The Dental Care Dilemma

Dental health is one of the most important aspects of your overall health, yet for many it’s often the most neglected.

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Tooth decay is the most prevalent chronic condition in adults and children.

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Periodontal disease (gum infection) affects 42% of adults (ages 30 years of older).

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There are 57 possible systemic diseases being studied in connection to periodontal disease including: Cardiovascular Disease, Diabetes (including GLP-1 Usage), Pregnancy Complications, Kidney Disease, Rheumatoid Arthritis, and others.

Problems With Today’s Dental Care Model

Oral Health Is Siloed and Stuck Between Dental and Medical Plans

  • Outdated attitudes toward dentistry have kept treatment buried inside dental plans

Dental Care Is Not Patient Centric

  • Mouth is treated separately from the whole body
  • Ignoring the correlation between medical and dental costs billions of dollars annually

Challenges of Access to Dental Care

  • Dental benefit plans are in many cases barriers due to cost and lack of access
  • Shortage of dentists and dental hygienists in many areas of the US, including rural and lower income communities (“dental deserts”)
  • Difficulty obtaining desirable appointment times, particularly for periodic dental diagnostic visits and cleanings

Savings Achievable through Improved Oral Health

One

$641 PMPY
Savings

A 5-year study by Cigna indicates that at least $641 PMPY of direct health care savings can be achieved through improved oral health.

Two

$459 PMPY
Savings

Another study indicated that at least $459 PMPY of direct health care savings can be achieved through improved periodontal health alone.

Three

$286 PMPY of
Lost Productivity

According to the Centers for Disease Control (CDC) untreated oral disease translates to $286 PMPY of lost productivity due to poor oral health.

Four

$8 to $50
Savings

For every dollar spent on preventive dental care, $8 to $50 can be saved in restorative and emergency treatments (and considerably more in additional medical treatments).

Five

 Insurance and
Carrier Margins

$62 billion is spent on dental insurance annually and $25 billion of the annual spend go to dental carrier margins.