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Your Teeth

Ugh...I never had cavities...now all of a sudden with all the auto-immune disease I have besides Sjogrens my teeth are deteriorating. I lost my front tooth and put an implant and another tooth with crown had to be recrowned. I was told 6 teeth need to be removed due to cavaties and replaced by a crown. Needless to say getting a second opinion. Of course Insurance doesn't cover any of this. Just giving you a heads up.

  1. I had so many bad teeth at the same time, unfortunately. I could not afford the procedures so I had to choose dentures. That was so difficult to do,but had no other way. It is still difficult because with dry mouth,food sticks to your teeth. 🫩

    1. , you may be able to file an appeal if your doctor will help you document that it is a quality-of-life issue associated with Sjogren's. Sadly, the US doesn't consider dental health to be a factor in overall health. - Warmly, Donna (Team Member)

  2. Which Dr has to help? My dentist or my PCP? I owe 1 12,000 and a current one with insurance is 10,00 after everything is done. St most I have 15 teeth left in my mouth. 5 are to be pulled in Sept.

    1. , have you consulted an ENT or rheumatologist? They may be able to help. You can start at Find a Rheumatology Professional - I hope that helps - Warmly, Donna (Team MEmber)

  3. Hi , that'sa lot to deal with both emotionally and financially. I wonder if your doctor could help diagnose the dental work as a medical necessity and that would help with coverage? I'm shareing a couple of articles that may help:
    https://www.medicare.gov/coverage/dental-services
    https://www.cms.gov/medicare/coverage/dental
    https://nexusdentalsystems.com/blog/understanding-medically-necessary-dental-care/
    Please keep us posted on how you're doing. - Warmly, Donna (Team Member)

    1. thank you Donna I'm just so overwhelmed since I have been going to the same Dentist for the past 7 years I don't know why they didn't fill each cavity while they were occurring instead of waiting to the point of them getting so bad that now 4 must be removed and a total of 6 are needed to complete a bridge. I feel this is a lawsuit for neglecting the cavities so they could make the bigger bucks which I can't afford.

    2. , I think you are well within your rights to speak with an attorney. That does seem like severe negligence. Keep us posted on how things go! - Warmly, Donna (Team Member)

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