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question about my 6 year old's dental bill

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  •  invest 
    Participant
    Status: Physician
    Posts: 12
    Joined: 06/12/2017

    My 6 year old’s pediatric dentist recommends two tooth sealants to prevent cavities ($70 each, not covered by dental insurance), and a panoramic x-ray (partially covered by insurance). Are these standard recommendations? (I wasn’t there at the visit to ask the dentist.) Is there a dental schedule available, similar to an immunization schedule?

    #180542 Reply
     Peds 
    Participant
    Status: Physician
    Posts: 2661
    Joined: 01/08/2016

    fluoride is rec q6m: http://pediatrics.aappublications.org/cgi/doi/10.1542/peds.2014-1699

    i dont know about xrays but i dont see why routine….

    #180543 Reply
    Molar Mechanic Molar Mechanic 
    Participant
    Status: Dentist, Small Business Owner
    Posts: 287
    Joined: 10/29/2017

    Pano is standard and good practice to head off problems early.

    Sealants now save fillings later. Some people’s teeth have cusps like rolling hills, others like the Himalayan mountains. Deep crevices + typical 6 year old hygiene is a recipe for occlusal cavities.

    I don’t do general dentistry and don’t do insurance, but I’m surprised insurance won’t cover sealants.

    #180551 Reply
    Liked by Doc Spouse, Hank
     SmileDoc 
    Participant
    Status: Dentist
    Posts: 1
    Joined: 01/19/2019

    Sealants definitely justifiable, as far as I am aware ADA recommends panoramic radiograph every 3 years starting at age 7. But for a dentally precarious 6 year old this is also justifiable.

    #183137 Reply

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