General Questions

Can I pay my bill over the phone?

At Welcome Smiles, we are delighted to offer convenient options for bill payment. Should you wish to settle your bill over the phone, our team is ready to assist. If we already have a card on file for you, we will confirm your preference for using this card. Alternatively, we are more than happy to process payments using another card of your choice.

For added convenience, you can also securely text us at our dedicated number (508-832-3205), and one of our front desk team members can assist with bill payment this way, providing a quick and efficient alternative to phone calls.

Your comfort and convenience are our priorities, and we are committed to providing flexible solutions that suit your preferences. Feel free to reach out, and our team will ensure a seamless payment experience for you.

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At what age do you start seeing kids?

Welcome Smiles is delighted to extend our care to children as young as one year old. Our dedicated team of hygienists gently brush their teeth while our experienced doctors conduct thorough examinations. We prioritize creating a comfortable and friendly environment, gradually introducing them to the sights and sounds of a dental office. Our goal is to foster positive associations with dental care, nurturing a lifetime of healthy smiles.

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How long has the practice been open?

Welcome Smiles has been proudly serving Auburn and the Worcester County area for over three decades. We are devoted to delivering outstanding dental care, driven by our unwavering pursuit of excellence. For further details about our practice, please explore the additional information available here.

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How long have the doctors been working at your office?

Dr. Mehta has been an integral part of our practice since 2005. He became a full partner in 2008 and later assumed ownership in 2012. For further insights into Dr. Mehta’s expertise and dedication, please click here.

Dr. Craigen has been a valued member of our practice since 2015. For further insights into Dr. Craigen’s extensive professional background and expertise, please click here.

In 2023, our office welcomed Dr. Tsai, a specialist in endodontics, to our team. To discover more about Dr. Tsai’s professional background and expertise, please click here.

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Treatment/Clinical Questions

Why can’t I schedule a cleaning appointment? I do not need an exam. I have no problems.

We appreciate your dedication to maintaining good oral health, and we share your commitment to preventive care. While you may not be experiencing any immediate issues, scheduling an initial examination is a practice rooted in our commitment to providing thorough and personalized care. Here’s why a comprehensive approach is crucial:

• Early Detection of Issues: Regular dental exams allow us to detect potential issues early on, often before symptoms arise. Identifying concerns in their initial stages enables us to address them proactively, preventing more extensive problems down the road.
• Tailored Preventive Care: Every individual’s oral health needs are unique. A comprehensive examination helps us understand your specific situation and tailor preventive measures, including cleanings, to address your oral health goals and potential risk factors.
• Customized Cleaning Protocols: A thorough examination guides our dental hygienists in developing customized cleaning protocols based on your oral health status. This ensures that your cleaning is not only effective but also aligned with your specific needs, contributing to a healthier and brighter smile.
• Gum Health Assessment: An examination allows us to assess the health of your gums, identify signs of gum disease, and recommend appropriate interventions to maintain optimal gum health.
• Comprehensive Oral Care: Our commitment to your oral health extends beyond addressing immediate concerns. Through regular exams and cleanings, we work collaboratively with you to establish a long-term preventive care plan, fostering a lifetime of healthy smiles.

While we understand your desire for a cleaning-only appointment, our approach is rooted in providing the highest standard of care and ensuring your overall oral health. If you have any specific concerns or preferences, our experienced team is here to address them and ensure your comfort throughout the process. Your oral health journey is our priority, and we look forward to partnering with you to achieve and maintain a healthy, beautiful smile.

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I was told I need a deep cleaning – can I have a regular cleaning instead?

We appreciate your concern and understand the desire for a regular cleaning. However, when a deep cleaning is recommended, it is a crucial step to address specific conditions that may impact your oral health. Here’s why a deep cleaning may be necessary:

• Gum Health: Deep cleanings, also known as scaling and root planing, are designed to address early stages of gum disease. Unlike regular cleanings, they target the removal of plaque and tartar both above and below the gumline, promoting healthier gums.
• Preventing Progression: Deep cleanings are preventive measures to halt the progression of gum disease. If left untreated, early gum issues can lead to more severe conditions, potentially affecting the supporting structures of your teeth.
• Addressing Plaque and Tartar Buildup: Regular cleanings focus on removing surface-level plaque and tartar. Deep cleanings are necessary when we need to delve deeper to eliminate deposits have accumulated below the gumline, contributing to inflammation and infection.

While we understand your preference for a regular cleaning, our commitment is to your long-term oral health. If you have concerns or questions about the recommendation for a deep cleaning, we encourage you to discuss them with our team. Together, we can explore the most effective and comfortable solution for your individual oral health needs, ensuring a smile that is both healthy and radiant.

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How often do I need x-rays?

We routinely perform two types of x-rays: bitewing x-rays and panoramic x-rays. Bitewings are typically done annually, while panoramic x-rays are recommended every five years. Additional x-rays, like PA’s, are conducted as necessary based on individual needs.

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Do you do wisdom tooth extractions?

While we don’t handle wisdom tooth extractions in our office, we’re more than happy to perform an examination and refer you to a skilled oral surgeon for the procedure. Oral surgeons specialize in such extractions and are equipped to administer anesthesia, ensuring a smooth experience throughout the treatment.

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Do you offer sedation?

At our office, patient comfort is our top priority. That’s why we provide a range of options to ensure your visit is as comfortable as possible. We offer state-of-the-art local anesthesia using the innovative Single Tooth Anesthesia System (STA), which precisely targets the affected tooth, minimizing unnecessary numbness in surrounding areas and delivering a virtually pain-free experience.

Additionally, for those seeking extra relaxation, we offer oral sedation. This involves taking a prescribed medication before your appointment, helping you feel calm and at ease throughout your time with us. Your comfort and peace of mind are paramount to us, and we strive to make every visit a positive and stress-free experience.

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You are recommending this procedure, however my insurance does not cover this. Do I really need this?

We understand that navigating insurance coverage can be challenging, and we appreciate your concern regarding the necessity of recommended dental procedures. Our primary goal is to provide you with the highest standard of care and support your long-term oral health. Here’s why we may recommend a procedure even if it’s not covered by your insurance:

• Prioritizing Your Health: Our recommendations are based on a thorough assessment of your oral health needs and our commitment to providing comprehensive care. Our primary focus is on preserving your oral health, addressing any existing issues, and preventing future complications.
• Optimal Treatment Outcomes: Recommended procedures are chosen to achieve the best possible treatment outcomes and ensure the longevity of your oral health. While insurance coverage is a consideration, our priority is to recommend treatments that will benefit you in the long run, regardless of insurance limitations.
• Preventive and Conservative Care: Many recommended procedures are preventive or conservative in nature, aimed at addressing issues early on to avoid more extensive and costly treatments in the future. Investing in preventive care now can save you time, money, and discomfort in the long term.
• Transparent Communication: We believe in transparent communication and will always discuss the reasons behind our recommendations with you. If a recommended procedure is not covered by your insurance, we will work with you to explore alternative options and discuss payment options to ensure access to the care you need.

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What is the advantage of bioclear restorations vs. veneers or crowns on my front teeth?

Front teeth play a crucial role in your smile and overall facial aesthetics. When considering options for enhancing the appearance of your front teeth, you may wonder whether direct bonding, veneers, or crowns is the better choice.

Direct Bonding / Bioclear restorations
Direct bonding involves the application of a tooth-colored resin material to the front teeth. This is a minimally invasive procedure that offers several advantages:

• Conservative Approach: Direct bonding preserves most of your natural tooth structure, as it usually requires minimal enamel removal. This is an excellent option for minor cosmetic issues like chipping, small gaps, or discoloration.
• Affordability: Direct bonding is typically more cost-effective compared to veneers or crowns, making it an attractive option for those on a budget.
• Quick and Painless: The procedure is usually completed in a single visit and is relatively painless. Anesthesia is rarely necessary, and there is no need for temporary restorations.
• Reversible: If you decide to change your smile in the future, the bonded resin can be removed, and a different treatment can be pursued.

Veneers:
Veneers are custom-made, thin shells of porcelain or composite resin that are bonded to the front surface of your teeth. The advantages of veneers include:

• Aesthetics: Veneers provide a natural, lifelike appearance and are highly resistant to staining. They can address more significant cosmetic issues such as severe discoloration, irregularly shaped teeth, and minor misalignments.
• Durability: Veneers are durable and can last for many years with proper care and maintenance.
  Conservative Preparation: While some enamel must be removed to accommodate veneers, the amount is less than that required for crowns.
• Customization: Veneers are custom-crafted to match the shape, size, and color of your natural teeth, resulting in a stunning smile transformation.

Crowns:
Crowns encase the entire tooth and are typically used when a tooth is extensively damaged, weakened, or has a large filling. Advantages of crowns for front teeth include:

• Strength: Crowns provide maximum protection for compromised teeth, ensuring long-term structural integrity.
• Restoration: They can effectively restore and strengthen front teeth that have undergone significant damage, decay, or fractures.
• Cosmetic Enhancement: Crowns can simultaneously improve both the appearance and function of a tooth when needed.

It is important to note that the significant tooth reduction required for crown placement makes it a more invasive option compared to direct bonding and veneers. Additionally, crowns may not be the best choice for purely cosmetic improvements on healthy teeth.

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Can I have a filling instead of a crown?

This is a common question, and the answer depends on the specific condition of your tooth. Some considerations that our doctors can discuss with you are:

• Extent of Damage: Whether you can opt for a filling or need a crown depends on the extent of the tooth damage. Fillings are typically recommended for smaller cavities, while crowns are used when a tooth is extensively damaged, has a large cavity, or has undergone root canal treatment. If the tooth structure is compromised to a significant degree, a crown is a more suitable option for long-term stability and protection.
• Strength and Support: Crowns offer more strength and support compared to fillings. If a tooth needs reinforcement due to cracks, fractures, or weakened structure, a crown is often the preferred choice to prevent further damage.
• Cosmetic Considerations: Fillings are generally more conservative and less invasive than crowns, making them a better choice for cosmetic restorations. If aesthetics are a primary concern, a tooth-colored filling may be recommended to maintain a natural appearance.

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Why do I need a RCT? I’m not in any pain.

You may be wondering why a root canal treatment (RCT) is recommended when you’re not currently experiencing any pain or discomfort. Here’s why root canals are important for your dental health:
Hidden Infections: Dental pain is often a sign of an advanced dental problem. While you may not be in pain now, a dental infection can develop silently within the tooth or the surrounding bone. RCT is necessary to treat these hidden infections, preventing them from progressing to a more painful and severe stage.

• Preservation of the Tooth: The primary goal of an RCT is to save a severely damaged or infected tooth. Without treatment, the infection can spread, leading to tooth loss. Preserving your natural teeth as much as possible is essential for maintaining proper oral function and aesthetics.
• Preventative Measure: An RCT can be a proactive step in addressing dental issues before they become painful emergencies. It’s often recommended during routine dental check-ups when an infection is detected through X-rays or other diagnostic tools, even if you’re not yet experiencing discomfort.
• Long-Term Benefits: RCT not only alleviates pain but also provides long-term relief and prevents the need for more extensive and costly treatments like extractions and tooth replacement options.
• Improved Oral Health: By addressing the source of the infection within the tooth’s pulp, RCT helps you maintain a healthier mouth and reduce the risk of systemic health problems associated with untreated dental infections.

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If I take the antibiotic and I’m no longer in pain, do I still need a RCT?

This is a common question and an important one to address. While antibiotics can provide temporary relief by alleviating infection-related pain, they are not a definitive solution to the underlying issue. Here’s why a root canal may still be necessary even if the pain subsides with antibiotics:

• Temporary Pain Relief: Antibiotics work by taming the spread of the infection, which often results in a reduction of pain and swelling. However, this relief is usually temporary and does not address the root cause within the tooth.
• Infection Eradication vs. Tooth Preservation: Antibiotics eliminate the infection in the surrounding tissues but does not effectively reach the infected pulp inside the tooth. A root canal is designed to remove the infected pulp, preserving the tooth and preventing the infection from recurring.
• Preventing Spread of Infection: Root canal treatment is crucial for preventing the spread of infection to adjacent teeth, the jawbone, or even throughout the body. Antibiotics alone will not sufficiently contain the infection within the tooth.
• Long-Term Oral Health: Opting for a root canal ensures long-term oral health by addressing the source of the infection. Leaving an infected tooth untreated, even if pain has subsided temporarily, may lead to more severe complications and the potential loss of the tooth.

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How uncomfortable is Invisalign treatment? Is there any pain involved? How long is the process?

Invisalign treatment offers a comfortable and convenient alternative to traditional braces, but it’s natural to have questions about discomfort, pain, and the duration of the process. Here are some further insights into the treatment process:

• Comfort Level: Invisalign aligners are designed to be comfortable to wear, with smooth edges that minimize irritation to your gums and cheeks. Most patients find them significantly more comfortable than traditional braces, as they don’t involve metal wires or brackets./li>
• Pain Perception: While you may experience some initial discomfort or pressure when transitioning to a new set of aligners, this is typically mild and temporary. It’s a sign that the aligners are working to gently shift your teeth into the desired position. Over-the-counter pain relievers can help alleviate any discomfort during this adjustment period./li>
• Treatment Duration: The duration of Invisalign treatment varies depending on individual factors such as the complexity of your case and your treatment goals. During your initial consultation, we will provide you with a personalized treatment plan, including an estimated timeline for achieving your desired results./li>
• Process Overview: The Invisalign process begins with a consultation, during which we will assess your oral health and determine if Invisalign is right for you. If so, we will take a digital scan of your teeth to create a customized treatment plan. You’ll receive a series of clear aligners, which you’ll wear for approximately 20 to 22 hours a day, removing them only for eating, drinking, brushing, and flossing. We also utilize Dental Monitoring, a virtual treatment program that allows for both you and our office to track and monitor your teeth movements weekly through scans taken in the comfort of your home. We know how valuable your time is, and will happily notify you whenever you need to come in for new trays and/or attachments during your treatment.

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How uncomfortable is Invisalign treatment? Is there any pain involved? How long is the process?

Clear aligner treatments have revolutionized the world of orthodontics, offering a discreet and convenient alternative to traditional braces. Among the many clear aligner options available, Invisalign stands out as a leader in the field. With its advanced technology and a proven track record of success, Invisalign offers several advantages that make it a preferred choice for straightening teeth.

Customization and Precision:
Invisalign is renowned for its high level of customization. Before your treatment begins, we will use advanced 3D imaging technology to create a precise digital model of your teeth. This ensures that your Invisalign aligners are tailor-made to fit your unique dental anatomy. Other clear aligners may not offer the same level of customization, potentially resulting in a less precise fit.

Proprietary SmartTrack Material:
Invisalign aligners are made from a proprietary material called SmartTrack. This material is designed to exert gentle yet consistent pressure on your teeth, allowing for more predictable tooth movement. SmartTrack material also ensures a comfortable and snug fit, reducing the chances of aligners slipping or causing discomfort during treatment. Some other clear aligner brands may not use the same high-quality material, potentially leading to slower or less effective results.

Proven Track Record:
Invisalign has been on the market for over two decades and has successfully treated millions of patients worldwide. Its long-standing reputation for reliability and effectiveness is a testament to its track record. Our doctors have extensive experience with Invisalign, which means you can trust in the treatment’s credibility and success rate.

Compliance Indicators:
Invisalign aligners come with compliance indicators, which can be particularly beneficial for younger patients and those new to orthodontic treatment. These small blue dots on the aligners fade away as the aligners are worn, helping patients and their dentists monitor treatment adherence. This feature is not present in all other clear aligner options.

Treatment for a Wide Range of Cases:
Invisalign is not limited to treating mild or moderate dental issues. It can effectively address a wide range of orthodontic problems, including crowding, spacing, overbites, underbites, and crossbites. Invisalign’s versatility makes it suitable for many patients seeking orthodontic correction.

Comfort and Aesthetics:
One of the key advantages of Invisalign is the comfort and aesthetics it offers. The aligners are virtually invisible, making them an ideal choice for those who wish to discreetly straighten their teeth. Moreover, Invisalign aligners have smooth edges, reducing irritation to the cheeks and gums commonly associated with traditional braces and some other clear aligners.

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What will they be doing at my next implant appointment? What should I expect for recovery time?

The dental implant process typically involves several crucial steps. Here’s an overview of what to expect:

1. Initial Consultation:
   • During your initial consultation, we will assess your oral health and determine if you’re a candidate for dental implants. This may involve X-rays, scans, and a thorough examination of your teeth and gums.
   • We will discuss your treatment goals, expectations, and any concerns you may have. They will also explain the implant process in detail and address any questions you may have.
2. Treatment Planning:
   • If you’re deemed a suitable candidate for dental implants, we will create a personalized treatment plan tailored to your specific needs and goals.
3. Extraction and Grafting:
   • Before dental implant placement, it may be necessary to extract a damaged or decayed tooth. The extraction process involves numbing the area with local anesthesia to ensure comfort during the procedure.
   • Once the tooth is removed, the extraction site is thoroughly cleaned to remove any debris or infection.
   • In some cases, bone grafting may be required to augment the bone structure at the extraction site to provide adequate support for the implant. This process helps ensure the long-term success and stability of the dental implant by creating a solid foundation for it to integrate with the surrounding bone tissue.
   • Following extraction and grafting, there is a healing period before the implant placement procedure can be performed, during which the bone graft material integrates with the surrounding bone.
4. Implant Placement:
   • The next step is the surgical placement of the dental implant fixture into the jawbone. This procedure is typically performed under local anesthesia to ensure your comfort.
   • A small incision will be made in the gum tissue to access the jawbone and carefully position the implant fixture.
   • Once the implant is securely in place, the gum tissue is sutured closed, and a healing cap or cover screw may be placed on top of the implant.
5. Healing:
   • Following implant placement, a period of healing is necessary to allow the implant to integrate with the surrounding bone tissue. This process typically takes several months.
   • During this time, you’ll attend follow-up appointments for regular monitoring of the healing process.
6. Abutment Placement and Impression:
   • Once healing is complete, an abutment will be added to the implant fixture. The abutment serves as a connector between the implant and the final restoration.
   • A digital scan of your teeth will be taken to create a custom-made crown that will be attached to the abutment.
7. Final Restoration:
   • Finally, your custom-made restoration is attached to the abutment, completing the dental implant process.
   • We will ensure that the restoration fits comfortably and blends seamlessly with your natural teeth, providing you with a functional and aesthetically pleasing smile.

Throughout each step of the dental implant process, our team will provide guidance, support, and personalized care to ensure a successful outcome. If you have any questions or concerns about the implant process or your treatment plan, please don’t hesitate to reach out. We’re here to help you achieve a healthy, confident smile.

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Insurance Questions

What is the difference between in network and out of network?

In-network insurance plans are those for which we have an agreement to provide services at negotiated rates, often resulting in lower costs for you. For example, for a $100 procedure, if your plan covers $80, we cover the remaining $20.

Out-of-network plans do not have this rate agreement with us, potentially leading to higher out-of-pocket costs. In the same $100 procedure scenario, you would be responsible for the $20 difference if your plan covers $80.

Every insurance plan is unique. If you’re unsure about your plan’s coverage or have any questions, please don’t hesitate to contact our office. We’re here to help you navigate your insurance benefits to ensure you receive the best care possible.

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Which insurances are you in-network with?

We are in-network with two insurance plans:

• Delta Dental Premiere
• Blue Cross Blue Shield Indemnity

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Do you accept out-of-network insurances?

Absolutely, we welcome patients with out-of-network insurance plans. Here’s how we accommodate out-of-network insurance:

• You can access our dental services with any insurance plan that allows out-of-network care.
• We send pre-treatment estimates to your insurance company. This process gives you a clear picture of your estimated financial responsibility before you begin treatment, avoiding any surprises.
• Our team is experienced in working with a variety of insurance plans. Our practice serves many patients with out-of-network plans regularly. We’re here to assist with paperwork and answer any questions you may have about your coverage or estimated costs.

Whether your insurance is in-network or out-of-network, our commitment is to offer transparency in your treatment plan and costs. We encourage you to reach out to us with any questions or to discuss your specific insurance details. Our team is dedicated to assisting you in navigating your insurance benefits to ensure you make the most informed decisions about your dental care.

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What are some examples of out of network insurances that you accept?

Some examples of out of network insurance plans that we accept are:

• Other Delta plans (not EPO/EPN)
• Other Blue Cross Blue Shield plans
• Metlife
• Altus
• Cigna
• Any other insurance plan that allows you to see an out of network provider

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Do you accept MassHealth/Tufts/Fallon insurance?

We do not accept MassHealth, Tufts, or Fallon insurance. These plans operate within a closed network system, requiring patients to seek care exclusively from providers within their network.

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I have insurance – why do I have an out-of-pocket cost for my treatment?

Despite having insurance coverage, you may still encounter an out-of-pocket cost for your treatment. Several factors contribute to this, including:

• Having an out-of-network insurance plan
• Needing to fulfill a deductible requirement before receiving benefits
• Facing a waiting period before becoming eligible for benefits
• If an insurance’s reasonable and customary fee for a procedure is lower than our cost for the procedure
• If the insurance plan does not cover 100% of their designated reasonable and customary fees

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What is a pre-treatment estimate?

A pre-treatment estimate is a proactive step we take by submitting a request to your insurance provider. This process helps us determine the portion of the treatment costs covered by insurance and estimate your out-of-pocket expenses. This ensures transparency and prepares you for any financial responsibilities before the scheduled appointment. However, please note that this is an estimate and not a guarantee; the actual amount you owe may vary depending on your insurance’s final payment.

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What is a waiting period?

A waiting period is the time before your insurance benefits become active. This is typically found in individually purchased plans and not for those acquired through an employer. However, waiting periods usually don’t apply to preventive services like routine cleanings.

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Insurance Questions

The provided cost estimates below offer a helpful overview of treatment expenses, tailored to specific procedures. However, due to the unique nature of each case, prices will vary. We are committed to collaborating closely with patients to optimize insurance coverage and offer flexible payment solutions. Before beginning any treatment, we will communicate with your insurance company to obtain a pre-treatment estimate, providing a comprehensive breakdown of your out-of-pocket expenses and ensuring transparency and peace of mind.

How much does a cleaning cost?

The cost of a cleaning and exam costs around $200. If you have dental insurance, cleanings/exams are typically covered twice a year as a preventative service.

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How much does a new patient appointment cost?

Your initial appointment will typically include a thorough examination with the doctor, a new set of X-rays, and sometimes a CBCT scan. While fees vary based on your specific needs, our office will provide an estimate of your out-of-pocket expenses before your visit. If you have insurance, we will also utilize your benefits to help cover the costs.

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How much does a crown cost?

The cost of a crown procedure typically falls within the range of $1,600 to $1,850. However, this figure may vary based on the complexity of the individual case. In many instances, there are alternative options available, such as a Bioclear Overlay, which may be less expensive and offer a more conservative treatment approach.

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How much does it cost for Invisalign treatment?

The cost of Invisalign depends on the complexity of treatment and the time duration involved. In our office, the typical cost ranges from $2,600-$8,000. It’s worth noting that coverage for orthodontic treatments can vary among different insurance plans. To ensure transparency and empower you to make informed decisions, we always initiate the process by sending a pretreatment estimate to your insurance company. This allows you to understand your out-of-pocket expenses before proceeding with the treatment. At our office, the cost of Invisalign treatment includes: a dental monitoring system for convenient at-home scanning, a Vpro device that helps speed up the movement of teeth through high frequency vibration, four sets of retainers, and complimentary whitening.

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How much does teeth whitening cost?

Our office proudly provides Opalescence, a renowned at-home whitening treatment. Starting around $350, this comprehensive package includes custom-made trays and the initial whitening materials. Should you require further supplies, additional whitening kits are conveniently available for purchase, offered in both full and half kit options. The cost of a full kit is $92, while a half kit is $46.

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How much does an extraction cost?

The cost of an extraction can range from approximately $565 to $2,070. However, the final price for this treatment will vary based on the specific complexity of your case, and whether the tooth will be replaced with an implant or not.

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How much does an implant cost?

Implant treatment is a comprehensive procedure involving the placement of a dental implant into the bone, followed by the creation of an implant crown atop it. The cost of this treatment typically ranges between $5,500 and $8,000. A standard implant procedure encompasses several essential steps, including a CT scan, the creation of a digitally customized surgical guide, and grafting utilizing plasma and platelets.

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Do you offer payment plans or other financing options?

We offer convenient third-party financing options through CareCredit and Lending Club. These platforms provide interest-free payment plans, and you can easily apply online for either option. If you have any questions or require assistance, please feel free to contact our office, and we’ll be more than happy to assist you!

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