The New and Improved R & A Dentistry!

The New and Improved R & A Dentistry!

We have some exciting news and a few changes coming our way for June 2019! We would like to introduce you to Dr. Dieter Einsporn and his lovely staff Jessie (administration), Clare and Barb (hygienists). Dr. Dieter and his staff currently work on the 6th floor of our building and they will be joining our team June 3rd. At R & A Dentistry we are continuing to grow, and now we have the means to make that growth a permanent reality. We will be making upgrades to our office including the front waiting area as well as all the operatories and patient bathrooms. We hope you will love our new and fresh look!  Our office is not just getting a facelift but we will be expanding our hours to include Fridays in order to better accommodate our current and new patients. We would love your feedback on our changes when you come in for your appointments. Stay tuned and please visit our website, Facebook and Instagram for more information regarding our hours and renovation photos!

What is a dental fee guide?

Fee Guides

Let’s start off with the most frequently asked question “what is a dental fee guide?”  A fee guide is a document that outlines over 1600 dental codes that pertain to regular and specialty dental treatment. This outline includes descriptions as well as suggested fees and serves as a guide only. The majority of dental plan carriers will base their coverage on a specific fee guide, this guide may not be current and dental plans do not work with the Alberta Dental Association & College (ADA & C) to develop their guides.

While dentists within Calgary generally follow the fee guide set out for the public, they are not required to do so. Factors that influence individual practices are what help to determine how offices set their fees. Dentists are governed by the Health Professions Act. This ensures that all practices adhere to strict protocols and regulatory standards, much like hospitals, to provide optimal patient care and safety. Operating like a mini hospital along with other factors such as specialized equipment approved materials, sterilization and safety protocols, trained and license professional staff, external lab fees and practice location all contribute to the everyday overhead costs of running a dental practice. These factors directly impact what an office puts out as their fees.

Fee Guides and Our Practice

At R & A Dentistry we have carefully considered the fee guide and have set our fee appropriately. In the 5 years that we have been in practice we had not raised our fees. At the beginning of 2019 we did increase our fees to better follow the ADA & C fee guide that was released in 2018. Some of those changes resulted in an increase to our current fees in order to stay comparable and competitive within the city.

Most dental benefits only follow a very outdated fee guide which does not take in to account the rise in dental costs, wages, rent and other overhead contributions that each dental clinic faces. When the ADA & C fee guide was released it allowed the public to better understand what their service costs but it didn’t explain the discrepancies within dental benefits packages, which are numerous. For example our fee for polishing is $69, a dental benefit plan may cover 100% of their fee which could be $59, leaving an outstanding balance of $10 that our patient is now responsible for. These amounts may vary by each appointment as it is dependent on what services are completed at each appointment as well as what percentage your dental benefits may cover for that required service and which guide they use to determine coverage.

At our clinic we encourage all of our patients to consider sending estimates so that we can know the cost breakdown ahead of time for your appointments. This can help to alleviate some confusion as well as allow us time to explain the breakdown if there are any further questions. We hope this blog helped to further explain dental fee guides and benefit coverage. Our staff is always willing to help answer any other concerns you may have!

“Root Cause”: a response from our team

In response to a few inquiries for those who have seen this film, we would like to introduce our patients to a documentary on Netflix called “Root Cause.” The documentary follows an individual’s experience with root canal treatment and the alleged systemic issues he claims is directly associated with root canal treatment. We would like to take this opportunity to give out as much information as possible in response to this film in order to help alleviate patient concerns and address any future questions that may arise.

In a direct quote taken from a mass letter sent out by the American Association of Endodontists (AAE), “The premise the film is based on dates back to research conducted in the 1920s which was later disproved because the original conditions for the experiments were poorly controlled and performed in non-sterile environments. Perhaps most importantly, other researchers have not been able to duplicate the results from the original experiment. Why portray information demonstrated to be incorrect as fact?” This question leads us to our main concern with this documentary, misinformation.

Narrowing the cause down to root canals only is not taking into account many other factors, like gum disease and decay, which play a huge role in overall health and well-being. In our professional experience along with countless other studies and a lot of research, our biggest take away from this film is the connection between oral health and overall health. The current research suggests that the health of your mouth is related to the health of your body. Bacteria in your mouth can travel through your bloodstream into the rest of your body. There is also strong evidence supporting the association between periodontal disease and heart disease as well as a relationship between the health of your mouth and heart attacks. This is why gathering patient-specific information, including x-rays, scans, and medical history, is critical to determining how to proceed with any dental treatment. Understanding each particular illness and getting the history of how and when it started is also a big part of that solution. This is what we would hope our patients can extract out of the abundance of misinformation in this film. 

In response to Root Canal Treatment not being ‘sterile,’ nothing in the body is considered sterile. The connection they make with teeth and other organs is false. With regards to root canals specifically there was study conducted in the 1970’s, that was later followed up with other studies in the 1990’s, that clearly showed that if the proper aseptic technique was used, including rubber dam, instrumentation that remained within the root canal space (a method used currently), bacteremia was not produced. Follow up studies have shown a link between mouth bacteria and specific things like heart disease, inflammation, and autoimmune disease.

All of these studies suggest that the health of your mouth is related to the health of your body. Narrowing it down to root canals only does not take into account many other factors, like gum disease and decay, which play a huge role in overall health and well-being. While of course there is always more research to be done, we do know that reducing bacteria in the mouth is vital to reducing bacteria present in your body.

Here’s how to reduce oral bacteria:

-Proper home care

-Regular dental cleanings with your hygienist

-Restoring all broken down, decayed teeth or treating infections


A combination of these basic tasks will help to reduce oral bacteria and promote a healthy mouth that in turn will promote increase overall health.

In further response to this documentary we have compiled to other responses that tackle the specific dentists and theories that were cited during this film, along with other studies and information as well as the response from BaleDoneen Method that was completely misrepresented. Here are the links:




If you have any further questions regarding this documentary or the root canal procedure please don’t hesitate to contact us.

Thank you,

R&A Team

2018 Annual Patient Appreciation Prize Giveaway!

As a token of our appreciation for referring a friend or family member to R&A Dentistry within the past year, we want to take this opportunity to thank you for being a loyal patient to us. It has been an absolute pleasure serving you throughout the past 5 years and we truly hope to continue seeing you for many more years to come! Every referral means a lot to us, and because of you every recommendation has helped us grow our business and show others how passionate we are about dentistry. Your constant feedback has managed to continuously improve our business to the point where we are at today!

As a proof of our appreciation we have made a list of all the referrals from 2018. If you could kindly send us an email of all the patients you have referred to us within the past year. We will make sure you are added to the list so no one is missed. We will be drawing 10 names on Friday December 14th. Please keep yourself posted on either our website blog, Facebook page or Instagram for the winning names. If your name is drawn, kindly head down to our office the week of December 17-21st to pick up your prizes. It’s just that easy!

Thank you for being part of our family here at R&A Dentistry! We wish you and your family a happy healthy holiday season. Tis’ the season for happy smiles!

Merry Christmas & Happy 2019!

Understanding your Insurance Benefits

With another year coming to an end and a new year beginning, let talk about how your insurance benefits!

Like any other business, dental fees are based on the costs of doing business.  In Alberta the cost of doing business is higher than other provinces.  Please keep in mind that these costs include capital costs for establishing the practice, lease costs, dental instruments, equipment, computers, supplies and other materials as well as salaries for the staff. Dentists in Alberta must also meet the provincial Infection Prevention and Control standards which are higher than most other jurisdictions and come in at a significant cost. Together with your dentist, you determine your dental care needs and review your customized treatment options and associated costs. Many Albertans have dental insurance through their employers or personal plans.  Dental insurance companies reimburse patients for dental procedures and care based on a level of coverage determined by the employer. Most dental insurance plans start over every calendar year (January 1st to December 31st). This means the maximum dollar amount patients are eligible for on their plan also starts over. The denomination of this maximum is either pre-set by the employer or by whichever option the patient chooses within the insurance company (if it is a personal plan). Plan maximums can range from $500 to $5000, however it is ultimately the patient’s responsibility to know this maximum and to keep track of how much they have accumulated towards it within the annual year.  Any difference in coverage and our fees is paid for by the patient.

We are happy to help with insurance predeterminations to see what amount is covered by your insurance plan(s). Predeterminations are based on the doctor’s evaluation of your teeth gathered during your exam. Dr. Ania and Dr. Rustam try their best to treatment plan for the worst-case scenario or most extensive scenario so there is less chance of any surprises at the end of your visit. Their goal as providers is to create a treatment plan that is transparent so both sides fully understand what treatment is to be provided and what priorities to follow.  Please note due to patient privacy act, some insurance plans will not release any information to the dental office only strictly to the plan member themselves. In this case, estimates will then directly be sent to the plan member, whether it is the patient, spouse or parent. If the estimate is sent directly to you, we kindly ask that you please forward to the office so that either Ashleigh, Melissa or Anastasia can decipher the estimate for you.

Another aspect that patients need to remember when it comes to the annual maximum under their plan is if it is a combined maximum. Some insurance companies may provide two separate maximums for basic treatment (exams, hygiene, x-rays, filling etc.) and major treatment (dentures, implants, crown and bridge) or they may combine the two. We encourage our patients to become familiar with the details of their plan so we have a better understanding of what is expected by patients regarding their appointments.

Please keep in mind that dental care is highly individualized and no two treatment plans are the same. Your own oral hygiene and personal health concerns can affect your treatment.  If you have any concerns about your treatment options or fees PLEASE BRING THEM TO OUR ATTENTION PRIOR TO ANY TREATMENT and we will do our best to work through these concerns with you.

***Please be aware that dental insurance is a complex subject.  There are 1000’s of different policies within dental insurance plans, so it is impossible for us to know about every detail, limit or exclusion involved. Any balance not covered by your insurance is your responsibility***

Our PRIMARY goal at R & A Dentistry is to help you achieve optimum oral health! Secondary to this we want to help you maximize your insurance benefits as well as maintain transparency with your treatment plan and subsequent costs. Our amazing admin team is always happy to help answer any of your questions or concerns as well as help you better understand your plan!

Meet Our Dentists

Both Dr. Rustam Mamiashev and Dr. Ania Mamiasheva were born, raised, married and completed their first Dental degrees in the Kyrgyz Republic, small country in Central Asia.

They immigrated to Canada in 2005 and settled down in Toronto, ON.  Several years later, they moved to Vancouver, BC for Dr. Ania to enter and graduate from University of British Columbia as a General Dentist. Then, they moved to London, ON where Dr. Rustam enrolled and obtained his Canadian Dental degree at the University of Western Ontario. Dr. Rustam and Dr. Ania each completed 2-year programs for internationally trained dentist in order to obtain their licenses and ability to practice in Canada. It was not an easy or simple process, but they both believe that with their previous education and experience working in the dental field back home it enormously enhanced and enriched their knowledge, skills and understanding of the high standards of dental practice within Canada.

Dr. Ania and Dr. Rustam moved to Calgary in July 2013 and took over one of the best dental practices in the vibrant Mission area.  For more than 5 years they are proudly serving the community populations of Mission, Rideau Park, Beltline, Elbow Park, Upper and Lower Mount Royal along with other downtown communities and beyond.

A gentle touch with genuine care, exceptional knowledge and expertise along with honesty and transparency are qualities that the majority of our patients describe in their testimonials for both Dr. Rustam and Dr. Ania.  Dr. Ania is also known for her vibrant personality and ability to cope with the youngest patients with ease and has the ability to make just about everyone comfortable in the dental chair.  Dr. Rustam is very meticulous and attentive to the little details, therefore he easily exceeds the expectations of our patients when it comes to highly cosmetic and restorative cases such as implants and veneers.

In their private life, Dr. Rustam and Dr. Ania love spending time with their kids: Danil and Sasha and an English bulldog named Misha. They also enjoy hiking, biking and travelling with their family and friends.