top of page
xray.webp

Get a Deeper Look with our Dental X-rays

Emergency Call

We can schedule you at anytime, call or email us 24/7 to schedule your appointment.

I’m a paragraph. Double click me or click Edit Text, it's easy.

Where Are We?

We have multiple locations across Colorado.

Office Hours

Mon - Sat        7:30 AM - 7:30 PM

Sunday            Closed

Comprehensive Dental X-Ray Services in Colorado 

Unlocking a Deeper Understanding of Your Oral Health

 

At Open and Affordable Dental and Braces, we recognize the vital role that X-rays play in dental health and diagnostics. Our state-of-the-art X-ray services are designed to provide a comprehensive view of your oral health, aiding in accurate diagnosis and effective treatment planning.

 

How Dental X-Rays Work

 

Using minimal electromagnetic radiation, dental X-rays capture clear images of your mouth’s internal structures. We offer Panoramic, Bitewing, and Periapical X-rays according to your needs. We also offer 3D Imaging when necessary.

 

Safety and Convenience

 

We prioritize your safety with every X-ray taken. The low radiation levels combined with protective measures ensure a risk-free experience. Our digital X-ray process is quick and comfortable, integrating seamlessly into your dental visit.

 

Schedule Your Appointment

 

Whether you're due for a routine check-up or require a more detailed examination, our dental X-ray services are here to provide clarity and direction for your oral health journey. Contact Open and Affordable Dental and Braces today to schedule your appointment.

Advantages of Regular
Dental X-Rays

Early Detection

Regular dental X-rays are pivotal in detecting oral health issues at an early stage. They reveal hidden problems such as cavities, gum disease, and even early signs of oral cancer that are not visible during a standard dental exam. Early detection through X-rays leads to timely intervention, potentially saving teeth and reducing the need for more complex treatments in the future.

Comprehensive Analysis

Dental X-rays provide an in-depth view of your oral health, beyond what can be seen with the naked eye. They are instrumental in evaluating the condition of teeth, underlying bone structure, and the positioning of your jaw. This comprehensive analysis is critical when planning intricate dental treatments such as implants, orthodontic procedures, or complex restorations like bridges and dentures. By understanding the full scope of your oral health, we can tailor treatment plans to your specific needs, ensuring optimal outcomes.

Digital Technology

Embracing the latest advancements in dental technology, our clinic uses digital X-rays, which offer several benefits over traditional methods. Digital X-rays produce images almost instantaneously, reducing the waiting time. They also use significantly less radiation, enhancing patient safety and comfort. The image quality of digital X-rays is superior, allowing for more precise diagnoses. Additionally, these digital images can be easily stored, retrieved, and shared electronically, facilitating better communication with other dental professionals involved in your care.

Types of Dental X-Rays

Panoramic X-Rays

Offering a full view of your mouth, including upper and lower jaws, jaw joints, sinuses, and nerves. Ideal for a broad overview of oral health.

Bitewing X-rays

Focused on showing upper and lower teeth in a specific area, these X-rays are crucial for detecting decay between teeth and changes below the gum line.

Periapical X-rays

Providing a detailed image of a single tooth, from crown to root, these X-rays are essential in identifying decay, gum disease, and bone loss.

Meet the Team

  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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!
  • Are you hiring?
    We are always looking to hire doctors, hygienists, assistants, front office, and practice support staff. Please apply here!
  • 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.
  • 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.
  • 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.
  • 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.
  • 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 as soon as possible, usually within 15 minutes. It is advisable to call the office ahead of time just in case the office is closed. We encourage all to schedule their appointment, so we can increase your and everyone else's patient experience. If your nearest office is closed, you may be seen at any adjacent office. 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • Are your offices wheel chair accessible?
    All offices are ADA (American with Disabilities Act) compliant.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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 or silver used in your crown. Ask your doctor for more information.
  • 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 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.
  • What is a bridge?
    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.
  • What type of guarantees are there at your office for dental services?
    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.
  • 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.
  • 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.
  • I experience sensitivity, what should I do?
    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.
  • 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.
  • What is classed as 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
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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!
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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).
  • 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.
  • Do you accept HMO/DMO plans?
    Your plan requires you to use certain doctors, and honestly there aren’t many doctors that take HMO plans. As a courtesy to HMO members, 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 during open enrollment or renew your discount plan when it expires.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • Are tooth implants painful?
    While the implant procedure may involve some discomfort, most patients report it being less painful than expected. Local anesthesia and sedation are used during the procedure to minimize discomfort. Ask for Nitrous Oxide if you're particularly anxious about the procedure.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • Which Open and Affordable Dental and Braces offices offer nitrous oxide for treatment?
    Currently nitrous oxide is offered at 3 Open and Affordable Dental and Braces offices. Those include: Aurora South, 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.
  • What are minor oral surgeries?
    Minor oral surgeries include procedures like simple tooth extractions, minor soft tissue surgeries, and dental implant placements. These are generally less complex and involve quicker recovery times.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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!
  • 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.
  • 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.
  • 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.
  • What are dental exams called?
    Dental exams are commonly referred to as dental check-ups or oral examinations.
  • 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.
  • 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.
  • 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.
  • What are the instructions if I was prescribed acetaminophen or Ibuprofen 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.
  • 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.
  • 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. ​
  • 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.
  • 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.
  • 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.
  • 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.
  • 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).
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • How much does a root canal cost?
    Typically a root canal costs between $300 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.
  • 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.
  • 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.
  • What types of whitening do you offer?
    We offer two whitening products. The in-office Zoom Whitening costs $350 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 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 kit. The take home 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 and then use the take home kit to maintain their whiteness.
  • 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.
  • 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.
  • 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).
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
bottom of page