FAQ

At Dr. Nick Brown Dental Care,

we believe it’s important for our patients to have a basic understanding of dental health and the important role it plays in their overall health. Below we have answered questions we often receive, and defined some of the common terms you may hear as we discuss your personalized treatment plan. Of course, if you have any other questions or concerns, please reach out to our office. We’d love to talk with you and help you feel confident in your dental care decisions.

General Dentistry Questions

  • Many people don’t see a dentist on a regular basis. They only go when they have a problem. This is known as "crisis treatment" versus "preventive treatment." While these patients may feel they are saving money, it often ends up costing much more in dollars and time. This is also the reason people have such a negative feeling when it comes to the dentist! They only go when something really hurts and will often have to pay more. This is because many dental problems do not have symptoms until they reach the advanced stages of the disease process. An example is tooth decay. It is typical to hear, "Nothing hurts... I don't have any problems."

    Tooth decay often does not hurt until it gets close to the nerve of the tooth. It is not uncommon to see a patient with a huge cavity who has never felt a thing. The dentist can usually detect a cavity 3-4 years before it develops any symptoms. This early detection can help you prevent root canal treatment.

  • Always spend two to three minutes brushing your teeth. It takes that long to get rid of the bacteria that destroy tooth enamel. Do not brush too hard. It takes very little pressure to remove bacteria and plaque. Floss at least once a day. Flossing is the only way to get bacteria from between your teeth.

    Watch the sugar you eat (and drink! We’re looking at you sodas and craft beer). There is sugar in candy, fruits, crackers, and chips. These are the foods that the bacteria in your mouth like best, go figure!. Be mindful of foods like raisins and peanut butter that stick to your teeth. They can provide a constant supply for the bacteria eating into your teeth. Try to minimize the times during the day when sweet items are eaten and brush your teeth afterwards.

  • Many diseases of the teeth and surrounding tissues cannot be seen when the dentist examines the mouth. An X-ray examination may reveal:

    • small areas of decay between the teeth or below existing restorations (fillings)

    • infections in the bone

    • periodontal (gum) disease

    • abscesses or cysts

    • developmental abnormalities

    • some types of tumors

    Finding and treating dental problems at an early stage can save time, money and often unnecessary discomfort. X-rays can detect damage to oral structures not visible during a regular exam. If you have a hidden tumor, X-rays may even help save your life. Dentist will evaluate your need for X-rays based on the conditions present in development. There are many benefits to having X-rays taken. Any additional questions or concerns should be discussed with your dentist.

  • Nope! Sorry everybody! Flossing reduces the number of bacteria in your mouth. There are millions of these microscopic creatures feeding on food particles left on your teeth. These bacteria live in plaque which can be removed by flossing. Brushing your teeth gets rid of some of the bacteria in your mouth. Flossing gets rid of the bacteria the toothbrush can't get to. That's the bacteria hiding in the tiny spaces between your teeth. If you do not floss, you allow plaque to remain between your teeth. Eventually it hardens into tartar. Plaque can be removed by brushing. Only the dentist can remove tartar.

  • If you haven’t been to the dentist in a long time, we may break up your cleaning into multiple visits to make you a little more comfortable. Sometimes it takes a little extra time to get your teeth and gums back to their healthiest. But don’t worry, we’ll take the time to explain things to you and help you get your smile back!

  • The simple answer is “no”. We do not put you to sleep at our office. (Although Dr. Brown DOES love to talk! 😉 ha.) However, we absolutely understand that dental visits can be a huge source of anxiety for many patients. We will do everything we can to make you comfortable and put you at ease. We do offer Nitrous (laughing gas) to our patients, which will create a calm, almost drowsy feeling during procedures. We also will administer local anesthesia in the form of a shot for certain procedures. Dr. Brown has been praised many times for his ability to do this so gently, patients sometimes don’t even know he’s doing it!

  • While pregnant, it is ideal to have dental procedures completed during the second trimester.

    About half of women who are pregnant experience a condition called pregnancy gingivitis. This condition can be uncomfortable and cause swelling, bleeding, redness, or tenderness in the gum tissue. A more advanced oral health condition called periodontal disease (a serious gum infection that destroys attachment fibers and supporting bone that hold teeth in the mouth) may affect the health of your baby. Studies have shown a relationship between periodontal disease and preterm labor & low birth-weight babies. In fact, pregnant women with periodontal disease may be seven times more likely to have a baby that's born too early and too small. The likely culprit is a labor-inducing chemical found in oral bacteria called prostaglandin. Very high levels of prostaglandin are found in women with severe cases of periodontal disease.

  • Like other investments, if you whiten your teeth, the length of time you can expect it to last will vary. If you smoke, drink red wine or coffee, or consume other acid-containing foods, your bright smile may begin to yellow more quickly than you expect. In general, a teeth whitening procedure can last up to a few years. And even though the results can fade, occasional touch-ups can be done to regain luster.

    Ask the experienced staff at Dr. Nick Brown Dental Care about the long-term benefits of teeth whitening.

  • Visits to the dentist include more than just "checking teeth." While patients who wear dentures no longer have to worry about dental decay, they may have concerns with ill-fitting appliances or mouth sores to name a few. Annual visits to the dentist (or sooner if soreness is present) is recommended. During these visits, an oral cancer screening and head and neck exam will be performed as well as an evaluation of the fit or need for replacement of the existing appliances. Regular visits can help you to avoid more complicated problems down the road.

  • Absolutely! Dental veneers are a great option for patients who are ready for a brand-new smile. Veneers offer a cosmetic option that is more conservative with your tooth structure than crowns, but the results can be dramatic. Ask our experienced team what the best way to give you the smile of your dreams could be.

Dental Terms

  • Bone Re-Contouring

    a procedure in which the jaw bone is smoothed out in preparation for a denture or partial denture. Re-contouring can also be performed around the base of a fractured or worn-down tooth to help it support a crown.

  • Bridge

    a permanent, custom-made appliance designed to bridge the gap created by one or more adjacent missing teeth. The artificial teeth (or “pontics”) are anchored by crowns on either side of the bridge.

  • Cosmetic Dentistry

    dentistry aimed at improving the appearance of your teeth and smile. Cosmetic procedures are often elective, but can also be beneficial to oral health.

  • Crown

    a cap placed on top of a damaged tooth that restores its normal appearance and function. They can made of gold, ceramic, porcelain, or porcelain fused to metal.

  • Dental Bonding

    an easy and cost-effective way to repair chips, cracks, stains, and gaps using a moldable, custom-tinted composite resin. The composite is applied and quickly cured, or hardened, with a UV light.

  • Dental Caries / Cavities

    holes that form in your teeth as a result of decay. Cavities form when bacteria produce acids that “eat away” at the outer layer of the teeth, called the enamel. If they go untreated, they can get larger and start to affect deeper layers causing pain, sensitivity, and tooth loss. Good oral hygiene, including post-meal brushing with a fluoride toothpaste, can kill harmful bacteria and prevent cavities from forming.

  • Dental Filling

    a restorative treatment that uses an artificial substance to fill holes or gaps in the enamel of decayed or damaged teeth. They can be made of composite resin, amalgam (mixture of metals), gold, ceramic, or glass ionomer. Material considerations include allergies, appearance, and cost.

  • Dental Impression

    an imprint of the teeth made by biting into a quick-setting, gel-like substance. Impressions are used to create a three-dimensional cast or model of your teeth and the surrounding tissues. They aid in the creation of everything from whitening trays to mouthguards to prosthetics.

  • Dentures

    custom-made appliances that replace missing teeth. Full dentures replace all the teeth, while removable partial dentures are a cost-effective option when some natural teeth remain. Artificial teeth are attached to a gum-colored acrylic base held in place by metal clasps, or precision attachments, which fit into slots added to crowns on supporting teeth. Sometimes dental implants can be used to increase the stability of a denture.

  • Emergency Dental Care

    treatment that addresses urgent dental issues, like a tooth that has been fractured or knocked out; an abscessed infection; or lost, broken, or painful restorations (fillings, crowns, implants, dentures, etc.). Some issues can be life-threatening, such as severe tooth or gum pain, bleeding that won’t stop, or swelling that restricts your breathing. In these scenarios, you should call 911 immediately.

  • Extraction

    removal of a severely damaged or decayed tooth as a last resort when the tooth cannot be restored. The type of extraction—simple or surgical—depends on the tooth’s shape, size, position, and location in the mouth.

  • Gingivitis

    a bacterial infection that occurs when plaque accumulates on the teeth and causes inflammation of the gums, or gingiva. Symptoms include swollen, tender, or bleeding gums; persistent bad breath; or a persistent bad taste in the mouth. It is a common and mild form of gum disease, but untreated, it can progress to a more serious form called periodontitis. Risk factors include poor oral hygiene, unhealthy diet, smoking, age, stress, and certain medications or medical conditions.

  • Implant Crown

    an artificial tooth structure that attaches to a dental implant, which is a surgical screw placed in the bone of the jaw. Together, the dental implant and implant crown work as a total tooth-root replacement, although the crown is the only part you will see.

  • Oral Cancer Screening

    a systematic check for signs of cancer in and around the mouth, including the tissues of the cheeks, lips, gums, tongue, palate, and floor of the mouth. If any lumps, sores, or irregularities are found, you may be referred to an oral surgeon.

  • Oral Health

    refers to the health of your teeth, mouth, and surrounding structures (skull and face), which affects your ability to speak, smile, chew, make facial expressions, etc. You can improve your oral health by avoiding tobacco and excessive alcohol use, and by prioritizing preventive dental care (brushing, flossing, scheduling regular cleanings, and eating a healthy diet).

  • Periodontitis

    a severe gum disease that occurs when inflammation or infection of the gums (gingivitis) is not treated. When the inflammation spreads to the ligaments and bone that support the teeth, the gums start to pull away, the bone deteriorates, and eventually, the teeth fall out. Symptoms include pain; bleeding while brushing or flossing; tender, swollen, or receding gums; loose or missing teeth; and bad breath.

  • Plaque

    a sticky, colorless film of bacteria that constantly forms on your teeth. The bacteria in plaque produce acids after you eat or drink, which can destroy your enamel and lead to tooth decay and gum disease. Regular brushing and flossing gets rid of plaque.

  • Root Canal

    a procedure that can save a natural tooth when the soft center, or pulp—full of nerves, blood vessels and other tissues—becomes infected. The inflamed tooth pulp is removed, the inside of the tooth is cleaned and disinfected, then the space is filled and sealed with a filling or crown.

  • Sealant

    thin, protective coating painted onto the chewing surfaces of the teeth to prevent cavities.

  • Tartar

    a rough, yellow or brown buildup on the teeth that has to be removed professionally. When minerals in your saliva combine with plaque on your teeth, they calcify to form a hard deposit called tartar (or “calculus”).

  • Teeth Cleaning

    a thorough cleaning that should be performed by a dental professional every six months to help prevent cavities and gum disease; reduce the chances of needing more serious/costly dental treatments; and keep your teeth looking their best. First, the hygienist uses a scaler to gently scrape away dental plaque and tartar. Next, the teeth are polished with a high-powered brush, then flossed. Additional steps may include X-rays or a fluoride varnish, which is painted onto the teeth.

  • Tooth Whitening

    a process that removes both surface stains and deep stains to lighten the teeth by several shades. Whitening can be performed as an in-office treatment or at home with custom-fitted trays. Professional whitening kits contain solutions with higher concentrations of the bleaching element (usually hydrogen peroxide or carbamide peroxide), so they tend to produce results faster.

  • Veneers

    thin, custom-made, tooth-colored shells that are permanently bonded to the front surface of the teeth to improve their appearance. Veneers require multiple appointments to achieve durable, natural-looking results, but with them, we can address many issues, including the size, length, shape, texture, or color of your teeth.

  • X-Ray

    an image generated with a low level of radiation that allows a dentist to see the condition of teeth, gums, and bone to find and treat dental problems early, saving patients time, money, and discomfort.

Insurance Information

We know insurance can be confusing. You can trust our team of professionals to help you navigate the system and advocate for you to receive your maximum dental plan benefits.

We accept most forms of dental insurance, including but not limited to the providers listed. To verify your insurance coverage prior to your first visit, please call our office and speak with our knowledgeable front desk team.

We accept cash, check, VISA, MasterCard, American Express, and Discover payments. We also offer flexible payment plans. Let’s talk about how we can help you get the care you deserve!

Providers: Aetna
Assurant
Blue Cross Blue Shield of Alabama
Cigna
Connection Dental
Delta Dental
DentaMax
FMH Benefits
Group Resources
Guardian
MetLife
MetLife Tricare
Principal
Renaissance
Southland Dental
Unicare
United Healthcare
And More—just ask!

Insurance Questions

  • PPO means Preferred Provider Organization. Dentists and other healthcare professionals simply fill out forms and sign a contract stating that they will accept a certain fee for each service performed. For example a doctor may say a procedure costs $150, but the insurance company will pay $100 for it. Dentists and other healthcare professionals who are PPOs or “in-network” accept this discounted fee in exchange for being listed as a PPO for that insurance company. It’s great for patients because it helps to keep costs low. It’s great for doctors because they get an opportunity to see new patients!

  • The answer is we probably accept yours! We are a Preferred Provider (PPO) for Aetna, Blue Cross Blue Shield of Alabama, Cigna, Delta Dental, Guardian, MetLife, Southland, United Concordia, Humana, and more. We can file insurance for select Medicare patients who have dental policies with one of the above companies. We will also file most insurance with out of network benefits on your behalf.

    But here’s the most important part: did you know that most PPO dentists who “take” your dental insurance accept the exact same fee for service? The insurance company pays the doctor a set amount and the patient, when applicable, pays a set amount. That’s why it’s so important for you to select a dentist and a dental office that meets your personal needs. When you have insurance, you often pay the same price no matter which PPO office you select, so why not pick someone you trust in an office where you feel comfortable?

    Dr. Nick Brown Dental Care does not accept Medicaid at this time.

  • Unfortunately, some insurance companies simply do not pay dental providers enough to cover the cost of materials and labor for a procedure. If you’re having a hard time finding a dentist that “takes” your insurance, you may have one of those low reimbursement companies.

  • Dental insurance generally offsets the cost of treatment but doesn’t pay for it entirely. On average, dental insurance covers 80-100% of preventive (cleaning, exam and x-rays), up to 80% of basic (minor fillings) and up to 50% of major (crowns and bridges). We do our best to estimate your portion of the payment before you leave our office, but with literally dozens of insurance companies and thousands of individual plans it’s simply impossible for us to know all of them. That’s why it’s so important for you to know your plan and take charge of your health!

  • We do our best to estimate your out-of-pocket cost before you leave our office. It’s always our goal to be as accurate as possible about what you owe for your visit. As much as we try to be experts on every person’s dental insurance, our real expertise is in dentistry! Please remember that we are a PPO for many insurance companies and each company has dozens of plans that an employer can purchase for an employee. We encourage all patients to be advocates of their own health. But rest assured that we will do everything in our power to make sure you get the full benefit owed to you by your insurance company.

    Here are a few reasons why you may have received a bill:

    • Your insurance plan paid a lower percentage than expected for the procedure.

    • The treatment you needed was not covered by your plan.

    • The insurance company decided you did not need a procedure that the doctor identified as necessary or downgraded a procedure code.

    • You have not met your deductible.

    • You have not reached the end of your plan’s waiting period and are ineligible for coverage.

    • You’ve maxed out your plan (used up all your benefits on other procedures) and no longer have coverage until the plan resets next benefit period.

    Think about it like this. Pretend that your insurance card is like a debit card. If the procedure is covered, there’s money in the bank to pay for it. You wouldn’t spend money without knowing it’s there waiting on you in your checking account. Insurance is similar. If you know your plan, you will know whether the funds are there to pay for services.

    But insurance can be confusing. That’s where we come in. We will take the time to explain your benefits to you as best we can. It’s why we have so much information on our website. We want to educate you so that you can be empowered to take charge of your health and get the full benefit of your insurance.

  • Often this has to do with getting the insurance claim paid. The time for a dental insurance carrier to process an insurance claim varies. At least 38 states have enacted laws requiring dental insurance carriers to pay claims within a timely period (ranging generally from 15 to 60 days). If you want to file a complaint about a delayed payment, contact the insurance commissioner in your state. They want to know if your insurance company does not pay within the period allowed by your state law.

  • Dr. Brown diagnoses and provides treatment based on what you need, not based on what your insurance covers. Some employers or insurance plans exclude coverage for necessary treatment to reduce their cost. If you’re having trouble affording your dental care, ask us! We offer financing options and if the procedure allows, we can sometimes spread-out treatment a little to help you afford it.