24 - 48 hours post sedation. If waiting 48 hours feels too long, several studies support resuming after a minimum of 24 hours has passed.
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How painful is oral surgery?The level of pain experienced during oral surgery varies, but with modern anesthesia and sedation techniques, discomfort is typically minimal. Post-surgery, pain management is effectively handled with prescribed or over-the-counter medications.
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What are the instructions if I was prescribed acetaminophen or Ibuprofen by a general practitioner dentist after a procedure?Studies and experience have shown that the following pain management regime is the most effective for post extraction pain. If you have allergies or contraindications to any of the following, take only the other drug and discuss with your healthcare provider. The following should be taken every 8 hours at the same time for 10 days or until the pain is gone. You may purchase these over the counter. There is no need for a prescription. 500 mg Acetaminophen (Extra Strength Tylenol). Take every 8 hours for 10 days or until pain is gone. It is contraindicated to take Acetaminophen (Tylenol) if you have liver problems. Do not exceed 3000 mg per 24 hours. 400 mg Ibuprofen (Two 200 mg pills). Take every 8 hours for 10 days or until pain is gone. Do not exceed 1200 mg per 24 hours. It is contraindicated to take Ibuprofen if you are pregnant, have kidney disease, ulcers, heart conditions, or have coagulation (bleeding) issues.
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I had a tooth extracted or a root canal, what is the best pain management?Recent studies have shown that a mix of NSAIDs (Non-Steroidal Anti Inflammatory Drugs) and acetaminophen are the most effective medicines to address dental pain after a root canal or extraction. Our first line of pain management is this regiment. A copy of our extraction post operative instructions can be found on our Procedure Instructions webpage, which includes all instructions for pain management using the most recent studies available. Dentists and society have a unique challenge in reducing the amount of opioids prescribed and used. Your dentist will make the best decision with you as to the best course of pain management for your particular situation. The link to the study about post operative pain management here can be found at this link.
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I'm super apprehensive about dental procedures, do you sedate for procedures?We provide a wide variety of ways to make you comfortable during your procedure, first of all letting you know that you are completely in control of your procedure. You are the boss, we are simply the hands that help, if there is anything we are doing that you don't like, simply tell us and we'll stop IMMEDIATELY. Beyond re-enforcement, we also provide a wild variety of sedative methods such as nitrous oxide (laughing gas), Halcion, or Valium to help you stay calm during your procedure. If you need to be sedated, we have access to specialists who can sedate you for your procedure. Please discuss your dental anxiety with your doctor to find the best method for you.
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I had a hip/knee replacement. Should I be pre-medicated before my dental visit?In 2015, the ADA changed its protocol for prophylactic antibiotics before dental work for those who have prosthetic joint implants. The ADA states, "In general, for patients with prosthetic joint implants, prophylactic antibiotics are not recommended prior to dental procedures to prevent prosthetic joint infection." If a patient still wants to be pre-medicated or their orthopedic surgeon request they be pre-medicated, we can call in a prescription before the appointment. If you forget, the office can provide antibiotics at your appointment. The antibiotics can be taken up to one hour after your appointment.
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What conditions may prevent me from being able to be sedated or having my surgery?Because our oral surgeons travel between offices, some conditions may prevent you from being sedated or are better seen at a dedicated oral surgery office to manage complications. Please talk with your oral surgeon if you have any of the following conditions: pacemaker, COPD, under 16 years old, excessive blood thinners, high BMI, or sleep apnea. Additionally, your oral surgeon may refer you to a dedicated oral surgery office if your surgery requires extensive follow up and/or grafting.
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I am being sedated for oral surgery, what should I expect after I wake up?Your doctor will monitor you until you are awake. You may need extra oxygen if your blood oxygen level is lower than it should be. Ask your healthcare provider before you take off the mask or oxygen tubing. You may be able to go home when you are alert and can stand up. This may take 1 to 2 hours after you have received moderate sedation. You may feel tired, weak, or unsteady on your feet after you get sedation. You may also have trouble concentrating or short-term memory loss. These symptoms should go away in 24 hours or less.
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I was prescribed an antibiotic and now I have a rash, am itching, have hives, or am having trouble breathing. What should I do?If you were prescribed an antibiotic and you are having a mild allergic reaction such as a rash or itching, discontinue its use. It may be appropriate to take a Benadryl to reduce the allergic effects. If you are taking the antibiotic as part of a post operative protocol for a recent extraction, root canal, or implant placement, it may be appropriate to not resume antibiotic use. If you are trying to reduce an active infection, it may be appropriate to call your office to be prescribed an alternative antibiotic. If you are experiencing moderate to severe allergic reactions such as hives or difficulty breathing, take Benadryl and go to an Urgent Care immediately. Alert your office that you've been seen at an Urgent Care. We will update your chart to ensure you won't be prescribed the same antibiotic in the future.
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I am being sedated, having sedation, when is the last time I can consume alcohol and/or smoke marijuana?It is important to avoid alcohol for at least 12 hours prior, and to avoid marijuana for at least 72 hours prior, to your oral surgery (sedation) appointment. This is to avoid possible interactions with the drugs being used in the oral surgery (sedation).
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What drugs do you use for oral surgery sedation?Your oral surgeon may use Ketamine, Midazolam, and Propofol for sedation. They have access to other ancillary drugs for post operative pain, swelling and infection. Your oral surgeon has been through extensive post graduate training in a hospital setting to safely mitigate and manage sedation and surgical complications. Feel free to ask them before your surgery about any concerns you have about the sedation or the surgery.
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I had a tooth extracted or a root canal, what is the best pain management?Recent studies have shown that a mix of NSAIDs (Non-Steroidal Anti Inflammatory Drugs) and acetaminophen are the most effective medicines to address dental pain after a root canal or extraction. Our first line of pain management is this regiment. A copy of our extraction post operative instructions can be found on our Procedure Instructions webpage, which includes all instructions for pain management using the most recent studies available. Dentists and society have a unique challenge in reducing the amount of opioids prescribed and used. Your dentist will make the best decision with you as to the best course of pain management for your particular situation. The link to the study about post operative pain management here can be found at this link.
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What drugs do you use for oral surgery sedation?Your oral surgeon may use Ketamine, Midazolam, and Propofol for sedation. They have access to other ancillary drugs for post operative pain, swelling and infection. Your oral surgeon has been through extensive post graduate training in a hospital setting to safely mitigate and manage sedation and surgical complications. Feel free to ask them before your surgery about any concerns you have about the sedation or the surgery.
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What are the instructions if I was prescribed acetaminophen or Ibuprofen by the oral surgeon after a procedure?Studies and experience have shown that the following pain management regime is the most effective for post extraction pain. If you have allergies or contraindications to any of the following, take only the other drug and discuss with your healthcare provider. The following should be taken every 8 hours at the same time for 10 days or until the pain is gone. You may purchase these over the counter. There is no need for a prescription. 500 mg Acetaminophen (Extra Strength Tylenol). Take every 8 hours for 10 days or until pain is gone. It is contraindicated to take Acetaminophen (Tylenol) if you have liver problems. Do not exceed 3000 mg per 24 hours. 400 mg Ibuprofen (Two 200 mg pills). Take every 8 hours for 10 days or until pain is gone. Do not exceed 1200 mg per 24 hours. It is contraindicated to take Ibuprofen if you are pregnant, have kidney disease, ulcers, heart conditions, or have coagulation (bleeding) issues.
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What type of local anesthetic do you use in your office?We mostly use FDA Pregnancy Category B anesthetics, Lidocaine 2% w/ 1:100,000 epi for most procedures or Prilocaine without epi for those with heart conditions. We have a wide variety available for specific needs beyond the two mentioned above.
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What are the guidelines about CBD and THC use before being sedated?Cannabidiol (CBD) is one of the main extracts of the marijuana plant, second only to tetrahydrocannabinol (THC). THC is the psychoactive component of marijuana. You may be sedated with recent CBD use, although it is advised to discontinue its use 72 hours before your surgery. THC is contraindicated for sedation, and its use needs to be stopped 72 hours before being sedated. If you have consumed THC within 72 hours of your sedation, you will be rescheduled to another day. Please advise your surgeon of CBD and THC use before your surgery.
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I'm taking anticoagulants (blood thinners). What do I need to do before my dental procedure?Anticoagulants (blood thinners) become a concern mostly when extracting teeth, and occasionally before deep cleanings. Alert your dental provider of your anticoagulant use and type before scheduling these appointments. Your dental provider may request you talk with your anticoagulant prescribing doctor to see if modifications need to be made before and/or after your dental procedure. Sometimes the risk of not taking your anticoagulant outweighs the risk of post operative bleeding. Your anticoagulant prescribing doctor or dental provider may elect not to change your regiment. If you are taking Coumadin (generic name Warfarin), it is recommended to have an INR taken 24 hours before your appointment and have a reading of 2.5 or less. If you are taking Xeralto (generic name Rivaraxaban) or Eliquis (generic name Apiaban), your anticoagulant prescribing doctor will need to be aware of the upcoming procedure and will instruct you and your dental provider if or what modifications need to be made. If you take Plavix or Aspirin, modifications to your regiment are rarely needed, but your dental provider will need to know if its use before your dental procedure. More information from the American Dental Association (ADA) about anticoagulants and dental procedures can be found here.
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How often do you really need a dental checkup?The standard recommendation is every six months, but some individuals may require more frequent visits depending on their dental health. Want to know what cadence is right for you? Reach out!
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What happens at a routine dental appointment?A routine dental appointment typically includes a thorough examination of your teeth, gums, and mouth, a professional cleaning to remove plaque and tartar, and possibly X-rays.
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What is included in a dental checkup?A dental checkup usually includes an examination of your teeth and gums, assessment for any cavities or gum disease, a professional cleaning, and sometimes X-rays or oral cancer screening.
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What is a routine dental examination?A routine dental examination is a comprehensive assessment of your oral health. It includes checking your teeth, gums, and mouth for signs of decay, gum disease, and other oral health issues.
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I am experiencing an altered or metallic taste, what should I do?There can be various causes to altered taste in your mouth. Sometimes this may manifest as a metallic taste. Here are some suggestions for each cause. 1. Recent Surgery or Dental Work: After surgery or dental procedures, residual infection or inflammation may affect taste buds. To manage this, maintain good oral hygiene by flossing, using mouthwash per post operative instructions, and brushing twice a day. Follow all post operative instructions. Saltwater rinses can soothe the mouth during healing. The taste usually resolves as soon as the surgical site heals, which may take a few days to a month depending on the surgery, your age, and health condition. 2. Gum Disease: Gum disease (gingivitis or periodontitis) can impact taste perception. If you have actice infection around your gum, the bacteria can cause a bad taste in your mouth. Regularly brushing teeth and gums, using dental floss, and getting dental cleanings often are crucial. You may benefit from deep cleanings and may also be referred to a gum specialist (periodontist). 4. Cold and other Infections: Colds, sinus infections, and upper respiratory infections can change the taste in your mouth. Nasal drainage, sore throat, and a cough can cause altered or metallic taste in your mouth. 5. Medications: Certain medications for heart conditions, gout, and antidepressants alter taste. Prenatal vitamins, iron, or calcium supplements could also be the cause. Discuss with your primary care provider if any of these could be the cause. 6. Chemotherapy or Radiotherapy: Cancer treatments like chemotherapy or radiotherapy can affect taste buds. 7. Indigestion: Acid reflux or indigestion may lead to altered taste. Address indigestion through dietary changes and antacids; taste should normalize afterward. 8. Pregnancy: Hormonal changes during pregnancy can affect taste perception. Fortunately, taste changes are usually temporary and resolve on their own. Discuss with your dentist if you have altered taste that does not resolve.
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What are dental exams called?Dental exams are commonly referred to as dental check-ups or oral examinations.
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What is the difference between a dental cleaning and a check up?A dental cleaning involves removing plaque and tartar from teeth, while a checkup is an overall examination of your oral health, which can include a cleaning but also encompasses evaluations for any dental issues.
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Why do I need a dental checkup?Dental checkups are crucial for maintaining oral health, preventing dental problems, early detection of issues, and ensuring that any existing dental problems don't worsen.
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How often should you get routine checkups at the dentist?Generally, it's recommended to have a dental checkup every six months, but this can vary based on individual oral health needs.
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Do you perform root canals?Yes, all of our dentists perform root canals. We may also send you to a root canal specialist if we feel their expertise and additional instruments and equipment would serve to restore your tooth better.
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When do I need a root canal or a filling?Most people know when they need a root canal. They either have spontaneous pain that wakes them up at night, or they have an abscess with associated draining puss. Another reason for a root canal would be lingering pain. If you have a cavity that goes into the nerve, the nerve might have died and you would feel no pain. If you have a cavity into the nerve canal, you will need a root canal to eliminate a future abscess. We try to eliminate all other possibilities, such as periodontitis or clenching, before doing a root canal. Pain that goes away or is associated with cold, heat, or eating only may be able to be fixed with a filling.
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Do you perform apicoectomies?Yes, apicoectomies are performed by root canal specialists called endodontists. We work with several endodontists. After being seen by a general practitioner, you may be referred to an endodontist if unresolved or recurrent infection after a root canal is present. A retreat of a root canal or an apicoectomy may be indicated. An apicoectomy is a minor surgical procedure to remove the tip of a tooth's root and the surrounding infected tissue. This procedure is typically done when a root canal treatment has not fully eliminated the infection or inflammation in the root area. During an apicoectomy, the endodontist will make a small incision in the gum tissue, access the affected root tip, remove the infected tissue and root tip, and seal the end of the root canal. If you have any concerns or need further information about this procedure, please feel free to contact us.
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How much does a root canal cost?Typically a root canal costs between $350 and $1000 dollars. A significant amount of this cost may be covered by your insurance reducing the cost to $150 - $300 depending on your insurance and the tooth needing the root canal. Some insurances cover the entire cost of root canals. We always give you the cost of any procedure before beginning. Learn more on our guide on root canal costs.
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Can a general dentist perform root canal?General dentists are trained and qualified to perform root canal procedures; however, in complex cases, they may refer patients to an endodontist, a specialist focusing on diagnosing and treating issues within the tooth's interior. Get more expert insights on dentists performing root canals.
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I had a tooth extracted or a root canal, do I need antibiotics?Most routine dental extractions do not require antibiotics. According to the Cochrane study linked here, taking antibiotics may help prevent infection after an extraction but the possible adverse effects may outweigh the benefits. As long as you are healthy and do not require antibiotic prophylaxis, your immune system should naturally be able to prevent most infections after the procedure. Taking antibiotics as a just in case may have unintended consequences such as developing antibiotic resistant strains of bacteria. Taking antibiotics too frequently or unnecessarily can create superbugs and when you happen to get an infection and you need the antibiotics to work, they won't work. This is currently a big problem in the medical community. For this reason, even if your tooth has been keeping you up at night but you do not present with a swelling infection or fever, you are not required to take any antibiotics afterwards. We know that you may perceive it as very serious but developing a resistant strain of bacteria is even more serious. In every case we will give you the best course of medicines and protocols to follow to get you healed as quickly as possible. You dictate your own health.
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Do you fabricate Sleep Apnea/Snoring/Mandibular Advancement (MAD) Devices, if so how much do they cost?Yes we have many options to help you with sleep apnea. Mandible Advancement Devices MADs help position your lower jaw forward, which moves your tongue forward and out of your airway. This can help you sleep better. Mandible Advancement Devices can be used for those who cannot tolerate a CPAP or for those who travel and dont want to take the CPAP with them. Many patients ask if the MADs are covered by medical insurance. They may he if they are directed by your sleep doctor. Unfortunately they are rarely covered by your dental insurance. The cost for a MAD ranges between $400-600. More information can be found by visiting the link here.
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I'm having troubles opening my jaw, what should I do?Trismus, commonly known as lockjaw, is a painful condition where the jaws, or temporal mandibular joint (TMJ) cannot fully open. It can lead to difficulties with eating, speaking, and oral hygiene due to limited mouth opening. Trismus occurs when a person cannot open their mouth more than 35 millimeters (mm). It can be caused by trauma, inflammation, recent dental surgery, infection, and in rare occasions cancer. Start by sticking to a soft food diet and applying hot then cold compresses for 15 minutes on the TMJ (directly in front of the ear). You may also use Non-steroidal Anti-inflammatory Drugs to alleviate the pain. If the symptoms persist or are severe call our office to schedule an appointment.
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Can I eat after my teeth whitening session?It is recommended that you reduce stain producing food such as red wine, spaghetti sauce, and coffee after your sessions. Whitening is appropriate after the age of 13 or when all adult teeth have erupted. Whitening has no adverse effect on teeth according to the American Dental Association.
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What types of whitening do you offer?We offer two whitening products. The in-office Zoom Whitening costs $350-$500 for an hour long session. This whitening can get you a couple of shades whiter within that hour. We recommend you take 400 mg Ibuprofen before your appointment to reduce the sensitivity during and immediately after the procedure. Sensitivity can last for 24 hours after the whitening. We also offer Opalescence take home whitening kits for $85 that give you the exact same result from the comfort of your home. It may take up to one month to get the same results with the take home whitening kit. The take home whitening kit is appropriate for people with sensitive teeth as it allows you to control the time of each session. Some patients like to get the immediate effect of the in-office whitening results and then use the take home kit to maintain their whiteness.
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How often should I do at home whitening to maintain the results of my in office whitening treatment?Typically after your in office whitening session you will want to do an at home whitening treatment weekly to maintain the results. Please keep in mind that your diet (for example drinking items that typically cause staining of the teeth such as coffee, tea, red wine, etc...) will impact the long term results of your whitening.
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Do I have to get x-rays during my dental appointment?We try to follow the ADA recommendation for the amount of radiation, which is called As Low As Reasonably Achievable (ALARA). We only use digital x-rays at our offices. The amount of radiation we use with digital x-rays is measured in micro Sieverts. Getting four bitewing x-rays exposes you to 0.8 micro Sieverts. Getting a panoramic x-ray exposes you to 10 micro Sieverts. Comparatively, eating a banana exposes you to .1 micro Sievert, an airplane flight from New York City to Los Angeles exposes you to 40 micro Sieverts, and a mammogram exposes you to 3,000 micro Sieverts. The maximum allowed dose for a medical worker per year is 50,000 micro Sieverts. There are cases such as pregnancy or current or past radiation treatment where your provider may choose to forgo diagnostic or periodic x-rays. Many times patients are concerned that they recently obtained x-rays at a previous dental office and are concerned they will be charged out of pocket for the x-rays taken with us. Discuss this with your provider as they will most likely NOT charge you out of pocket for these new x-rays. It is VERY important that we obtain x-rays at some point. First, it is our legal and professional obligation to detect pathology not seen clinically. It helps us legally to understand through x-rays what your mouth looks like radiographically before we worked on you. The x-rays we take become part of your medical record and can be used in forensics. Second, it is impossible to do our job of helping you remain healthy if we cannot see what is going on under your gums and teeth. We almost always come to a reasonable solution for both the patient and the provider when deciding when, how much, and how often we will use x-rays to detect pathology. Providers always discuss with patients any radiation concerns before starting to take x-rays. Feel free to discuss any concerns you have with your provider.
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How many dental X-rays are safe per year?There isn't a one-size-fits-all answer, as it depends on individual health needs. However, dental X-rays are generally considered safe and are only performed as needed. The amount of radiation exposure is low, especially with modern digital X-rays.
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Are dental X-ray images really necessary?Yes, dental X-rays are necessary for a comprehensive view of dental health, often revealing issues that are not visible during a regular dental examination.
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What are the three types of dental x-rays?The three common types of dental X-rays are panoramic X-rays (full mouth view), bitewing X-rays (showing upper and lower teeth in a specific area), and periapical X-rays (focusing on a single tooth).
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What can dental x-rays detect?Dental X-rays can detect a variety of issues like cavities, especially between teeth, decay beneath fillings, bone loss in the jaw, infections, positioning of unerupted teeth, and abscesses.
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How often should dental x-rays be taken?The frequency of dental X-rays depends on individual oral health needs. Typically, they're recommended every 6 to 18 months. For those with specific dental issues, more frequent X-rays may be necessary.
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Do you see kids?We love seeing kids of all ages. We have many options to take care of your child if they are apprehensive about the dental office. Parents are allowed and encouraged to be in the operatory with the children. We never push anyone, especially kids, through clinical procedures. The last thing we want is to create emotional scars that last a lifetime. You are the boss during your dental visit, we are just the hands that help. Please schedule an appointment with any of our amazing, caring dentists.
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What is included in the $29 new patient exam and x-rays advertised on your website?The $29 promotional price covers a one-time exam and x-rays for new patients. This can be for a specific issue with a single tooth or a comprehensive exam and x-rays for all your teeth. A cleaning is an additional $100 for adults or $67 for children, and fluoride treatment costs an extra $55. If you choose to join our practice, our discount plan offers better value: for $200 per year for an individual or $300 for a family (covering everyone up to age 26), it includes all exams and x-rays for the year, one free simple cleaning, and a 25% discount on any additional dental treatment needed. Essentially if you decide to move ahead with treatment or decide come back to our office for a cleaning, there is no better deal than our discount plan.
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Do you accept Colorado Medicaid?We absolutely love seeing patients who have Medicaid. Colorado has an amazing adult Medicaid benefit, which provides an unlimited amount for routine care including cleanings, fillings, extractions, root canals, and crowns. Colorado Medicaid also provides an additional unlimited amount for dentures and partial dentures. We try hard to take care of your dental needs at no cost to you. Children under 21 have an unlimited benefit that allows them to get most all of their dental care at no cost, such as braces for example. Also read: Denver Medicaid Dentists. We would love to take care of all of your dental needs. Please schedule an appointment at any of our offices, we can see you today!
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Do you offer same-day appointments?Absolutely! It is advisable to call the office ahead of time, just in case the office is closed or there are scheduling concerns that may make you wait longer than you'd prefer. If our office is closed or busy, we may direct you to another office that has the ability to see you sooner. Give us a call at 720-580-1117 to see what options are best for your particular situation!
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What are your hours for emergency services?Our offices are open from 7:30 am to 7:30 pm Monday through Saturday, except for Sunday when we are closed. However, our Answering Service is available 24/7 via phone, email, and chat to help with any questions or concerns you have outside of those hours.
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What do braces and Invisalign cost?Typically braces and/or Invisalign cost between $3500 to $6500 for a 24 month treatment. Some treatments can be more or less than this depending on your treatment goals and skeletal configurations. Insurances can pick up a portion of this fee. We always give you the cost of any procedure before beginning.
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Do you see kids?We love seeing kids of all ages. We have many kids' dental options to take care of your child's dental needs if they are apprehensive about the dental office. Parents are allowed and encouraged to be in the operatory with the children. We never push anyone, especially kids, through clinical procedures. The last thing we want is to create emotional scars that last a lifetime. You are the boss during your dental visit, we are just the hands that help. Please schedule an appointment with any of our amazing, caring dentists.
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Do you accept Colorado Medicaid?We absolutely love seeing patients who have Medicaid. Colorado has an amazing adult Medicaid benefit, which provides an unlimited amount for routine care including cleanings, fillings, extractions, root canals, and crowns. Colorado Medicaid also provides an additional unlimited amount for dentures and partial dentures. We try hard to take care of your dental needs at no cost to you. Children under 21 have an unlimited benefit that allows them to get most all of their dental care at no cost, such as braces for example. Learn more: Denver Medicaid Dentists. We would love to take care of all of your dental needs. Please schedule an appointment at any of our offices, we can see you today!
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Do you accept dental insurance?Yes, we accept most major dental insurance plans and offer financing options to make quality dental care accessible. Our team will help you understand your coverage and maximize your benefits. Learn more here: https://www.openandaffordable.com/finances
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What makes your dental practice different?Our practice is owned and led by women dental professionals who bring a unique perspective to dental care. We focus on creating a calm, nurturing environment while providing exceptional care with advanced techniques for patients of all genders and backgrounds.
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How can I prepare for my first appointment?Please arrive 15 minutes early to complete paperwork, bring your ID and insurance information, and make a list of any medications you're taking. Let us know about any concerns or anxiety you may have so we can ensure your comfort.
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Why choose a female-owned dental clinic?Many patients appreciate our approach to dental care, which emphasizes attentive communication, a gentle touch, and a comfortable environment. Our female-owned practice provides a supportive setting where all patients feel heard and valued.
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Does periodontal treatment hurt?We prioritize patient comfort during all procedures. For non-surgical treatments like scaling and root planing, we use local anesthesia to ensure you feel minimal discomfort. For surgical procedures, we offer various sedation options. Most patients report mild soreness for 1-2 days following treatment, typically manageable with over-the-counter pain relievers. Our compassionate team provides detailed post-treatment instructions to promote healing and minimize discomfort.
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What's the difference between regular cleaning and deep cleaning?Regular dental cleanings (prophylaxis) focus on removing plaque and tartar above the gumline and are appropriate for preventive maintenance in healthy mouths. Deep cleaning (scaling and root planing) is a therapeutic procedure for treating gum disease that removes bacteria, calculus, and toxins from below the gumline and smooths root surfaces to promote healing and gum reattachment. Deep cleaning is typically performed with local anesthesia for comfort.
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How do I know if I have a gum disease?Common signs of gum disease include bleeding when brushing or flossing, red or swollen gums, persistent bad breath, gum recession (teeth looking longer), sensitivity to hot or cold, loose teeth, and changes in how your teeth fit together. If you notice any of these symptoms, it's important to schedule an evaluation promptly as early treatment is more effective.
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Will my insurance cover periodontal treatment?Most dental insurance plans provide some coverage for periodontal treatment, particularly when medically necessary. Coverage varies by provider and plan, typically covering 50-80% of procedure costs after meeting deductibles. Our team will work with you to verify your benefits and maximize your coverage. For patients without insurance or who need additional financial assistance, we offer affordable payment plans to make treatment accessible.
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What insurance companies does Open and Affordable work with?We currently work with Medicare (including WellMed), Blue Cross Blue Shield , United Healthcare (including UMR, and Student Resources), and Aetna. Please reach out if you'd like us to add coverage for another network!
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