In part one of our Guide to Common Dental Procedure Series, we discussed implants, and in part two, we discussed crowns. In this section, we’ll discuss preventative procedures and maintenance that may prevent the necessity for both implants and crowns.
While some dental issues are caused by medical conditions, genetics, or accidents, many dental problems can be prevented if caught early on. Let’s discuss the procedures that can help maintain oral and dental health to keep your natural smile healthy and pain-free.
Here are some steps to correct minor dental problems before they lead to more significant issues requiring full mouth restoration or an all-on-X procedure.
Procedure 1- Adult Prophy and Scaling
When It’s Used
This is the technical term for professional tooth cleaning. Regular, healthy teeth should be done every six months. If you suffer from gum disease or weak enamel (which is prone to cavities), 3-4 months may be recommended.
What is Involved
Prophylaxis is short for dental prophylaxis, so a thorough cleaning is needed to prevent cavities and maintain good oral health. Scaling removes calculus (plaque) buildup along and below the gum line and between teeth where regular brushing can’t always reach.
Scaling and prophy are generally accomplished with hand instruments, dental floss, an ultrasonic cleaner, and lots of skill and patience. They are often followed up with a polish or fluoride rinse.
How Long It Takes
While the process itself is detailed and requires lots of skill, our dental assistants are masters at their craft. It generally takes 20-30 minutes to complete. However, it is usually part of a regular check-up, so we typically schedule a 60-minute appointment.
Cost Comparison
In the US, the cost of prophy and scaling can vary dramatically, depending on how long it takes and what other services/products the particular dental office includes as part of the procedure (e.g., polish, fluoride, whitening, etc.). Generally, you can expect to pay between $400 and $4000 for the treatment.
At Meza Dental (San Jose or Cancun), this procedure includes cleaning and scaling and costs an average of $150.
Procedure 2- Composite (aka Fillings)
When It’s Used
When you experience toothaches or sharp tooth pain, either during eating or when enjoying a hot or cold drink, you probably have a cavity. Fixing this issue will require a composite.
Composite is the professional term for filling because it’s made of a composite resin.
What is Involved
The first step in this procedure is to determine the extent/size of the damaged area (cavity) using X-rays and visual assessments. Once the team has created a plan for the best treatment, you are given a local anesthetic to numb the area.
The damaged material of your tooth is then removed using a dental drill. The hole is cleaned and dried, and then an adhesive is applied before the composite material is pushed into the cavity a little at a time to ensure that it fills the area without air bubbles and adheres to the enamel properly. Then, it is smoothed and shaped to blend in with the rest of your tooth.
How Long It Takes
As you can see, the process is pretty straightforward. Most small cavities can be fixed in less than 30 minutes, but the more you have, the longer it takes.
Cost Comparison
The average cost of one composite tooth in the US is $150. In Costa Rica or Mexico, that price can range from $85 to $200, depending on the surfaces treated in each tooth.
Procedure 3- Root Canal
When It’s Used
A root canal is required when the pulp in the tooth’s root has become infected. Any infection in the body is severe because it can enter the bloodstream and spread.
In some cases, the infection can be treated using an antibiotic, and the cavity that allowed the tooth to become infected can be repaired. But if the tooth has been infected for a long time, there may be bacteria in the root. If so, the pulp must be removed to save the tooth.
What is Involved
A root canal can’t be performed while the infection is still active, so you will typically have to undergo a course of antibiotics first. Once that is done, the extent of the damage is assessed using X-rays.
During the procedure, the tooth is numbed using a local anesthetic, and the infected pulp is carefully removed using drills and tiny brushes. The inside of the tooth is then disinfected and cleaned to ensure that it remains healthy. Then, the tooth is filled and sealed in the same way as a regular composite.
How Long It Takes
The procedure’s time depends on the tooth’s size and the extent of the damage. To be successful, we ensure that all the damaged pulp is removed, which can take anywhere from 90 minutes to 3 hours.
Cost Comparison
The cost of a root canal can vary greatly depending on the size and location of the tooth, but in general, it is between $650 and $1,500 per tooth in the US.
You can expect to pay $400- $500 per tooth in Costa Rica or Mexico.
Procedure 4- Dental Post
When It’s Used
When a tooth has extensive damage, you may require a dental post. In cases where the damage is minimal, composite alone can be used to repair a tooth, but we may decide to insert a post if the damage is extensive. Here is why.
Picture a molar. If the center of the molar has a cavity or requires a root canal, and removing the damaged tissues leaves a big hole, then the sides of the tooth have much less support than they used to, even with composite.
That can make teeth prone to breakage, which is better to avoid. By putting a post into the root canal and then using composite to fill around the post, we add structural integrity to the tooth and prevent future breakage.
What is Involved
The procedure is very similar to a regular composite filling or root canal, with the exception that we will drill out a space to put the post (usually within the canal that houses the tooth’s root), and cement the post in place before the composite material is added to complete the repair.
How Long It Takes
Installing a post can take as little as 15 minutes, but the procedure is generally performed as part of a crown buildup (to strengthen a tooth before a crown is placed over it) or after a root canal (for the same reason).
Cost Comparison
This procedure in the US will run between $250 to $500. At Meza Dental (San Jose or Cancun), the price drops to $200 for each.
Procedure 5- Extraction
When It’s Used
When a tooth is damaged beyond repair (which can happen for many reasons), it must be removed. This is known as an extraction.
What is Involved
Before any extraction, anesthesia will be used to numb your mouth. Then, for a simple extraction, a tool known as an elevator loosens the tooth from your gums. Once loose, forceps are attached to the tooth to pull it out.
If the tooth is impacted (because it didn’t erupt properly or grew at an angle) or if there isn’t enough tooth to grab ahold of, the extraction will be done surgically. In this case, an incision will be made into your gum to provide better access to the tooth. In these cases, some bone may need to be removed to extract the tooth, or the tooth may need to be removed in pieces.
After the extraction, a blood clot will naturally form in the cavity, the tooth will stop bleeding, and healing will begin, which is usually required before the follow-up procedures that usually accompany extractions.
If this doesn’t happen naturally, a dressing may be placed so the bone isn’t exposed during the healing process. In the case of surgical extraction, a suture (stitch) may also be placed to help close the incision.
How Long It Takes
The process itself takes between 20-40 minutes. So, a simple extraction can be done during a 30-minute appointment, with multiple extractions taking longer.
In general, if you were given I.V. sedation, you will be asked to stay until the effects wear off, and we are sure that you are suffering no ill effects, so you can expect to be in the office for an hour.
Cost Comparison
A regular extraction in the US costs $75-$200 for each tooth, depending on the type of anesthesia used. However, if the tooth is impacted (which may require more extensive dental surgery and general anesthesia), it can be $800- $4,000 per tooth.
At Meza Dental, the price range for a simple extraction is $95, and for a surgical extraction(like a wisdom tooth) is $350.
The Little Things Add Up
Now that you know all about the basic procedures that help maintain your dental health and what will happen if they need a little help, you can see why dentists recommend cleaning, flossing, and keeping your teeth! As advanced as modern dentistry has become, nothing beats the teeth you were born with for comfort and functionality, and a little bit of effort every day can save a lot of headaches down the road.
Still, life happens, and sometimes we need a little help to return our teeth to their happy, healthy selves. If that’s the case, call us toll-free from Canada and the US at 1-(877)-337-6392. Our friendly English-speaking staff is ready and waiting to answer your questions and set your appointment with Meza Dental.v
You can also email us at contact@mezadentalcare.com or head to our website for your free estimate.
Stay tuned for our following Guide to Common Dental Procedures, where we will discuss correcting and repairing the underlying structures.
Article written by Dr. Alberto Meza
Dr. Meza provides patients with valuable insights and expert guidance to help them achieve optimal dental well-being.
His commitment to delivering high-quality care and staying updated on the latest dental advancements makes him a trusted source for comprehensive dental solutions.