The top of a hill for music and speaks out again is west of like canada pizza. Theres no evidence to support the cancellation the indian was involved with a feeling of how the stunning actors provide those. All the latest headlines ibex during christy i on the cost of everything and well be back looking for them with the constantly rising cost of health care. Many americans are making difficult decisions about their health, including sometimes for going routine. Preventative care. As a way to save money, this includes routine, dental care, which can oftentimes result in patients for crying even more expensive and complicated Emergency Care down the road to save their pearly whites to. Im christy, and youre watching the cost of everything more today. Were going to be looking at the cost of maintaining your lifelong dental health and why the us dental care is so much more expensive compared to other countries. The. Now weve all heard of medical tourism where people go for a cosmetic facelift or maybe an infamous brazilian, but lift. But literally dental tourism has also been on the rise. The top 10 destinations for dental tourism for us patients are mexico tylen, hungry spain, poland, coastal rico, the philippines, malaysia and turkey. Us patients can expect to save between 40 to 65 percent in mexico and up to 50 to 75 percent in thailand. And this is because in countries like mexico, the cost of living is significantly less compared with the us, making it more feasible for dentists to own and operate a practice. In addition, dentists and mexico are not required to pay for malpractice insurance. Many patients now combined dental care with a vacation and the most common procedures for dental tourism include crowns, veneers, implants whitening root, canals, dentures and fillings. And just on the other side of the colorado river, the small mexican town of lost out of the donors bills itself as molar city. The city only has around 5000. 00 permanent residence, but thousands of tours loc to the city every year, to take advantage of the 350. 00 dentists in the downtown area. Some clinics even offer transportation to and from airports or other metropolitan areas, the most out of the dont as was built around dental tourism. This means dental work is fast, and cheap. Prices on average are of 3rd of the cost of their us equivalent. But unfortunately, not all the work is quality. None of the procedures are guaranteed. And sometimes patients get taken advantage of. Insurance companies are now even on board with dental tourism, with Companies Like geo blue which is affiliated with Blue Cross Blue Shield and aetna offering specific medical and dental coverage for people who are traveling outside of the us. Doing so say is insurance companys money because theyre paying out much less than they would for these procedures in the us. Some employers have even gone a step further and well even cover entire medical tourism trips for employees. So now joining us today is dr. Joseph kelly. Ill, dentist from arlington, dentistry. Now joseph, can you provide an overview of the current landscape of dental care costs and how have they evolved over the years . Well, it really depends on the type of treatment the patients are having. And it depends on the locations where are you located . If, if were talking into us, its gonna vary. If youre in a major city or if youre in the suburbs and overall it is known that dental cost in the u. S. Is more expensive than, for example, places uh, overseas. Um now, uh the, uh the, what, some of the factors that play influence in the dental cost is uh, the complexity of the treatment. Uh and uh, when you are talking about treatment that involves more advanced procedures like surgeries or dental implants. Uh so you, youre going to find that that is going to be a little bit more costly, but also using technology with capt cam or 3 d printing. Thats also gonna add the costs. So i guess the answer is it depends on locations. It depends on the complexity of treatment and what factors contributed to the overall expenses associated with dental care today . Well, uh i can tell you from my, my experience um we are located in arlington, virginia, so uh, the real estate is expensive. Rents are expensive. Um staff salaries are expensive, so one of the factors is location. So if youre in, in a small town where your rent might not be as, as expensive, your overhead is going to be less. So you have a fixed overhead into practice, meaning just the fixed overhead, the cost of operating. So use the moment you walk into your office and you turn the lights on, you have some expensive expenses, whether its a mortgage on the property or the rent, and youve got your staff salaries, these are all fixed electricity, etc. So cost of operating a dental office in us is not, its not cheap. Uh so if you move a little bit towards a smaller areas, it might be a little bit less expensive, but then youve got also malpractice insurance and other business overhead. Insurances and a workmans comp insurance is, i mean theres a lot of a lot of hidden expenses. Patients typically think that theyre buying our next boat or our airplane, or our cause. And its, its far, far from reality. As a matter of fact, that a lot of dental offices and dentist that go go under go out of business. I just sort of one today that the close shot because the rent was so expensive. She, she couldnt keep up, keep the office. So she had to move it to a different location. So uh, so these are some of the, what drives the cost. The other thing is the technology. As you advanced in technology, labs need to buy sophisticated equipments, especially when it comes to 3 d printing machines or using uh, uh, you know, digital like um, digital scanners, etc. And so that is expensive. And so therefore, the light bill is going to be a little bit more expensive and so this adds to the, to the cost. So these are, in a nutshell, you have to fix overhead and that, and then you have the other type of fences where youve got your lot bills and miscellaneous expenses that that sometimes happens when you, you cant control. Many individuals find dental care costs challenging to manage. Could you elaborate on the specific challenges people face and affording these treatments . It really depends on the treatment. And it depends on the level of the treatment and the expectations, the patients house. You know, ill give you a simple example. Lets say someone comes in and they dont have to. Okay, they want to have somebody, they can go with something thats remove the day. They can go with something thats doable with do implants, and they can go with something thats removable, but little bit more fixed with for implants. And they can go with something that is fixed, like having their own teeth with, you know, 4 or more implants. And the more fixed you go, the more the cost. Now you do, you know, they might need a simple, simple restorative like fillings. And thats not going to be as much expensive as a, if they need it, for example, a root canal, and maybe some crowns on top. So the best way to save on dental treatment is prevention because that is so way with patients can go throughout their life with not leaving other than simple cleanings, you know, but it takes the effort to, uh, uh, you know, do the work at home. I always tell patients when they come in for the 6 months of the visits for the cleaning and oh, i tell them thats what youre seeking me 2 days out of 365. 00. What really matters . Whats more important is what you do in the 363 days at home. So prevention is the best of the best solution and how the Preventative Care measures such as regular checkups and cleanings contribute to the overall cost of dental maintenance. When it comes to dentistry, for the most part, um, the prevention is just key. Okay. And i always felt based on my job is to help you uh, need less that the 3 i would be failing as a dentist if my patients keep coming to me and they keep needing work. Um, so we spend a lot of time on, on spending time and talking to them about prevention. The number one cause of problems, the major, you know, 60 percent plus of things that we, we do in the office are the result of cavities. The k right carries and the last prevention is limiting, sugar, sugar consumption and its sugar. It isnt everywhere and it doesnt impact only their Overall Health from, you know, diabetes to Heart Disease, etc. But also it impacts the teeth and then the teeth a when they um they get cavities. So thats where expenses start rising up. Now, theres a way to fix something before it gets bigger, with simple filling. So thats where you can control the costs. And then of course, as it gets bigger, if you go into more expenses when you get into more advance whether its root canals, and if you let it go completely, then you lose a tooth. Then you were talking about surgeries and extractions and implants if you want to replace the so controlling sugar. Okay. Brushing flossing, you know, but the main thing is sugar. Lemme thing sugar occasions that of course, fluoride plays a big role as well. Uh lets controversial some people are against fluoride. Some are with we have studies that show that it does prevent a tooth decay. But in my opinion, the number one thing is sugar. Sugar poison for the teeth and for the body. Thank you so much, doctor, but please stick around. Dr. Joseph kelly ill will stay with us right here after the breaks. So stay tuned as we delve into the world of cosmetic dentistry. Exploring is rising popularity. Fueled by the influence of social media. Well have more after the break, the high acceptance, and im here to plan with you whatever you do. Do not watch my new show. Seriously. Why watch something thats so different. Whitelisted opinions that he wont get anywhere else. Welcome to please, or do you have the state department to see i a weapons makers, multi 1000000000 dollar corporations. Choose your fax for you. Go ahead. Change and whatever you do. Dont my show stay main street because im probably going to make you uncomfortable. My show is called stretching time, but again, its not, we dont want to watch it because it might just change the way you the our world is full of different cultures with various beauty standards and traditions where one country values, bronze pan, skin, others prize, fair porcelain glass skin, but across the board, every country values healthy white teeth. So when it comes to the best overall dental health, denmark takes the 1st spot with the m f t index, which stands for decayed, missing, or failed teeth score of 0. 4. Dana citizens have pretty perfect teeth, followed by germany, finland, sweden, and the u. K. Now, diet plays important factor and dental health. Cultures that consume large amounts of sugar are more prone to dental problems, which lowers are d, m, f, t score. The philippines have the worst d m. F t score with 90 percent of their citizens suffering from tooth decay, india and australia rank 2nd and 3rd to last on the list. Countries with universal health care often see Better Oral Health outcomes due to more accessible and affordable dental services. And now americans have some of the best dental care in the world. But more than 90 percent of American Adults has has some form of tooth decay. And again, diets fill with sugary carbonated acidic drinks are largely to blame. And while the case can be fixed with dental fillings, repetitive decay can wear down the tooth structure enough that extraction may be the only option. On average, Preventative DentalCare Services like x rays and cleanings costs between 275. 00 to 400. 00. But if you have a cavity and require filling, it can range from a 154. 00 tooth to 250. 00. Crowns are more expensive and depending on the material from a 1000. 00 for a metal filling to 2000. 00 for a ceramic filling. And for many people who lapse and dental care whether for cost reasons, or for cobit reasons, they often return in worse shape. Dentists who reported decline and patient volume during the height of the pen democrat, saw nearly 40 percent increases in oral health problems, including more cavities and subsequent years. This is referred to now as covert cavities. Dentists also reported seeing a sharp rise in ship and cracked teeth as well as more americans stressed by coven or clenching their jaws and grinding their molars. This can be attributed to children and teens consuming more sugary snacks and not falling strict dental hygiene practices. While spending an extended time amount of time at home during warranty, adults also develops snacking habits, having a refrigerator stashed 20 feet away from them at all times. So for this and more, lets bring in again, dr. Joseph camille dentist at arlington dentistry. Now joseph, we often hear about people in the ortho work and people routinely get braces or invisalign and their adult hears. How have these new technologies contributed to the cost of dental care . I would still say that over all you can, you can still get a clear a liners for. Ready or a reasonable a for the. Ready across a, maybe a little bit less than what was traditionally a necessary to get like the conventional braces. But its gonna depend once again depends on the region. Depends on the area. Um, depending on the provider i for example, we do lot of invisalign because we just because we do a lot of invisalign, we get into a different tier. Uh, meaning my costs from design would be less than someone that doesnt do a lot of invisalign. So i can afford to pass on those savings to my patients. Okay. So, and thats the decision that i make business decision that i make to say, you know what . I wanna lower the cost for the patients. And i this way i get more patients interested. And i also believe that when youve got the patients wearing invisalign and theyre like, oh and bass. So theres through a practice because their friends and family last summer was doing your invisalign and then it can be more of a marketing tool. Are there technologies that have significantly improved dental treatments and lower the cost such as these online or subscription services, and do they actually work . Im a believer. Okay, that straight thirtys, a clean or t. So it, i dont look at straightening the teeth strictly as a cosmetic benefit to the patients. Okay. That a lot of benefits. As a matter of fact, i dont, i dont discuss my patients invisalign or straightening the teeth strictly on the basis of cosmetics unless this is a concern to them. And we can address that. But sometimes that bite the way that to you thought fitting together the direction of the force. It can be detrimental. They can be cracking their teeth that can be tripping that these and simply because the teeth i was wrong place also, we have, we see a lot of patients that are well into the eightys and ninetys. And lot of patients physiologically. You know, as we all get older, lower teeth get more crowded, and then when manual dexterity diminishes, so people as they get older, some of them are in, in uh, assisted living. You know, they have other people brushing their teeth. Its always easier to clean straight or teeth than crowded teeth. I do sometimes lot of restorations and fixing cavities on patients with, with cricket, these or crowded teeth. So there is a lot of Health Benefits to having straight or teeth. And so we, we discuss that with patients when there are well and you know it to their you know, before they get older and we say, hey, were living long. And if there are some advantages to that. So. Ready yes, so that technology is, is helping patients have healthier miles. And by the way, that a lot of studies that were done that saw that the type of bacteria around crowded teeth is different than the bacteria around 330. And we all know that theres correlation between the Heart Disease and gum disease. So again, so, um i, i look at things where, you know, what, this is definitely a health benefit. The other thing that is important is that when you have threats of teeth and studies have been done, you have that a self confidence, you have better self esteem. So that is that your whole emotional psyche is better that its has been linked to having better jobs. And im talking in general being able to a, if you dont feel better about yourself. So these are also a benefits. So again, its gonna, its gonna differ where you are in the world in america, its a lot more. Theres a lot more emphasis on that. Versus some other parts of the world. Cosmetic dentistry has seen a rise in popularity. What has contributed to this . It is cultural uh, but uh if, if you want me to talk about the western world, it has been on the rise. And it went even more on the rise after coping when everybody was on zillow. And i had a lot of patients come in to me and say like a sense show me the screenshots of the, like, look up my teeth. We, we go in life, people go in life, no one books from the outside and right, unless youre looking in the mirror, right. And then when, when people are on the screen at, on the on zoo, uh, they notice a lot, a lot of that. Notice that the penalty, the colors and well just the arrangements. So yes it, it became more on the rise. The other thing is our ability to use better communication skills using Digital Media photography. Computers is 3 d scanners. Youre able to show patients on the screen and then Patient Acceptance and patients awareness increase. So thats, thats a 2 is 3. So there is a lot of different treatment modalities that one can do that dont have to be very expensive, meaning in the past, if you needed to do cosmetic procedure at that to be either crowns or porcelain veneer. Well right now you can do, you can straighten the d and well do little bit the whitening and maybe that the trip. Or you can do some bonding which are tooth color filling, special, a tooth color, filling material that is highly polish. Revolt and you can place on your front teeth and you dont do that conservative, you dont have to cut on your deep and then you know, thats typically less costly than ceramic than force than it is. So i mean, so thats also contribution to people accepting more and wanting more. So again, its gonna vary on the where you are, what country your n. But um, since i live in the u. S, this has been the experience over here. Are there a specific cosmetic treatments that have become more affordable or expensive over time, cosmetic procedure that became affordable . Well, one whitening the simplest one. So people that just want to white then, and well be happy with that because of that deep. Its used to be going through the dentist now you can get them over the counter. You have the, the crests whitening strips and other brands that are available over the counter. Or even at the Dentist Office it became affordable to do the whitening. Thats want to, you have the tooth colored composite present, you know, the bomb being referred to as laymans term as in bonding. And thats also more affordable than the porcelain. And sometimes in the past, the people wanted to have as traits or to use. Uh they have, there was nothing wrong with that either just a little bit crowded and they, you know, they, they would get veneers, which in my opinion i think would be way over treatment. Now you can simply do Something Like an invisalign, right . Use some clear liners and you can straightening your teeth and then wiping them, and youll have an amazing smile. Thats natural, thats yours and conservative. So thats also less cost. Now, good straight teeth are often the result of good genes. So what countries are known for requiring very little ortho work versus what countries have a higher proportion needing ortho work . I think the you, as i can tell you real quick probably around the late nineties or early 2000, there was a show called smile make over this. And they realized that and that would show what its like to reality. Tv on, on television, also tends and you day people would do plastic surgery, people will do all kinds of stuff. But then the minute theyve changed it to you, you see that in fact we do all and then thats when the rise in popularity of cosmetic dentistry. Became a, you know, evident into us. So i would say the u. S. Probably does the most, you can just look on tv. I think its also people. Unfortunately, i hate to say this, but people judge you in the u. S. Based on your seats, you know, uh, but in, in places in other places like in some, some countries of europe or, you know, places in the middle east. I mean, im originally from loving on because its different. When i go there, i dont know, look, im looking to see that its not the same. So its cultural. Now, some places where culturally its acceptable to have spaces. As a matter of fact, i have patients. Ive seen patients when they were to say, i want to straighten, but i want to leave a space in between my front teeth. I want to keep that space and thats culturally acceptable to them. So the, the other thing is it depends on the regions, the social economic status of the person. These also play play a role. So, but i think the us do aspects the prize for a more, the straightening. So maybe some other places like brazil, how or heavy on cosmetic dentistry . Uh i know maybe uh south korea, maybe japan. Thank you so much dr. Joseph kelly ill for all your time today. Cosmetic dentistry like veneers are growing in popularity. Things to social media veneers have revolutionized smile makeovers and have allowed people to bypass orthodontist altogether. But dentistry experts believe that people are being marketed crowns as veneers. In this instance, about 60 percent of the tooth is drilled away, leading to major risks and infections, and root canals down the road. A crown last for 12 to 15 years. And after that, you wont have much of a tooth left to work with after that. There is also the possibility of overbuilding. Veneers, making them appear bulky, and this can really result in gum disease, not to mention difficult eating or speaking. But the sad part is that perfectly good, healthy teeth. I drilled away, making veneers, and irreversible decision. Unfortunately, many people are left with less than perfect smiles as a result of seeking an unqualified professional to save on cost. Im christy, i thanks for watching and well see you right back here next time on the cost of everything. The according to jo, binding americas most pressing challenge is the survival of the cam. Regina is all the countries problems, are largely the problem with fines and all those things support the plane project is about the phrases are the after the non cac power in italy, states Foreign Policy became extremely aggressive. Benito mussolini needed glorious victories. He decided to achieve his ambitions in apricots. Despite the fact that formally libya had become an italian colony back in 1912. The vast territories of this country were not actually controlled by rome. The nazis decided to put an end to this. But as soon as the religious order of the senate side stood in their way, the arabs did not want to submit to foreign power and put up fierce resistance. Dividers against colonialism were led by the seats of the senate side order. Omar ill move, sar