__Contactless check-in__

We’ll collect your credit card and [insurance](/insurance) info online for a faster, safer visit, with nothing changing hands. We’ll also tell you exactly what you’ll owe, so there aren’t any surprises.

![FirtTendVisit BrushBag](//images.ctfassets.net/otz9p93fkvjx/4VUer0CP1m9v8TVvCz6zup/b30a5db09ab572a936b50d0bbc53d6c6/FirtTendVisit_BrushBag.png)

__Brush Bag__

When you arrive, we’ll give you a beautiful Brush Bag with oral health products designed by our dentists and hygienists. They’re a smarter way to tend to your mouth between visits.

__The Brushery__

After you’re checked in, we’ll show you into our famous Brushery—a swishy, swirly room just for freshening up. No more awkwardly brushing in the bathroom at work before your visit. 

__Our average wait time is 3 minutes__

We make a superhuman effort to start every visit on time. If you do have to wait, you probably won’t even have time to finish the song in your headphones.

![FirtTendVisit Suites](//images.ctfassets.net/otz9p93fkvjx/6PfXm4FlVckcZzOID3GoLU/cfd23acf296e7437f2e5f8310da81d66/FirtTendVisit_Suites.png)

__A suite prepared just for you__

Next, we’ll show you to your suite, prepped and sanitized just for you. It has personal space to hang your coat, leave your bag, and charge your phone. If you chose a show to watch when you booked, it will be queued up on a ceiling-mounted TV over your chair. If you didn’t choose one, you can do so when you sit down.

__Imaging that’s quick, comfortable, and safe__

Our state-of-the-art Planmeca Promax 3D imaging machine moves around your jaw instead of poking the roof of your mouth or making you gag. This machine turns x-rays into a comfortable, 30-second process. Because the machine is less invasive, it’s less at risk of spreading germs. It also uses 80% less radiation.

__Screening for gum disease and periodontal disease__

After you’ve wrapped up your imaging, you’ll return to your suite. Your hygienist will screen you for gingivitis and periodontitis. If you have one of these diseases, you may not be able to get a normal cleaning. Instead, we’ll recommend non-surgical gum treatment or non-surgical periodontal treatment, which remove harmful bacteria under the gum line and help restore your mouth to health.

![FirtTendVisit Hygienist](//images.ctfassets.net/otz9p93fkvjx/1JMSBbw6H0PyboOyFKlec1/a73ae414f041c851c2df801fc475ff79/FirtTendVisit_Hygienist.png)

__A thorough, gentle cleaning__

If your mouth is free of gum disease and periodontitis, your hygienist will give you a thorough cleaning, using a topical numbing gel so you won’t feel a thing. The tools we use are quieter, gentler, and less intrusive, so you can focus on the TV show you’re watching overhead.

__A beautifying polish__

When your cleaning is finished, your hygienist will give you a polish to remove any cosmetic staining on your teeth. You’ll get to choose between mint polishing paste or a fun flavor like vanilla while you keep watching TV.

![FirtTendVisit Dentist](//images.ctfassets.net/otz9p93fkvjx/2lnw3cabQdVdmsK7AYMqwp/322b92278ae9541a331403d11186cf19/FirtTendVisit_Dentist.png)

__An expert oral exam__

When your polish is finished, your dentist will come into your suite and answer every question you have. Then they’ll examine your mouth and talk to you about your oral health with zero judgment. As part of your exam, you’ll get a complimentary oral cancer screening. Since the mouth can be a front-line indicator of many diseases, dentists can identify early symptoms before they become more serious.

__Only the care you need__

We practice evidence-based dentistry and only offer the care you need, so you can decide whether to proceed with any treatment recommendations confident that your interests and your dentists are truly aligned.

The tools we use are quieter, gentler, and less intrusive, so you can focus on the TV show you’re watching overhead.

![FirtTendVisit InStudio](//images.ctfassets.net/otz9p93fkvjx/21F4zTJtvv9TzN7kki2o9t/f5aefd6489586e65c31c0d320e56aacd/FirtTendVisit_InStudio.png)

__Contactless checkout__

That’s it. Your exam is finished. If you owe anything for your visit, we’ll charge the card we have on file, so nothing needs to change hands. We’ll see you next time!

We make going to the dentist an experience you actually look forward to.


Dental done differently

When you book a dental exam with Tend, here’s what to expect.

FirtTendVisit HeaderImage

Your First Tend Visit

The Gargler | Digital Oral Health Magazine - Tend

You probably just did a double take. You came to Tend expecting to get a normal cleaning, and instead you were told you have gingivitis or periodontitis, and that you have to schedule another visit to have non-surgical gum treatment or non-surgical periodontal treatment.

You may be thinking: Wait, what? Having my teeth cleaned is the whole reason I’m here! Why won’t Tend do it? What are these other treatments? And if I need one, why can’t it happen now?

We get it. If you’re being diagnosed with gingivitis or periodontitis for the first time, this is a confusing (and probably annoying) moment. But we just want what’s best for your mouth—and you. Failing to deal with either of these diseases now can result in painful, complicated, and expensive issues down the line.

__Let’s back up. What are gingivitis and periodontitis?__

Plaque doesn’t just build up on your teeth. It also builds up under your gums. This can make your gums sensitive and inflamed. It can also cause gingivitis, a mild, easily treatable form of gum disease. 

If left untreated, gingivitis can become periodontitis. That’s an irreversible disease of the structures supporting your teeth that can result in tooth loss.

![SRP Article1 Progression](//images.ctfassets.net/otz9p93fkvjx/3a3osQBYMH9t36GGBsgOvJ/df5b2bcd31c2f8db5500f96194c94d91/SRP_Article1_Progression.png)

__What are non-surgical gum treatment and non-surgical periodontal treatment?__

If you have gingivitis or periodontitis, a typical cleaning won’t be helpful. It can actually be harmful by allowing bacteria to remain trapped below your gums. 

That’s where non-surgical gum treatment and non-surgical periodontal treatment (also known as scaling and root planing) come in. These treatments clean underneath your gum line, in areas where a toothbrush can’t reach and that can’t be accessed during a typical cleaning. 

Because these treatments are more thorough, they require more time. That’s why we ask you to come back in.

![SRP Article1 TreatmentTypes](//images.ctfassets.net/otz9p93fkvjx/64qKVxHi9vL9SDR5Gk0hQk/7cf7083f9a4d15af8d738a11583ebeac/SRP_Article1_TreatmentTypes.png)

__How can I be sure I need this?__

If you’re new to Tend and your prior dentist never diagnosed you with gingivitis or periodontitis, we know this can be a lot to process. We want to assure you of two things.

First, Tend practices evidence-based dentistry that’s rooted in the latest clinical research. As a medical field, we now know more than we used to about both of these diseases and how to treat them, and Tend always adheres to the American Dental Association’s standards.

Second, our dentists don’t make a commission on procedures. They only offer the care you need. You can decide to proceed with any treatment recommendations confident that your interests and your dentists are aligned.

Do non-surgical gum treatment and non-surgical periodontal treatment hurt?

No. Before your treatment begins, we’ll give you an anesthetic, so you won’t feel a thing, though you may be sore for about 24 hours afterward. 

While these treatments do go deeper than a typical cleaning, they’re essential to avoiding more invasive treatments in the future, which could involve surgery.

__What’s the process?__

Both non-surgical gum treatment and non-surgical periodontal treatment typically require two visits, and each visit takes about an hour. Every three to four months, we’ll ask you to come back in to make sure your disease is in check. 

Do these additional visits require more of your time and, likely, more expense? Yes. But ignoring gingivitis or periodontitis will end up creating more complex problems in the future that are far more time-consuming and more expensive to deal with. We want to help you avoid that.

__Are gingivitis and periodontitis curable?__

Gingivitis can be cured thanks to non-surgical gum treatment. Periodontitis, like diabetes and high blood pressure, isn’t curable. However, it is controllable through non-surgical periodontal treatment. Keeping both diseases in check continues at home with diligent brushing, flossing, and rinsing.

![SRP Article1 TreatmentResults](//images.ctfassets.net/otz9p93fkvjx/3E4F9lqcVvbcPKi2GaohcN/3fcbe17dfb100bca97927f493848c44a/SRP_Article1_TreatmentResults.png)

__Is having gingivitis or periodontitis my fault?__

No. There’s no reason to feel bad about your diagnosis. While at-home care is a factor in both diseases, they’re just that—diseases. You shouldn’t blame yourself for having diabetes or high blood pressure, and you shouldn’t blame yourself for having gingivitis or periodontitis. 

But as with diabetes and high blood pressure, you should be proactive about managing  these diseases, especially at the onset.


Take advantage of your dentist’s diagnosis to halt your disease before it advances—and restore your mouth to health.

It’s important to keep gingivitis and periodontitis in check

If you have gingivitis or periodontitis, a normal cleaning won’t be helpful. It can actually be harmful by allowing bacteria to remain trapped below your gums.

SRP Article1 Hero

SRP Article1 SquareHero (1)

My Dentist Said I Can’t Get a Normal Cleaning. Why?

You’ve probably heard of gingivitis—or gum disease—from a million mouthwash ads. But you may not have heard of periodontitis. 

Think of the two as a progression. If bacteria builds up under your gum line, your gums will become sensitive and inflamed, and they may bleed when you brush. That’s called gingivitis. 

If gingivitis isn’t treated, your gums can start to pull away from the structures that support them, and you may suffer bone loss. Ultimately your teeth may loosen or fall out. That’s called periodontitis. 

![SRP ArticlePerio Progression](//images.ctfassets.net/otz9p93fkvjx/OtA7N32sPMVcFRtG45TaE/a47ff326b7f865b54dda38f8072e6f01/SRP_ArticlePerio_Progression.png)

__Periodontitis is a serious disease__

Even though [it affects almost half of American adults over 30](https://www.cdc.gov/oralhealth/conditions/periodontal-disease.html), periodontitis isn’t something that should be taken lightly. It  can cause significant discomfort and, if it’s allowed to advance, it can require invasive, costly interventions like surgery. 

Periodontitis can’t be cured, but it can be controlled through a combination of diligent at-home care and non-surgical periodontal treatment, a procedure we offer at our studios. 

__What is non-surgical periodontal treatment?__

If you have periodontitis, a typical dental cleaning won’t be helpful, because it doesn’t go far enough below the gum line. It can actually be harmful by allowing bacteria to remain trapped where brushing and flossing can’t reach.

That’s where non-surgical gum treatment comes in. This treatment cleans underneath your gums in areas that can’t be accessed during a typical cleaning.

![SRP ArticlePeio Treatment](//images.ctfassets.net/otz9p93fkvjx/3Xg6rp0LZZ9CuRduUbHWL8/56dd64316b10dc77af998053024a6202/SRP_ArticlePeio_Treatment.png)

__Isn’t periodontitis a disease of older people?__

People who have heard about periodontitis often think it’s a disease that only older people get. But that’s a misconception. It’s true that the prevalence of periodontal disease increases with age:  70.1% of adults 65 years and older have periodontal disease, per the CDC. But almost half of American adults over 30—47.2%—have periodontitis, showing that it’s very much a disease of the young as well.

__How long does non-surgical periodontal treatment take, and what does it cost?__

Because non-surgical periodontal treatment is more thorough than a typical cleaning, it requires more time to complete. To be sure we have enough time, we may need you to schedule another one to two visits. Similarly, because this treatment is more complex than a typical cleaning, it may not be fully covered by your insurance, and you may have a higher out-of-pocket cost. 

We get that it’s not a great feeling to find out that you have to spend more time and money on a medical issue. (And, like any disease, periodontitis is a medical issue.) But ignoring periodontitis will end up creating more complex problems in the future that are far more time-consuming and expensive to deal with. We want to help you avoid that.

__How can I be sure I need this?__

If you’re new to Tend and your prior dentist never diagnosed you with periodontitis, we know this can be a lot to process. We want to assure you of two things.

First, Tend practices evidence-based dentistry that’s rooted in the latest clinical research. We have an ethical duty to treat the medical issues we see, and we always adhere to the American Dental Association’s standards.

Second, our dentists don’t make a commission on procedures. They only offer the care you need. You can decide to proceed with any treatment recommendations confident that your interests and your dentists are aligned.


Periodontitis is a serious disease—and needs to be treated

Periodontitis affects over 47% of adults over 30 in the United States, and it can lead to tooth loss. Yet few people know what it is or how to treat it.

SRP ArticlePerio Hero A

SRP ArticlePerio SquareHero A

Periodontitis: The Most Common Dental Disease You’ve Never Heard Of

“The gum disease known as gingivitis.” This phrase has been a staple of mouthwash ads going back decades. But what does gingivitis actually mean? And do I really need to care?

Let’s answer the second question first: Yes, you do need to care. We all do. Gingivitis is a mild and reversible disease, but if it’s ignored, it can turn into a severe, irreversible one called periodontitis that can result in tooth loss and require surgical intervention.

__What’s gingivitis?__

Plaque doesn’t just build up on your teeth. It also builds up under your gums. This can make your gums sensitive and inflamed. That’s gingivitis: gum inflammation that can cause discomfort, bleeding, gum recession, bad breath, and other symptoms. 

Technically, all of us have some gingivitis. And mostly, we’re able to manage it at home with diligent brushing, flossing, and rinsing. But some of us have gingivitis that’s more advanced. And that form of moderate to severe gingivitis requires dental treatments that go beyond a typical cleaning.

![SRP ArticleGing Gingivitis](//images.ctfassets.net/otz9p93fkvjx/3TSeUu1xjNz6DllElQGqW3/45fab78dd3b8682ffd4acb9bf5c8f0e5/SRP_ArticleGing_Gingivitis.png)

__How is gingivitis treated?__

If you have gingivitis that’s advanced enough, a typical dental cleaning won’t be helpful, because it doesn’t go far enough below the gum line. It can actually be harmful by allowing bacteria to remain trapped where brushing and flossing can’t reach.

That’s where “non-surgical gum treatment” comes in. This treatment cleans underneath your gums, in areas that can’t be accessed during a typical cleaning.

![SRP ArticleGing Treatment](//images.ctfassets.net/otz9p93fkvjx/3VdsJEbXTFUiUGTVXnn5VP/af389e7de68befceb252def8926e9e4c/SRP_ArticleGing_Treatment.png)

__What happens if I don’t treat gingivitis?__

If left untreated, gingivitis can continue to advance until it becomes periodontitis. That’s a significantly more dangerous disease of the structures supporting your teeth—as opposed to just your gums. It can result in tooth loss and require surgery to treat. 

Whereas gingivitis can be cured thanks to non-surgical gum treatment and diligent at-home care, periodontitis can’t be cured. It can only be controlled. That’s why it’s very important to treat gingivitis as soon as it’s diagnosed and to continue to keep it in check. 

![SRP ArticleGing Progression](//images.ctfassets.net/otz9p93fkvjx/2e4tCJkUmJvu9KUCCo0on9/8013740f10f24878ca66a8434292c7f3/SRP_ArticleGing_Progression.png)

__How long does non-surgical gum treatment take, and what does it cost?__

Because non-surgical gum treatment is more thorough than a typical cleaning, it requires more time to complete. As a result, we may need you to schedule another one to two visits. Similarly, because this treatment is more complex than a typical cleaning, it may not be fully covered by your insurance, and you may have a higher out-of-pocket cost. 

We get that it’s not a great feeling to find out that you have to spend more time and money on a medical issue. (And, like any disease, gingivitis is a medical issue.) But ignoring gingivitis will end up creating more complex problems in the future that are far more time-consuming and expensive to deal with. We want to help you avoid that.

__How can I be sure I need this?__

If you’re new to Tend and your prior dentist never diagnosed you with gingivitis, we know this can be a lot to process. We want to assure you of two things.

First, Tend practices evidence-based dentistry that’s rooted in the latest clinical research. As a medical field, we now know more than we used to about gingivitis and how to treat it, and Tend always adheres to the American Dental Association’s standards.

Second, our dentists don’t make a commission on procedures. They only offer the care you need. You can decide to proceed with any treatment recommendations confident that your interests and your dentists are aligned.

Tread gingerly with gingivitis—reverse it right away

You’ve probably heard of gum disease, or gingivitis (thanks, mouthwash ads), and you know it’s bad But you might not know exactly what it means—and what can happen if it’s ignored.

SRP Article1 Hero A

SRP Article1 SquareHero A

Tread Gingerly with Gingivitis

At Tend, we’re seeing first hand the harmful effects of Covid-related stress on our patients’ teeth. The numbers are grim: these days, our dentists are treating three times as many patients for stress-related oral health issues than they were pre-pandemic. 

### Stress grinding your teeth is very much a thing

One major way we manifest stress is by grinding our teeth, a condition known as bruxism. And while a bit of teeth grinding might not seem like a big deal, it’s actually a major one. Left unchecked, bruxism can destroy enamel—the hard, pearly stuff on the outside of your teeth—and wear teeth down to stumps, or cause emergency issues like broken, fractured, or chipped teeth. “It’s absolutely not something to ignore,” says [Dr. Chris Salierno](https://www.hellotend.com/clinical-providers/dr-chris-salierno), Tend’s Chief Dental Officer.

### More stress (thanks, Covid) = more teeth grinding

While some cases of bruxism are caused by genetics—“Some people grind because that’s the way they’re hardwired,” says [Dr. Marc Schlenoff](https://www.hellotend.com/clinical-providers/dr-marc-schlenoff), Tend’s Head of Clinical Development—many grinders do so in response to stress. These days, we’re all under more stress than ever, so it’s not surprising that in [a recent survey of dentists by the ADA](https://www.ada.org/publications/ada-news/2021/march/hpi-poll-dentists-see-increased-prevalence-of-stress-related-oral-health-conditions "HPI poll: Dentists see increased prevalence of stress-related oral health conditions"), more than 70% of respondents reported seeing an increase in patients experiencing teeth grinding. 

At Tend studios, the numbers are equally staggering. Our dentists are treating three times as many patients for bruxism as before the pandemic. Perhaps most concerningly, Tend’s dentists are seeing a 281% year over year increase in emergency visits, and a 254% year over year increase in repairs for broken or cracked teeth from causes like grinding.

### Grinding produces a huge amount of force

Broken teeth just due to grinding? Yup. “Grinding can generate up to 1,100 pounds per square inch of pressure on your teeth,” says [Dr. Schlenoff](https://www.hellotend.com/clinical-providers/dr-marc-schlenoff). To put that in perspective, that’s 3-6 times the pressure you use to eat. 

![Tooth Anatomy Infographic](//images.ctfassets.net/otz9p93fkvjx/1S31Ku8WXs8z3F6rx9KB8V/de434b2514666126d1804702867c4323/CovidStress_Body_ToothAnatomy.png)

### Teeth Grinding wears away at enamel, then at dentin

Now for some dental anatomy: a tooth has layers that grinding destroys bit by bit. The first layer is the enamel, which coats the outside of the tooth and is “the hardest substance in the body,” according to [Dr. Schlenoff](https://www.hellotend.com/clinical-providers/dr-marc-schlenoff). Once you grind through this, you’re in trouble. Underneath the enamel is “dentin,” a yellowish substance that’s 11 times weaker than enamel. As a result, it will erode 11 times more quickly.

### Grinding affects multiple teeth at a time

Grinding doesn’t just happen to one tooth: it occurs in a sliding motion that wears down many of your teeth simultaneously in a fairly symmetrical way. So when you’re grinding, you’re not just harming a single tooth—whole sections of your mouth are at risk. 

### There’s a point of no return when it comes to tooth damage

Because the tooth gets softer the deeper you go, over time the damage grinding causes begins to accelerate. At a certain point, the damage is beyond repair and your teeth will require crowns. [Dr. Schlenoff](https://www.hellotend.com/clinical-providers/dr-marc-schlenoff) recalls, “I’ve had cases where I had to do crowns on every tooth in the mouth to rebuild them to their original height because people have worn them down so dramatically.”

### Repairing teeth grinding damage can be incredibly expensive

A single crown can cost up to $2500, depending on where you live. If your case is really extreme and you need crowns on every single tooth like [Dr. Schlenoff's](https://www.hellotend.com/clinical-providers/dr-marc-schlenoff) patient, that could result in a whopping cost of $80,000.

### Prevention > Repair

If you’re a grinder, it’s critical to stop before that $80,000 worth of damage occurs. “Preventing damage is always easier than repairing it,” says [Dr. Salierno](https://www.hellotend.com/clinical-providers/dr-chris-salierno). “Even if you already have some signs of wear, the sooner you can curb your grinding, the better.”  

### Mindfulness for the win
The problem is, grinding is a sneaky vice: most people are unaware when they’re actively doing it. So how can you stop something when you don’t even notice it happening? 

One simple solution is mindfulness. Make a point to check in with yourself throughout the day, especially at moments you feel particularly stressed. If you realize that you’re grinding your teeth, drop your jaw and let it hang for a few moments before resetting to a looser, more relaxed position. 

### Cut the chewing 

Ice, gum, pen caps… for many of us, chewing these is as normal and natural as breathing. But if you’re a grinder, these repetitive motions can keep your jaw clenched. A clenched jaw leads to—you guessed it—more grinding. Try cutting out all chewing besides food to ensure your mouth stays relaxed throughout the day. 

### Less stress = less grinding

If you’re grinding because you’re stressed, there are some stress-reducing techniques that could help (seriously!). If you’re not already exercising, start there. Adding a few sweat sessions to your weekly routine can reduce stress overall, and you might just find that it causes the grinding to ease up. 

More of a spa person? (Us too.) Opt for a hot bath at the end of the day. For extra credit, try massaging your jaw while in the tub. Because so much grinding happens at night, the more tension you can release before bed, the better. Warm compresses or heating pads applied to your jaw can also help. 

![Mouthguards prevent damage from Covid Stress](//images.ctfassets.net/otz9p93fkvjx/5hRQgi2RpVSY20OGTkNjV/11cea7150555827c36c64897f79a457b/CovidStress_Body_Mouthguards.jpg)

### Mouth guards are the gold standard

If you’re still struggling with teeth grinding, it’s OK. (Remember, some of us are just genetically predisposed to it!) There’s a simple intervention that could make a world of a difference. “One of the most effective ways to combat nighttime bruxism is a night guard,” says [Dr. Salierno](https://www.hellotend.com/clinical-providers/dr-chris-salierno). “It may look like a simple piece of plastic, but it's actually a sophisticated appliance custom-molded to your mouth and designed to be worn while you sleep.” 

Since the pandemic began, Tend dentists have seen a 341% year over year increase in demand for night guards, and for good reason. A night guard typically costs less than a thousand dollars. We charge $599 if you don't have dental insurance, and if you do, it could cost significantly less than that. Compared to the cost of even a single crown, it’s a far more economical solution. 

### Take that, pandemic 

For the past two years, the pandemic has wreaked havoc on our day-to-day lives, so it’s not surprising to find that it’s hitting our stress levels and our oral health hard, too. Still, if stress grinding is your problem, a few tweaks could make a huge difference. And while not everything we’re struggling through can be solved by night guards and hot baths, we’ll take our wins where we can get them. (Because, let’s face it, these days you’ve got other things to worry about.) 


Book a dental exam at your nearest Tend studio, and one of our top-rated dentists will examine your teeth for signs of wear.


Think you’re grinding?

These days, it’s nearly impossible to find an area of our lives that hasn’t been affected by Covid-19. Here’s one more to add to the (very long) list: oral health. 

Woman is holding her jaw in pain, her eyes are closed. 

Affects of Covid Stress 

As the fastest-growing dental services provider in New York, we’re seeing first hand the harmful effects of Covid-related stress on our patients’ teeth. The numbers are grim: these days, our NYC dentists are treating three times as many patients for stress-related oral health issues than they were pre-pandemic. 

Covid Stress Is Ruining Teeth: Here’s What to Do About It

Covid stress effects

There’s nothing positive about the Covid-19 pandemic. But in Covid’s aftermath, the economy has shifted. And that shift has created new opportunities for dental hygienists. 

__1. Dental hygienists have more job stability__

According to a survey of dental hygienists conducted by Tend, dental hygienists are now in higher demand than they were pre-Covid. 

That means more days worked per week—especially for hygienists with less than three years of experience, who would normally not be offered the same number of hours as hygienists with more than three years of experience.

![SurveyResults DaysWorkedGraph](//images.ctfassets.net/otz9p93fkvjx/24W0v59LtqEBQASQXlBxcM/724e9451b081833b7039e55788fc1951/SurveyResults_DaysWorkedGraph.png)

__2. Dental hygienists also have more job flexibility__

Stability is great, but so is flexibility. Dental hygienists now have more of both. 

While some dental hygienists are working more, some—especially those with more than ten years of experience—are choosing to work slightly less as they prioritize work-life balance.

__3. Dental hygienists are open to new opportunities__

Pre-Covid, 28% of dental hygienists were either actively searching for a new job or passively interested in new opportunities. 

Now, that number is up to 35%. An additional 7% of dental hygienists are either actively or passively open to a change—a sign that demand for dental hygienists is increasing.

![SurveyResults NewOppsGraph](//images.ctfassets.net/otz9p93fkvjx/1ZwGJ4ypYa35CanANzzuYM/7d46f1048222aab2fa2cf872e8f61e5c/SurveyResults_NewOppsGraph.png)

Covid changed a lot of things. One of them? The professional outlook for dental hygienists.

SurveryResults HeaderImage

The 3 Ways Dental Hygienists Are More Empowered Now Than They Were Pre-Covid

Stop us if you’ve heard this before: a dental hygienist starts at a new dental practice and gets thrown right in. No onboarding. No training. They’re expected to learn new systems—even new skills—on the fly. It’s stressful, and it’s isolating. 

That is not what happens at Tend. We do dental differently for our patients, and we do dental differently for our clinicians. For dental hygienists, that means a whole new way of being brought onto the team. We want you to feel supported and prepared from day one. 

![dentalhygienistimaging](//images.contentful.com/otz9p93fkvjx/1e2KxqidF738chgyMo0h4B/7a823d46ad0cd75ff74e9976207e46a9/dentalhygienistimaging.jpg)

__Orientation: The First Week for Dental Hygienists__

In your first week at Tend, we immerse you in the company, and we introduce you [to the team](https://www.hellotend.com/careers) you’ll be collaborating with. You’ll be part of sessions on our brand, culture, and values. You’ll shadow people in different roles—from a dental hygienist, to a dental assistant, to a welcome bar associate—just so you know how everything works. You’ll get trained on all of our technology. You’ll be part of mock appointments (even dress rehearsals). At the end of all of that, you’ll be singing in your scrubs.

![tendhygienistquote](//images.contentful.com/otz9p93fkvjx/419oSq0c5w8N7Fy44PW77D/c8f246e255a6f5fc3c796ae8a280e4fa/tendhygienistquote.png)

__Introducing: Lead Dental Hygienists__

“Lead Hygienist” is a new, elevated role we created to support our team. In addition to cleanings and screenings, our Lead Dental Hygienists also help onboard, coach, and train other dental hygienists. Their goal is to help ensure that you’re set up for success—and that our members have the best possible experience. Over time, we promote dental hygienists to be Lead Dental Hygienists. It just takes a commitment to leadership, responsibility, and being a great teammate.

![dentalhygienistchart](//images.contentful.com/otz9p93fkvjx/4mSzPD4WIluuTLEhFLfWDM/4e5abb8a22c3e0503ee6ae80532171bf/dentalhygienistchart.png)

__A Collaborative Culture at our Dental Studios__

When you’re part of the Tend team, you’re really that—part of the team. You’ll be relied on by the other clinicians who work with you, and you’ll rely on them in turn. It’s the perfect balance of independence and support, trust and feedback. Everyone at Tend is always continuing to learn from each other. We need them to, to keep transforming dental’s future.

![leaddentalhygienistquote](//images.contentful.com/otz9p93fkvjx/PZnZ2f4n0UH7Y5eV0QQAp/60779446e5cf628b15bea62e2940e7d1/leaddentalhygienistquote.png)

__TendU: Our Dental Learning Platform__

We support our dental hygienists well beyond orientation and coaching. We also have an in-house learning platform called TendU. It offers world-class continuing education courses—from how to manage gum sensitivity to how to talk about proper at-home care—so you’ll always have a way to sharpen your skills and build new ones.


We're opening new dental studios near you, and we’re looking for top-notch dental hygienists to join our highly skilled and rapidly growing team.


Apply to be a dental hygienist at Tend

*At Tend, dental hygienists feel supported and prepared to do their jobs—and it's thanks to our unique training program.*

dentalhygienistconsult

Our Dental Hygienist Training Program

Maybe you went to your dentist with discomfort. Maybe you were referred to an oral surgeon. Or maybe you went to a routine dental exam without any symptoms and the implant recommendation came as a complete surprise. 

__And now you’re looking for a second opinion.__ 

This is extremely common. And we recommend it. An implant can be an amazing way to restore a missing, damaged, or broken tooth. But it’s a serious commitment. And a significant investment. So it’s crucial to: 

  A. Be absolutely sure you need one. This means ruling out less complex and costly alternatives, like a bridge, a root canal, or a removable appliance like a partial denture.

  B. Put your mouth in the best possible hands. This means having a doctor you love, whose guidance you trust 100%.

__Second opinions at Tend are the most objective.__

Tend is New York City’s top-rated dental studio, with 6 locations across Manhattan and Brooklyn. When you get a second opinion with us, the recommendation you receive will be completely impartial. This is because our general dentists aren’t paid a commission on procedures. They’re paid a salary plus a bonus tied to patient satisfaction. I.e. your satisfaction. So they’ll only recommend the care you need. 

If you don’t need an implant, they’ll tell you. If you do, they’ll tell you exactly why, walking you through the results of your imaging in detail. Then they’ll offer to book you a follow-up consult with one of our outstanding oral surgeons, who would place the implant if you decide to get it at Tend.

Either way, your dentist’s interests will be aligned with yours. That’s not true at other practices, where dentists make a commission on procedures, incentivizing them to be clinically aggressive.

![Joel Ayon Oral Surgeon](//images.ctfassets.net/otz9p93fkvjx/52ouVMDPdc1Cs6KP3AysgH/f81df664690307b80512cf0a3027caa9/Joel_Ayon_Oral-Surgeon_01.jpg)

__Tend has world-class doctors you’ll love.__

Not all dentists have extensive experience with implants. Our team does. When you [book a second opinion consult with us](https://www.hellotend.com/booking/studios?service=IMPCON), you’ll meet with an experienced general dentist at your local studio. These clinicians have been specially trained to evaluate clinical needs, and they work directly with our Head of Clinical Development, Dr. Marc Schlenoff, a former Program Director at Columbia University’s College of Dental Medicine. They’re also the top-rated dentists in NYC, with hundreds of reviews from patients who’ve had an amazing experience.

__Tend has beautiful, conveniently located studios.__

When you get a second opinion consult at Tend, here’s what you’ll experience. You’ll [book online](https://www.hellotend.com/booking/studios?service=IMPCON), fast, at a studio location that’s convenient for you, right by public transportation. When you arrive, you’ll enter a beautiful, soothing space and be greeted at the Welcome Bar. You’ll be seen right away (our average wait time is 3 minutes). Your care team will take images of your mouth and conduct a thorough exam. Then your dentist will patiently, clearly explain what they see and talk you through your options. No rushing, no jargon. We’re here to help.

Book a free 30-minute consult with one of the top-rated dentists at Tend.

Ready to get a second opinion on an implant?

So. You’ve been told you need a dental implant.

Tend dentist giving a second opinion consult to an implant patient

Implant Consult

Tend dentist giving a second opinion implant consult to an implant patient

How to Know for Sure if You Need a Dental Implant

There’s a lot of chatter around fluoride and its place in toothpaste and our public water: do we need it to strengthen teeth? Is it actually safe to use? The simple answer: though it isn’t the only way to strengthen teeth, fluoride is a safe and effective way to do just that. And there’s [over 70 years of research](https://www.ada.org/en/public-programs/advocating-for-the-public/fluoride-and-fluoridation) to back it up.

__Fluoride prevents cavities__

Before we go deeper, let’s establish what fluoride is. Fluoride is a mineral that naturally occurs in our teeth, helping to strengthen the enamel that protects them from decay. Fluoride is incorporated into the mineral matrix that comprises the actual enamel, making it a key component in the preservation of your teeth.

You may be surprised to learn that at least [74.4% of the U.S. population has fluoride in their public water](https://www.cdc.gov/fluoridation/statistics/index.htm). Why? A study in the 1930’s [examined the correlation between tooth decay and water with naturally-occurring fluoride](https://www.cdc.gov/fluoridation/basics/index.htm). It found that communities with more fluoride had stronger teeth and therefore had less susceptibility to tooth decay. Because of these findings, cities around the United States started to put fluoride in public water in 1945. And the results have been astounding: [fluoride in water has prevented at least 25% of cavities in children and adults](https://www.ada.org/en/public-programs/advocating-for-the-public/fluoride-and-fluoridation).

If you’re interested to see if your public water has fluoride, the CDC website provides a resource  for people living in participating states [here](https://nccd.cdc.gov/doh_mwf/Default/Default.aspx). If you’re in the 25.6% of places that don’t have it in their water, it may be more important to make sure fluoride is incorporated in your dental care routine.   

__Fluoride works in two ways__

The first is through ingesting it as a baby or child, as your teeth are forming. This is where having it in water becomes a factor: people born in NYC, for instance, initially have very strong teeth compared to people in areas with no fluoride in the water at all. In areas with water that doesn’t have fluoride, children can take vitamins with fluoride as a way to incorporate it into developing teeth, building the foundation to have strong teeth as an adult. (If your water has fluoride, this isn’t necessary.)

Fluoride also works topically, once the tooth is fully formed. Fluoride toothpastes and mouthwashes work by filling in the pores that exist in your teeth’s enamel with fluoride, thereby strengthening it against acidic or sweet foods, which can damage your teeth. A highly concentrated fluoride toothpaste can also be useful to lessen the sensitivity of teeth as we age. 

It is important to note, however, that while it can be important to use fluoride as an adult, the most crucial time for fluoride is the first 5 to 6 years of your life. After that, assuming you have good dental hygiene, using fluoride is more about maintenance.

__There is no evidence that suggests fluoride causes autism or cancer__

Now that we’ve established what fluoride is and what it does, let’s talk about the elephant in the room: the claims that fluoride can lead to autism, a lowered IQ, and a myriad of other conditions like cancer. 

There is [very little credible research](https://www.cancer.org/cancer/cancer-causes/water-fluoridation-and-cancer-risk.html) to support these claims. While an excess of anything can have harmful ramifications, at the recommended dosages, the worst that can happen with fluoride is that your teeth may develop white spots (or a few brown spots)—for example, if you take fluoride supplements as a child and also drink fluoridated water. As fluoride has become more prevalent in things like toothpaste and mouthwash, the U.S. has lowered the amount of fluoride put in water to ensure people are not getting harmful amounts. 

__The verdict: fluoride is legit__

Fluoride in our water is one of the most helpful public health initiatives ever undertaken in the United States. [The CDC named it one of the top ten public health achievements of the 20th century](https://www.cdc.gov/fluoridation/basics/index.htm). Fluoride is a practical, safe, and effective way for us to strengthen our teeth from childhood into adulthood. 

That said, there are other, fluoride-free ways to remineralize teeth for routine maintenance. One involves a mineral called hydroxyapatite. This mineral is what most of our tooth enamel is made of. Adding it to toothpaste has been shown to protect teeth in a way that’s comparable to fluoride. So if you still have concerns about fluoride, for any reason, look for a toothpaste with hydroxyapatite. 

Smile strong.

Then you’ll really like our oral health products. They use refreshingly real ingredients. And they only have legitimate claims that we stand behind as dentists and hygienists.

Like our “Is It Legit?” series?

In our “Is It Legit?” series, we weigh in on trendy topics in oral wellness, flossing fiction from fact so that you know what to trust your mouth with.


The Gargler - Fluoride

Fluoride: Is It Legit?

When a patient finds out they grind their teeth, they are usually met with a recommendation for an expensive mouthguard from their dentist and sent on their way. But why do we grind our teeth in the first place? Has stress related to Covid caused more grinding? And is grinding really such a big deal? Tend’s Head of Clinical Development, [Dr. Marc Schlenoff](https://www.hellotend.com/about), has these answers and more. (Spoiler: yes, grinding is, in fact, a *very big deal*.)

__Grinding can be caused by stress, but it’s also genetic__

While a lot of us grind due to stress, “some people who are seemingly under no stress grind because that’s just the way they’re hardwired,” says Dr. Schlenoff. 

__For stress-grinders, Covid is a factor__

Many if not at all of us have been under heightened stress since the start of the pandemic. And this would [logically lead](https://www.nytimes.com/2020/09/08/well/live/dentists-tooth-teeth-cracks-fractures-coronavirus-stress-grinding.html) to an increase in “the intensity and severity” of grinding, says Dr. Schlenoff. 

__Grinding produces a huge amount of force__

“Grinding can generate up to 1,100 pounds per square inch of pressure on your teeth.” To put that in perspective, that’s [3-6 times](https://www.chicagotribune.com/lifestyles/health/sns-health-teeth-stress-story.html) the pressure you use to eat.

__Evidence of grinding is easy to spot__

When people grind, the cusps of their teeth gradually become flatter, and shinier, then shorter. “I always show my patients a picture of the wear to show them exactly what’s happening,” says Dr. Schlenoff.

__Grinders typically grind for an hour or so per night__

“We grind and clench and then we stop and then we do it again...all night long,” says Dr. Schlenoff, adding up to about 60 minutes total.

__You’re more likely to grind if you snore__

Some snorers assume they couldn’t possibly grind their teeth while snoring, but sadly they’re wrong. In reality, “grinding is just momentary, and there’s almost a 100% correlation between snoring and grinding.”

__Grinding wears away at enamel, then at dentin__

Now for some dental anatomy: a tooth has layers that grinding destroys bit by bit. The first layer is the enamel, which coats the outside of the tooth and is “the hardest substance in the body.” Once you grind through this, you’re in trouble. Underneath the enamel is “dentin,” a yellowish substance that’s 11 times weaker than enamel. As a result, it will erode 11 times more quickly.

__Grinding affects multiple teeth at a time__

Grinding doesn’t just happen to one tooth: it occurs in a sliding motion that wears down many of your teeth simultaneously in a fairly symmetrical way. 

__There’s a point of no return when it comes to tooth damage__

Because the tooth gets softer the deeper you go, over time the damage grinding causes begins to accelerate. At a certain point, the damage is beyond repair and your teeth will require crowns. Dr. Schlenoff recalls, “I’ve had cases where I had to do crowns on every tooth in the mouth to rebuild them to their original height because people have worn them down so dramatically.”

__Repairing this damage can be incredibly expensive__

A single crown can cost up to $2500, depending on where you live. If your case is really extreme and you need crowns on every single tooth like Dr. Schlenoff’s patient, that could result in a whopping cost of $80,000. 

__There’s a way, way cheaper alternative__

Since there’s no way to consciously stop grinding (especially in our dreams and during a pandemic), our best mode of defense is a night guard. That’s a simple piece of plastic custom-molded to your mouth that you wear just when you sleep. A night guard typically costs less than a thousand dollars. We charge $599 if you don't have dental insurance, and if you do, it could cost significantly less than that. 

That translates to at least $79,401 that you could spend on say, two cars, some bougie vacations, and hundreds of takeout dinners instead. Because as much as we love the dentist, we’re pretty sure that having great wheels, sitting on a beach, and eating delicious food beats sitting in a dental chair. 

Here’s to strong enamel and grind-free teeth!

Book a dental exam at your nearest Tend studio, and one of our top-rated dentists will examine your teeth for signs of wear. 

Think you're grinding?

[8% of adults](http://sleepdisorders.sleepfoundation.org/chapter-7-sleep-related-movement-disorders/sleep-related-bruxism/p/) grind their teeth, but most have no idea about the long-term consequences.


Grinding_Horizontal

Is Covid Stress Ruining Your Teeth?

We love dogs, and we’d pretty much do anything for them. Case in point: we pick up their *poop*. And while we wouldn’t change a single thing about the play time, walks, nuzzles, or sloppy kisses, there *might* be a change or two we’d make in other areas. (See: the “picking up their poop” point, above.) Because, while a good pup snuggle is pretty much the cure for whatever ails us, being on the receiving end of a panty, slobbery huff of rancid dog breath? Not our preferred pastime.

__It’s time to pay attention to our furry friends’ oral health__

“Dogs are also prone to periodontal disease,” explains Dr. Marc Schlenoff, Tend’s Head of Clinical Development. “And yes, that can mean bad breath.” Since dogs shouldn’t ever eat sugar, they tend not to suffer from tooth decay, but plaque and gum disease can be a serious problem. In fact, periodontal disease is the most common clinical condition in dogs. Which means the number one thing you can do to keep your pup’s pearly whites healthy is brush their teeth. Every day. No, really. “You have to,” explains Dr. Schlenoff. Not only will this help freshen their breath, it will also prevent more serious problems—like bleeding gums and tooth loss.

![2021 2 Gargler BreathBiscuit Body2](//images.ctfassets.net/otz9p93fkvjx/5GvzmOtUJpek6DLFuMSciX/d5a761a9c3235c7d535ef0bda4b12b10/2021_2_Gargler_BreathBiscuit_Body2.jpg)

__Tend is here for all the mouths in the family__

While brushing your dog’s teeth is important, there are easier ways to support their oral health. Our new Breath Biscuits by Bocce’s Bakery in NYC are an all-natural, delicious dog treat to keep your canine’s canines healthy and their breath great-smelling. 

These wheat-free biscuits are made from just three good-for-your-dog ingredients: 
- Oat flour is a good source of vitamin B (for a healthy coat), linoleic acid (for strong skin), and fiber (to support digestion)
- Apples are a good source of vitamin C (which may reduce inflammation and cognitive aging in dogs)
- And mint is a long-time favorite to help mask halitosis

![2021 2 Gargler BreathBiscuit Body1](//images.ctfassets.net/otz9p93fkvjx/2vmncJ3sfrTyOD0yZWuNWz/2e177216197079de631bf9cdc71b87ff/2021_2_Gargler_BreathBiscuit_Body1.jpg)

__A dentist-approved dog treat__

In addition to these treats’ health-boosting ingredients, the mere act of chomping down on them or other crunchy snacks can help keep your pup’s teeth clean and in good working order. So pass one to your pup, then pucker up for a long round of minty-fresh dog kisses. Your pup—and your nose—will thank you.

We partnered with Bocce’s Bakery in NYC to make a healthy, dentist-approved dog treat, baked with mint for fresh breath. Because our canine’s canines need love too.

Breath Biscuits by Tend and Bocce’s Bakery

Let’s face it (literally): puppy breath isn’t always cute. 

2021 2 Gargler BreathBiscuits Header v2

A Kiss Assist for You and Your Dog

In our experience, there are two kinds of dental patients: 1. those who are afraid of discomfort and want to avoid it at all costs; 2. those who want a bit of soreness to “prove” that their cleaning was thorough.

If one of these sounds like you, we want to talk to you about what level of comfort it’s realistic to expect during a dental exam (TL;DR, more than you think, but not total bliss), and whether discomfort and thoroughness really do go together (actually, no!).

__If you feel discomfort, and that’s worrying...__ 

We do everything possible to make your dental exam comfortable, from bringing your anxiety level down with a soothing space and distracting TV shows, to numbing sensitive gums with a topical anesthetic, to using gentler, state-of-the-art tools (more below). But there’s no way to 100% guarantee that you won’t feel a thing.

One reason: over-brushing at home. “A lot of our patients have very healthy teeth,” says Dr. Schlenoff, “but may be very aggressive when brushing.” Overly-vigorous brushing at the gumline can lead to thinner gum tissue and “a tiny bit of gum recession.” This can leave some tooth exposed that’s not protected by enamel. And without that protective layer, your tooth will naturally be more sensitive during exams.

The good news? This type of discomfort “is always transient and completely normal,” says Dr. Schlenoff. If you’re feeling any twinges, just raise your hand and let your hygienist know.

![2021 2 Gargler Soreness Header](//images.ctfassets.net/otz9p93fkvjx/67KV30YiriiOLjyvFiJuWq/3465f2bb23fdd0da12fa8ee370d608a2/2021_2_Gargler_Soreness_Header.jpg)

__If you’re not sore, and that seems weird…__

If you’ve been to other dentists, you may have internalized the idea that exams = pain. You may have even convinced yourself that pain is the only way to know you’ve had a good cleaning. But it turns out that when you take the latest tooth-cleaning technology and put it in the hands of skilled staff whose top priority is your comfort, it makes for a much more soothing experience. 

“We use ultrasonic scalers,” explains Dr. Schlenoff, referring to the instruments Tend hygienists use to remove plaque and tartar from teeth. “Ultrasonic” means the scaler uses soundwaves to blast buildup off your teeth. And since ultrasonic scalers vibrate faster than traditional scalers, they’re more precise and less painful. 

This means that you’ll likely be more comfortable during your cleanings than you were before. And that your teeth will also be just as clean, if not cleaner. So if you think you’re supposed to feel sore afterward, you may be sorely disappointed. (Sorry, we had to!)

Whichever type of patient you are—afraid of discomfort, expecting it and even kind of wanting it—we’re here for you. Book a checkup at your nearest Tend studio, and we’ll make your cleaning as soothing as it is thorough.

A dental exam that’s so much more than routine

Let’s back up. How much soreness are you expecting?

2021 Gargler Soreness Header v3

How Much Soreness Is Normal from a Dental Exam?

If you have missing or damaged teeth, you know how disruptive that can be. Biting down into your favorite foods can become a source of anxiety. So can how you look when you’re smiling. 

Still, getting a complex restorative procedure may be intimidating in its own way. You may be afraid of the pain, the idea of drilling, even just the word “implant.” And as a result, you may not explore your options fully.

If you’re in that category, we want you to know something: [dental implants](https://www.mouthhealthy.org/en/az-topics/i/implants) are one of the most effective, durable, and beautiful ways to replace teeth. And getting them is a lot more comfortable than you might think. 

__How dental implants work__

“Implants tend to be much less uncomfortable than the perception,” explains Dr. Schlenoff, Tend’s Head of Clinical Development. 

The process involves [replacing a tooth’s root](https://www.perio.org/consumer/single-tooth-implant) with a small piece of metal—the “implant.” After the implant and the underlying jawbone come together, a dentist tops the implant with a gorgeous, long-lasting ceramic crown that looks and performs just like a natural tooth. 

Although the process sounds intimidating, dentists have been performing and perfecting the procedure for [more than 30 years](https://www.aaid-implant.org/dental-implants/what-are-dental-implants/). And they’ve become really good at making it comfortable.

__No nerves = no pain__ 

“In the bone where we’re attaching the implant,” says Dr. Schlenoff, “there really are no nerve endings. So, amazingly, that part of the procedure does not hurt.” 

There is some temporary discomfort afterward, he says. But that comes from “the manipulation of the gums” around the implant—not the implant itself. 

This means that, overall, “most people are very pleasantly surprised,” he says. “I’ve dealt with hundreds of implant patients, and most people are just fine the day after. Certainly by 48 hours later they’re back to their normal activities.” 

__A (worthwhile) wait__

Dr. Schlenoff does note that, once an implant is in, [it can take a few months](https://www.mayoclinic.org/tests-procedures/dental-implant-surgery/about/pac-20384622) for it to fully fuse with the bone before the final crown can be placed. (A temporary restoration can be placed in the meantime.) 

But the wait is worth it. Once the permanent crown is in, it looks and behaves exactly like a normal tooth—making chewing and smiling anxiety-free. And with proper care, a dental implant can last a lifetime. 

__Tend’s elite team__

If you need an implant, it’s critical to work with a skilled dental team—like the one Dr. Schlenoff leads at Tend. Each of our dentists is trained to make placing an implant as comfortable as possible. And to craft beautiful crowns that will be part of your smile for decades.

Since there aren’t any nerve endings where the implant sits, most people come away from the procedure “pleasantly surprised.”

The Gargler - Implants

Why Dental Implants Are Surprisingly Comfortable

You’ve may have heard that gum is bad for your teeth. You may have also heard that it’s good for them. 

So…which is it? Does gum chewing lead to cavities and decay, or to whiter smiles and fresh breath? (Because really, can a product sold in the candy aisle actually help keep your teeth clean?) 

To get the 411 on chewing gum, we sat down with Dr. Marc Schlenoff, Tend’s Head of Clinical Development.

__Choose the right chew__

It’s time to set the record straight: chewing gum can be good...if you pick the right kind.  

According to Dr. Schlenoff, chewing gum “is actually not bad for you at all—as long as it’s sugar-free.” 

__Sugar and your teeth: not so sweet__

What’s the problem with sugar? In your mouth, sugar gets broken down by bacteria. These so-called “bad bacteria” produce a few gnarly byproducts in the process, including dental plaque and acid. The acid can disrupt your mouth’s delicate pH balance, leading to enamel erosion and cavities, while the plaque can build up and harden, leading to tooth decay.  

__Sugar-free ways to sweeten the deal__

Fortunately for gum-lovers, there are sugar-free alternatives. Some popular sugar substitutes in gum include alcohol sugars (such as sorbitol, mannitol, and xylitol), aspartame, and stevia extract. 

Not only do these sweeteners avoid the problems caused by sugar, some may actually offer benefits for your mouth. For example, in addition to sweetening like sugar, gum made with sorbitol “has actually been shown to reduce tooth decay,” per Dr. Schlenoff. 

__Mouthwateringly good for you__

[Chewing gum naturally increases saliva flow](https://www.dentalhealth.org/sugar-free-chewing-gum), and “saliva flow is always a good thing,” says Dr. Schlenoff. Increased saliva flow helps to neutralize and wash away any lingering acids that are produced when you eat—which helps maintain your mouth’s pH balance and preserve your enamel. [One study found that people who chewed sugar-free gum for about 20 minutes after eating a meal actually had a lower incidence of cavities.](https://jada.ada.org/article/S0002-8177(14)63877-0/fulltext) 

__Watch out for TMD__ 

One important note: although sugar-free gum has a sparkling reputation, all that chewing can pose a potential risk. [TMD](https://www.mayoclinic.org/diseases-conditions/tmj/symptoms-causes/syc-20350941) (or temporomandibular joint disorder) can cause jaw and muscle pain as well as difficulty chewing. “Some people are more naturally disposed to TMD,” says Dr. Schlenoff, “but there’s an easy solution if that happens: stop the chewing.” 

__The bottom line__

Still unsure of how your gum stacks up? When in doubt, pick a pack with the [American Dental Association’s](https://www.ada.org/en/member-center/oral-health-topics/chewing-gum) Seal of Approval: reserved for sugar-free picks that aren’t going to harm—and may even help!—your oral health.

Be frank with your dentist. Not comfortable talking to your dentist about this kind of thing? Maybe it’s time for a new dentist. 

Worried about your own habits?

In our “How Bad Is It?” series, we answer your cringing questions about whether something you’ve done, or do everyday, is bad for your oral health (or completely harmless).

The Gargler - Chewing Gum

Chewing Gum: How Bad Is It?

As wearing masks becomes part of our new normal, so does the unwelcome aroma of “mask breath.” That’s your own bad breath trapped inside your mask.

“Masks are designed to keep things in,” says Dr. Schlenoff, Tend’s Head of Clinical Development. “They have layers and layers of fibers. So if your breath is bad, your mask will contain it.”

And if you wear a mask over and over, and it isn’t washable, it could start to take on that odor for good. 

It’s a small price to pay for being safe. But it can still be “pretty gross,” says Dr. Schlenoff. We used to worry about other people smelling our bad breath. Now we’re our own victims.

There’s a solution for this. And it’s not mints, gums, sprays, strips, or any other breath fresheners. Those just “mask” the problem. You need to treat it at the source to actually get rid of it.

“Bad breath can come up through the gastrointestinal tract,” says Dr. Schlenoff. “It can come down through the nose. But most of the time it comes from your mouth. And it’s usually just a hygiene issue. The bacteria in your mouth smell because they weren’t cleaned out.” 

The majority of those bacteria live on your tongue.

“It’s an ideal hiding place,” says Dr. Schlenoff. “Bacteria love it. It’s moist. It’s protected. It has an uneven surface. It’s almost the perfect environment for bacteria.”

Some people brush their tongues like they brush their teeth. “But it’s very difficult to brush your tongue properly,” says Dr. Schlenoff. “Toothbrush bristles are made of flexible nylon, and they give a lot. So they’re going to miss things.”

It’s better to use a tool designed specifically for tongues. That’s why we created the Tidy Tongue, a tongue cleaner with a rigid wiper that slides gunk off like a little zamboni.

You can test this for yourself. First, brush your tongue with a toothbrush and see how it looks. Then use the Tidy Tongue and see how much more icky white stuff comes off. That white stuff is plaque, the same bacteria you brush off your teeth. But on your tongue, there’s way more of it. 

Dr. Schlenoff uses his Tidy Tongue at night. But you can use yours in the morning, or even twice per day. Whatever feels right for your routine. Tongue cleaning only takes a few seconds.

And once you start, you’ll be able to mask up and exhale freely.

When left to its own devices, your tongue becomes a home for bad-breath-causing plaque. Enter the Tidy Tongue, a stainless-steel tongue cleaner designed by our dentists.

Introducing the Tidy Tongue

Clean your tongue to treat bad breath at the source.

Tidy Tongue Gargler

Don’t Just Mask Your Mask Breath

Straight smile seekers, *we have good news for you*. There’s a revolutionary new orthodontic technology, available exclusively from Tend. It’s called [Breezy Braces®](https://www.hellotend.com/breezy-braces), and it uses a NASA-developed material to invisibly straighten your teeth with zero maintenance. 

Before we get into the details, let’s talk about your situation.

__You want to straighten your teeth.__

Maybe you had braces as a kid, then stopped wearing your retainer. Or you never had braces and thought you wouldn’t need them. But...your teeth have begun to drift. 

At first, you could ignore it. It even looked kind of cool and rugged. But now, not so much. You’re getting embarrassed, and you’re worried about where this is headed. Your teeth may also be getting harder to clean and yellowing (or worse) if they’re overlapping and crowded.

__But you don’t love your options.__

Other orthodontic treatments look terrible, aren’t sanitary, have to be removed every time you snack, get lost, get eaten by dogs, and aren’t actually invisible. In fact, they can be highly visible, resulting in doubletakes from friends and coworkers as they try to figure out why your smile looks...different. 

__That’s where Breezy Braces® come in.__

[Breezy Braces®](https://www.hellotend.com/breezy-braces), powered by Inbrace, give you everything you want—a beautiful, confident smile and fewer dental issues down the line—without any of the embarrassment or hassle.

__Breezy Braces® are actually invisible.__  

Breezy Braces® are truly 100% hidden. As in, the only way someone will know you’re wearing them is if you tip your head back and show them what’s behind your teeth. This allows you to smile freely throughout your treatment.

__They’re totally hands-off.__

Breezy Braces® require next to no maintenance. You can eat and drink (and kiss) whenever you want. And you won’t have to touch your teeth with your fingers.

__They’re more comfortable.__ 

Other orthodontic treatments hurt periodically as they’re tightened or swapped out. Breezy Braces® are different. They move your teeth gently and continuously throughout your treatment, so there aren’t any peaks of discomfort. 

__They’re easier to clean.__ 

Breezy Braces® are designed to be super hygienic. Their rising and falling shape allows you to brush and floss like you normally would. (Or, if you don’t floss, there won’t be anything in the way of you starting. Sorry!)

__They’re rocket science.__

Breezy Braces® are made possible by an incredible technological advance. They’re crafted from a material called shape memory wire that was originally developed for spaceships and satellites. Shape memory wire is flexible, but always returns to its original shape. 

With Breezy Braces®, a thin piece of shape memory wire is “programmed” specifically for your smile, then placed behind your teeth. It slowly and gently moves your teeth until it achieves its final shape.

__They’re affordable.__

In NYC, orthodontic treatments start around $1,850 and go up to about $7,000. 

Breezy Braces® cost $5,000—right in the middle. They cost more than the cheapest straightening option. But in our opinion, that’s a small price to pay for a far better experience.

__And they’re placed by an orthodontist.__

Unlike other orthodontic treatments, Breezy Braces® aren’t put in at home, with no clinical oversight. They aren’t even placed by a normal dentist. They’re placed by an orthodontist. That’s a dentist with special training in the art and science of moving teeth. This ensures that they’ll actually work, and that if any adjustments need to be made, an expert is on call to help—all for the same price.

__Here’s how it works.__

You start by talking with an orthodontic specialist (for free) about your smile and whether Breezy Braces® are right for you. Next, you’ll visit a Tend studio for 3D imaging. If you decide to move forward, your orthodontist will craft your Breezy Braces® specifically for you. Then you’ll come back to have them placed. Every 6-8 weeks, you’ll return for a quick check-in to make sure everything is going according to plan.

__You’ll have a whole new smile in as little as six months.__ 

And by the time your Breezy Braces® come off, you may not even remember you had them.

Interested in learning more? Book a free consult and spend 15 minutes chatting about your smile and whether Breezy Braces® are right for you.

Book a free consult

Breezy Braces Gargler


Introducing Breezy Braces®
A new care-free, can’t-see straightening technology that goes behind your teeth, exclusively at Tend. 

Straightening Just Got Revolutionized

If you’ve heard of [veneers](https://www.hellotend.com/veneers), you probably know that they’re a way of [gorgeously remaking](https://www.cosmopolitan.com/style-beauty/beauty/a13051650/what-are-veneers/) spaced, uneven, worn down, chipped, or stained teeth. But you probably didn’t know that they’re also a way of transforming the shape of your face, making it more symmetrical, accentuated, and youthful, like a face lift.

Let’s take a step back.

__What are veneers again?__

Veneers are super thin layers of porcelain that a dentist with special training applies to your teeth. They’re works of high-tech artistry, blending 3D imaging with a dentist’s aesthetic eye to create a beautiful, [natural-looking](https://www.nytimes.com/2010/10/21/fashion/21SKIN.html) smile. And they’re incredibly durable: when well cared for, they can last for decades.

__How many do I get?__

Dentists usually recommend getting veneers in multiples of two, for the most symmetrical effect. For cost reasons, you don’t want to get more veneers than you need to achieve the look you want. That said, you don’t want to get too few, or only part of your smile will look new. 

This can be a difficult calculation for patients. That’s why, at Tend, we offer per-smile pricing. No matter how many veneers you need, your price will be exactly the same. So there’s no reason to hold back on your smile makeover.

__What’s the process?__

At Tend, the process begins with me. If you’re interested in veneers, we’ll do a free, 30-minute virtual consult to talk about your smile and whether veneers are right for you. 

If they are, and you want to move forward, I’ll match you with a Tend dentist who I’ve personally trained. You’ll come in for 3D imaging, and your dentist will show you a digital preview of your new smile. This visit takes about 50 minutes. 

Sometimes, the best way to make your smile sing is to supplement veneers with crowns, implants, and other types of restorative work. If your dentist recommends that, you won’t pay anything more.

The next step is temporary veneers. In about 70 minutes, your dentist will remove a thin layer of surface enamel from your teeth, and you’ll leave with a temporary version of your new smile. This lets you test it out with friends and family members. 

When you’re ready, we’ll mill your permanent veneers. Our lab uses state-of-the-art technology, and we hand glaze the porcelain for exquisite natural detail. 

In your last visit, also about 70 minutes, your dentist will apply your permanent veneers. And you’ll start smiling.

__And veneers also change the shape of my face?__

Veneers do more than remake your teeth. They actually transform the shape of your face. As you age, your mouth loses elasticity and muscle tone, making your face less symmetrical. Veneers make you look younger by supporting your mouth’s musculature and accentuating your cheekbones. 

The effect is similar to what you’d get from a face lift. But unlike a face lift, veneers don’t involve surgery. And thanks to temporary veneers, you can actually see what you’re getting before it becomes permanent.

Interested in exploring whether veneers are right for you? Let’s talk!

Spend 30 minutes talking to Dr. Schlenoff about your smile and whether veneers are right for you. Virtual veneers consults are completely free.

Book a virtual veneers consult with Dr. Schlenoff

Veneers Gargler 2

How Veneers Transform the Shape of Your Face

I’m just going to get to it: I’m breaking up with you. That fuzzy feeling you give me just isn’t doing it anymore.

I know this may come as a shock to you, but I’ve felt this way for a while and was just too scared to act on it. The truth is, I’ve finally found someone who will be there for me, who’s a lot nicer than I ever could’ve imagined, and most importantly, makes my teeth strong instead of weak: my new Tend dentist.

I’ll always remember our good times: eating candy at the movies, all the times I forgot to floss or brush and you stood by me, growing in the night. Because you thrive in the bacteria of an unbrushed mouth, it couldn't be helped. I’ll always cherish how hard we laughed about how gross my breath smelled that one morning. Or how your friends Tartar and Cavities kept overstaying their welcome. 

But that’s the thing though, right? Our relationship was never just us. If it was just you and the other millions of friendly bacteria in my mouth, it would be one thing. But I’m slowly accepting that you and your buds are a package deal. And I deserve better than that. 

I know you’ll come back to me. That’s only natural. But I feel compelled to warn you: my new Tend dentist will always be there to support me in getting rid of you again.

Maybe one day we can get to a point where we’re friends, where we can give each other heartfelt hello’s as I scrape you off my teeth at night. But for now, I’m going to make a clean break. I hope you understand.

Don’t cry because it’s over. Smile because of all the candy we ate.


Our amazing clinical team can help. They're really good at writing breakup letters to plaque like this one.

Ready for a breakup?

In some ways this is the hardest letter I’ve had to write. And in some ways it’s the easiest.

Dear Plaque

If you keep up with the latest wellness trends, you’ve probably heard about charcoal. In the last few years, it seems to have lent its pitch-black hue to just about everything: skincare, ice cream, lattes—and oral wellness products. We’ve seen charcoal show up in [toothpaste](https://shop.hellotend.com/collections/tend-picks/products/twice-early-bird-twilight-toothpaste), [mouthwash](https://shop.hellotend.com/collections/tend-picks/products/hello-naturally-fresh-mouthwash), [floss](https://shop.hellotend.com/collections/tend-picks/products/cocofloss-single), and even the bristles of [toothbrushes](https://soothsonic.hellotend.com/?utm_source=shop_home&_gl=1*16x14q6*_gcl_aw*R0NMLjE2MDM0MjMzOTUuQ2owS0NRancyOFQ4QlJEYkFSSXNBRU9NQmN5eFNQUko1NmJKUVVLRkNIeWV1R3hFbnBfVXZkeHhhRlhGWTBKR29BaVdPYTdNc0xHektvc2FBcE1XRUFMd193Y0I.&_ga=2.71390803.175980659.1603423396-594925918.1600095315&_gac=1.229445998.1603423396.Cj0KCQjw28T8BRDbARIsAEOMBcyxSPRJ56bJQUKFCHyeuGxEnp_UvdxxaFXFY0JGoAiWOa7MsLGzKosaApMWEALw_wcB). But what’s it actually doing there? 

We checked in with Dr. Marc Schlenoff, Head of Clinical Development at Tend, to get to the bottom of the charcoal trend. 

__The claim: activated charcoal helps you “detox”__ 

Activated charcoal, the flavorless ingredient at the heart of the movement, is essentially a form of carbon that’s been treated to make its surface more porous. Theoretically, the holes on the surface of charcoal particles help them pick up and clear away other substances. 

It’s why you so often hear the word “detox” in connection with charcoal. The idea is that ingesting it, washing your face with it, or even brushing your teeth with it helps draw out chemicals and impurities, leaving behind a flushed body, clearer skin, or, in your mouth, pearlier whites and fresher breath. 

__The reality: when it comes to your teeth, there’s no proof__

“I went through the research,” explains Dr. Schlenoff, “and I couldn’t find one single solitary study that advocated for charcoal among independent, unbiased analyses.” 

He’s not alone in that finding: [according to a 2017 review from the Journal of the American Dental Association](https://jada.ada.org/article/S0002-8177(17)30412-9/fulltext), there’s “insufficient clinical and laboratory data” to substantiate any safety or efficacy claims about charcoal in toothpaste. 

__Charcoal could be really bad for your chompers__

Charcoal is abrasive, and there’s concern among dentists that, over time, exposing your teeth to it could wear away your enamel. “No matter how finely you grind up the particles it’s still abrasive,” adds Dr. Schlenoff. 

[A study presented at the 2015 Academy of General Dentistry Annual Meeting](https://www.epostersonline.com/agd2015/node/72) found that activated charcoal was more abrasive than traditional whitening toothpastes (and suggested it may not be that effective as a whitener). 

__Excess abrasion can actually lead to yellower teeth__

[The American Dental Association](https://www.mouthhealthy.org/en/az-topics/w/natural-teeth-whitening) cautions that using overly abrasive materials on your teeth can actually make them look less white and more yellow. That’s because if you totally wear away your enamel, you’ll expose the layer below: dentin, a softer, less protected substance that (you guessed it) is yellow in color. 

__Been brushing with charcoal? Don’t panic__ 

A single tube of charcoal toothpaste is unlikely to cause that much damage. That’s because when it comes to abrasion, “it’s cumulative,” assures Dr. Schlenoff. The longer—and harder—you brush, rinse, or floss with charcoal, the greater the risk. 

__And if you’re using charcoal mouthwash, consider safer alternatives__ 

“It’s not worth the risk at all,” says Dr. Schlenoff. When it comes to fresh breath or whiter teeth, “there are [much safer ways](https://soothsonic.hellotend.com/?utm_source=shop_home&_gl=1*16x14q6*_gcl_aw*R0NMLjE2MDM0MjMzOTUuQ2owS0NRancyOFQ4QlJEYkFSSXNBRU9NQmN5eFNQUko1NmJKUVVLRkNIeWV1R3hFbnBfVXZkeHhhRlhGWTBKR29BaVdPYTdNc0xHektvc2FBcE1XRUFMd193Y0I.&_ga=2.71390803.175980659.1603423396-594925918.1600095315&_gac=1.229445998.1603423396.Cj0KCQjw28T8BRDbARIsAEOMBcyxSPRJ56bJQUKFCHyeuGxEnp_UvdxxaFXFY0JGoAiWOa7MsLGzKosaApMWEALw_wcB) to achieve that result.”

Check out our online shop. It has toothpastes hand-picked by our dentists. They're safe, and you'll love using them every day.

Need a charcoal-free toothpaste?

In our “Is It Legit?” series, we weigh in on trendy topics in oral wellness, flossing fiction from fact so you know what to trust your mouth with. 


Charcoal: Is It Legit?

We all know that smoking cigarettes is awful for oral (and overall) health—[thank you, decades of PSAs from the CDC](https://smokefree.gov/quit-smoking/why-you-should-quit). But what if what you’re smoking doesn’t contain tobacco? As the availability (and legality) of marijuana increases nationwide, it’s natural to wonder if increased use is as harmful to your mouth as tobacco products are. 

To find out, we sat down with resident expert Dr. Marc Schlenoff, Tend’s Head of Clinical Development.

__Smoking pot has been linked to gum issues__

“There have been studies that show that marijuana can be a causative factor in periodontal disease,” says Dr. Schlenoff. Meaning, we’re less worried about the effect smoking marijuana has on your teeth, and more worried about the effect it can have on your gums. [According to a 2017 study from Columbia University published in The Journal of Periodontology](https://www.dental.columbia.edu/news/recreational-cannabis-used-often-increases-gum-disease-risk), “frequent recreational use of cannabis—including marijuana, hashish, and hash oil—increases the risk of gum disease.” 

“You can tell a smoker by the way their gums look,” explains Dr. Schlenoff, “They’re sort of a grayish color because there’s not a lot of blood in there.” Researchers have long understood that the combination of nicotine—which constricts blood vessels—and heat in cigarettes [can restrict blood flow to the gums](https://www.cdc.gov/tobacco/campaign/tips/diseases/periodontal-gum-disease.html), which leaves them vulnerable to infection. And it seems the Columbia study has found the same link with marijuana, a nicotine-free substance. 

__Vaping may be just as bad (or worse)__

When it comes to the newest trends on the market, the research is less clear cut, since there hasn’t been enough time to conduct studies focusing on long-term effects. “We just don’t have that kind of data yet,” explains Dr. Schlenoff. 

That said, [you may have seen headlines](https://www.foxnews.com/health/vaping-harming-teeth-study) warning about the effects of vaping on your teeth and gums. It’s not hard to imagine why: exposing your gums to heat restricts blood flow. Plus, most [e-cigarette liquid typically does contain nicotine](https://smokefree.gov/quit-smoking/ecigs-menthol-dip/ecigs), which is a known oral health offender. The bottom line: when it comes to vaping, signs point to it being risky for your oral health—and, of course, your overall health, as vaping has been increasingly linked to [severe and even fatal respiratory problems](https://www.fda.gov/news-events/public-health-focus/lung-illnesses-associated-use-vaping-products). 

__CBD results have been more positive__

CBD, on the other hand, may be a different story. There is some preliminary research that suggests cannabidiol (the chemical name of CBD) [may prevent bone loss](https://www.ada.org/en/member-center/oral-health-topics/cannabis), which would help keep your teeth stable and sturdy. However, it’s very preliminary: so far, it hasn’t even [been tested](https://www.ncbi.nlm.nih.gov/pubmed/25517414) [on humans](https://www.ncbi.nlm.nih.gov/pubmed/19070683). And importantly, all studies involved CBD that was injected or consumed, not smoked.

__All things in moderation__

So is the occasional pot smoker or vaper doomed, then? When it comes to incidence of gum disease for smoking, at least, Dr. Schlenoff says that “it’s very clear that your risk is proportional to how much you smoke.” 

The more you smoke, the higher the risk. The same is likely true of vaping. (For weed and CBD gummies, there’s currently too little research to know.)

Be frank with your dentist. Not comfortable talking to your dentist about this kind of thing? Maybe it’s time for a new dentist. This shouldn’t be an awkward conversation.

In our “How Bad Is It?” series, we answer your cringing questions about whether something you’ve done, or do everyday, is bad for your oral health (or completely harmless).


Weed: How Bad Is It?

“If you do it right,” says Dr. Marc Schlenoff, Tend’s Head of Clinical Development, “there’s no reason to brush more than once per day.”

“Doing it right” means brushing so thoroughly that if you were to use a disclosing tablet that reveals plaque on your teeth, you wouldn’t find any. Plaque builds up every 24 hours, so in theory one perfect brush per day should do it. (If plaque is left unbrushed for more than 24 hours, it will layer, harden, and damage your enamel.) 

But here’s the catch: “doing it right” is really, really hard (even for a dentist). It requires a level of thoroughness most of us aren't used to. 

That’s why—even though you could brush once per day—“you shouldn’t,” according to Dr. Schlenoff. Brushing a second time helps remove “any plaque you missed” during round one. And unless you’re a superhuman brusher, you need that. 

So stick with it!

If you want a judgment-free, educational dental experience, you've found the right place. Book a visit with one of our amazing dentists and hygienists at your nearest studio.

We answer the questions you're afraid to ask

You’ve probably been hearing all your life that you need to brush twice per day. But—prepare to have your mind blown—you don’t necessarily have to.


Do I Really Need to Brush Twice Per Day?

It’s hard to crack open your third (or fourth, or fifth…) can of the day and not feel a little worried that seltzer drinking could be damaging your teeth. What’s actually in seltzer? And does it matter for your oral health?

To find out just how bad—or not—a sparkling water bent can be, we sat down with Dr. Marc Schlenoff, Tend’s Head of Clinical Development.

__Seltzer drinking isn’t something to lose sleep over__

Compared to drinking soda and other not-so-great-for-you beverages, drinking seltzer “isn’t really something to worry about,” says Dr. Schlenoff.

__Unless your seltzer contains citric acid__

When it comes to your teeth, the danger of many canned and bottled drinks, even the sugar-free ones, is mostly centered on a single ingredient: citric acid. Citric acid is naturally found in citrus fruits, and an artificial version is commonly used as a preservative and flavor-enhancer in some of America’s favorite bevvies.

__Citric acid erodes enamel__ 

By lowering the pH of your mouth, citric acid can [erode your enamel](https://www.ada.org/en/member-center/oral-health-topics/erosive-tooth-wear). Combine that with another popular ingredient—sugar—as many soft drinks do, and, according to Dr. Schlenoff, you’ve got the “perfect conditions for tooth decay.”

__Seltzer is more acidic than water__

“Part of the seltzer-making process involves mixing water with something called carbonic acid,” explains Dr. Schlenoff. (That’s the “carbon” in “carbonation.”) “So there’s a little bit of acidity that’s brought into the mix,” which is one reason seltzer tastes good.

__But only slightly__

The acidity “isn’t dramatic,” says Dr. Schlenoff, though he cautions that seltzer companies don’t share the exact pH levels of their products with the public, so it’s [hard to know what the long-term effects of drinking them will be](https://cspinet.org/tip/your-seltzer-habit-harming-your-teeth).

__To play it safe, swish with water__

“All it takes is a swish of water to rebalance the pH of your mouth,” says Dr. Schlenoff. So after you get your seltzer fix, swish with water for a few seconds to bring your mouth’s pH level back to normal. But before you do anything else, check your favorite brand’s ingredient list. And if you see citric acid or sugar, take out a water glass instead.

That’s why we call ourselves a dental wellness company. We help you form healthy habits with personalized nutritional tips, product recommendations, and more.

We believe dentists shouldn’t just solve problems. They should prevent them.

*In our “How Bad Is It?” series, we answer your cringing questions about whether something you’ve done, or do everyday, is bad for your oral health (or completely harmless).*

Seltzer Horizontal

Seltzer: How Bad Is It?

When you’re looking for a dentist, you’re probably aiming to check a few different boxes: you want your dentist to be close to where you live or work, you want them to have good reviews, and you want them to take your dental insurance (if you have coverage). 

On this last point, you’re probably looking specifically for someone who’s “in network” with your insurer. “Out of network” feels like something to avoid: we associate it with more expensive care, specifically big surprise bills that show up in the mail months later.

And these associations are often justified. If a dentist is “in network,” it means they’ve negotiated set rates with your insurer. So you’ll just owe your normal deductible and coinsurance. If a dentist is “out of network,” they may bill you for more than your insurance will pay. Thus the surprise bills.

However,  if Tend is out of network with your insurer (we can’t speak for the other guys), it can actually be a good thing. 

For 80% of our out-of-network members, dental exams are *fully covered*. By dental exams, we mean your twice-per-year cleanings, with x-rays, an oral exam, and a polish. We also include a free oral cancer screening ($60 value), so you get more thorough care than you might elsewhere, without paying anything extra.

Summed up, if you’re coming in for an exam, there’s only a 1 in 5 chance that being out of network will be any different than being in network. And if you’re in that 20%, we’ll make sure you know ahead of time and allow you to cancel, no questions asked.

If you have more questions about being out of network, give us a call at (212) 686-3686. We’ll talk you through it. 

See exactly what you’ll owe for your exam with our real-time insurance checker.


See if your dental exam is covered

With Tend, being out of network can actually be a good thing.

OutOfNetwork Horizontal

Why Being Out of Network Can Be a Good Thing

We’re often simply told we do it, recommended an expensive mouthguard, and sent on our way with little to no more information. But *why* do we grind our teeth in the first place? Do I *have* to wear my night guard? And is grinding *really* such a big deal? Tend’s Head of Clinical Development, [Dr. Marc Schlenoff](https://www.hellotend.com/about), has these answers and more. (Spoiler: yes, grinding is, in fact, a *very big deal*.)

__Grinding can be caused by stress, but it’s also genetic__

While a lot of us grind due to stress, “some people who are seemingly under no stress grind because that’s just the way they’re hardwired,” says Dr. Schlenoff. 

__Grinding produces a huge amount of force__

“Grinding can generate up to 1,100 pounds per square inch of pressure on your teeth.” To put that in perspective, that’s [3-6 times](https://www.chicagotribune.com/lifestyles/health/sns-health-teeth-stress-story.html) the pressure you use to eat.

__Evidence of grinding is easy to spot__

When people grind, the cusps of their teeth gradually become flatter, and shinier, then shorter. “I always show my patients a picture of the wear to show them exactly what’s happening,” says Dr. Schlenoff.

__Grinders typically grind for an hour or so per night__

“We grind and clench and then we stop and then we do it again...all night long,” says Dr. Schlenoff, adding up to about 60 minutes total.

__You’re more likely to grind if you snore__

Some snorers assume they couldn’t possibly grind their teeth while snoring, but sadly they’re wrong. In reality, “grinding is just momentary, and there’s almost a 100% correlation between snoring and grinding.”

__Grinding wears away at enamel, then at dentin__

Now for some dental anatomy: a tooth has layers that grinding destroys bit by bit. The first layer is the enamel, which coats the outside of the tooth and is “the hardest substance in the body.” Once you grind through this, you’re in trouble. Underneath the enamel is “dentin,” a yellowish substance that’s 11 times weaker than enamel. As a result, it will erode 11 times more quickly.

__Grinding affects multiple teeth at a time__

Grinding doesn’t just happen to one tooth: it occurs in a sliding motion that wears down many of your teeth simultaneously in a fairly symmetrical way. 

__There’s a point of no return when it comes to tooth damage__

Because the tooth gets softer the deeper you go, over time the damage grinding causes begins to accelerate. At a certain point, the damage is beyond repair and your teeth will require crowns. Dr. Schlenoff recalls, “I’ve had cases where I had to do crowns on every tooth in the mouth to rebuild them to their original height because people have worn them down so dramatically.”

__Repairing this damage can be incredibly expensive__

A single crown can cost up to $2500, depending on where you live. If your case is really extreme and you need crowns on every single tooth like Dr. Schlenoff’s patient, that could result in a whopping cost of $80,000. 

__There’s a way, way cheaper alternative__

Since there’s no way to consciously stop grinding (especially in our dreams), our best mode of defense is a night guard, or a simple piece of plastic custom-molded to your mouth that you wear just when you sleep. A night guard typically costs less than a thousand dollars. We charge $599 if you don't have dental insurance, and if you do, it could cost significantly less than that. That’s a savings of $79,401 or more if things were to really go awry.

Here’s to strong enamel, and grind-free teeth!

80,000 Reasons to Stop Grinding Your Teeth

“If you had to choose, __brushing at night is more important__,” says Dr. Marc Schlenoff, Tend’s Head of Clinical Development.

At night, you’re brushing away “the accumulation of sugary and acidic things we all eat and drink throughout the day.” In the morning—unless you’re a midnight snacker (which, fair)—your teeth are still pretty clean, since they haven’t really been used. Brushing in the morning is more about freshening your breath and getting rid of any plaque you missed the night before. 

That said, __Dr. Schlenoff definitely does not recommend skipping your morning brush.__ Long-term it will affect your oral health, and short-term people may “stand a little further away from you.” But let’s say you’re a parent negotiating with a particularly brushing-averse kid: if you have to give up something at the bargaining table (just once), now you know what to do.


No matter when you brush, our dentists will make you feel completely and utterly care for.

No judgment ever

Brushing twice per day is standard practice. But are the two brushing moments equally important? The answer, it turns out, is no. 