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Read This Before Your Next Trip to the Dentist

Here’s how to evaluate your dentist’s advice—and ways to pay less for pricey dental procedures

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When you’re in the dentist’s chair, being told that you need a filling, a crown, a root canal, or some other procedure, should you trust that advice? Or is there another option?

Many factors—apart from what’s best for you—may play a role in how some dentists decide what to recommend. Plus, the scientific evidence supporting some dental procedures is often lacking. When it comes to the best way to handle a problem with a tooth, there’s a whole lot of gray area.

Plenty of teeth do need dental work, and no repair lasts forever, so a tooth with a filling could require ongoing attention. A small filling may be replaced by a larger filling, the tooth might eventually need a crown and a root canal, and you could finally need to have the tooth taken out, says Alexander Holden, PhD, clinical associate professor of dentistry at the University of Sydney. But when should all these steps occur? Or are they even necessary?

In many cases, there are no hard-and-fast rules. “Even among skilled, ethical dentists, there can be discrepancies in treatment plans,” says Olivia Sheridan, DMD, a professor of clinical restorative dentistry at the University of Pennsylvania in Philadelphia. Recommendations about many medical treatments come from respected groups that pore over all the evidence. But fewer such guidelines exist for most dental treatments.

In the absence of such data, a dentist can weigh considerations such as a person’s age, the shape of their bite, and more. But other influences might sometimes play a role, too.

For example, private-equity-owned dental service organizations may encourage some dentists to sell people unnecessary treatments to maximize profits. And in a 2020 Canadian study , researchers found that dentists who reported more debt were more likely to recommend more aggressive (and probably more expensive) treatments. Such research shows why people should ask about the benefits, risks, and alternatives of any proposed treatment, says study author Abdulrahman Ghoneim, a dentist and PhD student at the University of Toronto. Yet only 27 percent of Americans have ever gotten a second opinion on a recommended dental treatment or procedure, according to a nationally representative survey of 2,116 adults conducted by CR in March. Here, we take a look at five common procedures to help you figure out if and when you really need them.

Note: Prices are from the American Dental Association Health Policy Institute’s 2020 Survey of Dental Fees. They represent the average total amount dentists reported they expect to be paid for procedures (insurance may not reimburse the full amount). The actual cost to consumers will vary.

CR's Guide to Treatments

Filling Replacement What it is: Fillings, the standard treatment for cavities, eventually wear out. They can be made with materials such as metal or tooth-colored resin, which can crack, or they can decay around the edges. For a replacement filling, the old filling (plus any new decay) is removed, and a new one is placed.

When it’s needed: The experts we spoke with had a wide range of opinions on when fillings should be replaced vs. simply repaired. Gerald Simmons, BDS, a general dentist in Palmdale, Calif., says he almost always advises replacing the whole filling because the cost to the consumer is the same, and he can ensure that there’s no decay underneath the filling that could be missed if it is only repaired. Still, a repair also has potential advantages—it may help preserve more of the tooth’s original structure and can be less traumatic for patients. Nathaniel Lawson, PhD, director of the division of biomaterials at the University of Alabama at Birmingham School of Dentistry, says he prefers repairing—if they’re fillings he originally performed. The scientific literature is of little help: In 2014, the Cochrane Collaboration, an independent group that reviews evidence about tests and treatments, found that there was insufficient support to determine whether repair or replacement was preferable . Ultimately, you’ll need to have a conversation with your dentist about the risks and benefits of each option.

When to question it: Replacing or repairing fillings can be important when they’re damaged or there’s new decay. But you should push back if a dentist recommends replacing your fillings just because they’re old. Age alone shouldn’t indicate a need for new fillings, according to the American Dental Association’s Choosing Wisely recommendations , which aim to reduce unnecessary care.

What the alternatives are: A filling repair involves removing and replacing only the defective part of the filling, rather than the whole filling.

Cost of a filling: $104 to $472, depending on material used and the number of sides of the tooth it covers.

What it is: A crown is a tooth-shaped cap that replaces part of your natural tooth above your gumline. To place one, a dentist removes some of the tooth’s outer material and cements the crown on top of your remaining tooth. “We use a crown to restore a tooth to its original shape and size,” says Edmond R. Hewlett, DDS, consumer adviser for the American Dental Association and a professor at the UCLA School of Dentistry in Los Angeles.

When it’s needed: A crown is meant to reinforce a tooth whose structure has been weakened by other dental work or decay. If you’ve had a root canal on a molar, for example, you need a crown on the tooth, too, because you need strong molars for chewing. (A crown may be optional for nonmolars with root canals.)

When to question it: The decision can be subjective. For some people, preserving their natural tooth structure is most important; others, such as those who have a forceful bite or who grind their teeth, may benefit more from the added strength of a crown. Crowns are expensive, so it’s always reasonable to ask for options.

What the alternatives are: A larger filling may work instead of a crown in some cases, according to Simmons, who says he tries to use this approach when he can because the natural tooth surface will be less prone to collecting plaque than the crown (particularly at its edge). On the other hand, crowns tend to have a longer life than fillings. Dentists also have the option of using a partial crown, known as an onlay, which caps only part of the tooth. This preserves more of the tooth’s natural structure, but it is somewhat more complicated to perform because it must be bonded to the tooth. Your dentist might not routinely do them, and insurance might not cover it. Still, Lawson calls onlays “a great conservative option.”

Cost of a crown: $400 to $1,698, depending on the materials and how much of the tooth is covered.

What it is: Deep cavities, extensive or repeated dental procedures, or trauma to the tooth can leave a tooth’s soft insides, or pulp, inflamed and eventually infected. During a root canal, a provider drills into the root of your tooth to remove infected, necrotic (dead) pulp in the center of your tooth. The inside of the canal is cleaned, disinfected, filled, and sealed.

When it’s needed: The pulp contains a tooth’s nerves, and once that tissue has begun to decay, there’s no option but to take it out, Simmons says. Otherwise, the infection can spread to other parts of the body. Although it’s rare now, before the advent of antibiotics untreated infected tooth pulp could sometimes be fatal.

When to question it: It’s important that your dentist perform adequate testing to determine that your tooth’s pulp is necrotic and not salvageable, because some people who need root canals don’t experience pain as a symptom. Testing may include X-ray imaging, and your dentist should do a sensitivity test, such as placing something cold against the suspect tooth and assessing your reaction. If you can’t feel the cold at all, the tooth is probably dead and needs a root canal, Lawson says. Significant or extreme pain is also a concerning sign. A few seconds of pain, however, may mean that the tooth’s pulp is inflamed but not irreversibly so. (If the tooth is crowned, a temperature-based test might be less effective.) The dentist should also place the cold object against one of your other teeth for comparison.

What the alternatives are: For a tooth that definitely needs a root canal, the only alternative is to extract the tooth (and potentially place an implant). But for a tooth that has reversible inflammation (known as reversible pulpitis), a filling plus a pulp cap—a much less expensive procedure in which pulp exposed by drilling is covered with protective material—can suffice, Lawson says. But keep in mind that this option isn’t always successful. If consumers go with that choice, he says, “they have to assume the risk that they might continue to hurt because it didn’t work, and they might be paying for two treatments.”

Cost of root canal treatment: $620 to $1,472, depending on whether it’s a molar, premolar, or front tooth. A crown, if needed, will add to the cost.

What it is: When an infected, cracked, or decayed tooth can’t be fixed with a filling, crown, or root canal, sometimes it has to be pulled. An implant, a medical device surgically implanted into your jaw to support a crown, is one common treatment for replacing the tooth with a prosthetic. The procedure generally involves a surgery of several hours to place the implant in your jaw, and then months waiting for the surgery site to heal before the artificial tooth is placed on top of the implant.

When it’s needed: Some types of severe fractures can’t be repaired with a root canal or crown, so extraction is the only solution. And sometimes the tooth has too much decay or damage to save it. According to Lawson at the University of Alabama at Birmingham, “if the decay goes below the level of the bone, then we can’t get rid of it all and have enough tooth structure to hold a crown on with.” That’s when it’s better to remove the tooth.

When to question it: Whether a tooth can be restored or needs to be fully removed can be highly subjective, but usually extraction should be the last resort—after fillings, a crown, and possibly a root canal. “If you start skipping paths on that journey, you’ll reach the part where you lose the tooth sooner,” says the University of Sydney’s Holden. So if a dentist is recommending extraction and has skipped one or more of those steps, it’s reasonable to ask whether there are ways to extend the life of the tooth instead.

One type of extraction you may want to think twice about if you’re not in pain: removal of wisdom teeth (shown below). Millions of people have their third molars, or wisdom teeth, removed every year, even in the absence of pain or infection. But a 2020 analysis by the Cochrane Collaboration concluded that the available evidence was insufficient to be able to say whether asymptomatic, disease-free wisdom teeth should be routinely removed.

What the alternatives are: Fillings, crowns, and root canals are all procedures that can help preserve your natural tooth. There’s also a procedure called crown lengthening that can be used to expose more of your tooth’s surface, which can make a crown a possibility. The challenge, however, is figuring out whether multiple procedures—a root canal, plus crown lengthening, plus a crown—are really worth all the time, effort, and cost. If you have “a weak tooth that requires a lot of procedures just to keep it there . . . taking it out and replacing with an implant is very commonly preferable,” says UCLA’s Hewlett. Still, Sheridan says, implants require scrupulous oral hygiene to maintain and might not be the right choice for people with certain types of bites. Bridges and dentures are also alternatives to implants, as is simply not replacing the tooth.

Cost of an implant: $3,080 to $5,825, including the placing of the implant, crown, and metal connector.

Photo: Getty Images Photo: Getty Images

Custom Night Guard

What it is: A night guard can protect your teeth while you sleep if you have bruxism—unconscious grinding and clenching of your teeth. Night guards made by dentists are fit to your bite by taking an impression of your teeth.

When it’s needed: Teeth grinding can lead to chipped or cracked teeth, pain, and other problems, and night guards can provide protection. Simmons, the general dentist in Palmdale, Calif., says he also sometimes recommends one for patients who have porcelain crowns because a night guard can help protect repaired teeth from breakage.

When to question it: Generally, if you don’t grind and clench your teeth, you don’t need a night guard. But diagnosing bruxism can be tricky without a sleep study, says Geoffrey Gerstner, PhD, associate professor of dentistry at the University of Michigan in Ann Arbor, and sleep studies can be expensive and inconvenient. Two typical signs are visible wear on the teeth and reports from your sleeping partner that you’re grinding.

What the alternatives are: Over-the-counter night guards are available. Some require you to perform a fit procedure at home, and some are one-size-fits-all. These are generally fine for a week or so if you need immediate relief, but they should not be used long-term, Sheridan says. A guard that doesn’t fit could cause your teeth to become misaligned, Gerstner says. The self-customizable OTC options don’t appear to solve this problem. In Gerstner’s 2020 study of such night guards , only four out of 31 participants were able to craft their guards with acceptable quality—and most of them were dental students.

Cost for a bite/night guard: $324 to $788.

Paying for Dental Care

Dental costs can be high—even if you have insurance. “Dental insurance, even at its best, is a fee-reduction service,” says the University of Pennsylvania’s Olivia Sheridan. “You have copays, and you have a yearly maximum that is embarrassingly small.” Delta Dental insurance, for example, says its yearly maximums are between $1,000 and $2,000. But there are ways to save.

• Find coverage. Sign up for an employer-subsidized dental plan if you have the chance. Some state Medicaid programs cover dental care for adults. Medicare doesn’t cover dental care, but some Medicare Advantage plans do.

• Consider a dental savings plan. These are similar to buying club memberships: You pay an annual fee and gain access to a large network of dentists who offer discounts. Fees range from about $80 to $200 per year, for discounts of 10 to 60 percent off various procedures. Search for one in your area at DentalPlans.com.

• Get care at a dental school. Services performed by dentists or hygienists in training will often take longer because the students will be supervised by faculty members. But schools offer care at lower costs. Pueblo Community College’s Dental Hygiene Clinic in Colorado, for example, charges $30 for an exam and cleaning. Find an accredited school through the Commission on Dental Accreditation .

• Try a community health center. Some of these are federally funded and may provide free or low-cost care. Look for one in your area through the Department of Health & Human Services .

• Plan your treatment wisely. If you need a lot of work, talk with your dentist about scheduling it to make optimal use of your dental insurance, Sheridan says. Two expensive procedures can sometimes be scheduled in different calendar years, for example.

Dental Specialists 101

A general practice dentist is a good place to start for many tooth-related problems. If you have a problem that your regular dentist can’t address, they’re likely to refer you to a specialist. These professionals have the same basic training as general dentists, plus additional years of education in their specialty field.

• Endodontists focus on problems inside your teeth and are especially skilled at performing root canals. (The American Association of Endodontists says an endodontist may do as many as 25 root canals per week.)

• Periodontists diagnose and treat periodontal (gum) disease, which affects the gum and the bone tissue surrounding teeth.

• Oral and maxillofacial surgeons specialize in surgical treatment of injuries or other problems of the head, neck, and jaw. Extraction of wisdom teeth and placing of implants are two common procedures for oral surgeons.

• Prosthodontists specialize in dental prosthetics, including implants, dentures, and bridges.

• Orthodontists use braces, retainers, and other techniques to treat misaligned teeth and jaws, and problems with your bite.

How to Say No to Your Dentist

Given all the room for interpretation between necessary and unnecessary care, saying no, or at least “not right now,” can be useful. Here’s how.

Ask Good Questions “The doctor is obliged to explain the risks, the benefits of the procedure being discussed, as well as any alternative, and make sure that all of your questions are answered,” says UCLA’s Edmond Hewlett. Along with asking about risks, benefits, and alternatives, Sheridan recommends asking what will happen if you do nothing. You should also ask about the expected life span of the work, says the University of Sydney’s Alexander Holden.

Watch for Red Flags When you ask why your dentist has recommended a procedure, they should explain their medical reasoning. Proceed with caution if they won’t do so, or if a treatment plan seems out of the ordinary—if, for example, you’ve rarely needed anything and then suddenly need work costing $10,000, says general dentist Gerald Simmons.

Get a Second Opinion A trustworthy dentist shouldn’t be offended by this. “If somebody wants a second opinion, that would not hurt my feelings,” says the University of Alabama’s Nathaniel Lawson. In CR’s nationally representative survey, we found that about 4 in 10 people who got a second opinion about a dental procedure ended up not having the procedure, postponing it, or having a different procedure. To find a dentist for a second opinion, ask friends and family members, or search for a specialist using the ADA’s tool . Ask for copies of your X-rays to give to the second dentist, Lawson says. If your dentist refuses to or is reluctant to provide your records, that’s another red flag. When you ask for a second opinion, Lawson recommends, you should refrain from explaining what the first opinion was, so the new dentist can look at your mouth and X-rays without any preconceived notions.

Make Your Decision Be sure to ask both the first and second dentists you consult why they’re recommending a particular treatment. If the two opinions diverge, you can decide which path to take based on which provider best aligns with your preferences, Holden says—be it a more aggressive proactive approach to try to prevent future problems, or a more conservative approach of doing only what’s necessary at the moment.

Editor’s Note:  A version of this article also appeared in the September 2022 issue of Consumer Reports magazine.

Clarification: This article, originally published on Aug. 4, 2022, has been updated to clarify that the pricing estimates provided by dentists may not reflect what consumers pay.

Catherine Roberts

Catherine Roberts is a health and science journalist at Consumer Reports. She has been at CR since 2016, covering infectious diseases, bugs and bug sprays, consumer medical devices like hearing aids and blood pressure monitors, health privacy, and more. As a civilian, her passions include bike rides, horror films and fiction, and research rabbit holes. Follow her on Twitter @catharob .

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How often should I see my dentist?

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Why are regular dentist appointments important?

You consider yourself to have great oral hygiene and regularly brush and floss your teeth to keep your mouth clean. Your excellent oral hygiene habits may lead you to wonder if you still need to visit your dentist on a regular basis. The answer is yes!   Even if you take good care of your teeth and gums at home, it’s still important that you regularly visit your dentist who is professionally trained to check for problems you may not see or feel yourself.

The truth is, many dental problems like cavities, gum disease, and oral cancer don’t become visible or cause pain until they are in the more advanced stage, which makes treatment and follow-up all the more extensive. Even if you are healthy today, your risk for dental disease can change over time and can be affected by factors like illness, diet changes, new medication usage, and more. So why risk it?

The frequency at which you visit your dentist should be based on several factors. This includes your current oral health condition, individual oral hygiene habits, general health status and medical conditions, as well as your own self- and dentist-assessed risk for oral health problems.

Assessing your risk for dental disease

When evaluating your risk for dental disease, you should consider all personal health, lifestyle, and genetic factors that contribute to your risk-level. Risk factors include a diet high in sugar and refined carbohydrates, poor oral habits, lack of exposure to fluoride containing water, smoking or use of other tobacco products, heavy alcohol or recreational drug use, and medical conditions including diabetes, Sjogren’s Syndrome, and head and neck cancers.

Delta Dental offers a free online risk assessment tool called LifeSmile Score TM that helps you determine your level of risk for things like tooth decay, gum disease, and oral cancer. The tool prompts you with a series of questions about family history and current health status and habits and analyzes your answers to reveal your oral health risk score. You can then print your results and share them with your dentist who can factor those scores in with his or her clinical exam and help you develop a customized oral health plan and dental recall visit schedule.

Regularly scheduled visits

The evidence for the ideal interval for routine dental exams is not clear cut, but once or twice a year has been the general recommendation in the U.S. for many years. However, most people at low risk of oral diseases can visit the dentist less frequently, while others may need to go more often.

Your dental insurance coverage will also play a role in how often you see a dentist. Generally, two oral health exams will be covered by your dental insurance plan on an annual basis, but this will depend on your individual dental insurance plan . Remember – even if you believe your mouth to be in perfect health, you should still get a professional cleaning and annual checkup to ensure everything is healthy and on track!

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Other factors to consider

Here are some other factors to consider when you think about how often you should see a dentist.

  • Changes to dental health

Have you recently had any changes in your dental health? Certain things to take note of are chipped, cracked or shifting teeth, swollen or bleeding gums, persistent tooth pain and sensitivity to cold or hot beverages. Should any of these instances occur, be sure to check in with your dentist. 1

  • Dental work & upkeep

When you receive dental work like a filling, crown, or oral surgery, there’s a chance you will need to go back to the dentist for follow-up appointments to ensure your teeth and gums are healing well. This usually involves a quick evaluation by your dentist and also gives you the opportunity to ask any questions you have about the recent dental work. Something to note – if you have active periodontal (gum) disease, you may need more frequent appointments to manage this condition. These appointments may occur every 2-6 months. 2

  • Dental visits for kids

Generally, children should get their first oral exam as soon as their first baby tooth comes in or by their first birthday. As the child gets older, dental checkups should occur as often as your dentist advises, with a typical recommendation of every six months to a year.

  • Dental visits for adults

For adults, the recommended frequency for dental check-ups varies. In most studies, however, regular attenders are considered to be those individuals that visit the dentist at least once a year. The frequency at which you visit the dentist will depend on your own oral health needs, and if you are prone to cavities, gum problems, or oral health issues. How quickly one develops stain and dental plaque on their teeth will also vary from person to person, and some individuals may benefit from a more frequent cleaning schedule should their teeth be more prone to staining or calculus build-up.

Additionally, individuals who have dental insurance typically visit the dentist more often than those who do not. And, companies with wellness programs will often offer incentives for employees to accomplish certain preventive health steps each year. Companies recognize that cost savings can occur for the company and employee by preventing disease.

High risk groups

The following groups may need to see the dentist more frequently, as oral health issues are more likely to arise in:

  • Pregnant women
  • Persons with certain medical conditions such as diabetes, Sjogren’s syndrome, head and neck cancers, HIV/AIDS, and others
  • People with current gum disease
  • People with a weak immune response to bacterial infection
  • People who tend to get cavities or build up plaque
  • People who suffer from dry mouth
  • Older adults

Regardless of how you feel about your overall oral health, it is important to see a dentist regularly. A reasonable goal is to visit the dentist at least once a year for an oral health checkup, although some evidence suggests that those at a low risk for disease may extend to 18-24 months. Check in with your dentist for more information on how they assess your risk for oral disease and what their recommendation is for your individualized exam and cleaning schedule.

Additional resources

Looking for more information? Learn more about basic oral health.

  • Mouthwash 101: what mouthwash does and how to use It
  • How to floss your teeth the right way
  • Learn the proper technique for brushing your teeth

1 Your Top 9 Questions About Going to the Dentist-Answered! (n.d.). Retrieved from https://www.mouthhealthy.org/en/dental-care-concerns/questions-about-going-to-the-dentist

2 Periodontitis. (2018, March 6). Retrieved from https://www.mayoclinic.org/diseases-conditions/periodontitis/diagnosis-treatment/drc-20354479

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How to Advocate for Yourself at the Dentist

To get the best care, experts recommend speaking up. Here are tips for what to ask and how to evaluate the treatments you are offered.

An illustration showing a dental patient lying down with his mouth open. A dentist is checking his mouth with one hand and pointing to a set of dental X-rays with the other. There are colorful price tags all over the X-rays.

By Knvul Sheikh

Think about the last time you went to a dentist : Did you walk out feeling like your questions were answered, or did you wonder whether your provider was being straight with you?

Dental visits can be daunting — and not just because of the whirring drills. Dentists may seem to speak another language entirely, and everything they suggest can feel important. You must have a sealant painted on your tooth or risk bacteria creating holes in it. You must get an extraction because an oral infection has spread and is causing pain.

To get the best results and a more positive experience, experts recommend speaking up. Here are tips for what to ask and how to evaluate the treatments you are offered at the dentist.

Get a good look at the problems yourself.

The first step to effectively advocating for yourself is understanding what your problems are. Ask your dentist to show you exactly where the pockets of your gums are getting deeper and letting bacteria accumulate, or which fillings are getting worn down by night grinding .

“You don’t have to get technical about it,” said Ellie Phillips, a preventive dentist based in Austin. “But I would recommend noting if it’s something affecting your front teeth or the back of your mouth. Is it on the outside, which is the cheek side, or is it on the tongue side?” Visual aids like X-rays or images from an intraoral camera — or even just looking in a mirror — can also help demystify what’s going on in your mouth.

Don’t feel pressured to agree to anything — even cleanings.

Your dentist should be able to explain why particular problem areas need specific treatments, said Alyson Leffel, director of patient advocacy and social work at the NYU College of Dentistry. And it’s perfectly reasonable to ask them for time to research and reflect on your options.

Not every child or adult needs cleanings twice a year, for instance. Studies have found they don’t necessarily lead to better dental outcomes. Similarly, experts debate the benefits of extracting wisdom teeth . And old silver fillings don’t always have to be replaced with composite ones. If you feel uncomfortable pushing back in the moment, one way to give yourself more time is to schedule the recommended appointment for a future date, Dr. Phillips said. Then you can call to reschedule or cancel later.

Ask what’s urgent, and what the alternatives are.

Some issues, like an abscess, may need to be treated right away. But others, such as teeth that need to be replaced with implants, should ideally be dealt with over multiple appointments, Dr. Phillips said. It’s the dentist’s job to lay out a treatment plan that prioritizes the most urgent issues and avoids piling major treatments into a single visit . As the patient, you can — and should — request detailed explanations of the benefits and risks of each treatment, what the recovery time is like, whether you will need to take medication to manage pain and whether there are consequences of delaying care.

“The more questions you ask, the more educated you will be about your dental treatment, and the less likely you are to be anxious about it,” Ms. Leffel said.

Experts also recommended asking about alternative treatments, such as antibiotics for managing gum disease instead of scaling and root planing or surgery. There may also be alternative materials available for the same kind of fix, like porcelain, resin or gold crowns.

Get a second opinion.

If you have oral surgery or another big procedure coming up, or feel uncomfortable with your dentist’s recommendations for any reason, consider getting another expert’s perspective.

If you need your bite corrected, talk to an orthodontist. If you have pain or bleeding in your gums, seek out a periodontist. And if a dentist has recommended a root canal or a full mouth extraction, consult an endodontist or oral surgeon, said Craigg Voightmann, a dental malpractice lawyer in Scottsdale, Arizona.

“If there’s a specialty that does the procedure, you shouldn’t have a general dentist doing it for the most part,” Mr. Voightmann said.

Beware of other red flags.

When you first see a new dentist, be wary if they recommend far more treatment than your previous provider ever suggested. Not all procedures are strictly necessary. For example, some early-stage cavities can simply be monitored every couple months and don’t need to be filled right away.

Avoid practices that offer steep discounts just to get you in the door or say they can do complicated procedures like implants in one day, Mr. Voightmann suggested.

And rely on personal recommendations from friends, family or dental professionals themselves. Ask your hygienist or dentist where they would go if they needed the treatment you’re getting, Mr. Voightmann said.

The best scenario is when your dentist’s treatment philosophy aligns with your own.

“They could be the best dentist or specialist in the world, but if you don’t feel comfortable with them, that’s not going to be a successful relationship,” Ms. Leffel said. “So you need to, as a patient, decide what makes you feel the best.”

Knvul Sheikh is a Times reporter covering chronic and infectious diseases and other aspects of personal health. More about Knvul Sheikh

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Preparing Your Kid for Their First Visit to the Dentist

Dentist visits, like annual physicals, are a regular part of taking care of our health.

Explaining a dentist visit to a child—especially their first visit—should be simple and reassuring, helping them feel comfortable and prepared. It should also encourage checkups throughout their life.

We spoke to Amy Herbert, DDS, MHA , to learn more.

When should a child first see a dentist?

When the first tooth comes in, typically around six months, or by the time the child turns one.

What do all parents ask you about a child’s first dental appointments, and what do you tell them?

Why start going when children are young?

In addition to identifying early concerns, it is good to establish the practice of visiting the dentist and establishing a positive routine. This first appointment helps get a child used to visiting the dentist.

It is also an opportunity to teach a parent about their child’s oral health: various kinds of toothpaste, diet, and nutrition (snacking habits and food and drink choices), and when and how to brush effectively are discussed.

We may also talk about teething, non-nutritive sucking habits (thumb sucking and pacifier use), sippy cups, utensils, and transitioning to table food and regular cups.

After the first dentist visit, you always have someone to call if your child has a dental injury.

Is there a best time or day of the week for the first dentist visit?

Typically, the morning is the best time for young patients, not only because they are fresh and alert, but so is the caretaker!

Try to avoid taking your child to the dentist the same day you take them to the pediatrician or other doctor. It can be too much.

How long does the first dentist visit last?

30 to 45 minutes.

What happens at the first dentist’s visit, and how should a parent or caregiver explain it to a child?

Depending on their age and level of cooperation, the child may be seated on the parent’s lap or in the dentist’s chair on their own. Like all visits, the first visit usually includes an exam of the teeth, jaws, bite, gums, and oral tissues to check growth and development. If needed, a child may also have a gentle cleaning. This includes polishing teeth and removing any plaque, tartar, and stains.

The dentist should show the child and parent or caregiver how and when to properly clean teeth, floss, and brush at home. Sometimes, there may also be X-rays. But typically, they aren’t done until a child has contact between their teeth (they are touching). If there are any issues or concerns, the dentist will discuss treatment options.

What should I say or do for my kid to prepare them?

Here are a few things you might want to cover with your child:

  • A dentist looks at your teeth and gums to see if everything is okay and healthy.
  • A dentist—or dental hygienist—cleans teeth with special tools that remove tartar and plaque and floss and polish your teeth to help keep them healthy.
  • “sugar bugs” (bacteria)
  • “spinny brush” (handpiece)
  • “vitamins for teeth” (fluoride treatment)
  • Use a book to help
  • Read books together about a character going to the dentist , such as Curious George Visits The Dentist  or Peppa Pig’s Dentist Trip .

What age should dental X-rays start?

X-rays usually start when the contact areas (where the teeth touch) are not visible. That’s typically after all primary teeth have come in. This happens at different ages. The schedule of follow-ups is decided based on individual risk and diagnoses.

If the dentist sees signs of decay or other pathology in the primary dentition, they may decide to take radiographs sooner.

Early loss of baby teeth can lead to other oral health issues. Additionally, untreated decay in baby teeth increases the likelihood of a child experiencing cavities in their permanent teeth.

What do all kids ask you, and what do you say?

Is it going to hurt?

To help them relax, we explain what will happen during the exam, show the instruments, and allow them to touch them if they wish. The key is explaining things in a language they can understand: “special pen” instead of the probe; “go for a ride” when manipulating the dental chair.

Preparing children and not surprising them is important.

What’s the best way to pick a dentist for your child?

Many people find their dentist by word of mouth, from their pediatrician, and by treatment philosophy. In addition, the American Academy of Pediatric Dentistry and the American Board of Pediatric Dentists have search tools on their websites.

Amy Herbert, DDS, MHA , is an assistant professor of dental medicine at Columbia.

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Stop Procrastinating: Top 10 Reasons to Visit a Dentist Today

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Are you scared to go to the dentist? You’re not alone. About 36% of Americans fear dental treatment, keeping many from regular appointments. 1 Or perhaps you feel too busy to schedule your next checkup. Unfortunately, avoiding dental visits can affect your overall health. Skipping dental appointments for long periods can lead to tooth decay, gum disease and other complications. Stay motivated to follow through with the top 10 reasons to visit a dentist today.

1. Decrease Cardiovascular Risks

Although the exact link is unknown, research shows that oral and heart health are closely connected. Gum disease can precede heart attacks and strokes, 2 which is especially concerning considering that 47.2% of adults aged 30 years or older have some form of gum disease. 3 Symptoms such as red and swollen gums, loose teeth, persistent bad breath and bleeding while brushing should be discussed with a dentist to treat the disease.

2. Manage Diabetes

Diabetes can contribute to dental issues such as gum disease, so it’s crucial to include dentist visits in diabetes care. Diabetes symptoms can affect oral health, including: 4

  • High blood sugar levels, which can contribute to gum disease.
  • Less saliva production, which can cause dry mouth and bacteria build-up.
  • Higher glucose levels in saliva, which can lead to plaque build-up.

3. Protect Pregnancy Health

Why is it important to go to the dentist during pregnancy? Hormonal changes that occur during pregnancy can increase the risk of periodontal disease and, therefore, potentially affect the baby’s health. During pregnancy, 40% of women will develop gingivitis, 5 so stay on top of regular cleanings and tell your dentist about tender or bleeding gums.

4. Identify and Treat Eating Disorders

Eating disorders, such as anorexia and bulimia, can affect oral health. Vitamin and nutrition deficiencies and stomach acid damage can lead to enamel loss, enlarged salivary glands, mouth sores and teeth sensitivity. 6 Dentists can help identify signs of an eating disorder and get help for the patient.

5. Screen for Cancer

During an oral cancer screening, a dentist will check for abnormalities in the cheeks, gums, lips, tongue and roof of the mouth. This quick exam is valuable for an early diagnosis, as almost 54,000 Americans are diagnosed annually with oral or oropharyngeal cancer. 7

6. Reduce the Severity of Cavities (and Pain)

An untreated cavity can lead to painful issues such as an abscess, a severe infection under the gums that can spread to other parts of the body. 8 Treating cavities early on can help prevent more severe conditions.

7. Eliminate Bad Breath

Bad breath can be caused by a buildup of bacteria on the teeth, gum disease or another health condition. 9 A dentist can help diagnose the cause and offer ways to eliminate bad breath, including antibacterial toothpaste, bacteria-killing mouth rinse or treatment of bacteria-filled pockets caused by gum disease.

8. Monitor Prior Dental Work

Fillings, crowns, veneers and other dental work can get damaged or worn out. A dentist can check on previous work to make sure it’s still in place and in good condition. If any damage is detected, the dentist can adjust to ensure maximum oral health and prevent more serious issues.

9. Save Money and Hassles

Whether you catch a cavity early, identify cancer in its beginning stages or better manage diabetes, regular dental visits can help save money and reduce the need for more invasive procedures down the road. A simple filling is far easier to bear — financially and physically — than a root canal or tooth extraction. A preventive approach is the best approach to oral health.

10. Boost Confidence

Better breath, healthy-looking teeth and freedom from oral pain can help boost confidence. Smile more when you don’t feel like there’s something to hide or cover up. Regular cleanings can help maintain a beautiful, welcoming smile.

Brush Up on Regular Dental Visits

Daily routines and regular dental visits help contribute to your overall health. The top 10 reasons to visit a dentist today outweigh reasons to procrastinate and help prevent potential issues that can result without treatment. At GuideStone®, we care about your overall well-being and offer tools and resources with a GuideStone dental plan . For more information, contact us at [email protected] or 1-844-INS-GUIDE (1-844-467-4843), Monday through Friday, from 7 a.m. to 6 p.m. CT.

GuideStone welcomes the opportunity to share this general information. However, this article is not intended to be relied upon as medical advice, diagnosis or treatment.

1 my.clevelandclinic.org/health/diseases/22594-dentophobia-fear-of-dentists

2 pennmedicine.org/updates/blogs/heart-and-vascular-blog/2019/march/gum-disease-and-heart-disease

3 cdc.gov/oralhealth/conditions/periodontal-disease.html

4 diabetes.org/healthy-living/medication-treatments/diabetes-gum-disease-risk

5 webmd.com/oral-health/dental-care-pregnancy

6 colgate.com/en-ph/oral-health/anorexia-bulimia/how-do-eating-disorders-affect-your-mouth-0314

7 my.clevelandclinic.org/health/diagnostics/21056-oral-cancer-screening

8 cdc.gov/oralhealth/fast-facts/cavities/index.html

9 mayoclinic.org/diseases-conditions/bad-breath/diagnosis-treatment/drc-20350925

© 2024 GuideStone ® . All Rights Reserved.

Call Toll Free: 1-888-98-GUIDE

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5 Reasons to Visit the Dentist

Posted on February 28, 2022 by UW Dentistry . This entry was posted in Staying Healthy , Whole U Program Information and tagged dental health , dentist , UW Dental School . Bookmark the permalink .

We all know we’re supposed to visit the dentist every six months, but it can easily drop off the to-do list. Add in a global pandemic, and not surprisingly many of us have fallen behind in our regular visits.

Making the time to see a dentist is an important way to take care of yourself. To motivate you to get back into the dentist chair, here are our top 5 reasons it really IS important to visit the dentist, courtesy of the expert faculty dentists at the UW Dentistry Faculty Dental Practice at the UW Campus Dental Center.

Keep small problems, from becoming big problems.

There’s a lot going on in your mouth that you can’t necessarily see.  A bit of decay between your teeth, tartar hiding just below your gum line, an impacted wisdom tooth.  Regular visits ensure small problems are monitored and addressed, rather than becoming larger issues later. A small, early cavity might be treated without drilling and filling, and treating gum disease now will help prevent future tooth loss. That’s something to smile about!

Oral health care is closely related to general health.

Time and time again, poor oral health is correlated with poor outcomes related to several general health conditions.  We know improving your oral health makes you a healthier person overall.  In addition, serious oral problems like cancers are detected by dentists, and early detection ensures the best prognosis and least invasive treatment.

Maintain a high quality of life.

If you’re in pain or simply uncomfortable or embarrassed with your smile, your quality of life suffers. Regular dental visits help safeguard your ability to smile, speak, and eat, by addressing issues of function or aesthetics, while ensuring healthy teeth and gums stay that way.  

Enjoy your food.

It’s difficult to enjoy the food and drinks you love when something in your mouth hurts. Instead of limiting what you eat, chewing food on one side of your mouth, or some other behavior that avoids pain, talk to your dentist!  Common issues like heat and cold sensitivity and general tooth pain can easily be addressed.  Dentists can treat these common conditions and get you back to enjoying the food you love.

Preventative care saves you money.

If your health isn’t enough of a reason to make your oral health a priority, consider the financial benefit.  Regular preventative care and other dental treatment is likely covered by your insurance and seeing your provider regularly means potential problems will be detected early.  By catching issues early, you’ll avoid more costly and invasive treatments later. More money in your pocket!

Looking for a dentist?   The UW Dentistry Faculty Dental Practice is close and on campus. Schedule an appointment with our expert dentists at 206-685-8258 or [email protected] .

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Strange Glow Over Moscow Skies Triggers Panic as Explosions Reported

B right flashes lit up the night sky in southern Moscow in the early hours of Thursday morning, new footage appears to show, following reports of an explosion at an electrical substation on the outskirts of the city.

Video snippets circulating on Russian-language Telegram channels show a series of flashes on the horizon of a cloudy night sky, momentarily turning the sky a number of different colors. In a clip shared by Russian outlet MSK1.ru, smoke can be seen rising from a building during the flashes lighting up the scene.

Newsweek was unable to independently verify the details of the video clips, including when and where it was filmed. The Russian Ministry of Emergency situations has been contacted via email.

Several Russian Telegram accounts said early on Thursday that residents of southern Moscow reported an explosion and a fire breaking out at an electrical substation in the Leninsky district, southeast of central Moscow.

Local authorities in the Leninsky district told Russian outlet RBC that the explosion had happened in the village of Molokovo. "All vital facilities are operating as normal," Leninsky district officials told the outlet.

The incident at the substation in Molokovo took place just before 2 a.m. local time, MSK1.ru reported.

Messages published by the ASTRA Telegram account, run by independent Russian journalists, appear to show residents close to the substation panicking as they question the bright flashes in the sky. One local resident describes seeing the bright light before losing access to electricity, with another calling the incident a "nightmare."

More than 10 villages and towns in the southeast of Moscow lost access to electricity, the ASTRA Telegram account also reported. The town of Lytkarino to the southeast of Moscow, lost electricity, wrote the eastern European-based independent outlet, Meduza.

Outages were reported in the southern Domodedovo area of the city, according to another Russian outlet, as well as power failures in western Moscow. Electricity was then restored to the areas, the Strana.ua outlet reported.

The cause of the reported explosion is not known. A Telegram account aggregating news for the Lytkarino area described the incident as "an ordinary accident at a substation."

The MSK1.ru outlet quoted a local resident who speculated that a drone may have been responsible for the explosion, but no other Russian source reported this as a possible cause.

Ukraine has repeatedly targeted Moscow with long-range aerial drones in recent months, including a dramatic wave of strikes in late May.

On Sunday, Moscow Mayor Sergei Sobyanin said the region's air defense systems had intercepted an aerial drone over the city of Elektrostal, to the east of Moscow. No damage or casualties were reported, he said.

The previous day, Russian air defenses detected and shot down another drone flying over the Bogorodsky district, northeast of central Moscow, Sobyanin said.

There is currently no evidence that an aerial drone was responsible for the reported overnight explosion at the electrical substation in southern Moscow.

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Stills from footage circulating on Telegram early on Thursday morning. Bright flashes lit up the night sky in southern Moscow, new footage appears to show, following reports of an explosion at an electrical substation on the outskirts of the city.

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40 facts about elektrostal.

Lanette Mayes

Written by Lanette Mayes

Modified & Updated: 02 Mar 2024

Jessica Corbett

Reviewed by Jessica Corbett

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Elektrostal is a vibrant city located in the Moscow Oblast region of Russia. With a rich history, stunning architecture, and a thriving community, Elektrostal is a city that has much to offer. Whether you are a history buff, nature enthusiast, or simply curious about different cultures, Elektrostal is sure to captivate you.

This article will provide you with 40 fascinating facts about Elektrostal, giving you a better understanding of why this city is worth exploring. From its origins as an industrial hub to its modern-day charm, we will delve into the various aspects that make Elektrostal a unique and must-visit destination.

So, join us as we uncover the hidden treasures of Elektrostal and discover what makes this city a true gem in the heart of Russia.

Key Takeaways:

  • Elektrostal, known as the “Motor City of Russia,” is a vibrant and growing city with a rich industrial history, offering diverse cultural experiences and a strong commitment to environmental sustainability.
  • With its convenient location near Moscow, Elektrostal provides a picturesque landscape, vibrant nightlife, and a range of recreational activities, making it an ideal destination for residents and visitors alike.

Known as the “Motor City of Russia.”

Elektrostal, a city located in the Moscow Oblast region of Russia, earned the nickname “Motor City” due to its significant involvement in the automotive industry.

Home to the Elektrostal Metallurgical Plant.

Elektrostal is renowned for its metallurgical plant, which has been producing high-quality steel and alloys since its establishment in 1916.

Boasts a rich industrial heritage.

Elektrostal has a long history of industrial development, contributing to the growth and progress of the region.

Founded in 1916.

The city of Elektrostal was founded in 1916 as a result of the construction of the Elektrostal Metallurgical Plant.

Located approximately 50 kilometers east of Moscow.

Elektrostal is situated in close proximity to the Russian capital, making it easily accessible for both residents and visitors.

Known for its vibrant cultural scene.

Elektrostal is home to several cultural institutions, including museums, theaters, and art galleries that showcase the city’s rich artistic heritage.

A popular destination for nature lovers.

Surrounded by picturesque landscapes and forests, Elektrostal offers ample opportunities for outdoor activities such as hiking, camping, and birdwatching.

Hosts the annual Elektrostal City Day celebrations.

Every year, Elektrostal organizes festive events and activities to celebrate its founding, bringing together residents and visitors in a spirit of unity and joy.

Has a population of approximately 160,000 people.

Elektrostal is home to a diverse and vibrant community of around 160,000 residents, contributing to its dynamic atmosphere.

Boasts excellent education facilities.

The city is known for its well-established educational institutions, providing quality education to students of all ages.

A center for scientific research and innovation.

Elektrostal serves as an important hub for scientific research, particularly in the fields of metallurgy, materials science, and engineering.

Surrounded by picturesque lakes.

The city is blessed with numerous beautiful lakes, offering scenic views and recreational opportunities for locals and visitors alike.

Well-connected transportation system.

Elektrostal benefits from an efficient transportation network, including highways, railways, and public transportation options, ensuring convenient travel within and beyond the city.

Famous for its traditional Russian cuisine.

Food enthusiasts can indulge in authentic Russian dishes at numerous restaurants and cafes scattered throughout Elektrostal.

Home to notable architectural landmarks.

Elektrostal boasts impressive architecture, including the Church of the Transfiguration of the Lord and the Elektrostal Palace of Culture.

Offers a wide range of recreational facilities.

Residents and visitors can enjoy various recreational activities, such as sports complexes, swimming pools, and fitness centers, enhancing the overall quality of life.

Provides a high standard of healthcare.

Elektrostal is equipped with modern medical facilities, ensuring residents have access to quality healthcare services.

Home to the Elektrostal History Museum.

The Elektrostal History Museum showcases the city’s fascinating past through exhibitions and displays.

A hub for sports enthusiasts.

Elektrostal is passionate about sports, with numerous stadiums, arenas, and sports clubs offering opportunities for athletes and spectators.

Celebrates diverse cultural festivals.

Throughout the year, Elektrostal hosts a variety of cultural festivals, celebrating different ethnicities, traditions, and art forms.

Electric power played a significant role in its early development.

Elektrostal owes its name and initial growth to the establishment of electric power stations and the utilization of electricity in the industrial sector.

Boasts a thriving economy.

The city’s strong industrial base, coupled with its strategic location near Moscow, has contributed to Elektrostal’s prosperous economic status.

Houses the Elektrostal Drama Theater.

The Elektrostal Drama Theater is a cultural centerpiece, attracting theater enthusiasts from far and wide.

Popular destination for winter sports.

Elektrostal’s proximity to ski resorts and winter sport facilities makes it a favorite destination for skiing, snowboarding, and other winter activities.

Promotes environmental sustainability.

Elektrostal prioritizes environmental protection and sustainability, implementing initiatives to reduce pollution and preserve natural resources.

Home to renowned educational institutions.

Elektrostal is known for its prestigious schools and universities, offering a wide range of academic programs to students.

Committed to cultural preservation.

The city values its cultural heritage and takes active steps to preserve and promote traditional customs, crafts, and arts.

Hosts an annual International Film Festival.

The Elektrostal International Film Festival attracts filmmakers and cinema enthusiasts from around the world, showcasing a diverse range of films.

Encourages entrepreneurship and innovation.

Elektrostal supports aspiring entrepreneurs and fosters a culture of innovation, providing opportunities for startups and business development.

Offers a range of housing options.

Elektrostal provides diverse housing options, including apartments, houses, and residential complexes, catering to different lifestyles and budgets.

Home to notable sports teams.

Elektrostal is proud of its sports legacy, with several successful sports teams competing at regional and national levels.

Boasts a vibrant nightlife scene.

Residents and visitors can enjoy a lively nightlife in Elektrostal, with numerous bars, clubs, and entertainment venues.

Promotes cultural exchange and international relations.

Elektrostal actively engages in international partnerships, cultural exchanges, and diplomatic collaborations to foster global connections.

Surrounded by beautiful nature reserves.

Nearby nature reserves, such as the Barybino Forest and Luchinskoye Lake, offer opportunities for nature enthusiasts to explore and appreciate the region’s biodiversity.

Commemorates historical events.

The city pays tribute to significant historical events through memorials, monuments, and exhibitions, ensuring the preservation of collective memory.

Promotes sports and youth development.

Elektrostal invests in sports infrastructure and programs to encourage youth participation, health, and physical fitness.

Hosts annual cultural and artistic festivals.

Throughout the year, Elektrostal celebrates its cultural diversity through festivals dedicated to music, dance, art, and theater.

Provides a picturesque landscape for photography enthusiasts.

The city’s scenic beauty, architectural landmarks, and natural surroundings make it a paradise for photographers.

Connects to Moscow via a direct train line.

The convenient train connection between Elektrostal and Moscow makes commuting between the two cities effortless.

A city with a bright future.

Elektrostal continues to grow and develop, aiming to become a model city in terms of infrastructure, sustainability, and quality of life for its residents.

In conclusion, Elektrostal is a fascinating city with a rich history and a vibrant present. From its origins as a center of steel production to its modern-day status as a hub for education and industry, Elektrostal has plenty to offer both residents and visitors. With its beautiful parks, cultural attractions, and proximity to Moscow, there is no shortage of things to see and do in this dynamic city. Whether you’re interested in exploring its historical landmarks, enjoying outdoor activities, or immersing yourself in the local culture, Elektrostal has something for everyone. So, next time you find yourself in the Moscow region, don’t miss the opportunity to discover the hidden gems of Elektrostal.

Q: What is the population of Elektrostal?

A: As of the latest data, the population of Elektrostal is approximately XXXX.

Q: How far is Elektrostal from Moscow?

A: Elektrostal is located approximately XX kilometers away from Moscow.

Q: Are there any famous landmarks in Elektrostal?

A: Yes, Elektrostal is home to several notable landmarks, including XXXX and XXXX.

Q: What industries are prominent in Elektrostal?

A: Elektrostal is known for its steel production industry and is also a center for engineering and manufacturing.

Q: Are there any universities or educational institutions in Elektrostal?

A: Yes, Elektrostal is home to XXXX University and several other educational institutions.

Q: What are some popular outdoor activities in Elektrostal?

A: Elektrostal offers several outdoor activities, such as hiking, cycling, and picnicking in its beautiful parks.

Q: Is Elektrostal well-connected in terms of transportation?

A: Yes, Elektrostal has good transportation links, including trains and buses, making it easily accessible from nearby cities.

Q: Are there any annual events or festivals in Elektrostal?

A: Yes, Elektrostal hosts various events and festivals throughout the year, including XXXX and XXXX.

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Here's your guide to Texas' top 10 state parks to visit this Earth Day weekend

Celebrate the weekend with just you, the outdoors and mother earth..

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Texas boasts one of the most extensive portfolios of ecosystems of any state in the country. With that, it also brings an impressive state park system of 89 locations covering more than 171 million acres.

In celebration of Earth Day on Monday, here are the top 10 state parks to visit in Texas this weekend, according to Yelp .

10. Old Tunnel State Park, Fredericksburg

Although it's the smallest state park in Texas, Old Tunnel State Park in Fredericksburg features a historical railroad tunnel that is home to 2 to 3 million bats.

  • Pets allowed: No.
  • Camping allowed: No.
  • RVs allowed: No.

9. Inks Lake State Park, Burnet

Inks Lake State Park is a 1,200-acre park known for its 803-acre lake used for fishing, scuba diving and other water recreation.

  • Pets allowed: Outdoors only, leashed.
  • Camping allowed: Yes.

8. Brazos Bend State Park, Needville

In Needville, Brazos Bend State Park is a 4,897-acre reserve with a wide range of wildlife, including birds, alligators, deer, bobcats and raccoons.

  • RVs allowed: Yes.

7. McKinney Falls State Park, Austin

On the outskirts of Austin, the 641-acre McKinney Falls State Park offers fishing, mountain biking and hiking.

  • Pets allowed: Outdoors only, leashed; dogs cannot enter water.
  • RVs allowed: Yes, less than 30 feet long.

6. Pedernales Falls State Park, Johnson City

A 5,212-acre park in Johnson City, Pedernales Falls State Parks offers 6 miles of river frontage for camping, horseback riding, hiking and off-road bicycling.

  • RVs allowed: No. Car camping is also not allowed.

5. Davis Mountains State Park, Fort Davis

With more than 2,700 acres, Davis Mountains State Park has one of the highest peaks in the state. Visitors can hike, bike or take scenic drives throughout the park.

4. Caprock Canyons State Park, Quitaque

The third-largest state park in Texas, Caprock Canyons has nearly 14,000 acres and is home to the official state bison herd. Also in the park is the historic Clarity Tunnel, a former railroad tunnel that houses hundreds of thousands of bats.

3. Dinosaur Valley State Park, Glen Rose

Dinosaur Valley State Park, nestled alongside the picturesque Paluxy River in Glen Rose, offers visitors a chance to witness ancient history firsthand. Here, dinosaur footprints are preserved in certain areas, providing a glimpse of the distant past.

2. Longhorn Cavern State Park, Burnet

Longhorn Cavern is an ancient underground riverbed, covered in calcite crystals and home to millions of bats. The state park also has an extensive hiking trail system.

1. Palo Duro Canyon State Park, Canyon

The second-largest canyon in the United States, the 60-mile-long, 800-foot-deep Palo Duro Canyon State Park offers hiking, fishing, equestrian rides, bikes and camping. There are also nearby businesses that offer additional recreational activities, such as ziplining and "TEXAS Outdoor Musical" at the park's amphitheater. Cabins are also available for visitors.

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Kari Lake suggests supporters 'strap on a Glock' to be ready for 2024

LAKE HAVASU CITY, Ariz. — Arizona GOP Senate hopeful Kari Lake told supporters they can "strap on a Glock" to be prepared for the intensity of the 2024 campaign and urged military and law enforcement veterans to be "ready," as her race heats up in a key battleground state. 

“We need to send people to Washington, D.C., that the swamp does not want there,” Lake said toward the end of a Sunday speech to a crowd of Arizonans in Mohave County. “And I can think of a couple people they don’t want there. First on that list is Donald J. Trump; second is Kari Lake.”

She described standing up to the “swamp” in Washington, saying: “They can’t bribe me, they can't blackmail me. That’s why they don’t want me in Washington, D.C. And that’s exactly what President Trump wants me there fighting with him.”

“He’s willing to sacrifice everything I am. That’s why they’re coming after us with lawfare, they’re going to come after us with everything. That’s why the next six months is going to be intense. And we need to strap on our — let’s see. What do we want to strap on?” Lake asked as some in the crowd chuckled. “We’re going to strap on our, our seat belt. We’re going to put on our helmet or your Kari Lake ball cap. We are going to put on the armor of God. And maybe strap on a Glock on the side of us just in case.”

“We’re not going to be the victims of crime,” Lake continued. “We’re not going to have our Second Amendment taken away. We’re certainly not going to have our First Amendment taken away by these tyrants.”

Earlier in the roughly 30-minute remarks, Lake gave another warning about the period between now and Election Day. 

“The next six months are going to be difficult. If you are not ready for action, and I have a feeling with as many veterans and former law enforcement, active law enforcement” — Lake paused to ask for a show of hands —  “… you guys are ready for it,” Lake said to her supporters. “It’s going to be a crazy run, the next six months. This is the moment we have to save our country.”

Lake’s campaign declined to comment when asked to clarify the point of her remarks and whether she was implying there might be political violence in the next six months.

While Lake didn’t explicitly warn of political violence, that’s how one of her supporters took her rhetoric. 

“They’re gonna do everything they can to disrupt the election, whether it’s another pandemic, whether it’s going to be inciting the civil war,” said Geenee Roe, 63, when asked about Lake’s speech afterward. The event included a raffle of an AR-15-style rifle.

NBC News asked the Lake Havasu City resident, who plans to vote for Trump and Lake in 2024, if she believed another American civil war is a concrete possibility. 

“The signs are all there,” said Roe, who believes the political left is trying to push the MAGA movement into trouble. “Saying the MAGA people are bad, that we incite riots — and the whole J6 thing that happened, that was all a setup for sure,” said Roe, referencing the debunked conspiracy theory that the Jan. 6 Capitol riot was a ploy to frame Trump and his supporters. 

Lake’s comments came in Arizona’s northwest Mohave County, which broke for Trump with 75% of the vote in the 2020 presidential election. The Senate hopeful is setting her sights on an even larger margin in 2024.

“If Mohave County shows up 100% or close to it, they can’t cheat their way out of this in Maricopa County, no matter what they do,” Lake said, leaning on a signature talking point.

Lake has continually rejected the 2020 election results, which saw President Joe Biden narrowly defeat Trump in Arizona, and the 2022 election results, which saw her bid for governor fail by a slightly wider margin. Court cases and other reviews of the results have not found evidence of fraud or malfeasance affecting the election results. And in March, Lake decided not to contest her liability in a defamation suit brought by a Republican election official in Maricopa County.

Stephen Richer, the Maricopa County recorder, who plays a key role in election administration, filed a defamation claim against Lake in June alleging that she “repeatedly and falsely accused” him of causing her electoral defeat in the race for governor won by Democrat Katie Hobbs. Lake’s legal team recently filed a default judgment motion that indicated she was not challenging her culpability. She instead will argue against damages in the case.

She continued questioning the integrity of Maricopa County’s election results on Sunday.

“You all know what goes on in Maricopa County. I mean, you know that you know, the garbage that they’re pushing down there,” Lake said of Arizona’s most populous county, where Richer and the Republican-controlled board of supervisors run local elections. 

“We’re gonna need all these counties outside of Maricopa County to show up, and I’m counting on Mohave County to lead the way,” Lake said.

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Alex Tabet is a 2024 NBC News campaign embed.

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