Irish Dental Council Fees Guidelines

The Dental Council of Ireland has issued its first ever documents aimed at patients and members of the public. The three PDF documents cover the display of private dental fees by practices, advice on choosing a dentist at home or abroad, and information about the different roles of a dental team.

As expected the issue of private dental fees has gained the most coverage in the press today, with dental practices keen to highlight how many more people will be subject to private fees thanks to the recent cutbacks to the PRSI dental scheme and the Medical Card dental scheme.

The display of fees at all practices will at least help those in need of dental treatment know what to budget for, and allow them to compare the fees at different practices for the same services. It is interesting to note that in the case of services with variable fees such as root canals and extractions that maximum fees must be set.

The second document released provides valuable information about what to look for when you want to choose a new dentist. It also pays particular attention to how to choose an overseas dentist if that is your choice, and it’s great to see a document like this from a respected body such as the Dental Council that avoids resorting to fear, uncertainty and doubt to dissuade patients from travelling abroad. It raises all the serious issues patients should consider when making their decision and should be a great help by way of guidance. We covered a number of these on our own document from 2008, “10 Questions To Ask Before You Travel Abroad For Treatment“.

The final document goes into detail about the different roles that each member of a dental team is supposed to perform, and helps clear up any confusion that patients might have about who they expect to be treated by when visiting a dental practice.

It’s great to see the Dental Council of Ireland engage with patients like this and hopefully there is more engagement to come in the future. Share your thoughts on the Dental Council’s new advice documents in the comments below.

 

 

Irish Online Health Enquiries – May 2010

It’s time to look at what treatments Irish patients contacting clinics through RevaHealth.com were interesting in during May. There’s good news for dental implant specialists both sides of the border, and further afield. Denture clinics in the Republic have something to smile about too, at the expensive of their colleagues in the North. Breast reductions in both women and men are on the rise in cosmetic surgery, and Botox remains the king of cosmetic beauty treatments.

Dental Treatments in Ireland - June 2010

The trend towards lower cost and maitanence dentistry continues as the economy continues to contract, with dentures, teeth cleaning and fillings enquiries all seeing substantial increases against the last year’s averages. Bucking that trend though are dental implants, one of the most costly treatments around, which saw a 20.7% increase in market share, up to 17% compared to the yearly average of 14.1%.

Dental Tourism to Northern Ireland - June 2010

Irish patients continue to enquire about treatment in Northern Ireland in large numbers, with root canals and dental implants seeing the biggest shifts from the norms, but it’s bad news for denture clinics for this month at least as patients in the Republic seek more intent on staying put than making the journey across the border.

Dental Tourism Treatments for Irish Patients - June 2010

Figures for Irish enquiries about dental tourism treatments reveal a shift away from the slightly cheaper treatments of teeth whitening and veneers back towards implants, crowns and bridges. There were also more surprising increases for root canals, dentures and even fillings. This might be because of the run up to people’s summer holidays, so people are already travelling to foreign destinations.

Cosmetic Surgery in Ireland - June 2010

The trend more for breast reduction operations for women continues, as does the increased interest in liposuction. Male breast reduction, also known as treatment for gynecomastia, mirrors the increase in popularity noted in the UK by growing its market share from an average of 1.5% of enquiries to 3% of enquiries in May.

Cosmetic Beauty Treatments in Ireland - June 2010

Botox is the undisputed king of the hill in the cosmetic beauty treatment world, accounting for 27.9% of Irish enquiries in May. Laser hair removal is a distant but growing second at 14% of the market.

Medical Tourism from Ireland - June 2010

Finally the overview of medical tourism from Ireland shows very small falls in market share for dental and cosmetic surgery enquiries, with fertility clinics being the biggest winners. In an average month fertility clinics abroad account for 1.5% of Irish medical tourism enquiries, whereas last month they managed to take 3.6% of the market.

More data about the UK market will follow on Monday. If you’d like to see some other statistics about Irish private health patients or have any questions about the above please leave a comment in the box below.

Orthodontics Abroad – A Case Study

Sometimes treatment abroad seems so much cheaper than it is at home that it shouldn’t take much thought to decide to travel. However, as with any travel plans there can be unexpected complications that result in additional costs. Here we talk to a patient who has ended up spending more on her treatment abroad than she would have here in Ireland, and all because an airline changed its routes.

Braces

Zuzana

Zuzana

Zuzana is from Slovakia and lives here in Ireland. Last year she decided she wanted to get braces so she asked around about how much it would cost her. Her friend here had recently had braces fitted at a cost of €5,000.  Another work colleague had them fitted for €4,500.  She also called a few local clinics and the price quoted again was €4,500. This price included all fittings and adjustments. The clinics also offered to spread the cost into affordable monthly payments.

Using family connections at home, Zuzana found out the braces there would cost €500 for the initial fitting, €30 per adjustment (every two months) and finally €200 to remove the braces. For a two year period of treatment with 12 adjustments this would cost Zuzana €1,060 excluding any travel costs. As the dentist in question was also in her parents home town she would not have any accommodation costs.

Decision Time

Zuzana recognised that travelling home to Slovakia for each adjustment would be expensive so she checked with a local dentist whether or not they could take care of her braces. The dentist said that they wouldn’t be happy taking care of another dentist’s work and that if they did they would still have to charge €2,500 to look after all of the adjustments.

In the end Zuzana decided to undergo treatment in Slovakia and use the trips to keep in touch with her family and friends at home. When asked about what influenced her decision, price was the number one reason, but not the only one.

“The main reason for me was money of course. Secondly, I fell the service I get back home is much better than in Ireland. My dentist was even kind enough to see me in the evening time when my flight was arriving late, or on weekends when that was the only time I could get a good deal on flights.”

Her dentist even went so far as to make special arrangements for her because she was travelling so far for her treatment.

“She also wouldn’t charge me extra because it was the weekend and I would go to see her every day while I was at home. If I went home for three days she would look at my braces each day and make changes to try to do the best job she could. My dentist has other clients from overseas too and that’s why she is so flexible.”

Unexpected Costs

Even with flying home every two months Zuzana’s total treatment was going to be significantly cheaper than having the treatment done here in Ireland. She was paying as little as €50 return for a direct flight to her home town, but then that route was cancelled meaning she would have to fly to Bratislava first and then on to her home town. She could also have gotten a train from Bratislava but it would have taken 5 hours in each direction, meaning she’d have very little time with her dentist or her family.

Then came the news that her dentist wanted her to keep the braces on longer than expected. The resulting extra travel costs had a big effect on her overall treatment cost.

“If I only had to wear the braces for one year then it would have worked out much cheaper than in Ireland, but because it is taking longer in my case (2 years and 3 months so far) the additional costs for the flights and visits means it is now dearer than the price I would have paid here in Ireland.”

Despite the cost overrun, Zuzana still thinks that she is getting good treatment from her dentist.

“The reason it has taken longer is because my dentist didn’t wanted to remove any of my healthy teeth just to make the others straighter. There was not much space for them so she had to make changes really slowly, kind of pushing my teeth more to the front which gave the others some more space. When I asked my dentist questions about why it was taking so long she was always kind enough to explain everything and show me how it was working, so it helped me to understand more about the treatment.”

Advice

Travelling abroad for treatments that require a lot of follow up visits is always risky because travel and accommodation costs can change dramatically, and they are not under your control. Zuzana offers some advice on the back of her own experiences.

“My advice would be try to find a dentist in a city that has lots of direct flights from Dublin. If my dentist was in Bratislava my treatment would still have cost me very little, but because I now have to fly to my town my flights cost double. I don’t think it’s very comfortable to fly and then have to take a train for another 5 hours.”

Even with the difficulties she has run into, Zuzana is still happy to be travelling home for other reasons.

“For me its still worth it because I see my family which is very important because my parents are getting older and I love to see them more often and spend some quality time with them. Plus I can visit my friends and if I decide to go for a spa treatment or eat out in a restaurant it will cost me a lot less than I would spend on weekend like this in Ireland.”

Have you had treatment abroad? Did you run into any unexpected costs? Let us know in the comments below.

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With the recent changes to the way that Irish patients can claim money back on dental treatment, the cost of treatment for many looks set to rise. I thought now would be a good time to benchmark what treatments Irish patients were enquiring about over the last year and see how this changes over the coming year. Here are some statistics about the different types of treatment that Irish dental patients are interested in based on where they are having the treatment performed. First of all here are the treatments that people are enquiring about through dentists in the Republic.

Republic of Ireland dental treatments

Braces and orthodontics top the list, with new treatments like Invisalign helping to increase their share of the market. Of interest also is the fact that optional cosmetic treatments like teeth whitening and veneers are still so prominent in the list despite the downturn. It will be interesting to see if they remain so prominent over the coming year.

Next, we take a look at what patients from the Republic are looking for from dentists in Northern Ireland.

Northern Ireland dental treatments

An even greater proportion of patients looking for treatment in Northern Ireland are interested in braces, not surprising given that it is one of the more expensive treatments available – starting prices for treatment in Dublin are close to €4,000.  I’d be interested to hear what prices people are being quoted for orthodontics in Northern Ireland by way of comparison.

Root canal treatment also accounts for a far greater share of the market here than with local dentists. It is a necessary precursor to many other treatments, but again they can be quite costly, especially as it is done as needed per tooth.

Finally, here is a look at which treatments patients are looking at having done abroad.

Overseas dental treatments for Irish patients

Dental implants jump to the top of the list here. From our own survey of previous dental tourism patients we know that price is their primary concern, and with implants starting around €1,500 at home and around €600 in Hungary it is no wonder that they are asking about treatment abroad. Surprisingly the relatively inexpensive teeth whitening is also very popular, as is the other cosmetic favourite, dental veneers.

Even more surprising though is that braces abroad are so popular. With regular visits needed to tighten and adjust most braces, traveling abroad each time can prove to be very expensive if you’re not careful. As you’ll hear in a patient case study later this week, even with the greatest planning there can be unexpected problems that can force the price up to more than the cost here in Ireland.

We’ll take a look at this information again in the months to come to see how things are changing. In the meantime, if there is more information like this you’d like to see, please leave a comment below. We’ll be publishing similar information for the UK market soon too.

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Dental Tourism in Ireland

Dental tourism is a very divisive topic. On the one hand the advocates of dental tourism espouse the financial savings that can be made, while on the other hand its opponents often talk about poor quality work being carried out abroad. Unfortunately for everyone involved hard facts are very difficult to come by.

Last August the Irish Times reported on a Consumer Choice magazine report which said that “Dentists were found to be 29 per cent more expensive in Dublin compared to Belfast“. A couple of weeks later the Irish Dental Association released the results of their own survey which said that “More than three out of four dentists have had to treat patients for problems linked to treatment received abroad“.

A previous dental tourism survey carried out by us here at RevaHealth.com showed high levels of satisfaction with the treatment received, but worrying levels of education when it came knowing in advance exactly what treatment was needed.

So Where Do We Go From Here?

Ideally we would like to see everyone involved in dentistry in Ireland, whether at home or abroad, publish information and minimise spin. Putting the facts in the public domain should help everyone involved; patients will be able to make better informed decisions on where to be treated, and dentists will be able to make better informed decisions based on what patients want and need.

Luckily, we’re in the position of being able to ask thousands of patients both before and after their treatment about their expectations and their experiences. We already ask patients on an ongoing basis about their post treatment satisfaction levels. We intend to expand this into other areas of questioning and share the results as soon as we can. As a start, here are the results of surveying all RevaHealth.com’s users from Ireland who had dental treatment outside of the Republic in 2009.

Irish Dental Tourism Satisfaction 2009

Survey Results

There are a number of things I would point out about these results. We believe there is a natural tendency for people who have travelled abroad to slightly inflate their satisfaction scores as  a means of self justification. That said, the scores do indicate a high level of satisfaction across the board.

One change I would like to see to this survey is to do with the question of quality of work. I think this topic is actually contained in the “Overall Satisfaction” score, but for the sake of clarity I’d like to see it broken out into its own section.

How You Can Help Us Help You?

If you are involved or interested in the industry, this is where you come in. Satisfaction levels are one thing, but what questions would you like to see answered by Irish dental patients? Over the coming months we intend to publish the results of our survey of Irish patients who were treated in Ireland, as well as continuing to publish more information from Irish, British and overseas patients in general.

If you have questions that you think would add to overall quality of information available about the Irish and British dental industries, or another international market, please leave a comment below or email me directly at pboyle@revahealth.com. I look forward to hearing from you.

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