Tag Archives: getting a second opinion

Does She Deserve a Refund?

I had four mini implants done to support a denture. It was time for the denture to be done, but I knew I’d be relocating. I asked my dentist how long it would take for the overdenture to be made and he told me three weeks. Nine and a half weeks later (and a week before I have to move), I finally get the denture and it doesn’t fit. Knowing I have to leave, he sort of forces it in. I thought I could make it work, but I could even eat soft food. I called back to see what we could do about it, but he wasn’t in. I ended up calling another dentist for an “emergency” second opinion. He said there are two problems. First, the holes around the attachment were not drilled out properly. Second, the denture teeth themselves are slanted the wrong way. He doesn’t think there is any way it can be fixed in the time I have left in this state. Is it appropriate for me to ask for a refund or will I have to travel back and forth to get this finished here?

Rebekah

Dear Rebekah,

dental implants anchoring dentures
Implant supported dentures

You definitely have the right to ask for a refund. When he told you he could do it in 3 weeks, that was the equivalent of a contract. He broke that contract by a large margin. Then, when he did provide your denture it didn’t fit. From a legal standpoint, you are in good shape.

There’s the dental standpoint as well. Dental implants aren’t a recognized specialty. Because of that, many dentists are doing a procedure they are not qualified to do. It is one of the leading areas of dental malpractice.

Three weeks was a right and reasonable time to get your dentures done. Because he couldn’t, nor could he get them done correctly in a much longer period of time, I have a high suspicion he is in over his head.

Getting Your Refund

You are in a good place here with the leverage you have. He’s messed up from a legal and dental standpoint. You’ve already done this. For those who haven’t, it is always helpful to make sure it is a blind second opinion. This means you don’t let the second dentist know who the first dentist is. Simply let him look at the work which was done and give his thoughts.

Once you have secured the second opinion, then you go to the dentist and simply ask for a refund. Hopefully, your dentist will recognize the flaw in his technique and have the integrity to make things right. But what if he doesn’t?

If he doesn’t, use your leverage.

Tell him you will write a bad review for him. Research shows that somewhere between 60 -65% of people rely on reviews to determine where to go to the dentist. He should care about the type of reviews he is getting. You could even tell him you’d be willing to do a good review about his willingness to cooperate with you when your denture didn’t work out.

If that doesn’t work, you could tell him you will have to speak with the dental board about the situation. I’m sure the second opinion dentist can help you show the level of incompetence that went into your case. That should sober him up a bit.

This blog is brought to you by Salem, MA Dentist Dr. Randall Burba.

How Long Can I Wait for a Dental Implant?

I have a tooth where decay grew under the crown. My dentist doesn’t feel he can get it all out and recommended I see an oral surgeon to pull the tooth and then come back for a dental bridge. I’m not too keen on that so I’m thinking of seeing someone else about the decay. I’ve also been doing some research and it looks like a dental implant will be a better option for replacing a missing tooth. I’ve got fairly new dental insurance which has six more months of a waiting period before I can get any coverage for work done. If I pull this tooth, how long can I wait before there are problems?

Catherine

Dear Catherine,

illustraition of a dental implant next to natural teeth

I’m going to be blunt and tell you that you are not being well served by your dentist. Most skilled dentists will do everything possible to save a tooth. What does he mean he can’t get all the decay out? Has he tried and failed? Based on what you said, he didn’t even bother trying.

Next, he suggested a dental bridge instead of a dental implant. Your research is correct. Yes, it is a much better tooth replacement than a bridge. The one exception to that would be if the adjacent teeth already need dental crowns. If they don’t, then you are just grinding down healthy tooth structure.

I’m sorry, but this dentist seems too willing to get rid of teeth. You can do better. I’m going to highly recommend you get a second opinion on this tooth.

Don’t Wait before Getting a Dental Implant

If, after getting a second opinion, it turns out the tooth cannot be saved, I wouldn’t recommend waiting more than a week or two (at the most) with that space empty. The teeth around it will start to drift or tip into the space, making a replacement difficult.

In fact, it can lead to serious bite problems, which can cause TMJ Disorder. Just like cleaning out the tooth properly with a root canal treatment before getting your original dental crown would have saved you the problems you are facing now, making sure that space is kept open will save you a lot of pain down the road.

I’d recommend something simple and inexpensive, such as a dental flipper, to hold the space for you until your insurance will cover your dental implant. Truthfully, even if you received the implant today you’d need a temporary tooth anyway. The site where the implant is placed needs both time to heal and for the bone to integrate around the implant before it can support an implant crown anyway, so this isn’t an unnecessary step.

This blog is brought to you by Salem, MA Dentist Dr. Randall Burba.

Why Is My Tooth Gray After Dental Visit?

I went to see a dentist because of some tooth pain. He did an x-ray but said he didn’t see anything wrong. He decided to cap the tooth because he said the symptoms reminded him of of a cracked tooth. The tooth pain went away, but now I noticed the tooth next to it is gray. Did the dentist do something to it?

Carla

Dear Carla,

Woman holding her jaw in pain from TMJ

When you have a dental emergency, all you care about is getting out of pain. I haven’t seen your x-rays so I’m having to just draw some possibilities.

First, there could have been a misdiagnosis. The only way to tell this with certainty is to have another dentist look at your x-rays and tell you if the true problem was obvious. If it was, then you have a right to a full refund from the original dentist.

Another option is that you did have a cracked tooth which needed a dental crown, then later, the adjacent tooth was injured by something else. Let’s be honest, this is very unlikely. But, as it is a possibility I mention it.

The third option is much more likely. Both teeth could have experienced trauma at the same time but it took the second tooth a while to show it’s injury.

Is a Gray Tooth a Dental Emergency?

When a tooth is gray it means it is either dead or dying. When that happens it needs a root canal treatment. It’s not a dental emergency yet, but if you don’t get it taken care of can turn into one quickly.

You didn’t seem to feel too confident in the dentist who gave you a dental crown, so you may want to let whichever dentist you go to for your second opinion do your root canal treatment.

This blog is brought to you by Salem Dentist Dr. Randall Burba.

Pain is severe and my dentist insists nothing is wrong

I have severe pain in an upper tooth, but my dentist insists there isn’t anything wrong. The pain is driving me mad. What do I do if my dentist refuses to listen?

Brooke H. – Minnesota

Brooke,

I can’t tell you what is wrong with your tooth without seeing and examining it, but I would recommend you at the very least get a second opinion. If the pain seems unbearable, and it sounds like it does, and your dentist isn’t listening to you, then you may try an emergency dentist.

They can get you out of pain, while at the same time examining your case to give you a second opinion. I’m assuming your dentist did x-rays? ¬†Generally, you can tell if something is wrong with a tooth that way, but it could be he missed something.

Some dentists can be a little insensitive to the feelings of their patients, so don’t feel bad about seeing another one.

It’s possible it’s not dental related. Your sinus cavities are very close to your upper teeth, so it may be a sinus infection that has referred pain in your tooth.

If you get nowhere with the emergency dentist, a GP or an endodontist would be might next stop.

This blog is brought to you by Dr. Randall Burba.