Cost of crown for upper back molar?
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Alex Mille #1 / 80
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 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.
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Mon, 26 Nov 2012 07:32:27 GMT |
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Alex Mille #2 / 80
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 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.
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Mon, 26 Nov 2012 07:58:52 GMT |
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vaugh #3 / 80
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 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
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Mon, 26 Nov 2012 08:09:29 GMT |
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Beatl #4 / 80
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 Cost of crown for upper back molar?
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>> 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.
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Mon, 26 Nov 2012 12:37:19 GMT |
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Ti #5 / 80
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 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 $1000 where I come from, So Calif.
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Mon, 26 Nov 2012 13:44:21 GMT |
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Alex Mille #6 / 80
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 Cost of crown for upper back molar?
Quote: > In India, in the big cities, you can get a ?PFM crown done for 60$ & 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 $30 in lab fees, wouldn't there be too much incentive not to redo the impression, if the first one turned out to be substandard? Quote: > The only problem would be that you can't ?sue the dentist if something goes wrong.
I'm not a lawyer or a dentist, but I think that even in the US you actually have to prove negligence or "failure to inform", rather than merely bad outcome.
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Mon, 26 Nov 2012 15:23:01 GMT |
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Beatl #7 / 80
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 Cost of crown for upper back molar?
On Thu, 10 Jun 2010 12:53:01 +0530, Alex Miller Quote:
>> In India, in the big cities, you can get a PFM crown done for 60$ & 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 :-) 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.
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Mon, 26 Nov 2012 17:27:38 GMT |
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Beatl #8 / 80
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 Cost of crown for upper back molar?
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> 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.
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Mon, 26 Nov 2012 17:43:51 GMT |
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Steven Bornfel #9 / 80
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 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
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Mon, 26 Nov 2012 23:39:55 GMT |
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Beatl #10 / 80
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 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.
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Tue, 27 Nov 2012 00:43:31 GMT |
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Steven Bornfel #11 / 80
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 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
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Tue, 27 Nov 2012 00:47:23 GMT |
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Alex Mille #12 / 80
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 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 $50k. The actual manufacturing is done in the US, as I understood. 10 days turnaround time.
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Tue, 27 Nov 2012 00:47:30 GMT |
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Beatl #13 / 80
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 Cost of crown for upper back molar?
This is a price list from a medical tourism website http://worldental.org/dental-tourism-countries/india/yazad-gandhi-mum... Price for a Procera crown - Rs. 12000 (roughly 250$). 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-...
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Tue, 27 Nov 2012 01:04:01 GMT |
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Steven Bornfel #14 / 80
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 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
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Tue, 27 Nov 2012 01:51:30 GMT |
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Amatus Cremon #15 / 80
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 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
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Tue, 27 Nov 2012 09:00:07 GMT |
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