Unintended Consequences of DMEPOS Competitive Bidding

Medicare’s DMEPOS Competitive Bidding Program has been in the public eye before its implementation in January 1, 2011 with lots of clamor on its possible negative impact on the Medicare population. DMEPOS or durable medical equipment, prosthetics, orthotics, and supplies include wheelchairs, oxygen concentrators, pacemakers, hospital beds, prosthetic limbs and other medical equipment intended for typical elderly and/or disabled.

The Centers for Medicare and Medicaid Services (CMS) competitive bidding program for durable medical equipment give emphasis on price competition among suppliers and providers. The innovation made on DMEPOS competitive bidding program greatly affects vulnerable medical beneficiaries of Medicare specifically on their freedom of choice, access and avail quality DME supplies. During the testing phase of the competitive bidding program, major problems were encountered by patients and beneficiaries that include additional costs to Medicare for numerous emergency room visits and longer hospital confinement, unfamiliar DME providers, and inaccessibility to vital equipment and services.

The CMS Medicare program will also take its toll on the marketplace with DME suppliers and providers engage in cutthroat economic competition to get their bid approved. Reduction in the cost of durable medical supplies will lead to inferior product quality and service for Medicare beneficiaries. Most DME bidders will resort to “predatory” and “suicide” bidding that result to unrealistically low bid prices. Small players in the bidding market such as Dallas medical supplies companies will have a hard time competing with large firms. The DMEPOS Competitive Bidding Program could take out most trusted and preferred DME suppliers of Medicare beneficiaries.

Various Home Medical Equipment (HME) organizations and advocacy groups are lobbying for the repeal of the competitive bidding program from influential members of the House of Representative. Certain bills for its repeal or modification are already sponsored for deliberation in the US Congress. Toll-free numbers are set up by HME groups for queries, feedbacks and updates of the program. The competitive bidding will affect nine major metropolitan areas of Charlotte, N.C.; Cleveleand, Dallas-Fort Worth, Cincinnati, Kansas City, Orlando, Miami, Pittsburgh and Riverside, CA. The unintended consequences of DMEPOS Competitive Bidding have yet to come and change the culture of the United States Medicare program.

Role of Plants for Blood Pressure and Heart Disease

Allium cepa, L Family – Liliaceae

Names – Hindi – Piyaz

Sanskrit – Palandu

English – Onion

Bengali – Pyanj

Marathi – Kanda

Gujarati – Dungari

Malayalam – Chuvannauli

Kannada – Nirulli

Tamil – Vengayam

Telugu – Nirull

Description: The bulbous root of this plant consists of layers of fleshy scales covered by white, yellow or violet coloured tunics. The erect stem is hollow with a swelling at the lower end and can grow as high as 2-3 ft. The hollow leaves, which are almost cylindrical or slightly flattened, have a smooth surface. The flowers, which have white or purple petals, are clustered into rounded heads. The fruit consists of one capsule and 3 loculi with flat, black seeds.

Distribution: Cultivated throughout India.

Parts used: Bulb.

Phytochemicals: Essential oil containing allylic disulphides, sugar, inulin, quercetin, calcium, biflavonoids.

Properties: Diuretic, antibiotic, hypoglycemic, hypotensive (lower blood pressure), anti-inflammatory, lithotripic (pertaining to removal of stone), anthelmintic, analgesic, anti-neuralgic, expectorant, anti-rheumatic and corn remover.

Forms of use: Decoction, fluid extract, tincture, poultice, ointment and juice.

Medicinal Uses

(a) In blood pressure

One teaspoonful onion juice with honey should be taken for 15-20 days to bring down the blood pressure.

Regular use of raw onion especially its yellowish and purplish scales with meals help keeping blood pressure in control.

Raw onion juice with honey and ginger juice reduces blood pressure and cholesterol level.

(b) Other Uses

Onions have antiseptic value for the entire alimentary canal. It is stimulant, diuretic and expectorant. Mixed with common salt, onion is a remedy for colic and scurvy and the roasted onion is applied as poultice to indolent boils and haemorrhoids (a venous swelling at the anus; a pile). Onion juice is often smelled for the recovery from faintness besides being used in infantile convulsions, headache, epileptic and hysterical fits.

A decoction of the onion is beneficial for checking extreme heat sensation. To relieve ear-ache warm onion juice is dropped in the ear

2. Allium sativum, Linn.

Family : Liliaceae

Names : Hindi – Lahsun

Sanskrit – Rasana

English – Garlic

Bengali – Rasuna

Tamil – Vallaipunelu

Gujarati – Lasana

Telugu – Velluli

Trade name – Lahasuna

Description: It is well known, bulbous, herbaceous plant which grows to about 2-3 ft height. The bulb consIsts of 8­ 10 curved bulblets (cloves). The stem is erect and hollow.

Distribution: Cultivated throughout India.

Parts used: Bulb.

Phytochemicals: Alliin, allicin, inulin, essential oil.

Vitamins -A, Band C
Minerals -Selenium

Properties: Antibiotic, hypoglycemic, hypotensive, anthelmintic (eradicate worms from intestine), carminative (digestive), intestinal disinfectant (antiseptic), anti-rheumatic (pain killer and anti-inflammatory), corn remover, antimalarial, rubefacient (causing reddening of the skin), anti-oxidant, immune stimulant and lowers cholesterol.

Forms of use: Tincture, juice, poultice, raw.

Medicinal Uses

(a)

For cardiovascular disease and high blood pressure, use fresh garlic (10 cloves) or 500 mg garlic capsule twice daily.

Daily use of garlic along with salt and pepper keep one healthy and controls blood pressure.

A paste of garlic – one spoonful and honey – two spoonfuls if taken early in the morning on a roasted slice tones up the heart and maintains normal blood pressure.

Decreases incidence of thrombus formation.

Activates the systemic circulation.

(b) Other Uses

Garlic is called poor man’s remedy. It is useful in bronchial and asthmatic complaints. Garlic is antiseptic for intestinal ailments. In tubercular infection of the lungs, garlic juice diminishes the obstinate cough and acts as expectorant. It is alser applied to indolent turnours. When given with common salt, garlic improves the nervous system and relieves headache, flatulence, hysteria etc. Garlic has also been found efficacious in sore throat, paralysis, gout, sciatica (pain in the course of the sciatic nerve) and many skin diseases. In the absence of common antibiotics, garlic juice may be applied to the open wounds to prevent bacterial infections and pus formation. The cloves have always been regarded as a source of strength. A decaying tooth will hurt less if packed with garlic pulp. It is aphrodisiac (capable of stimulating sexual impulse) and anti-cancerous in nature. A little rub behind the ear will alleviate the pain of trigeminal neuralgia, and a little pulp introduced into the ear will ease rheumatic otalgia (pain in the ear).

For all infections, add freshly chopped raw cloves to food three times daily or take garlic capsules.

3. Cassia absus, Linn.

Family : Caesalpiniaceae

Name : Hindi – Chaaksu

Sanskrit – Chaaksu

English – Chaaksu seeds

Bengali – Chaakut

Gujarati – Chimeru

Malayalam – Karinkolla

Tamil – Karun kanami

Trade name – Chaaksu bija

Description: Leaves compound, leaflets 1 to 2 inches long. Flowers reddish yellow, fruit 1 to 1 1/2inch long and slightly curved. Seed fine, compressed, lusturous and brownish black.

Distribution: An erect annual herb growing in lower parts of western Himalayas. Available in Indian Market.

Parts used: Seeds, Leaves.

Phytochemicals: Alkaloids, essential fatty acids, sterols and Chaaksu oil.

Properties: Bitter astringent, hypotensive and antibacterial.

Forms of use: Powder, juice, decoction.

Medicinal Uses

In blood pressure, Chaaksu is a wonderful remedy for bringing down high blood pressure. Powdered seeds 2-3 g soaked overnight- in a cup of water and filtered next day, if taken once or twice daily maintain blood pressure.

Other Uses

It is also considered to be a remedy for cough. Paste of seeds in bland oil cures ringworm and other skin diseases. Useful in purulent conjunctivitis, urinary bladder, treatment of wounds and sores. The drug is employed in certain diuretic drug formulations and a large number of eye lotions.

Hire the Right Tree Removal Company For the Job

The tree removal company offers services related to trees, including tree removal, tree trimming, stump removal, tree thinning and pruning. The companies provide services to residential as well as commercial properties. They comprise of experienced arborists or trained men who safely trim trees, saw them, remove their stump or prune them for you. They also carry out bush or shrubs clearing or clearing the mess left after a storm. Some of these companies also provide landscaping solutions. You could approach such companies in case of emergencies like storm also. Report sudden tree falls on your property immediately to these companies.

The important point is that companies that offer this kind of services ensure that work completion is safe and effective. Emphasis is on human life and taking care reduces the odds of an injury occurrence to any individual. In case there is a power cable down due to a tree fall, it is not easy to handle the situation. The power cable could be hazardous and it might be quite a task to remove it carefully, without causing a regrettable situation. The professionals working with such companies have intense training to handle situations like these.

The next priority is to save trees. Trees are very important for the environment. The professionals for any tree removal company are able to mitigate the loss of trees after a terrible storm. In case the storm continues, they know what to do to prevent a risky happening once again. It might not be possible for you to assess, which trees you could salvage without endangering the lives of people, animals and properties. You may not know which trees you should discard. Experts who are skilled in such services will advice you on how you can save trees that can grow even after the storm.

The arborists might advice you to support the tree, provide some kind of cabling, or support that would enhance the life of the tree. They try to provide alternatives to tree removal. Weak trees need to protection and intense care. If you provide adequate support, then it is possible to save them. Moreover, if you support the trees perfectly, then it is possible they will withstand a storm. This will save your property, home or cars from in case there is a dangerous storm coming.

The tree removal companies will advice you on how to prune the trees, to beautify them and make them stronger. They know which branches are dead, are broken or have diseases that you should eliminate. This will prevent unwanted growth of fungi on them. Thinning of trees is very essential to improve the landscaping. Trees that grow out of proportion do not fit well in the garden and look tacky. They need thorough trimming from different areas so that they look beautiful in the garden. There also could be situations where branches hanging from trees obstruct driveways or pathways.

You need to have the company remove them for you or to clear the pathways. Then at times, weak branches that are about to break off from the tree might just be hanging loose. This could be dangerous as it could fall on any one walking beneath, causing unfortunate accidents. The experienced companies provide all such services. As you can see, a tree removal company provides a host of services relating to trees. Its skilled manpower knows how to deal with different situations. You must hire company services for a proper and systematic handling of tree-related problems.

Lead Generation Strategies in Commercial Real Estate Today

When it comes to your career in commercial real estate, your momentum and success will be significantly improved when you have a lead generation model. Far too many agents struggle with the process of servicing the business that they create and then forget about the need for ongoing lead generation.

Exactly who are your clients and prospects? It is an interesting question and it requires a specific your answer. When you know the answer and can see where these people are, you can start to implement your lead generation plan.

So to get things moving ahead, you need a lead generation model that you can implement on a daily basis. This is a personal process and involves a time commitment in your diary. There is no other way to handle the process.

A Crocodile Story

I was recently in Darwin in the Northern Territory talking to some Commercial Agents. Within the team there were some top performers and some very ordinary salespeople. The ratio was 15% to 85%. I think you know how the ratio was biased!

We were talking about the market, and I chose to use a local fact to tell a story. I chose the ‘crocodile story’. As many people will know, crocodiles are prolific in and about Darwin. It is not safe to swim in the sea or the rivers.

The lead generation model is like a crocodile that is continually on the hunt for food in the lagoon or ocean. Failure to find food means that they become weak and eventually will be dominated by other crocodiles in the same area. Over time the weak crocodile will die and be eaten by others.

Unfortunately, the same analogy applies in commercial real estate. Your competitors will take over your listings and your prospects if you do not constantly farm and generate leads. You must build your market.

Relieve the Pressure

You can improve your business momentum, listings, and commissions through a lead generation model. Here are the main rules to the process:

  1. Lead generation requires at least 2 or 3 hours each working day. To make the process a habit, it is best to select the same daily time frame and stick to it. You will find that others within the office may want to change your diary and activities frequently. Develop a habit of good time management and refuse the pressures applied by others.
  2. Good intentions and focus will usually help most salespeople get started with the lead generation model. Within a very short period of time however they see that the process requires a new skill set and mindset. The skills set required are most particularly your voice and your dialogue. Your mindset required is that of enquiring and questioning rather than pitching. Not everybody you talk to should be considered a prospect until you have qualified them. Should not meet with anyone until such time as you have defined an established need and interest.
  3. The parts of the system that you will need to develop start with the necessary daily research, and then flow through to cold calling, meeting people, and maintaining your database. In effect, you are marketing yourself. Without this process, the prospects and the opportunities in the market will not reach you.
  4. The lead generation model should include a strategy of constant contact. That will be the process of reaching through to and touching the prospects that are of some value to you. The process should occur at least once every 90 days. If there is an identified need, you should be talking to the people more frequently.

This process is simple to understand and yet difficult to implement. That is because all the old habits and mindsets that you have developed over the years need to be changed. The first three or four weeks of your lead generation model will be challenging given that new habits are being developed. You must believe in the process and stick with the actions involved.

There Are Many Reasons Car Rentals Offer Cheap Rental Cars and You Should Be Aware of Such Reasons

The most obvious reason why you can get a cheap car rental is when the renting outfit is giving vacation discounts on certain months or seasons of the year. This is a matter of routine that they have to do to remain competitive in their market. Although vacation times are the times when people love to go on holiday trips, they will usually rent from companies with discounted rates.

Other companies apply discounts to their prices for certain special and tourist-attractive destinations. These discounts are seasonal such as if you were to attend the Mardi Gras in New Orleans. These types of discounts you have to avail of early on, perhaps a few weeks before the festivities start. The reason is that there will most often be a last-minute rush to the site just before the fun begins and at that time and usually all promos and packages are suspended. This is perhaps due to the fact that the rental companies may run out of their own vehicles to rent out and will have to borrow from those who have any available and leave off on giving discounts for the borrowed cars.

Alternatively, other discounts are given for the sake of boosting their rentals during the slower months of the year or for destinations that are not very popular.

What is obvious is that you shouldn’t have a difficult time getting a cheap rental car for your outing because car rentals are dying to give you discounts just to keep the money rolling in. They even furnish large companies with discount cards which can be distributed to the employees. So you better check with management, if you are working in a big establishment, about cheap rental car discounts from the better known rental companies.

Because the condition of the car you are renting is determined to a great degree by the age of the car itself, a regular renter should know how to determine the age of the car by looking at its plate number. The formula for doing this is available on the internet and it may be different from one country to another and even from one state to the next. So when you research for ‘how to tell the car’s age from the number’ you should select the rules for the locality you are in.

You should be aware that there are also cheap rental car scams. In this situation you may be getting a car which is poorly conditioned or just plain too old to be road-worthy. Besides the car’s age, a look at the mileage indicator of the car will tell you how much use the motor of that car has seen. Along the same line of good car condition, you should be aware that although you can get cheap rental cars at smaller rental outfits if you need to use it for a long time, there is a catch to this. Smaller outfits will not have that many personnel and if you were expecting them to provide back up for you during an emergency, you may get an unpleasant surprise when you find you have to dish out your own money to have the rented car repaired.

Best Ways to Prospect in Commercial Real Estate Today

The prospecting process in commercial real estate is a daily event or at least it should be for every salesperson. There are four ways to contact your prospects, and whilst I will explain of those four strategies here, only two of them are highly successful.

When you understand and appreciate the value of the two best prospecting methods, you can convert more commercial real estate business opportunity and listings in your local market. The other two methods in the main are a waste of time and effort.

So here are the four methods of prospecting that you can use. They can be mixed or combined as the case may be. As only two of them will be highly successful, I will define those two at the end of the article.

  1. Sending an e-mail to a prospect regards your services and commercial real estate activity is easy and convenient. Many agents do this on a regular daily basis. You can combine with the e-mail relevant attachments and information regards the local property market and property types available for sale or lease.
  2. The traditional direct mail approach still occurs today although less frequently. To send direct mail, you need to have the necessary contact details of the people concerned. Generic mail without personally addressed correspondence is a waste of time. If you are sending direct mail, make sure you understand the correct title and name of the relative person.
  3. The telephone is a very convenient method of contact when it comes to prospecting for new business. The rejection factor or ratio in cold calling activities is rather high although this should not put you off the process.
  4. Dropping into a business or a local address to introduce yourself as the commercial real estate expert should happen on a daily basis. You can do this on a street by street basis. Identify the local businesses in each street and then visit five of them each day. Leave your business card as part of the process. You ask them questions regards their property needs, or property usage, and if they are a tenant or an owner.

So, two of the above items are far more successful than the others. Most particularly they are the use of the telephone and dropping into the local businesses. These activities should occur daily as they will strengthen your market share very quickly.

It should be noted that the direct mail approach is still highly effective although you should always follow up the letter with a telephone call. Direct mail without follow-up is a waste of money.

The most convenient and yet less effective way of marketing today is the email process. Most business people get many emails on a daily basis and therefore will be inclined to delete unnecessary emails that are of general information. If you are going to implement the email process as part of your marketing model, make sure you have the consent of the person concerned so that you can personalise the process. As regularly as possible, make sure you follow the emails are up with a telephone call.

Online Shopping for Clothes: Tips and Facts

Nowadays online shopping for fashionable clothes has become very popular all over the world. It seems that online shopping for apparel is much more convenient. Consumers have this great opportunity to browse an international clothing market at the simple click of a button.

Undoubtedly, online stores for clothes have become the new hit. Today you can buy everything from an e-store – from the socks and the underwear, through women and men tops to the sportswear and the coats, including fashion accessories such as hats, bags, you name it. You can shop while drinking your coffee at home, during your break at the office, at any time, at any place. You had a busy day at work and it’s already late in the day, and you have a party approaching – the perfect solution is to lounge on your couch and start browsing for online shop offering clothes that match your style. Also, many e-shops make big season sales and discounts for holidays.

Yet with all the advantages of the online shopping for clothes, there are some flaws. You are not able to try out your clothes to see if they fit you, you can’t feel the fabric either. I am offering you some easy-to-follow tips for a successful online shopping inspired by the many online shopping woes of customers around the world.

  1. Look at the return policy
  2. Before you buy your clothes online, read the return policy. Loyal clothing e-shops offer returns. Mistakes happen and it is always good idea to have a backup plan. Make sure that if it turns out that you need a different size, or you have changed your opinion and you want to buy something else, you can return your purchase to change it.

  3. Chart sizes
  4. Take into consideration that different countries have different sizes. Many customers underestimate this fact. When you are choosing your size, make sure you choose the right one. Most online shops for clothes offer chart size legend where you can see in detail what measures stand for each size number.

  5. Fabric content
  6. Since you cannot feel the materials of the clothes, read the fabric content. All good online clothing shops note the fabric content of each item in detail. Do not rely on an image to buy your clothing online. You are more likely to be unfortunate surprised with your choice.

  7. Research your online clothing store before buying from it
  8. There are clothing e-retailers that are quite disloyal. Often you pay for something that turns out to be different from what you have expected. Sometimes purchases take a lot longer time to arrive etc. You can find a lot of fashion forums, blogs about apparel and social networks where you can search for a loyal clothing e-store like SpiralFashion.com that offers trendy apparel.

Online shopping for clothes saves time and money, but do it the right way. Shop reasonably.

Over the Counter Age Spot Removers Are Bad For Your Health

Shopping for an over the counter age spot remover needs special attention. Reason being is there are products on the market in the United States that contain ingredients that may be harmful to ones health.

One such substance I have in mind when looking at over the counter age spot remover, is hydroquinone. This ingredient has been banned in EU countries because it is believed to be a cancer causing.

In 2006 the FDA here in the U.S. proposed a ban to get this off the shelves, but it hasn’t taken effect yet, and there is no date set for the proposal to be acted upon. I don’t know about you, but I would guess there are some big companies fighting that regulation – companies that would have a lot of money to lose if the proposal becomes law.

You’ll have to decide for yourself if you want to go to the drug store or department store and purchase a skin-lightening cream that contains this substance in it. You’ll be playing Russian roulette with your health if you do.

A better choice than using an over the counter age spot remover, is to go online or to your health market and find something that has Uncategorized ingredients that have been proven safe.

Nutgrass root is one such ingredient. It has been proven in clinical trials to lighten skin by up to 40%. This grass grows in the wild in India. It also has skin-anti irritant properties, so if you deal with sensitive skin, it will prove to be gentle and not cause any irritation.

The brown spots on your skin are caused by the UV rays form the sun. Free radical damage to the cells occur also when you spend too much time I the sun.

The best substance to fight free radical damage is CoQ10. This is a powerful antioxidant that will go to war against these cancer-causing agents. Look for a special nano-emulsion form of CoQ10 that will penetrate deep into the skin’s layers to help get rid of your wrinkles and fine lines.

So instead of reaching for the over the counter age spot remover looks for a skin whitening cream that will also work on other signs of aging like wrinkles and fine lines.

We all deserve to have smooth soft young looking skin; we just need to be cautious about using products that may harm our health. Read the product labels and be sure what you are putting on your skin won’t cause you health problems.

Remember what goes on your skin, will get into your blood stream. If you want more information about which ingredients to steer away from, check out my web site. There you can find out the ingredients not to use, and also what ingredients you should use.

Fixing Solutions for Automotive Industry

Automotive industry demands high strength fasteners and precision components such as nuts, bolts, studs, screws, rivets, tie rods, shims etc. that are applied to various parts and components to hold and connect two or more surfaces or objects together in a structure.

Automotive industry uses fixing components coming in a huge variety of materials ranging from common steel to aluminum, brass, copper, titanium and plastic to other exotic materials. Choosing the material to manufacture these fixing components is essential due to difference between each material’s strength, corrosion resistance, brittleness, galvanic corrosion properties, and of course cost. Materials are basically selected on considerations of environment, corrosive or thermal extremes, magnetic properties, weight, re usability, stresses, and expected life time.

Depending on these specifications materials are classified into grades & quality standards to produce specific quality alloy mixtures that are then used to produce the fixing components. In addition to this, materials are further processed through a variety of coating, plating and hardening processes to form different specified grades of the alloy mixtures.

The various stages to enhance the metal corrosion resistance and appearance increase the cost of production that leads to expensive parts and fixing components. To keep costs within control, it is always advisable to use standardized materials. As specifying the material with specific chemical analysis adds time & cost to the whole process of manufacturing of fixing components. In a common practice, using standard materials only needs heat treating, cold working and coating to manufacture ready to use fixing components.

Quality is the primary concern for every manufacturing process and hence in order to manufacture high quality fixing tools and apply best industry practices that ensure timely deliverables, companies apply quality control methods such as computerized statistical process control archival documentation and various other approaches.

Inspection process involves utilizing tri-roll gages, hardness testers and optical comparators to ensure optimum performance. Automated sorting technologies are applied for assurance of contaminant free product for use in automated feeding equipment. Other than this, third party inspection, verification and certifications testify quality process on the go.

Used in a variety of application areas, replacing fasteners is quite tedious. It is generally best to match them while replacing. Replacing a bolt or screw with a stronger one is always now a good practice as harder bolts tends to be more brittle and may not work for specific applications. In some environments, applying galvanic corrosion methodology may result better.

Most Common Cosmetic Dentistry Procedures

These days, technological and medicinal advancements have made many different cosmetic dental procedures possible. These procedures give patients a better-looking smile overall and can help to improve their self confidence as well. So if you are unhappy with the current state of your teeth, you may want to consider speaking with your dentist about the possibility of having one or more of the following common cosmetic dental procedures performed.

The most common type of cosmetic dental procedure that people get done involves whitening of the teeth. There are different specific procedures offered to achieve this goal, ranging from traditional tooth bleaching to newer laser whitening techniques. The effects of teeth whitening can last anywhere from a couple of years to decades, depending on how well the patient takes care of their teeth following the procedure. However, it is not uncommon for patients to return for further whitening procedures to get their teeth looking their absolute whitest.

Another common type of cosmetic dental procedure involves that of reshaping teeth. This is specifically common in situations where dental trauma has occurred. For example, a patient may seek teeth reshaping after being hit in the mouth, perhaps while playing a sport, and suffering from a chipped tooth. In many cases, a dentist can use special tools to file the tooth down or to otherwise reshape it so that it looks as normal as possible. In addition, having this procedure done reduces the chance of further injury, as chipped teeth can be dangerously sharp and lead to cuts and other mouth injuries.

Another common procedure that is similar to reshaping is known as bonding. This is often done as a way of replacing pieces of teeth that has been lost from chipping or gradual wear. In bonding, a dentist uses a special composite that resembles enamel and applies it to the surface of the afflicted tooth. Once it dries and hardens, the new enamel blends in with the existing tooth and gives it the correct shape and overall appearance.

The placement of veneers is also a very common cosmetic dental procedure. These are often done as a last resort, such as when a tooth will simply not take to teeth whitening procedures or the damage to a tooth is too severe to use bonding enamel or reshaping techniques. Veneers are a bit more of an involved dental procedure, as they involve inserting custom-made porcelain duplicates of teeth. These are adhered directly to an existing tooth, but it is usually necessary to file down the existing tooth almost entirely. Individual veneers are common, though people who have severe tooth decay or other problems may end up with several veneers.

Above are some of the most common cosmetic dental procedures these days. If any of these sound appealing to you, then you should speak with your dentist to find out whether you would be a good candidate for the particular procedure that you are considering. From there, you can take the next steps needed to achieve your ideal smile!