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Medical Forum / General / Dentistry / May 2007

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Partials disaster

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KW - 21 May 2007 19:32 GMT
Please help need advice....

today was my fourth visit for my partials fitting...the dentist has
always been pretty nice...however today when I finally got to see what
the partials would look like he hurried me through my visit as he told
me that there was a missing space that could be sized for a tooth.
Also the partials look worse that my original teeth. The dentists then
quickly removes the partials from my mouth and proceeds to tell me
that I should try getting braces. There was never any indication that
a huge gap between teeth in the front of my mouth would exist nor was
there ever any indication that these partials would look worse than
having no teeth. How do I know if the work that was done was done
poorly?

I am so frustrated I had more than nine teeth remove  most are located
in the front of my mouth and I look horrible with out the teeth and I
have already gotten a glimps of how horrible I am going to look with
the partials.

Thanks
Newbie - 21 May 2007 20:19 GMT
>Please help need advice....
>
[quoted text clipped - 16 lines]
>
>Thanks

Call the dentist office and see if your next appointment is
for a wax try in.

You should be allowed to examine the set up and request
any changes at that time.
JimSocal - 22 May 2007 07:50 GMT
>>Please help need advice....
>>
[quoted text clipped - 22 lines]
>You should be allowed to examine the set up and request
>any changes at that time.
The way you describe it, it sounds bad.
I would insist on getting them right, getting what you paid for, and
don't settle for less than satisfaction.
Be polite but firm, and repeat to the dentist what you said here.
Let him know you aren't going to settle for less than quality fit and
appearance.
(I'm not a dentist.)
doctai77@gmail.com - 22 May 2007 02:47 GMT
tough situation,...hard to say what stage of treatment he is at.
however, if you are unhappy with the finished product, if isn't the
wax try in and you have tried repeatedly to state that you aren't
happy with it, you have some choices.  it  really it is a consumer
driven profession.  therefore if you get something you don't
like..complain.  If he doesn't listen to you, document as much as you
can, get the assistants name in the room, date/time.

that being said, it is possible that there has been a general lack of
communication between you and your doctor.  why he is suggesting
braces at this point is beyond me with the information you've given.
I do really think you should call and speak with him again.

if he still doesn't make it right, or you feel like he isn't
addressing you needs you can always write to your state board and file
a complaint.  as a last resort you can always sue :(.

good luck
KW - 22 May 2007 03:01 GMT
On May 21, 9:47 pm, "docta...@gmail.com" <docta...@gmail.com> wrote:
> tough situation,...hard to say what stage of treatment he is at.
> however, if you are unhappy with the finished product, if isn't the
[quoted text clipped - 14 lines]
>
> good luck

thanks...I thought that is what I would need to do...I am just so
frustrated because I am still without teeth while trying to get my
dentist to correct the situation

Thanks so much for your advice.
Dartos - 22 May 2007 13:36 GMT
What kind of dental clinic and what kind of insurance exists in
this case?

Sometimes you get what you pay for, sometimes you get less.

D

> thanks...I thought that is what I would need to do...I am just so
> frustrated because I am still without teeth while trying to get my
> dentist to correct the situation
>
> Thanks so much for your advice.
KW - 22 May 2007 17:48 GMT
> What kind of dental clinic and what kind of insurance exists in
> this case?
[quoted text clipped - 8 lines]
>
> > Thanks so much for your advice.

The charge for the uppers and lowers were 1800 for the impressions I
believe the office visits and x-rays were separate charges. The
extractions cost $1500. My insurance cover 100% of the cost -- the
problem however is the dentist did not discuss with me potential
difficulties and now he says the difficulties that exist need to be
handled by an orthodontist...he never discussed these potential
difficulties. I have written a letter requesting that he fix these
issue...I can only imagine that we will have an adversarial
relationship from this point on. He really had an a very laid-back
attitude about the situation. Isn't there some higher dental god I can
appeal to :-(
Dartos - 22 May 2007 19:19 GMT
Isn't there some higher dental god I can
> appeal to :-(

About all I can think of is to get a second opinion somewhere
and if it is a total screw-up you might get somewhere contacting
the local dental society and going through peer review.

D
Amatus Cremona - 22 May 2007 14:26 GMT
The statement that the OP really dislikes the appearance and that the GP now
recommends ortho leads me to suspect this is difficult case esthetically
with large spaces that are not filled easily with denture teeth without
making them look like barn doors.  Perhaps there is no optimal place to
position rest seats, clasps and major connectors, leading to sunny spacing
and exposed metal.

I don't know.

Signature

/

Amatus

/

> tough situation,...hard to say what stage of treatment he is at.
> however, if you are unhappy with the finished product, if isn't the
[quoted text clipped - 14 lines]
>
> good luck
doctai77@gmail.com - 22 May 2007 18:01 GMT
definitely a posibility, but with seven teeth extracted,..it's hard to
picture.  but wouldn't you explain that to the patient prior to
extracting the teeth?  it could be a case of extremely high
expectations, or like i suggested a case of poor communication.

> The statement that the OP really dislikes the appearance and that the GP now
> recommends ortho leads me to suspect this is difficult case esthetically
[quoted text clipped - 34 lines]
>
> - Show quoted text -
Amatus Cremona - 22 May 2007 18:05 GMT
Oh,,,,,,,,,,,,, poor communication is a given in this case.  I suspect both
dentist and patient failed to communicate expectations properly.  I am just
trying to think of what would have led to this thought pattern--after the
case is done.

Also, could it be an HMO and the treating dentist simply does not have
enough collected fee to cover re-doing the lab work, so is looking to push
the problem out to another covered entity?

Signature

/

Amatus

/

> definitely a posibility, but with seven teeth extracted,..it's hard to
> picture.  but wouldn't you explain that to the patient prior to
[quoted text clipped - 41 lines]
>>
>> - Show quoted text -
doctai77@gmail.com - 23 May 2007 01:13 GMT
> Oh,,,,,,,,,,,,, poor communication is a given in this case.  I suspect both
> dentist and patient failed to communicate expectations properly.  I am just
[quoted text clipped - 61 lines]
>
> - Show quoted text -

if it was an hmo, wouldn't that have maxed out her insurance?  even if
under a different code? i don't have a lot of experience with
insurance, other than that most of the time it is woefully inadequate.

i would guess that if you take the time to help people here, you would
most likely do the right thing even if it cost you some money.

i'm not sure, but you might be able to ask your state dental board
about what to do.   they might have a peer review system of something.
 
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