For example, doing four fillings in an hour is more cost effective than doing two forty-five minute visits of two fillings each. Sometimes that meant pushing the envelope and doing too much. There is a contradiction that exists when health professionals depend upon either a large volume of patients or higher dental supplyfees for their livelihood. One visit endodontics (root canal therapy), multi-quadrant (more than one area) crown and bridge preparation or gum and bone surgery is not only traumatic during the procedure, but can result in more post-operative complications and discomfort for the patient. Too often, large volume means poor quality. Unfortunately, high fees don't always extrapolate into better quality and service. Very often the patient feels " ripped off" by the high fee or poor quality and no longer trusts the dentist specifically or the profession as a whole. Sadly, even today, in The United States of America,dental materials there are few places for an individual with little means to receive quality care. Dental Schools offer their students' services at a lower cost and teaching hospitals do have interns and residents that may provide quality care at a lower cost. Medicaid can provide children from low-income families with basic dental needs. Adults, with Medicaid, however, can fall through the cracks and receive even less necessary dental care. Like a carpenter or a plumber who possesses great skills, a dentist should be properly compensated.