If your teeth hurt, what do you do? Go see a dentist, right?

Did you know you can go to jail if you do not take your child to the dentist for regular dental care?

Neither did Tameka White.

Tamika S. White, 19, was arrested Wednesday on a felony neglect charge.

Her daughter, whose age was not listed, has suffered from tooth pain for more than a year, according to a Palmetto Police Department report.

How can you ignore a child’s pain for over a year?

White took the child to a dentist who told her the child had bottle mouth — tooth decay common in infants and toddlers, the report said.

But White’s Medicaid coverage would not pay for the treatment, and she refused to seek money for treatment through child-support payments from the child’s father, police said.

She also did not seek another specialist who would accept Medicaid or any other treatments that would be covered, according to a report.

“Bottle mouth” is common among children that are neglected. The parent or caretaker will respond to the child’s cry’s by putting the child to bed with  a bottle in an attempt to pacify the child. If the bottle contains juice or milk the sugar content of the liquid will rot the teeth leading to severe pain.

In this situation, the “remedy” creates more pain which then becomes a never ending cycle.

Medicaid (in Georgia this is known as Peachcare) does provide routine dental care but very few dentists are willing to accept Medicaid patients due to the low reimbursement rate. Still, this is no excuse for ignoring your child’s health.

Most dental insurance plans are affordable and cover routine care (exams and cleaning) at little or no charge to the patient. There is usually no waiting period and some even allow you to choose any dentist rather than requiring you to pick from a network.

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Every Georgia dental insurance plan I have seen covers both amalgam and white fillings. The real question is, which kind do you need and is one more likely to cause tooth pain?

Amalgam (silver) fillings have mostly been replaced with white (composite fillings) in most dentist offices. Both types of fillings have their place but there is something you should know about the white fillings that your dentist may not have told you.

Some people report pain that lasts beyond just the few hours or days following dental work. Here is a question posed to My New Smile about pain in teeth with white fillings.

Question:

In a recent checkup, my wife’s dentist found three cavities. She wanted them filled with white fillings, which the dentist did. After the white fillings, she started to experience pain in all three teeth, and the teeth had not bothered her before.

When she visited the dentist, he told her to wait a week to see if the pain stopped. It didn’t. He prescribed antibiotics. The pain remains. He redid the fillings, and the teeth still hurt.

The pain is constant. Just breathing brings on extra pain, as well as chewing or even her tongue rubbing against the teeth. This has been going on for five weeks now.

-Stephen in Ontario
Stephen:

I’m suspecting that your wife was the one that brought up doing white fillings-that the dentist was going to do amalgam fillings but she said, “no, I want white.” Am I right? The reason I think this is that this sounds like a case where the dentist really didn’t know how to do the white fillings, that he was operating out of his comfort zone in a desire to please her.

I’d recommend going to another dentist to see at this point if anything can be done to ease the toothache without having to go to root canal treatment. Go to one of the dentists on our list of recommended dentists for doing white fillings.

Most dentists weren’t taught in dental school how to do these white fillings on back teeth, and the technique is very demanding. Any of a dozen different things can go wrong. The pain that she is experiencing after these white fillings could be from the cavity being contaminated with saliva during the procedure. The pain could also come from incomplete sealing of the cavity, from incomplete curing of the filling material, or from too rapid curing of a bulk of filling material in the tooth.

Other questions about white fillings on back teeth:

* How much do white fillings cost?
* A dentist wants to put a white composite filling over a patient’s amalgam filling rather than replace it completely. Is this a good idea?
* General information about white fillings compared with amalgam fillings.

I too have sensitivity in teeth where old amalgam fillings were replaced by white fillings. I wish I had known about this problem sooner.

Many of our readers lack dental insurance. The truth is, most dental insurance plans are quite affordable, with some starting at less than $10 per month for single coverage. At Toothplans you will find a wide variety of dental insurance plans including some with no waiting periods and those who allow you to choose any dentist, including your own.

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I suppose you need to define cheap dental insurance, making a distinction in cheap vs. affordable dental insurance.

Cheap is just that. Low cost but little or no real value.

Affordable conveys a reasonable price that is exceed by the value of the benefits received.

You don’t need to pay a lot to get good dental insurance. Our most popular dental insurance plan allows you to choose any dentist, including your own, and have immediate benefits. Unlike most dental insurance plans, there are no waiting periods with the Stars dental insurance plan.

Another popular dental insurance plan is from CompBenefits. This DHMO plan has a number of participating dentists in the Atlanta area and delivers exceptional value. There are no deductibles, no waiting periods and no annual maximums.

If you are looking for affordable dental insurance you can find a wide variety of plans to fit your needs at Toothplans.

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With Georgia’s unemployment topping 9% many are losing their jobs and along with it, their dental insurance. This is happening here and in other parts of the country including Ventura, California.

Nancy Tomhave’s Toyota has a “whizzing” sound in the engine and she is grinding her teeth at night.

But she figures the thing “whizzing around” in the engine of her 2004 Toyota Matrix is more pressing, so the teeth are going to have to wait.

Patrick Thompson has a dental problem as well, but his won’t wait.

A $1,400 dental bill was the last thing he needed after being laid off in December, but the 37-year-old didn’t have a choice.

“I had to have an emergency root canal,” he said. “The bill comes in and you just cringe.”

They are not alone.

The California Dental Association is conducting a statewide poll, and early results suggest the economy and layoffs are causing a lot of people to postpone dental care. Others who do have insurance are rushing to get care because they are worried about getting laid off - and losing health coverage.

Some put it off until it becomes a crisis. According to a poll released by the California HealthCare Foundation, the number of people who showed up in hospital emergency rooms for a preventable dental emergency rose 12 percent from 2005 to 2007, from 70,000 Californians to 83,000.

I have to admit, I never heard or, or even thought of, taking dental problems to the Emergency Room. Learn something new every day.

When you lose your job you lose your insurance. Not just health insurance, but life insurance, disability and dental insurance. All are important coverages to have to protect your overall health and your assets.

We have offered a wide variety of affordable Georgia health insurance plans for some time. In response to increased demand, we now have one of the most comprehensive sites for dental insurance.

Toothplans features plans that allow you to choose any dentist (including your current one), as well as PPO and DHMO plans with rich benefits. Many of our plans have no waiting period for major dental work and some do not have deductibles or annual caps on benefits.

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Clean teeth equals a healthy heart.

Researchers have discovered that high levels Tannerella Forsynthesis and Preventella Intermedia in the mouth are more likely to increase the risk of a heart attack.

The Buffalo research team, led by Oelisoa M. Andriankaja, DDS, PhD, examined mouth bacteria samples taken from twelve sites in the mouths of 386 adults, aged 35 to 69, who had had heart attacks and similar samples taken from the same sites in 840 adults of the same age group who had never had heart attacks.

In addition to maintaining a healthy lifestyle, regular dental check ups can be a key to avoiding heart problems.

All of our dental insurance plans include no charge or low cost routine annual dental exams. Our most popular dental plan allows you to choose any dentist, including your own and enjoy tremendous savings.

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Toothplans has learned that, according to an Ohio State University study, parental stress levels can have a negative impact on the dental health of their children.

they found that low income, having little education, and being a single parent led to increases in parental stress. They also discovered that the more stressed parents are, the more likely their children were to have decay. Last, they found that apparently having one’s child’s dental decay treated actually could decrease the stress of being a parent.

Many dental plans offer check up, cleaning and routine care for a nominal charge. Some have no waiting period and allow you to choose any dentist, including your own. Toothplans has a wide array of dental plans for children and adults, with some plans starting at less than $10 per month.

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Georgia Peachcare (SCHIP) is a good insurance program for children in low income families when it comes to health care. Not so for dental benefits.

As we have posted before, very few dentists are willing to treat Peachcare patients. The reimbursement levels are so low that treating such patients is a money losing proposition.

Finding dentists is a problem that is not just limited to Georgia.

the number of Miami-Dade dentists doing Medicaid work has decreased by two-thirds while the number of Medicaid children handled by each dentist tripled — to 1,196.

”The state is paying out roughly the same amount for Medicaid dental services as before reform but to fewer dentists and for fewer services,” writes Peter Wood of the Health Foundation of South Florida, which sponsored the study.

Miami-Dade is having trouble finding providers willing to treat Medicaid (SCHIP) patients as well.

In spite of offering virtually free dental care to SCHIP children less than 1 in 4 children visited a dentist during 2007.

The program, which provides fluoride varnish to protect teeth and does a preliminary examination of preschool kids, found that 58 percent needed to be seen in a dental office and 10 percent had ”emergency needs,” as was the case with Johanna Jimenez.

Half with decayed teeth and a third with emergency situations did not get follow-up care

That doesn’t sound promising.

‘There is a pervasive sense that since these are `just baby teeth’ there is no big problem with this,” says Brian Guerdat of the Patch program. “But pain is very real . . . which can cause children to have behavior problems at home and school, prefer soft foods easy to chew rather than healthier choices necessary for better growth/development.”

SCHIP programs such as Georgia Peachcare is good, IF you can find a dentist. But the level of care offered by some providers may be less than optimal.

One of the best dental plans on the market is our most popular plan. Unlike most plans that require you to use their dentists and only their dentists, the Stars plan allows you to choose any dentist.

You may also want to visit our Toothplans site and look at other dental plans.

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When was the last time you saw your dentist? Be honest, and seeing him in church doesn’t count.

According to USA Today roughly one third of us did not see a dentist last year. If you live in Mississippi, 47% did not see a dentist.

So why is this?

“If people consider dental care a luxury item, they’re shorting themselves. Prevention’s always cheaper than fixing problems later.”

Toothplans offers several plans that feature no cost or low cost exams and cleanings. Our most popular dental plan allows you to choose any dentist rather than being forced to pick from a list. If you are looking for real value in a dental insurance plan, our DHMO is a crowd pleaser.

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