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FAQ
   Do you accept Japanese National Health Insurance?
We do not accept Japanese National Health Insurance, for many of the procedures such as white fillings, Porcelain crowns, veneers, and implants are not covered. Under the NHI, the fees are set and many times not sufficient to allow dentist to spend adequate time with the patient for Comprehensive treatment plan and treatment. The system is meant to provide dental care accessible to all and not meant to provide the best possible. We have opted not to spend our precious time trying to explain what is the difference between NHI and non-NHI treatments.

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   What is the cost of check up and cleaning?
Our basic check up is  ¥ 10,500 plus necessary x-rays. Cleaning range from  ¥ 11,550 to  ¥ 14,700. That usually comprise of a caries check, periodontal and oral cancer screening. We also do Intra-0ral Digital Photography (free) so patient can have an appreciation of their own oral conditions. We will not do cleaning without check up and at least Panoramic X-rays, unless patient can bring a current x-ray not more than 6 months old.

We require the Panoramic and four bite wing X-rays as stated by the standard of care to provide necessary data for us to evaluate your oral conditions. The amount of radiation exposure your body receives on an airplane flight from Los Angeles to New York exceeds the amount of exposure you will receive from a modern dental x-ray machine. Contrast this minimal exposure with the risk of not finding an illness until it is too late, and you can see why we prescribe regular diagnostic x-rays.

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   What kind of x-rays do you take?
We tried to minimize your exposure to unnecessary radiation. Our x-rays are fully digital. That means you are being exposed to only 10 to 20 % of the radiation compared to film x-rays. We also protect you with leaded apron, shielding more than 99% of the radiation. The number of x-rays we take depend on what we need to make a proper diagnosis and to provide proper treatment.

Our digital X-ray machines are capable of Intra-Oral, Panoramic , Cephalometric , TMJ Joint, and Palm Radiography.
Intra-Oral: detail on teeth
Panoramic: detail on jaw and sinus, and teeth, wisdom teeth
Cephalometric: Side view to evaluate teeth in relation to Jaw, mainly for Orthodontic
Evaluation and also Dental-Facial Esthetic Evaluation

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   How does the Doctor keep up to date?
Committed to practicing excellence in dentistry and patient care, Dr. Enatsu regularly attends continuing education courses on advanced clinical skills. Dr. Enatsu has gained  Mentor status to be able to teach  at  the Creating Restorative Excellence Center for Advanced Dental Learning in Seattle, Washington.  The only dentist in Asia with that distinction.

Following are few of the advance courses for practicing dentists Dr. Enatsu took.
1. Microscopic Endodontics ; Stephen Buchanan, Dental Education Laboratory
2. Microscopic Endodontic Technique Residency at University of Illinois, Chicago
3. Bioesthics Level II (Three visits to California in 2004)
4. FORCE-IT Orthodontic Seminar (Three visits to Toronto in 2005)
5. California Implant Institute, Implant Mini Residency
6. Seattle Institute of Advanced Study (Anterior Esthetics)2005
7. Sustaining Member, American Academy of Cosmetic Dentistry
8. Kois Center Graduate (Creating Restorative Excellence Center for Advanced Dental Learning)

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   Does Doctor speaks English?
Dr. Enatsu , not only speaks excellent English, but have received undergraduate and dental degrees from US Dental Schools. Dr. Enatsu is a graduate of UCLA School of Dentistry and has been treating expatriats and international residents in Tokyo for the past 20 years. 

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   Do you accept any Private Insurance?
We are one of the very few direct dental providers for Cigna International. We will claim directly, but the patient is responsible for any balance. For other type of insurance, we try to help patient fill the forms when we can.

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   What kind of root canal treatment do you do?
Our doctor had special training in modern root canal treatment with microscope. Usually the root canal treatment is done in one or two appointments. Pains are controlled during the procedure and pain pills are prescribed for possible post-operative pain. It is highly recommended to have the tooth crowned after the root canal treatment to protect it from fracture. It is highly recommended to have Root Canal Treatment done by our clinic from the start to have the best result, as we see many patients with problems in root canal at other clinics.

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   Do I need to give my child Fluride supplement?
Water in Japan is not fluoridated and we recommend the child to take the fluoride tablet. Fluride tablet is not available in Japan, but can be individually purchased on the net at www.fluoride.com. I recommend to give the child half of the recommended dose, as there are possibly other sources of fluoride. If it is difficult to break the tablets, you may give the child fluoride tables on Monday, Wednesday, and Friday every week.

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   What are the costs of treatments?
Our fees are based on US metropolitan cities. Sample fees are;
Treatments Fees ( ¥ )
Initial Exam with Panoramic X-rays 18,900
Cleaning Prophylaxis, 50minutes 11,550 - 14,700
Composite fillings 21,000 - 36,750
Root canal treatment 84,000 - 126,000
Porcelain crown*PFM 157,500
Porcelain Onlays 147,000
Full Ceramic Crown 189,000
Veneer 189,000
Implants 262,500

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   Do you see dental emergency?
When doctors are available, we do see emergencies during office hour and after office hours. But there will be an additional charge for after office hours. You may call 03-5570-4334 or 090-1704-2610 mobile phone. The payment must be made in advance of the treatment.

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   Do you see children?
We see children who are manageable and children above age 8.

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   Do you do Ortho?
We do Invisalign for Adults and Interceptive Orthodontics for Children.

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    How long do the effects of tooth whitening last?
Every patient is different, so the length of time the whitening lasts may be as short as a few weeks to as long as 3 years - or sometimes even longer. The longevity of whitening effects will be dependent on patient habits (tobacco, wine, cola use, etc.). Some patients like to touch up yearly, but this will again depend on patient habits.

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    What are necessary precautions after bleaching?
Do not consume food that might cause stains, such as red wine, cigarrett, coffee. You may encounter some sensitivity, even though the new system has decreased sensitivity.

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    Who should have the In-Office Bleach?
  • Person who thinks they want it fast (Office bleach probably is equivalent of 10 applications of Home Bleach)
  • Person who don't think they cannot wear the Bleaching trays in the mouth, even though our trays are quite comfortable

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    What is the procedure of Bleaching?
The procedure time is about 2 hours.
The actual bleaching is 3 or 4 sessions of 15 minutes. However we need additional 30-60 minutes to prepare the teeth for bleaching and also do appropriate gels to desensitize and strengthen the teeth.
more >>

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    What is bone grafting?
Bone grafting is a surgical procedure that replaces missing bone with a material called a bone graft. This material not only replaces missing bone, but also helps your body regrow lost bone. This new bone growth strengthens the grafted area by forming a bridge between your existing bone and the graft. Over time the newly formed bone will replace much of the grafted material. The graft material is either from another part of your mouth or another source such as bovine or synthetic.
See images >>

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    Why are bone grafts needed?
Bone grafts are needed when a part of your body is missing bone. This missing portion of bone is frequently called a “bony defect”. Examples of jaw bone defects are: defects surrounding roots of teeth (periodontal defects); defects which occur following tooth extraction; generalized decrease in quantity of jaw bone from trauma or long-term tooth loss; defects surrounding dental implants; defects resulting from cyst or tumor surgery. Maintaining and replacing bone are important for cosmetic success in implant and conventional dentistry.

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