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What is dental care?

Why would you want to know about dental care in insurance plans? Well, when it comes to your teeth and their appearance, it can make a huge difference in your daily life.

All three types of preventative, basic and extensive dental care are important and should be part of a comprehensive dental care plan.

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Here are the main dental treatments: dental scaling, fillings and composites, dental root canalization, crowns, dental prostheses, orthodontic appliances, dental extraction and much more.

The preventative dental care aim to prevent dental problems before they occur. This may include regular teeth cleanings, fluoride treatments, and sealants.

The basic dental care are used to diagnose and treat existing dental problems. This can include fillings, crowns, root canals and extractions.

The extensive dental care or majors focus on more complex treatments, such as implants, bridges and orthodontic treatments. These types of treatments are often more expensive, but they can improve the overall health and appearance of your teeth.

This post will share some tips for taking care of your teeth and choosing a good dental care plan.

In this section:

  • Preventive dental care
  • Basic dental care
  • Extensive or major dental care
  • Urgent Care
  • Orthodontic Care
  • Examples of dental care covered by dental insurance
  • How to receive free dental care?
  • Reimbursement of dental care at the dentist
  • What are the best dental care tips to follow?
  • Do you have dental insurance?

 

What is preventative dental care?

Preventative dental care is essential to maintaining good oral health. This includes regular checkups, brushing and flossing twice a day, and eating a balanced diet. Regular check-ups allow the dentist to quickly identify any potential problems and provide treatment before they get worse.

Brushing and flossing twice daily removes plaque and bacteria from teeth and gums, preventing cavities and gum disease.

A balanced diet is also important, as it helps keep teeth strong and healthy. Foods such as fruits, vegetables, dairy and whole grains provide essential nutrients for healthy teeth and gums.

At the dentist, some of the most common preventative dental services include cleanings, exams, and x-rays.

This item "Preventative Dental Care” provides an overview of preventative dental care and how it can help keep your teeth and gums healthy for years to come.

 

What are basic dental care?

Basic skilled dental care at the dentist is light. These are the non-urgent care required to establish a level of operational dental condition. This effectively prevents the formation of cavities and tartar.

However, you should also visit a dentist at least twice a year for an examination and professional cleaning. Most dental insurance plans cover basic dental care, including exams and cleanings. These treatments are eligible for dental insurance reimbursement of up to 80%.

Basic dental care at the dentist includes:

  • Fillings
  • Extractions
  • dental decalcification
  • root canals

Read more about basic dental care, here

 

What is extensive or major dental care?

Extensive or prolonged dental care has many advantages. Complete mouth rehabilitation can transform your mouth into a healthy and pleasant place. Prevention is better than cure. If you have dental problems that have been ignored, it is important to make an appointment with your dentist.

In most cases, extended dental coverage includes basic dental care as well as:

  • oral surgery
  • periodontics
  • endodontics (root canal treatment),
  • orthodontics
  • the crowns
  • bridges and prostheses.

Regarding oral surgery, periodontics and endodontics (root canal treatment), orthodontics, crowns, bridges and prosthetics, treatment is only eligible in the 2nd year.

Extended dental care is an important part of staying healthy and you can learn more about it here 

 

Urgent Care

Emergency care is intended to treat dental problems that require immediate attention due to acute pain, trauma, or accidents. They include:

  • Treatment of severe dental pain.
  • Emergency extraction broken or damaged teeth.
  • Tooth repair damaged following an accident.

Most insurance policies offer coverage for emergency care, although reimbursement terms may vary.

Orthodontic Care

Orthodontic care is specifically designed to correct the alignment of the teeth and jaw. It includes:

  • Dental appliances : to straighten teeth.
  • Clear Aligners : an alternative to dental appliances to correct alignment.
  • Treatments for malocclusions : corrects jaw misalignments.

Orthodontic care is often partially covered and may require specific insurance plans.


Summary of Types of Dental Care :

Type of careDescription
Preventive careCleaning, examinations, x-rays, fluoride application
Basic careFilling, tooth extraction, gum treatments
Extended (major) careCrowns, bridges, prostheses, dental implants
Urgent CareTreatment of acute pain, emergency extractions, repair of damaged teeth
Orthodontic careDental appliances, clear aligners, malocclusion treatment

These categories help you better choose dental insurance coverage that fits your specific dental care needs.

 

 

 

Difference between dental care and dental coverage.

Here is a table comparing the types of dental care with the types of dental coverage. This distinction clearly shows that care represents the treatments received, while coverage represents the levels of coverage by insurance.

Types of Dental CareDescription of Dental CareTypes of Dental CoverageDescription of Dental Covers
Preventive CareRegular checkups, cleanings, x-rays, fluoride application to prevent cavities and other problemsPreventive CoverageTypically reimburses routine exams and cleanings, often 100% to encourage regular care
Basic CareRoutine dental care, such as fillings and simple extractionsBase CoveragePartially covers routine treatments, often 80%, with the patient covering the remainder
Major (or Extended) CareMore complex procedures: crowns, bridges, dentures, root canals, etc.Major Care CoverageOften reimbursed at 50% and includes treatments such as crowns and dentures; a deductible may apply
Orthodontic CareTreatments to straighten teeth, such as braces and alignersOrthodontic CoveragePartial or capped coverage of orthodontic costs, often limited to children, but sometimes includes adults
Urgent CareImmediate care for pain management or accidents, such as emergency root canal treatmentsEmergency Care CoverageCan cover up to 100% of costs in an emergency; special conditions for care outside of hours
Beauty careAesthetic improvement of the smile: whitening, veneers, etc.Aesthetic CoverageRarely included in standard plans, these treatments are often considered non-essential by insurers
Complete careAll types of necessary dental care including preventive, basic, major, urgent and cosmeticFull Coverage (or Complete)Offers extensive coverage for dental care, often with high reimbursements and high caps

This table helps to better understand the distinction between dental care (the treatments and services provided) and dental coverage (the level of reimbursement offered for each type of care).

 

The distinction between the dental care and dental covers lies in what is done in the clinic (care) and what is covered by insurance (coverage). Here is another table that illustrates the differences between the two concepts:

AspectDental careDental Covers
DefinitionServices and treatments provided by dental professionals to maintain or restore oral health.Insurance plans that provide financial coverage for dental care depending on the levels and types of coverage.
Types of carePreventive, basic, extensive/major, urgent, orthodonticCoverage of care by type: preventive, basic, major, orthodontic; varies according to the plan and the options chosen.
ExamplesCleanings, fillings, extractions, crowns, dental appliances100% coverage for preventive care, 80% for basic care, 50% for major care, etc.
FrequencyMay be needed regularly (e.g. preventative care) or occasionally (e.g. emergency care)Coverage policies define the frequency of reimbursements (eg. 2 cleanings per year, 1 annual exam, etc.)
CostCost varies depending on the type of care and complexity (can be high for major and orthodontic care)Insurance premium to be paid regularly (monthly or annually); some plans include a deductible or annual limit.
The goalMaintain dental health, treat disease and restore teethReduce costs for the insured by covering part or all of the necessary dental care.
UsersAll patients requiring dental careThose who wish to reduce the cost of dental care with specific coverage for them and/or their family.

In summary, the dental care are the services provided by the dentist, while the dental covers are insurance products intended to partially or fully cover the cost of this care.

Examples of dental care covered by dental insurance

Examples of dental care covered by thedental insurance include preventive services such as routine exams, cleanings and x-rays; restorative services such as fillings, crowns and root canals; and major services such as bridges, dentures and implants.

Some policies also cover orthodontic care, which includes braces and other corrective treatments. Some plans also provide coverage for emergency services, such as treatment for a broken tooth or severe toothache.

Other services that may be covered include periodontal care, which includes the diagnosis and treatment of gum disease, and oral surgery, which may include wisdom tooth extraction and other procedures. Here are other examples covered by dental insurance.

Dental scaling

Dental scaling is a common dental procedure used to remove plaque and tartar from teeth. This is hardened plaque that can only be removed with a dental scaling procedure. Descaling It can be carried out with a scaler or a water jet.

It is a procedure that should not be confused with teeth whitening. Teeth whitening will only restore the natural color of your tooth enamel, while dental scaling involves removing plaque and tartar buildup on your teeth.

Dental scaling insurance is important coverage for people who need regular dental care. This type of insurance helps cover the cost of professional scaling, which includes removing plaque, tartar, and bacteria from teeth. It is an important part of maintaining good oral hygiene because it helps prevent gum disease and cavities.

Dental scaling insurance can be obtained from many insurers and is often included in comprehensive dental plans. It's important to read the coverage details before signing up for a plan, as some may only cover certain types of scaling. Additionally, it is important to be aware of any restrictions or exclusions that may be included in the policy.

Filling or filling

 Filling, also called “filling” in our community, is a common procedure used to repair teeth that have been damaged by decay. This is a relatively simple and painless procedure that can be completed in just a few minutes.

The filling is made of a material such as amalgam, composite, or porcelain that is used to fill the cavity and restore the tooth to its natural shape and function.

The dentist will first remove the decay and then apply the filling material to the affected area. The filler material will harden in place and provide protection against further rot.

Dental fillings are an effective way to restore teeth that have been damaged by decay and can help improve the appearance of teeth. It is also a cost-effective way to maintain good oral health.

Dental fillings insurance is an important part of any comprehensive health plan. It covers the cost of fillings, which are necessary to repair cavities and other damage to teeth.

Fillings are a common dental procedure, and without insurance, the cost can be quite high. Dental fillings insurance helps offset the cost of these treatments, making them more affordable for individuals and families.

In addition to covering the cost of fillings, dental fillings insurance can also cover the cost of preventative care, such as regular exams and cleanings. This helps ensure that any potential problems are detected early, before they become more serious and costly to treat.

Dental composites

Dental composites are a type of dental material used to restore teeth. They are made of a combination of plastic resin and fine particles of silica, quartz or other materials.

Dental composites are used to fill cavities, repair chipped teeth, and replace missing teeth. The composite material is designed to match the color of the patient's natural teeth, making it an aesthetic choice for many patients.

Dental composites are also less expensive than other dental materials, making them an affordable option for many people. Dental composites provide a safe and effective way to restore teeth and improve a person's appearance.

Dental composite insurance is an important form of coverage that can protect individuals against the high cost of dental care. By purchasing dental composite insurance, individuals can rest assured that they will not be stuck with a high bill for expensive dental treatments.

This type of insurance covers the cost of composite fillings, crowns and veneers, as well as any other treatments involving the use of composite materials. With the assurance of dental composites, individuals can keep their smile healthy and bright without breaking the bank

Dental devitalization

Dental root canalization is a procedure used to remove the nerve and blood supply from a tooth. It is done to prevent further infection and pain in the affected tooth. It is usually done as a last resort when other treatments have failed to treat the problem.

During the procedure, the dentist will use a drill to make a hole in the tooth and then remove the nerve and blood supply. The hole is then filled with a material such as gutta-percha or amalgam.

The procedure is usually done under local anesthesia and is generally painless. After the procedure, the tooth may be sensitive to hot and cold temperatures, but this will usually disappear after a few days.

The dental root canal coverage category is a type of insurance that covers the cost of procedures related to dental root canal surgery. This includes root canals, crowns, and other treatments necessary to remove infected or damaged parts of the tooth.

This category of insurance helps cover the cost of these procedures, which can be expensive without insurance. It also helps protect against future dental problems by providing coverage for preventative care and regular checkups.

Dental crowns

Dental crowns are a common dental procedure used to restore a damaged or decayed tooth to its original shape and size. They are made of porcelain, ceramic, gold, or a combination of these materials and are custom made to fit the shape and size of the patient's teeth.

They can be used to treat a variety of dental problems, including chipped or cracked teeth, large fillings, discolored teeth, and misshapen teeth. Crowns can also be used to improve the appearance of a tooth and to protect a weak or fragile tooth from further damage.

They are usually placed over existing teeth and are cemented in place to provide a strong, natural-looking smile

Dental crowns are covered by most dental insurance plans, including those in Quebec and Ontario. It is important to check with your insurer what is covered and what is not. Depending on the type of crown chosen, the cost of the procedure can range from a few hundred dollars to several thousand. Dental crown insurance may cover part of the cost, depending on the plan and type of crown chosen.

 

How to receive free dental care?

We all need dental care. Many people go to the emergency room for dental pain because they cannot afford to go to the dentist. A national universal dental insurance plan would cost Canada about $6 billion a year, according to a new study released by the University of Calgary's School of Public Policy.

According to Statistics Canada, in 2018, 22,4% of the Canadian population, or approximately 6,8 million people, failed to see a dental professional due to cost.

If dental care were accessible to all, it would improve the health of the population and reduce provincial health costs.

Although many people refuse to seek treatment because of the high cost of this operation, there are various forms of assistance available to reduce your costs:

  1. Exceptional assistance from Health Insurance;
  2. Dentist associations;
  3. The tax deduction;
  4. The choice of the stranger;
  5. CMU support

Read more about “How to get free dental care”, here 

 

Reimbursement of dental care at the dentist

In Dental Centers, all dental insurance programs are accepted. It is advisable to contact your insurer to find out the terms of coverage for eligible dental care under your policy. The process is simple:

  • If dental care is covered by your insurance company, when you go to the clinic, you should have information relating to your insurance policy on hand.
  • When possible, dental centers transact directly online with your insurer in order to obtain an immediate response on your coverage and thus allow you, if applicable, to pay only for the uncovered portion of the treatment you received.

 

What are the best dental care tips to follow?

Here are the best dental care tips to follow that influence the dental insurance premium. It is important to know that diet can prevent a large number of dental problems.

In Canada, you should eat light in the morning, eat fresh and cooked products the first hour after the meal and not eat too much sugar. People who need to extract teeth or pierce nerves are recommended to take an herbal concoction.

The reasons why people should take care of their daily dental hygiene include:

  • pay less for your dental insurance
  • feel good
  • delay the appearance of cavities
  • protect teeth from stains
  • prevent the formation of tannic acid

 

Do you have dental insurance?

You've probably noticed that dental insurance sounds like something you need. But, you are not sure how to do this or how to calculate a dental insurance premium.

Dental centers accept most dental insurance plans. Insurance forms will be sent electronically free of charge. The amount you are covered for is usually instantly accessible. You only have to pay the amount of the deductible and the uncovered portion.

If your form cannot be transmitted over the Internet, the dentists will give it to you duly completed. It will be your responsibility to send it to the appropriate person. In such a case, you will have to pay the full costs relating to your visit.

If you do not have dental insurance:

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