Cost of crown for upper back molar? 
Author Message
 Cost of crown for upper back molar?


Quote:
> My left upper back molar (wisdom tooth was pulled years ago) cracked a bit a
> few months ago and it was filled, but my dentist mentioned if the filling
> didn't hold, it would probably need a crown.

> Well, I was picking my teeth with my fingernail just now and the filling came
> off. ?Any ideas of how much it's going to cost?

I've never seen an American dentist publish his prices on his web
site. Back when I was a poor student, I was having my teeth worked on
at the local dental school affiliated with the same university. I was
getting a special discount, but they wouldn't even tell me what their
prices were for various procedures until after they were done
(Cartel?)

I live close to the border now. In Mexico, PFM crowns are $350
(possibly high noble), Zirconia based ones are $550. I'm sure there
are good dentists in Mexico, but it seems to be a risky option in
general.

In the US, it's probably 2-4 times that, except in dental schools and
inexperienced dentists' practices participating in referral services
like 1dental.



Mon, 26 Nov 2012 07:32:27 GMT
 Cost of crown for upper back molar?

Quote:
> I live close to the border now. In Mexico, PFM crowns are $350
> (possibly high noble), Zirconia based ones are $550.

... these are in border clinics that cater specifically to Americans
(English-speaking staff, prices in dollars, very modern equipment).

I don't know what rank-and-file Mexicans who make $5 a day do when
they need dental work.



Mon, 26 Nov 2012 07:58:52 GMT
 Cost of crown for upper back molar?


Quote:
>I don't know what rank-and-file Mexicans who make $5 a day do when
>they need dental work.

You don't really want to know...

Vaughn



Mon, 26 Nov 2012 08:09:29 GMT
 Cost of crown for upper back molar?


Quote:



>> I don't know what rank-and-file Mexicans who make $5 a day do when
>> they need dental work.

> You don't really want to know...

> Vaughn

In India, in the big cities, you can get a  PFM crown done for 60$ & a
CAD/CAM Crown for 100$ at a not so expensive dentist. And the work is as
good as any first world dentist. Even at the expensive dentists(who are not
necessarily better than the reasonable ones), it wouldn't cost more than
100$ for a PFM crown & 150$ for a CAD/CAM Crown.

Overall the quality of work would depend on how good the dentist is -  
which varies
just like it varies in the US. The only problem would be that you can't  
sue the
dentist if something goes wrong.



Mon, 26 Nov 2012 12:37:19 GMT
 Cost of crown for upper back molar?

Quote:
> My left upper back molar (wisdom tooth was pulled years ago) cracked a bit a
> few months ago and it was filled, but my dentist mentioned if the filling
> didn't hold, it would probably need a crown.

> Well, I was picking my teeth with my fingernail just now and the filling came
> off. ?Any ideas of how much it's going to cost?

about $1000 where I come from, So Calif.


Mon, 26 Nov 2012 13:44:21 GMT
 Cost of crown for upper back molar?

Quote:
> In India, in the big cities, you can get a ?PFM crown done for 60$ & a
> CAD/CAM Crown for 100$ at a not so expensive dentist. And the work is as
> good as any first world dentist.

I'm curious as to how you know that the quality is the same. In the
US, there are licensing standards, and I take some comfort in thinking
that if a dentist is a total disaster, malpractice lawsuits and lack
of clients would have weeded him out before he got, say, 10 year of
experience.

In India, dentistry seems to be unregulated:

http://damncoolpics.blogspot.com/2008/09/street-dentists-in-india-and...

Even if there are dentists there who are as good as in the US, how
would you which ones they are?

Also, while labor and rent may be much cheaper in India, the materials
probably cost about the same. If a PFM crown is $60, and, say, taking
impressions costs $20 in materials, and $30 in lab fees, wouldn't
there be too much incentive not to redo the impression, if the first
one turned out to be substandard?

Quote:
> The only problem would be that you can't ?sue the dentist if something goes wrong.

I'm not a lawyer or a dentist, but I think that even in the US you
actually have to prove negligence or "failure to inform", rather than
merely bad outcome.


Mon, 26 Nov 2012 15:23:01 GMT
 Cost of crown for upper back molar?
On Thu, 10 Jun 2010 12:53:01 +0530, Alex Miller  

Quote:


>> In India, in the big cities, you can get a  PFM crown done for 60$ & a
>> CAD/CAM Crown for 100$ at a not so expensive dentist. And the work is as
>> good as any first world dentist.

> I'm curious as to how you know that the quality is the same. In the
> US, there are licensing standards, and I take some comfort in thinking
> that if a dentist is a total disaster, malpractice lawsuits and lack
> of clients would have weeded him out before he got, say, 10 year of
> experience.

> In India, dentistry seems to be unregulated:

> http://damncoolpics.blogspot.com/2008/09/street-dentists-in-india-and...

I am not talking about street dentists :-)
http://en.wikipedia.org/wiki/Dentistry_throughout_the_world#Dentistry...

I am talking about regular dentists who have completed a B.D.S
(bachelors in dental surgery) degree. I have lived 70% of my life
in India (the remaining in the US), but never heard of a street dentist.
It must be something which is there only in small towns or in slum areas
of big cities. I have seen street guys who treat ears though :-)

Quote:

> Even if there are dentists there who are as good as in the US, how
> would you which ones they are?

I have had a lot of dental work done both in the US & India.

Quote:

> Also, while labor and rent may be much cheaper in India, the materials
> probably cost about the same.

Materials are much cheaper because the labour & rent is
cheaper for the guys who manufacture the materials. Raw materials
are much cheaper for the guys who manufacture the materials because
the rent & labour is cheaper for the guy who sells the raw materials.

Quote:
> If a PFM crown is $60, and, say, taking
> impressions costs $20 in materials, and $30 in lab fees,

I don't think the material costs so much in India - medical supplies are  
very
cheap as I said earlier. I doubt if the material for taking impressions  
cost my
dentist more than 5$.
To just give an example, my 7 day course of antibiotics cost me 1.5$ - no
insurance. Likewise all medical supplies are cheaper.

I have no idea how much the dentist paid for the lab fees. Assuming the
total cost of everything including impression material, lab fees etc came
to 45$ - my dentist would have made 15$ for the 2 sittings. This would be
consistent with his other fees.

Of course, if I had gone to an endodontist instead of a B.D.S, the costs  
would
have probably been double.

Quote:
> wouldn't
> there be too much incentive not to redo the impression, if the first
> one turned out to be substandard?

Actually, for my last crown, the doc had to take impressions twice because
the first one didn't set correctly. He seemed a little upset :-)

- Show quoted text -

Quote:
>> The only problem would be that you can't  sue the dentist if something  
>> goes wrong.

> I'm not a lawyer or a dentist, but I think that even in the US you
> actually have to prove negligence or "failure to inform", rather than
> merely bad outcome.



Mon, 26 Nov 2012 17:27:38 GMT
 Cost of crown for upper back molar?

Quote:

> Of course, if I had gone to an endodontist instead of a B.D.S, the costs  
> would have probably been double.

Another thing is that people who come from the west to India for medical
tourism probably pay more.
Those medical centers who do medical tourism have far more overheads - they
hire a few MBAs to manage everything. They do all kinds of ISO  
certification
for their paper work. Plus they advertise abroad, pay a commission to  
travel
agents in the west who coordinate the medical tourists etc.

My dentist is an independent guy who treats walk-ins who stay in the area.

All doctors/dentists/specialists/surgeons I have gone to all my life
have all been certified professionals.

There is one bad trend happening in the recent years. Earlier each medical
college had excellent hospital facilities attached to them & they have an
extensive internship, housemanship etc - many of my friends are
doctors/specialists - they really have a rigorous course - my engineering
degree was a piece of cake compared to the time & effort spent by them.

In the last few years, however, education has become a business & a lot of
new medical colleges have sprung up which don't have that many facilities
or good teachers & very lenient with who they enroll - anyone who pays the
big fees can enroll. Docs from these colleges know their theory (they have
to pass the same exams as everyone), but their practical knowledge is
rather bad when they pass out of college.



Mon, 26 Nov 2012 17:43:51 GMT
 Cost of crown for upper back molar?

Quote:





>>> I don't know what rank-and-file Mexicans who make $5 a day do when
>>> they need dental work.

>> You don't really want to know...

>> Vaughn

> In India, in the big cities, you can get a  PFM crown done for 60$ & a
> CAD/CAM Crown for 100$ at a not so expensive dentist. And the work is as
> good as any first world dentist.

        The new Cerec machines are about a couple of hundred thousand dollars
US.  I don't know how they can make that work at $100/crown.

Steve

  Even at the expensive dentists(who are not

Quote:
> necessarily better than the reasonable ones), it wouldn't cost more than
> 100$ for a PFM crown & 150$ for a CAD/CAM Crown.

> Overall the quality of work would depend on how good the dentist is -
> which varies
> just like it varies in the US. The only problem would be that you can't
> sue the
> dentist if something goes wrong.

--
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001


Mon, 26 Nov 2012 23:39:55 GMT
 Cost of crown for upper back molar?
On Thu, 10 Jun 2010 21:09:55 +0530, Steven Bornfeld

Quote:






>>>> I don't know what rank-and-file Mexicans who make $5 a day do when
>>>> they need dental work.

>>> You don't really want to know...

>>> Vaughn

>>  In India, in the big cities, you can get a  PFM crown done for 60$ & a
>> CAD/CAM Crown for 100$ at a not so expensive dentist. And the work is as
>> good as any first world dentist.

>    The new Cerec machines are about a couple of hundred thousand dollars  
> US.  I don't know how they can make that work at $100/crown.

I don't know what kind of CAD/CAM machine - whether it's CEREC or
something else.
My dentist doesn't own one. He said that the machine costs around 110,000
USD &
that the CAD/CAM crown would cost me around 120$ (not 100$ as I said
originally). I got a PFM crown, so I don't know the exact procedure - but
I would assume it wouldn't have been a one sitting procedure if didn't have
one. Maybe he would have made impressions just like for the PFM Crown & the
lab would have used to impressions to make the CAD/CAM crown. Or maybe he  
would
have take the photographs of the patients mouth & sent it to the lab. No  
idea
about this. So this would mean the same CAD/CAM  machine would be used by  
lots & lots
of dentists - it would do a lot more crowns then if it were sitting at one  
dentists clinic.
Assuming the CAD/CAM owner makes a profit of say 50$ per crown, it would  
take
him 2000 odd crowns to break even. I assume with him serving lots of  
dentists,
2000 crowns would happen very soon.

By googling I got the websites of lot of labs (not dentists) who do  
CAD/CAM crowns
for dentists in India.
- http://www.laxmidental.com/site.php/cad_cam.htm
- http://www.kataradental.com/dental-products/biohorizons.html

There must be some dentists who have their own CAD/CAM machines, their  
charges
would probably be much higher.



Tue, 27 Nov 2012 00:43:31 GMT
 Cost of crown for upper back molar?

Quote:

> On Thu, 10 Jun 2010 21:09:55 +0530, Steven Bornfeld


>>> On Thu, 10 Jun 2010 05:39:29 +0530, vaughn



>>>>> I don't know what rank-and-file Mexicans who make $5 a day do when
>>>>> they need dental work.

>>>> You don't really want to know...

>>>> Vaughn

>>>  In India, in the big cities, you can get a  PFM crown done for 60$ & a
>>> CAD/CAM Crown for 100$ at a not so expensive dentist. And the work is as
>>> good as any first world dentist.

>>     The new Cerec machines are about a couple of hundred thousand
>> dollars US.  I don't know how they can make that work at $100/crown.

> I don't know what kind of CAD/CAM machine - whether it's CEREC or
> something else.
> My dentist doesn't own one. He said that the machine costs around 110,000
> USD &
> that the CAD/CAM crown would cost me around 120$ (not 100$ as I said
> originally). I got a PFM crown, so I don't know the exact procedure - but
> I would assume it wouldn't have been a one sitting procedure if didn't have
> one. Maybe he would have made impressions just like for the PFM Crown & the
> lab would have used to impressions to make the CAD/CAM crown. Or maybe
> he would
> have take the photographs of the patients mouth & sent it to the lab. No
> idea
> about this. So this would mean the same CAD/CAM  machine would be used
> by lots & lots
> of dentists - it would do a lot more crowns then if it were sitting at
> one dentists clinic.
> Assuming the CAD/CAM owner makes a profit of say 50$ per crown, it would
> take
> him 2000 odd crowns to break even. I assume with him serving lots of
> dentists,
> 2000 crowns would happen very soon.

> By googling I got the websites of lot of labs (not dentists) who do
> CAD/CAM crowns
> for dentists in India.
> - http://www.laxmidental.com/site.php/cad_cam.htm
> - http://www.kataradental.com/dental-products/biohorizons.html

> There must be some dentists who have their own CAD/CAM machines, their
> charges
> would probably be much higher.

        We have our own Cerec expert here ;-).  He'll probably reply.  I can't
rule out that there may be a machine made in India, but I haven't heard
of it.
        Yes, labs can use Cerec machines, but it eliminates one of the biggest
advantages of Cerec--which is same-day fabrication and insertion of the
crown.  It also eliminates the impression procedure (the tooth is
scanned optically) and, Amatus is sure to note--eliminates the need for
a temporary crown.

Steve

--
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001



Tue, 27 Nov 2012 00:47:23 GMT
 Cost of crown for upper back molar?


Quote:

> > In India, in the big cities, you can get a ?PFM crown done for 60$ & a
> > CAD/CAM Crown for 100$ at a not so expensive dentist. And the work is as
> > good as any first world dentist.

> ? ? ? ? The new Cerec machines are about a couple of hundred thousand dollars
> US. ?I don't know how they can make that work at $100/crown.

For Zirconia, the Mexican practices seem to share an Etkon laser 3D
scanner, which reads jaw models made from the impressions.

They told me the scanner costs $50k. The actual manufacturing is done
in the US, as I understood. 10 days turnaround time.



Tue, 27 Nov 2012 00:47:30 GMT
 Cost of crown for upper back molar?
This is a price list from a medical tourism website
http://worldental.org/dental-tourism-countries/india/yazad-gandhi-mum...

Price for a Procera crown - Rs. 12000 (roughly 250$).
This is from a medical tourism dentist - as I had mentioned
in an earlier post, they cost far more than a regular dentist
because of the additional overheads.

Here is another site with price comparison
http://treatmentabroad.net/cost/dentistry-abroad-cost/procera-crowns-...



Tue, 27 Nov 2012 01:04:01 GMT
 Cost of crown for upper back molar?

Quote:




>>> In India, in the big cities, you can get a  PFM crown done for 60$ & a
>>> CAD/CAM Crown for 100$ at a not so expensive dentist. And the work is as
>>> good as any first world dentist.
>>         The new Cerec machines are about a couple of hundred thousand dollars
>> US.  I don't know how they can make that work at $100/crown.

> For Zirconia, the Mexican practices seem to share an Etkon laser 3D
> scanner, which reads jaw models made from the impressions.

> They told me the scanner costs $50k. The actual manufacturing is done
> in the US, as I understood. 10 days turnaround time.

OK.  Zirconia has a coping (understructure) made by CAD-CAM.  The
porcelain is put on manually.  Cerec is totally fabricated from a blank
piece of ceramic and milled to size and shape, then bonded in the tooth.
Still, Zirconia ain't cheap to do, and the ability to do it at that
price is pretty darn impressive.

Steve

--
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001



Tue, 27 Nov 2012 01:51:30 GMT
 Cost of crown for upper back molar?
A new CEREC machine in the USA is about $110K.  I understand the price is
about 30% less in Europe.

--
::::
Amatus Cremona
;;;;;;


Quote:

>> On Thu, 10 Jun 2010 21:09:55 +0530, Steven Bornfeld






>>>>>> I don't know what rank-and-file Mexicans who make $5 a day do when
>>>>>> they need dental work.

>>>>> You don't really want to know...

>>>>> Vaughn

>>>>  In India, in the big cities, you can get a  PFM crown done for 60$ & a
>>>> CAD/CAM Crown for 100$ at a not so expensive dentist. And the work is
>>>> as
>>>> good as any first world dentist.

>>>     The new Cerec machines are about a couple of hundred thousand
>>> dollars US.  I don't know how they can make that work at $100/crown.

>> I don't know what kind of CAD/CAM machine - whether it's CEREC or
>> something else.
>> My dentist doesn't own one. He said that the machine costs around 110,000
>> USD &
>> that the CAD/CAM crown would cost me around 120$ (not 100$ as I said
>> originally). I got a PFM crown, so I don't know the exact procedure - but
>> I would assume it wouldn't have been a one sitting procedure if didn't
>> have
>> one. Maybe he would have made impressions just like for the PFM Crown &
>> the
>> lab would have used to impressions to make the CAD/CAM crown. Or maybe he
>> would
>> have take the photographs of the patients mouth & sent it to the lab. No
>> idea
>> about this. So this would mean the same CAD/CAM  machine would be used by
>> lots & lots
>> of dentists - it would do a lot more crowns then if it were sitting at
>> one dentists clinic.
>> Assuming the CAD/CAM owner makes a profit of say 50$ per crown, it would
>> take
>> him 2000 odd crowns to break even. I assume with him serving lots of
>> dentists,
>> 2000 crowns would happen very soon.

>> By googling I got the websites of lot of labs (not dentists) who do
>> CAD/CAM crowns
>> for dentists in India.
>> - http://www.laxmidental.com/site.php/cad_cam.htm
>> - http://www.kataradental.com/dental-products/biohorizons.html

>> There must be some dentists who have their own CAD/CAM machines, their
>> charges
>> would probably be much higher.

> We have our own Cerec expert here ;-).  He'll probably reply.  I can't
> rule out that there may be a machine made in India, but I haven't heard of
> it.
> Yes, labs can use Cerec machines, but it eliminates one of the biggest
> advantages of Cerec--which is same-day fabrication and insertion of the
> crown.  It also eliminates the impression procedure (the tooth is scanned
> optically) and, Amatus is sure to note--eliminates the need for a
> temporary crown.

> Steve

> --
> Mark & Steven Bornfeld DDS
> http://www.dentaltwins.com
> Brooklyn, NY
> 718-258-5001



Tue, 27 Nov 2012 09:00:07 GMT
 
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