{"id":606932,"date":"2023-02-11T13:49:36","date_gmt":"2023-02-11T19:49:36","guid":{"rendered":"https:\/\/news.sellorbuyhomefast.com\/index.php\/2023\/02\/11\/how-to-keep-your-teeth-healthy-even-if-you-dont-have-insurance\/"},"modified":"2023-02-11T13:49:36","modified_gmt":"2023-02-11T19:49:36","slug":"how-to-keep-your-teeth-healthy-even-if-you-dont-have-insurance","status":"publish","type":"post","link":"https:\/\/newsycanuse.com\/index.php\/2023\/02\/11\/how-to-keep-your-teeth-healthy-even-if-you-dont-have-insurance\/","title":{"rendered":"How to Keep Your Teeth Healthy, Even If You Don\u2019t Have Insurance"},"content":{"rendered":"<div data-testid=\"ArticlePageChunks\">\n<div data-journey-hook=\"client-content\" data-testid=\"BodyWrapper\">\n<p>I don\u2019t floss. If I\u2019m too drunk, too tired, too sad, or some combination thereof, I don\u2019t brush my teeth before I go to sleep. On the nights that I do brush, I\u2019ll often get torturously hungry at, like, 11:30 p.m. and pound an entire sack of Goldfish in bed. I am powerless to resist a box of Buncha Crunch or a sleeve of Twizzlers when I set eyes on them in a bodega. I smoke about 1,000 cigarettes a day, and I drink at least 24 ounces of black coffee each morning.<\/p>\n<p>I am, in short, a dentist\u2019s worst nightmare.<\/p>\n<p>I\u2019ve long deluded myself that I can abuse my mouth in such a manner and get away with it, as long as I <a href=\"https:\/\/www.self.com\/story\/how-often-to-see-dentist\" target=\"_blank\" rel=\"noopener\">visit the dentist twice a year<\/a>. But now the jig is up: In November, I lost my job, and with it, my dental insurance. Shortly thereafter, I canceled my standing appointment at East Village Smiles and quietly began to panic. Now that I\u2019ve joined the ranks of the estimated 86.7 million American adults who don\u2019t have coverage for their chompers\u2014whether that\u2019s because they\u2019re unemployed, can\u2019t afford their premiums, or live in a state that\u00a0<a data-offer-url=\"https:\/\/www.chcs.org\/media\/Medicaid-Adult-Dental-Benefits-Overview-Appendix_091519.pdf\" href=\"https:\/\/www.chcs.org\/media\/Medicaid-Adult-Dental-Benefits-Overview-Appendix_091519.pdf\" rel=\"nofollow noopener\" target=\"_blank\">doesn\u2019t offer dental insurance under Medicaid<\/a> or\u00a0<a data-offer-url=\"https:\/\/www.medicare.gov\/coverage\/dental-services\" href=\"https:\/\/www.medicare.gov\/coverage\/dental-services\" rel=\"nofollow noopener\" target=\"_blank\">Medicare<\/a>\u2014I figure I need to start taking better care of my teeth. So, last week, I called up two dentists for some advice.<\/p>\n<p>As you\u2019ll learn from the experts SELF spoke to, there\u2019s a lot more to protecting your teeth than just brushing and flossing. But don\u2019t freak out: It\u2019s pretty easy to keep your teeth in good shape, once you\u2019re awakened to all the different ways you\u2019re absentmindedly screwing them up. Here\u2019s what I learned about not having to pay exorbitant costs for mouth-based maintenance.<\/p>\n<h2>If you\u2019re eating something sugary, eat it all at once.<\/h2>\n<p>Here\u2019s why sugar is bad for your teeth: There\u2019s a bunch of bacteria sitting on those bad boys literally all the time, and that bacteria loves\u00a0sugar,\u00a0<a href=\"https:\/\/dental.nyu.edu\/faculty\/ft\/lj14.html\" target=\"_blank\" rel=\"noopener\">Leila Jahangiri, BDS, DMD<\/a>, the chair of the department of prosthodontics at NYU\u2019s College of Dentistry, tells SELF. When you consume sugar, the bacteria on your teeth go to town on it. The byproduct of that sugar feast is an \u201cacid attack,\u201d Dr. Jahangiri says, which eats away at your teeth\u2019s enamel, resulting in tooth decay. Decay typically leads to <a href=\"https:\/\/www.self.com\/story\/cavity-symptoms-not-to-ignore\" target=\"_blank\" rel=\"noopener\">cavities<\/a>, which can lead to root canals, which can lead to crowns, which can lead to the removal of a tooth entirely. Pain aside, dealing with all of that can be prohibitively expensive, especially if you\u2019re uninsured.\u00a0<\/p>\n<p>Unfortunately, sugar rips.\u00a0<a href=\"https:\/\/www.self.com\/story\/recommended-sugar-intake\" target=\"_blank\" rel=\"noopener\">We\u2019re not going to tell you to stop eating it altogether<\/a>, and neither is Dr. Jahangiri. But if you\u2019re going to have something sugary, have it all at once\u2014within the span of 5 to 10 minutes, she says. When it comes to your teeth, the amount of sugar you consume in one sitting doesn\u2019t really matter; what matters is how many times you consume sugar each day. \u201cIt has everything to do with frequency,\u201d Dr. Jahangiri says. \u201cLet\u2019s say somebody wakes up in the morning, has a can of Coke, and walks around with it half the day. Every time they sip\u2014one damage, two damage, three damage, four damage.\u201d<\/p>\n<\/div>\n<div data-journey-hook=\"client-content\" data-testid=\"BodyWrapper\">\n<p>Snacking on a single candy bar throughout the day can do significantly more damage to your teeth than eating it all at once, according to Dr. Jahangiri. The same rule applies to all sugary foods, whether they\u2019re processed or not. \u201cA lot of people think that if anything is \u2018natural,\u2019 it\u2019s good,\u201d Dr. Jahangiri says. \u201cThe reality is, honey will do as much damage. Dates would do as much damage as chocolates. Bacteria don\u2019t care whether it\u2019s natural or not. The bacteria go by the sugary substance.\u201d<\/p>\n<p>A final note on sugar: It\u2019s best to have it with a meal, Dr. Jahangiri says. When you\u2019re eating, you produce more saliva, which serves as a buffer that protects your teeth from sugar and acid. If you drink a soda or eat a candy bar within 15 minutes of a meal, it does \u201cvery little damage\u201d to your teeth, Dr. Jahangiri says.<\/p>\n<h2>Have a strategy around acidic foods and drinks.<\/h2>\n<p>Sugar is bad for your teeth because it creates acid in your mouth. By the same token, drinking anything acidic is bad for your teeth too,\u00a0<a href=\"https:\/\/www.dental.upenn.edu\/faculty\/david-hershkowitz-dds-aas\/\" target=\"_blank\" rel=\"noopener\">David Hershkowitz, DDS<\/a>, the division chair of restorative dentistry at Penn Dental Medicine, tells SELF. \u00a0\u201cWhat people don\u2019t think about is fruit juices,\u201d Dr. Hershkowitz says. \u201cEveryone thinks orange juice, or a little squirt of lemon in your tea or over your seafood, is good. But it makes for an acidic environment, and the mouth needs an acidic environment to cause [tooth] decay.\u201d<\/p>\n<p>Again, Dr. Hershkowitz is not asking you to cut OJ out of your life. But when you drink it\u2014or any other citrusy juice\u2014he recommends using a straw. \u201cThrow it into the back of your mouth so it doesn\u2019t bathe the teeth,\u201d he says. If you can, rinse out your mouth with water when you\u2019re done sipping. And avoid brushing your teeth immediately after drinking fruit juice or any other acidic beverages, like soda, energy drinks, or coffee.\u00a0<\/p>\n<p>\u201cBrushing right away, if you have orange juice or lemon, only makes it worse,\u201d Dr. Hershkowitz says. \u201cThe acid on the teeth kind of weakens [them] a little bit. Now you\u2019re taking a toothbrush, which is abrasive, and you\u2019re brushing the tooth. That makes it even weaker. You should take some time before you do the brushing. Rinse with water first, and then brush afterwards.\u201d It\u2019s wise to wait until at least 30 minutes have passed, he adds.\u00a0<\/p>\n<h2>Get specific about your brushing and flossing habits.<\/h2>\n<p>Brushing twice a day\u2014once in the morning, and once at night\u2014is obviously important, as is flossing. But Dr. Jahangiri and Dr. Hershkowitz raised a few not-so-obvious pointers to keep in mind.<\/p>\n<ul>\n<li>Make sure brushing and flossing are the last things you do before you go to bed. Leaving food in your mouth overnight is (a) gross and (b) a recipe for tooth decay.\u00a0<\/li>\n<li>Brush methodically, not chaotically. You want to make sure you don\u2019t miss any spots. Start on the left side of your mouth and brush the outside of each row of teeth, making sure to brush where the teeth meet the gums. Then do the inside of each row the same way. Move to your front teeth and repeat. Finally, move to the right side of your mouth and finish up.\u00a0<\/li>\n<li>Follow the \u201c<a href=\"https:\/\/www.self.com\/story\/how-long-to-brush-teeth\" target=\"_blank\" rel=\"noopener\">brush for two minutes<\/a>\u201d rule. Some\u00a0<a data-offer-url=\"https:\/\/jdh.adha.org\/content\/jdenthyg\/83\/3\/111.full.pdf\" href=\"https:\/\/jdh.adha.org\/content\/jdenthyg\/83\/3\/111.full.pdf\" rel=\"nofollow noopener\" target=\"_blank\">research<\/a> shows this can help remove 26% more plaque\u2014which is where the bacteria on your teeth live\u2014than if you rush through it, according to Dr. Hershkowitz.<\/li>\n<li>Use a standard, name-brand toothpaste. Baking soda, peroxide, or other homespun alternatives might damage your teeth, and they don\u2019t contain fluoride. (Fluoride is the key ingredient in toothpaste that protects your teeth, and it can even reverse some of the damage you may have unwittingly done to them. It\u2019s also in most of our tap water. Drink that stuff!)<\/li>\n<li>When you\u2019re done brushing, spit out your toothpaste\u2014but don\u2019t rinse out your mouth with water right away.\u00a0That fluoride needs time to sit on your teeth and do its thing. Dr. Hershkowitz recommends waiting about half an hour before you rinse, if you have the time.<\/li>\n<li>Flossing sucks; there\u2019s no getting around that. To make it suck less, take Dr. Jahangiri\u2019s advice: \u201cDo it while you\u2019re doing something else.\u201d (For her part, she flosses while she\u2019s watching TV.) Don\u2019t worry about using something fancy like a\u00a0<a href=\"https:\/\/www.self.com\/story\/water-flosser\" target=\"_blank\" rel=\"noopener\">water flosser<\/a>. Regular floss works well, Dr. Jahangiri says. If you\u2019re not sure about the right technique to use, follow\u00a0<a data-offer-url=\"https:\/\/www.mouthhealthy.org\/all-topics-a-z\/flossing-steps\/\" href=\"https:\/\/www.mouthhealthy.org\/all-topics-a-z\/flossing-steps\/\" rel=\"nofollow noopener\" target=\"_blank\">this handy five-step guide to flossing<\/a> from the American Dental Association.<\/li>\n<li>Don\u2019t share a toothbrush with anyone\u2014not even your partner or your kid. You run the risk of swapping microorganisms or bodily fluids with each other, which\u00a0<a data-offer-url=\"https:\/\/www.ada.org\/resources\/research\/science-and-research-institute\/oral-health-topics\/toothbrushes#:~:text=Toothbrushes%20should%20not%20be%20shared.%C2%A0%20Sharing%20a%20toothbrush%20could%20result%20in%20an%20exchange%20of%20bodily%20fluids%20and%20microorganisms%20between%20people.\" href=\"https:\/\/www.ada.org\/resources\/research\/science-and-research-institute\/oral-health-topics\/toothbrushes#:~:text=Toothbrushes%20should%20not%20be%20shared.%C2%A0%20Sharing%20a%20toothbrush%20could%20result%20in%20an%20exchange%20of%20bodily%20fluids%20and%20microorganisms%20between%20people.\" rel=\"nofollow noopener\" target=\"_blank\">the ADA recommends avoiding<\/a>.\u00a0\u00a0<\/li>\n<\/ul>\n<h2>Can\u2019t afford your old dentist? Try these options instead.<\/h2>\n<p>Even if you\u2019re brushing and flossing regularly, watching your sugar and acid intakes, and otherwise doing your best to take good care of your teeth, you still need to go to the dentist for biannual checkups and cleanings if at all possible. Early tooth decay and early gum disease\u2014the two main things that can go wrong inside your mouth\u2014may have no symptoms, according to Dr. Jahangiri. Often, only a professional can spot them. The sooner they\u2019re spotted, the easier and cheaper they are to treat\u2014meaning, putting off a visit until you\u2019re in extreme pain might cost you more in the end, Dr. Jahangiri says.<\/p>\n<\/div>\n<div data-journey-hook=\"client-content\" data-testid=\"BodyWrapper\">\n<p>There are options out there for uninsured folks who want to see a dentist without breaking the bank. Various nonprofits, including\u00a0<a data-offer-url=\"https:\/\/www.amissionofmercy.org\/\" href=\"https:\/\/www.amissionofmercy.org\/\" rel=\"nofollow noopener\" target=\"_blank\">Mission of Mercy<\/a>, offer free dental clinics in some states across the US. To find one near you, Dr. Hershkowitz recommends calling up your local dental association (e.g., the\u00a0<a data-offer-url=\"https:\/\/www.nysdental.org\/\" href=\"https:\/\/www.nysdental.org\/\" rel=\"nofollow noopener\" target=\"_blank\">New York State Dental Association<\/a>) and asking for guidance. If they can\u2019t direct you to a free clinic, they might be able to put you in touch with a private practitioner willing to help you out pro bono. \u201cThat\u2019s done all the time in the profession,\u201d Dr. Hershkowitz says. \u201cWhen I was in private practice, I can\u2019t tell you the amount of pro bono work I did. No person who showed up at my office who was in pain was ever denied.\u201d<\/p>\n<p>Another great resource: dental schools, dental schools, dental schools! You can make an appointment at one and receive the same level of care that you would at a private office for as little as a third of the price, according to Dr. Hershkowitz. \u201cDental schools deliver wonderful care,\u201d he says. \u201cIt\u2019s a dental student who\u2019s treating a patient under the supervision of a licensed dentist. Everything is checked in a stepwise fashion\u2014you can\u2019t proceed from Step A to Step B until Step A is checked\u2014at extremely reduced fees.\u201d So don\u2019t think you\u2019d receive subpar care just because you\u2019re seeing someone early in their career\u2014in fact, it\u2019s quite the opposite.<\/p>\n<p>Dental schools are occasionally able to offer patients care on a sliding scale based on their income, Dr. Hershkowitz says. In some cases, you can even receive treatment for free. \u201cDental schools will work out a payment plan that\u2019s a lot more liberal than maybe a private practice would,\u201d he explains. \u201cAt the University of Pennsylvania, we give millions of dollars away in pro bono care for our patients. Our patients have that need to be treated, and our students have that need to be educated.\u201d<\/p>\n<h2>Talk to your dentist about saving yourself money.<\/h2>\n<p>If you plan on continuing to see a dentist at a private practice, have a candid conversation with them about the fact that you don\u2019t have insurance and you don\u2019t want to spend a fortune. Depending on your oral health history and your cleaning habits, you may be able to get by on one trip to the dentist per year instead of two; cut back on extensive cleanings; and space out your X-rays, which are often the priciest line item on your bill. \u201cIf you\u2019ve lost your job, tell them,\u201d Dr. Jahangiri says. \u201cSay, \u2018Listen, I\u2019ve been really good with my brushing, I\u2019ve been really good with my diet. So I just want to limit it to an exam, and anything that\u2019s absolutely necessary at the current time.\u2019 I think most dentists will respect that.\u201d<\/p>\n<p>If your dentist wants to X-ray your teeth, Dr. Hershkowitz recommends asking them why. If you can safely avoid X-rays, you can avoid shelling out hundreds of dollars. \u201cThe school of thought years ago was, every new patient should get a full-mouth series of X-rays to see every tooth to have a baseline. We\u2019ve evolved over the years,\u201d Dr. Hershkowitz says. \u201cYou should ask, \u2018Do I need all these X-rays? If so, why? What is my risk factor? Why are we doing this?\u2019 Be your own advocate.\u201d<\/p>\n<\/div>\n<div data-journey-hook=\"client-content\" data-testid=\"BodyWrapper\">\n<p>It\u2019s worth noting that you can request dental records, including X-rays, from a dentist you\u2019ve seen in the past. Under HIPAA regulations, they\u2019re required to provide them to you, though they may charge you a small fee.<\/p>\n<h2>Watch out for warning signs that something is majorly wrong and needs care from a dentist.<\/h2>\n<p>As Dr. Jahangiri notes, early tooth decay and gum disease are often painless, and they don\u2019t usually cause noticeable symptoms. But, as these issues progress, that might change. Dr. Jahangiri and Dr. Hershkowitz warn that if you experience any of the following, it\u2019s a good idea to get to a dentist as soon as you can:<\/p>\n<ul>\n<li>Consistently bleeding gums<\/li>\n<li>Newfound <a href=\"https:\/\/www.self.com\/story\/sensitive-teeth-causes\" target=\"_blank\" rel=\"noopener\">sensitivity<\/a> to hot or cold food or beverages<\/li>\n<li>Pain that lingers after you chew<\/li>\n<li>Sharp pain when you consume sugar<\/li>\n<li>Discoloration around your teeth and gums, including black, gray, or white spots<\/li>\n<\/ul>\n<p>This is scary-sounding stuff, but if you follow Dr. Jahangiri and Dr. Hershkowitz\u2019s advice, there\u2019s a strong chance you won\u2019t have to worry about any of it. \u201cIf [you] do everything else meticulously,\u201d Dr. Jahangiri says, \u201cthe dental visits are just going to be quick checkups of nothing.\u201d And if I can do it? I know you can too.<\/p>\n<p><strong>Related:<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/www.self.com\/story\/jaw-pain-causes\" target=\"_blank\" rel=\"noopener\">5 Causes of Jaw Pain That You Need to Know<\/a><\/li>\n<li><a href=\"https:\/\/www.self.com\/gallery\/best-oral-care-products-2022\" target=\"_blank\" rel=\"noopener\">The 8 Best Oral Care Products of 2022<\/a><\/li>\n<li><a href=\"https:\/\/www.self.com\/story\/wisdom-teeth-removal-facts\" target=\"_blank\" rel=\"noopener\">What to Expect Before, During, and After Wisdom Teeth Removal<\/a><\/li>\n<\/ul>\n<\/div>\n<\/div>\n<p><a href=\"https:\/\/www.self.com\/story\/healthy-teeth-tips\" class=\"button purchase\" rel=\"nofollow noopener\" target=\"_blank\">Read More<\/a><br \/>\n Drew Schwartz<\/p>\n","protected":false},"excerpt":{"rendered":"<p>I don\u2019t floss. If I\u2019m too drunk, too tired, too sad, or some combination thereof, I don\u2019t brush my teeth before I go to sleep. On the nights that I do brush, I\u2019ll often get torturously hungry at, like, 11:30 p.m. and pound an entire sack of Goldfish in bed. I am powerless to resist<\/p>\n","protected":false},"author":1,"featured_media":606933,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[22531,25566],"tags":[],"class_list":{"0":"post-606932","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-healthy","8":"category-teeth"},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/posts\/606932","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/comments?post=606932"}],"version-history":[{"count":0,"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/posts\/606932\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/media\/606933"}],"wp:attachment":[{"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/media?parent=606932"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/categories?post=606932"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/tags?post=606932"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}