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Dental implants are an increasingly popular choice when we need to replace a lost tooth or teeth. The reasons for choosing an implant are clear: implants look just like our natural teeth, are firmly anchored in the jaw just like our natural teeth, and are easy to clean and care for just like our natural teeth.

Not as clear? Whether your insurance will cover your implant procedure. Because implants are often more expensive than other replacement options, it’s important to learn just what your insurance plan provides, and what your out-of-pocket expenses will be. What do you need to know?

Know your policy

Dental and medical plans vary widely, from individual to individual, company to company, and state to state. Depending on your specific policy, you might be covered for part or most of the cost of a procedure, or your plan may provide no coverage at all. It pays to find out ahead of time!

Know the reason for your procedure

Your coverage may be affected by the reason for your procedure and whether it’s seen as medical or dental.

• If your dental insurance policy considers an implant to be a cosmetic or an elective treatment, implant surgery may not be covered. However, the cost of the crown restoration could be, at least in part.
• If implants are used to anchor a bridge or a denture, your dental policy might provide partial coverage, at least to the monetary extent that the insurance company would cover standard bridges or dentures.
• If you are suffering medical complications because of tooth loss due to illness, accident, or injury, your medical health insurance could cover some of your expenses.

 Know your plan’s annual and lifetime limits

If you do have dental coverage, there might be limits imposed on the kind and number of procedures allowed during a calendar year. You could also have yearly maximum benefits or lifetime maximum benefits, after which your expenses will be out-of-pocket.

Find out which steps of the implant procedure are covered

The implant process can require different steps, some of which may be covered by insurance while others are not. Depending on your needs, these steps can include:

• Extraction
• Bone grafting
• Implant surgery
• Crown restoration
• Anesthesia

Your policy may or may not cover any of these individual procedures, so it’s always best to discover exactly what’s involved in your implant treatment before you begin.

Know how to find out what you need to know!

• Talk to our San Antonio or Castroville office before you schedule surgery. Oral and maxillofacial surgeons are experts in implant procedures, and can provide you with an explanation of just what services will be involved at every stage of your implant treatment, as well as a pre-treatment estimate.
• Talk to your dental insurer to see exactly what coverage they provide for the procedure or procedures you might need.
• And don’t forget to touch base with your medical insurer if you need implants as the result of a medical condition, accident, or injury.

Finally, talk to Dr. Mazock, Dr. Salazar, and Dr. Coleman again! We want to make sure that you receive all of the coverage that you are entitled to, and that your implant procedure is as affordable as it can be for this lifetime investment in your oral health. Whether it’s working with you to make the most of your insurance coverage, or working with you to discuss a financing plan that fits your budget, we will do their best to provide the clear answers you need.

Thanksgiving marks the start to the holidays; a season filled with feasting, indulging, and spending time with family and friends are always special. Thanksgiving is a holiday meant for giving thanks, and while this may seem like such a natural celebration, the United States is only one of a handful of countries to officially celebrate with a holiday.

Unlike many holidays, Thanksgiving is a secular holiday, and it is celebrated on the fourth Thursday in November in the United States. In Canada, it is celebrated on the second Monday of October, which is, oddly enough, much closer to a time when harvests were likely gathered. In addition to the different dates, the origins of the celebration also share different roots.

Thanksgiving in the United States

Giving thanks for a bountiful harvest are not new, but the modern day holiday in the US can be traced to a celebration at Plymouth in Massachusetts in 1621. This feast of thanksgiving was inspired by a good harvest, and the tradition was simply continued on. At first, the colony at Plymouth didn't have enough food to feed everyone present, but the Native Americans helped by providing seeds and teaching them how to fish, and they soon began to be able to hold a feast worthy of the name. The tradition spread, and by the 1660s, most of New England was hosting a Thanksgiving feast in honor of the harvest.

Canadian Thanksgiving

An explorer of early Canada named Martin Frobisher is accredited for the first Canadian Thanksgiving. He survived the arduous journey from England through harsh weather conditions and rough terrain, and after his last voyage from Europe to present-day Nunavut, he held a formal ceremony to give thanks for his survival and good fortune. As time passed and more settlers arrived, a feast was added to what quickly became a yearly tradition. Another explorer, Samuel de Champlain, is linked to the first actual Thanksgiving celebration in honor of a successful harvest; settlers who arrived with him in New France celebrated the harvest with a bountiful feast.

A Modern Thanksgiving

Today, Thanksgiving is traditionally celebrated with the best of Americana. From feasts and football games to getting ready for the start of the Christmas shopping season, Thanksgiving means roasted turkey, pumpkin pie, and green bean casserole. No matter how you celebrate this momentous day, pause for a moment to give thanks for your friends, family, and all the bounties you’ve received. Happy Thanksgiving from San Antonio Oral & Maxillofacial Surgery Associates, P.A.!

Preparing for oral surgery is much like preparing for any other outpatient procedure. The steps you take leading up to the operation play a significant role in the safety of your procedure and your recovery experience. It is important that you speak with Dr. Mazock, Dr. Salazar, and Dr. Coleman prior to an oral surgery to find out what you should expect and the ways you can facilitate a quick and complication-free recovery.

Food and Drink

If you will be under anesthesia or IV sedation during your surgery, you will be asked to fast from food and drink in the hours leading up to your procedure. If your surgery is scheduled in the morning, Dr. Mazock, Dr. Salazar, and Dr. Coleman may ask you to avoid eating or drinking after midnight the night before. Otherwise, a fasting period of at least eight to 12 hours must be observed. However, there may be exceptions for people with certain medical conditions, such as diabetes. Talk to our team if you have questions about pre-operative fasting.

Clothing and Hygiene

You should arrive at your appointment dressed comfortably in short-sleeved, loose-fitting shirt. Avoid wearing valuable clothing, and leave all jewelry at home. If you wear a removable dental prosthetic, such as dentures or a bridge, bring a case to store it in during the procedure. You should also avoid wearing contacts or makeup, though you may wish to bring apply lip moisturizer or balm to prevent chapping during the procedure.

Transportation

You will need to arrange transportation to and from your oral surgery at our San Antonio or Castroville office, as you will not be allowed to drive yourself home after the procedure. The person you choose should be a responsible adult who will remain in the office for the duration of your surgical appointment. Depending on the type of anesthetic used during your procedure, you may need someone to stay with you at home in the hours immediately following your appointment.

Recovery

Take steps now to prepare for the days following your procedure. It can take weeks for your mouth to fully heal after surgery, although most swelling subsides within a few days. If you have young children, arrange for someone to care for them during the days immediately following your appointment. Purchase soft foods that are safe to eat after oral surgery, such as yogurt or soup, and freeze an ice pack to help minimize swelling.

Happily, a root canal is usually all that you need to treat an infection in your inner tooth. But when inflammation or infection returns at the tip of the root, or in the bone surrounding the tip, your dentist may recommend that you see an oral and maxillofacial surgeon like Dr. Mazock, Dr. Salazar, and Dr. Coleman for further diagnosis and treatment.

And often when pain, inflammation, or infection recur after a root canal, we may suggest an apicoectomy—a procedure that can save your natural tooth and prevent further infection or damage to the neighboring bone and teeth.

• Just what is an apicoectomy?

The tip of a root is also called its “apex.” An apicoectomy means the surgical removal (“ectomy”) of the apex (“apico”) of a tooth’s root.

• How does the procedure work?

Often local anesthesia is all that is needed. (But if you have concerns, talk to us about your anesthesia and sedation options. We are expert in all forms of anesthesia.)

After the area is numb, an incision is made in the gum tissue to allow access to the root and any affected bone tissue.

Dr. Mazock, Dr. Salazar, and Dr. Coleman will carefully remove the tip of the root and any damaged or infected tissue from the bone surrounding it. The root end will then be cleaned and sealed.

Stitches or sutures will be used to close the incision, which will either dissolve on their own or which will be removed on a follow-up visit. We will let you know just how to take care of the site after surgery.

In general, any pain or sensitivity after the procedure can be treated with over-the-counter anti-inflammatory pain relief such as ibuprofen. Patients should follow post-op instructions carefully to reduce any swelling, and be sure to follow any dietary suggestions and restrictions.

• Why choose an oral and maxillofacial surgeon for your apicoectomy?

An oral and maxillofacial surgeon has the training and skill to perform this specialized procedure. After dental school, oral surgeons pursue four to six years of additional advanced medical studies at a residency-based hospital.

They train with medical residents in the fields of anesthesiology, general surgery, internal medicine, and other surgical areas, concentrating on the bone, skin, and muscle of the face and jaw. They are uniquely qualified to diagnose and treat oral conditions that require a surgical solution, and routinely perform procedures such as apicoectomies.

Happily, a root canal is usually all that you need to treat an infection in your inner tooth. But if you have recurring or new pain or infection after a root canal, and if you want to preserve your natural tooth, an apicoectomy at our San Antonio or Castroville office is an option well worth investigating.