We took mom to her dental exam today. The dentist and his staff were very nice, but things will end up being expensive.
He agreed that all of mom's teeth will need to be removed. He said that the bone of her lower jaw is uneven enough that new lower dentures will not be able to fit her mouth unless she first has oral surgery to even it out. Given the number of teeth to be removed and how rotten they are he is not comfortable extracting them himself, and said that too should be handled by a specialist oral surgeon. Given that he is on blood thinners, he said they may need to remove one or two teeth at a time and give her a few weeks to heal at each stage.
Her upper dentures are still serviceable but are not a great fit, so he recommended getting a complete set of both uppers and lowers. They will cost $2,150 each. He said that lower dentures even when perfectly made never fit as securely as upper dentures, and that it would be best to have the oral surgeon install two implants to anchor the lower dentures in place. He charges an additional $500 to make the dentures that lock onto implants, but does not handle the implants himself. Oral surgeons tend to charge a lot more for those.
The oral surgeon he recommended is one who did some dental work for my sister several years ago. She needed implants, veneers, and braces, which all together cost over $10,000.
My mother does not have any dental insurance, and the dentist today was not able to assure us that medicare or her medicare supplement plan would cover much if any of the expenses.
The lady in the front office decided that because mom did not get an actual procedure done today that the free exam coupon wasn't valid and that we should use the other coupon for a $79 new patient exam instead. I did however manage to convince her not to charge us anything, based on what the dentist himself promised me when we discussed the matter back in February. I guess they don't worry much about $79 if they believe we'll be paying at least $4,300 soon.
I also had the dentist look at my front tooth, where a small piece of bonding chipped off last month. I was given a quote of $345 to repair the bonding, or $75 to grind it smooth and make it more even. That would really be $150 though, as I'd have to have the other front tooth ground down a similar amount or it would look very funny. When the piece first chipped off the edge was sharp enough that it was bothering me, but I think it has now worn down enough on its own that I don't notice it so much. I don't think I really want to pay for a merely cosmetic matter right now, not while we are facing the larger costs of mom's more important issues.