Things Your Orthodontist Won’t Tell You

Close up macro shot of a male mouth laughing and showing his straight teethicsnaps/ShutterstockYour smile is one of the first things somebody notices about you, and seeing an orthodontist practically ensures you’ll always have straight, pearly whites. At least, that’s the idea. But as with any other doctor, your orthodontist has some things they wish you knew, but probably won’t ever tell you. (By the way, you’ll definitely want to follow these 10 golden rules for white, healthy teeth.)

Someone else might’ve used your braces before you

Beautiful young woman with brackets on teeth close upVP Photo Studio/ShutterstockBefore you get grossed out, this isn’t always the case—and if it is, it’s not actually as skeevy as you might think. According to foxnews.com, some orthodontists professionally sterilize and remanufacture used braces through companies like Ortho-Cycle, which saves up to 50 percent on costs. This process “is based upon the dissolution of polymerized acrylates at temperatures at which simultaneous sterilization occurs,” according to orthocycle.com.

We know when you haven’t been wearing your Invisalign

Close-up Of Woman's Hand Putting Transparent Aligner In TeethAndrey_Popov/ShutterstockDespite how persistent you are when you tell your orthodontist you’ve been actively wearing your Invisalign, they’ll know the truth right away. “We know if you haven’t been wearing your Invisalign because of a cool feature [on the aligners] (not just because of your answer to our question or the way your teeth look),” says Dr. Matthew LoPresti, DDS, a cosmetic dentist in Stamford, CT. “There are little blue marks towards the back of your aligners that should wear away as you wear the Invisalign. If the blue mark looks untouched, we know you haven’t been wearing the aligners.” (Here are some things your dentists NEEDS you to start doing differently.)

Your treatment will probably take longer than what we initially tell you

Close up of smiling black woman at dentistRocketclips, Inc./ShutterstockYour orthodontist might tell you your treatment will only take a year and a half to two years, but that’s a rough estimate. A lot of treatments take much longer than expected. “Delays in the process may occur like a misdiagnosis of your case, patient’s neglect, or unanticipated movement of the teeth,” says Danica Lacson, a representative for Hawaii Family Dental.

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Our fees might be negotiable

Credit cards close upsumire8/ShutterstockLet’s be honest, a trip to the orthodontist is anything but cheap. “The good news, though, is that orthodontists offer a variety of payment plans. Many allow patients to pay through monthly installments with no interest, and with some orthodontists, you can negotiate the fee itself,” according to foxnews.com. “Some orthodontists will give a discount, usually 5 to 10 percent, if you pay the total in cash or with a credit card at the beginning of treatment.” (You won’t believe these shocking diseases that dentists find first.)

You have to wear retainers after you complete your treatment—forever

teeth with retainerOlga Miltsova/ShutterstockIf you think you’re done with orthodontics after you finish your treatment—think again. “A retainer holds your teeth in place. After you complete Invisalign or any orthodontics, it is necessary to hold those teeth in place,” says Dr. LoPresti. “There are different options which include a removable clear retainer that is worn at night or a permanent fixed retainer that gets bonded to the back of your teeth.”

We know when you’re lying about wearing your retainer

Dentist holding Retainer, Orthodontics Dental concept backgroundponsulak/ShutterstockNot only do you have to wear a retainer after you complete your treatment, but your orthodontist will definitely know if you’ve really been keeping up with it. “Patients that complete their advised treatment and achieve their desired result but then fail to wear their retainers, generally have teeth that drift apart,” says Dr. Timothy Chase, co-founder of SmilesNY. “This can cause a relapse such as crowding, spacing or flaring of the teeth.” (Whatever you do, never, ever ignore these symptoms of a cavity.)

We know when you eat or drink with your Invisalign in

Macro close up of healthy female teeth biting raspberry.karelnoppe/ShutterstockIt might seem harmless to eat or drink with your aligners in, but you won’t be fooling your orthodontist. “When patients eat or drink liquids (other than water) come in to see me, their Invisalign trays are often slimy, dirty, and stained,” says Dr. Chase. “Not only does this result in a cosmetically undesirable appearance to the aligners but it also damages them and can lead to decay.”

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Braces aren’t just a cosmetic treatment

Close-up of ceramic and metallic braces on teeth. Orthodontic Treatment. Dental Care Conceptsalajean/ShutterstockIt might seem like people go to the orthodontist just to straighten out their teeth, but there are tons of other reasons, too. While some people can go through life with crooked teeth and be just fine, others actually require fixture in order to chew and speak properly. “While we do want everyone to have a perfect smile, the reality is not everyone requires orthodontics,” says Seth Newman, DDS, a board-certified orthodontic specialist. (You’ll never catch your dentist eating these 15 foods—and you shouldn’t be snacking on them, either.)

We know you don’t floss or brush as much as you say you do

Close-up Of Young African Woman Flossing TeethAndrey_Popov/ShutterstockRemember all those times you lied to your dentist or orthodontist when they asked if you’ve been flossing? Yeah… they knew you weren’t. “Those who do not brush and floss properly generally have a higher incidence of plaque calculus, gingivitis, and tooth decay,” says Dr. Chase. “A single day of forgetting to floss is damaging but a week or a month of poor hygiene will result in swelling of the gums, bleeding and a foul odor.” (This is the easiest way to get rid of bad breath, according to a dentist.)

Even if you don’t think your child needs orthodontics, get them checked out anyway

retainer for teeth - Beautiful smiling girl with retainer for teethpattara puttiwong/ ShutterstockEven if your child doesn’t show any signs of needing to see an orthodontist, you should really bring them in for a check-up no later than age seven. “If we see a patient early, we can remove baby teeth and the canine has a good possibility of coming in properly,” according to Dr. Jackie Miller, an orthodontist in Washington, MO, and member of the American Association of Orthodontists. “An early visit to the orthodontist can prevent and help detect future problems.” (Here are some dental etiquette rules everyone should follow.)

If you smoke, your treatment might take longer

Beauty & SmokeQuinn Martin/ShutterstockIn case you needed more of a reason to not smoke, it might actually cause you to need to make more trips to your orthodontist’s office. “Smokers give away their habit because of the excessive plaque that builds up on their teeth,” according to Dr. Chase. “This can have a big impact orthodontic appliances used to straighten teeth and result in a longer treatment period.”

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This content was originally published here.

California Is Expanding Government Health Care to More Illegal Immigrants. Here’s What to Expect.

California is now extending health care benefits to more state residents, including young adult illegal immigrants, as conservatives warn it could attract more illegal immigrants to the state and further burden a health care system without sufficient doctors. 

Gov. Gavin Newsom, a Democrat, last month signed into law a measure (Assembly Bill 4) amending the eligibility portion of the state Medicaid program known as Medi-Cal. 

“Providing a new public benefit to a group of people in the nation illegally will incentivize more people to risk breaking U.S. immigration law to settle in California,” Chuck DeVore, a former California assemblyman, said.

The law states that “an individual who does not have satisfactory immigration status or is unable to establish satisfactory immigration status, as required by Section 14011.2, shall be eligible for the full scope of Medi-Cal benefits, if they are otherwise eligible for benefits under this chapter.”

Prior to the bill’s passage, Calfornians under the age of 19 with an income below 400% of the poverty level were eligible to be enrolled in Medi-Cal. The measure expands the existing program to young adults who are 25 years old or younger, regardless of immigration status.

“Providing access to health care coverage and services to all Californians is a key goal of [the Newsom] administration, and this serves as an important step toward accomplishing that goal, while building on the previous expansion of full-scope coverage to children,” wrote Carol Sloane, spokeswoman for California’s Department of Health Care Services, which administers Medi-Cal, in an email to The Daily Signal.

President Donald Trump appeared to reference California’s decision to extend health care coverage to illegal immigrants earlier this month, telling reporters: “If you look at what they’re doing in California, how they’re treating people, they don’t treat their people as well as they treat illegal immigrants. So at what point does it stop? It’s crazy what they’re doing. It’s crazy. And it’s mean, and it’s very unfair to our citizens.”

Cynthia Buiza, executive director of the California Immigrant Policy Center, criticized California for not covering senior citizens who are illegal immigrants.

“The exclusion of undocumented elders from the same health care their U.S. citizen neighbors are eligible for means beloved community members will suffer and die from treatable conditions,” Buiza said, according to NPR

Source of Funding

Sally Pipes, president and CEO of Pacific Research Institute, a conservative-leaning policy group in California, told The Daily Signal the new law will incentivize young illegal immigrants to go to California to benefit from the program. 

Pipes explained that the weight of Medi-Cal costs—roughly $98 million at a minimum estimate—will fall on California taxpayers. 

“Of course, it will hit middle-income earners most. That’s what most people are,” Pipes said. “A lot of these people are having a hard time affording premiums and deductibles already. Now they’re going to have to support people who are coming here illegally, when they’re having trouble paying for themselves.”

Newsom did not respond to The Daily Signal’s request for comment from the governor about how the state plans to pay for the new program. 

“To help pay for expanding Medi-Cal and to subsidize health insurance premiums, California has enacted its own individual mandate, imposing a tax on those who fail to buy insurance,” DeVore said, adding that the estimated cost of $98 million is likely very low. 

The Sacramento Bee reported in late June: “To pay for those [health care] subsidies, the state will fine people who don’t buy insurance through a policy known as the individual mandate, which was first implemented as part of the Affordable Care Act. … It’s expected to bring in roughly $1 billion for premium assistance over three years.”

Medi-Cal’s Problems 

Pipes says that the subsidy rate—the level of income at which California residents will be eligible for Medi-Cal—was also was increased significantly.

“They’re increasing the subsidy rate from 400% under Obamacare to now up to 600% of the poverty level,” Pipes said. “Now, anyone earning up to $75,000 per individual and $150,000 per family is eligible to be on Medi-Cal. And it’s for anyone in California.”

Under Medi-Cal, Pipes said, doctors are paid approximately 40% less than what they would get for treating a regular patient.

“A third of the population is on Medi-Cal already,” she said. “Adding more people to Medi-Cal means that there are fewer doctors taking medical patients, because of the low reimbursement. It’s going to be harder to get a doctor at all, and if they do, the wait is going to be very long.”

California has offered to pay doctors’ student loan debt, in exchange for treating Medi-Cal patients. 

“Being entitled to Medi-Cal doesn’t mean that the estimated 90,000 newly-covered people will be able to see a doctor,” DeVore said. 

“In fact, Medi-Cal recipients often must wait six to nine months before receiving medical attention,” he added. “As a result, they continue to use California’s overburdened emergency rooms where Medi-Cal recipient use nearly doubled from 2006 to 2016.”

Future Expansion Under This Governor 

Pipes said she expects Newsom is not done with the Medicaid program, and will continue to push its expansion.

“The governor promised voters—in particular, the militant nurses union—that they would get single-payer health care,” Pipes said. “This is his first stepping-stone approach to moving towards single-payer health care. He knew he wouldn’t get it in his first year, but this is all part of his grand scheme, working towards no private coverage.”

The law requires appropriations from the Legislature in order to be enacted, either through the annual Budget Act or another appropriations measure, according to the legislative counsel’s digest

With a Democratic supermajority in the California Assembly, Pipes said, she does not anticipate any successful opposition to funding the new program.

The post appeared first on The Daily Signal.

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