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ClearChoice complaint – They want payment even though no work was done.

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Your Name
Michele Briston
ClearChoice Location
Pittsburgh pa
Your Review (A ClearChoice complaint)
“I agreed to pay $1000 for a consultation. When I couldn’t designate the $30,000 and funds it was going to take for my work the sales rep known as Michele advised me that with the $18,000 I was preapproved with CareCredit. If I paid $1000 more I would get to $20,000 and they could schedule my surgery. I agreed and started receiving a bill from CareCredit shortly thereafter, and came to terms that I could not afford it and canceled the February surgery date in December. I promptly notified CareCredit of this. I had no work done by this company and they are not refunding the extra thousand dollars that I agreed to pay for the work to be done and Synchrony Bank/CareCredit is still charging me $1000 stating that the provider advised that there were extra fees. I had no work done by this company. This was my second consultation with them and hopes to get my teeth restored I subsequently had to go to Mexico for a much more affordable option, they are not refunding the extra money that I paid and I am facing a negative credit impact on my score due to the career credit charge. CareCredit is unable to or will not provide me with an itemized bill of what the extra charges are. I have contacted the Attorney General and the consumer protection bureau with no success. This is a very concerning practice at this company has going on. I plan to go to the news In hopes to save someone else from this grief.”


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Comment by Dr. Hall:
I think the problem with CareCredit is that they have paid the money to ClearChoice, and they are looking to you for the repayment. I would guess that you need to get ClearChoice to refund the money to CareCredit, which should get you off the hook. And, if you have an ethical dental board, you should be able to get leverage through them.

Do you have a comment or anything else to add? We’d love to hear from you. Enter your comment below. Or click here to ask Dr. Hall a question.

About David A. Hall

Dr. David A. Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does advanced internet marketing for dentists.

I’ve had braces three times

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Dr. Hall,
I am 67 and have had three sets of braces in my teens, twenties and thirties. I had orthognathic surgery 1989 for a short jawline. Great results. However my teeth have gradually crowded again, my two front teeth are prominent. I want to do veneers on my two upper side teeth to possibly make the two fronts look not so prominent. I’ve been told I have to do all six fronts. Too expensive and don’t feel like it’s necessary. This is cosmetic. I don’t feel like going through braces again I’m not sure how to send a photo.
– Deborah from Texas

(See Dr. Hall’s answer below.)


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Deborah,
I wouldn’t be able to tell whether two or six porcelain veneers would be appropriate for you without an exam, but I’ll try to be helpful.

There are two possibilities. One is that two porcelain veneers would do you just fine and your dentist is trying to get you to do more work than you really need. The other possibility is that your dentist is a highly ethical cosmetic dentist and doesn’t want to do a case that will reflect poorly on his or her reputation.

When I practiced, I was very firm in not wanting a cosmetic patient to walk out of my office with a smile that wasn’t beautiful. I believe that most ethical cosmetic dentists have similar feelings. They are passionate about the appearance of what they do, and the patient needs to love how it looks and the work needs to reflect their artistry.

I also have a comment about your teeth crowding. I had one patient, a woman in her 50s, who had a gap between her two front teeth, and I closed the gap by widening the teeth with dental bonding. Then, within a couple of years, the gap came back. I had to re-do the bonding, but this time I had an orthodontic retainer made for her and told her she needed to wear it every night because her teeth continued to move. Adult tooth movement happens, and the way to deal with that is to wear an orthodontic retainer after the treatment is completed. Most people need a retainer for a limited time, but there are some patients who need one long-term, and it sounds like you’re one of those. Had you worn a retainer consistently after your treatment in your teens, I’m guessing that you wouldn’t have needed to be re-treated.

The way to tell that you still need a retainer is to back off gradually. You wear it all the time for the time your orthodontist tells you. Then you start wearing it only at night. Then you wear it every other night, and you should be able to tell when you snap the retainer back in if your teeth have moved in the interim, because you’ll feel the pressure on your teeth. If it feels like they haven’t moved, go longer.

There are some orthodontists who will bond a retainer to the backs of the teeth and the patient wears that for the rest of their life. It sounds like that wouldn’t have been a bad idea for you.

– Dr. Hall

Do you have a comment or anything else to add? We’d love to hear from you. Enter your comment below. Or click here to ask Dr. Hall a question.

About David A. Hall

Dr. David A. Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does advanced internet marketing for dentists.

ClearChoice sales tactics

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Here is a complaint that illustrates some of my issues with ClearChoice:

  • Recommending the extraction of all the teeth, even when there are some that other dentists would save
  • “Pushy” sales tactics
  • Offering a discount as a high-pressure sales tactic

Linda here did seek a second opinion, which is what I recommend.

Dr. Hall,
I went to a ClearChoice seminar at the Hilton in Plano, Texas, and 5 or 6 people was there to give their testimonials. I was scheduled a follow-up appointment at the ClearChoice dental implant office in Dallas, TX. They also told me I would have to have “ALL” my teeth extracted. I didn’t go back because I still have teeth that are in good, sound condition, and I knew this. They were too “pushy” and this scared me. I am getting a second opinion, and right now I have found a dentist that I feel is very good, with my best treatment in mind. I was shocked to read your website and find that ClearChoice dental used this same “sales” pitch throughout the country to get you to go ahead and get implants. This seemed to be a scare tactic because they also told me they were giving me a big discount, and I would eventually lose my teeth and have to wear complete dentures if I didn’t go ahead now.
– Linda from Addison, TX

 


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Do you have a comment or anything else to add? We’d love to hear from you. Enter your comment below. Or click here to ask Dr. Hall a question.

About David A. Hall

Dr. David A. Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does advanced internet marketing for dentists.

My dentist wants to do crowns to treat my TMJ disorder

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Dr. Hall,
I have TMJ and currently use a full mouth guard at night from a dental specialist. The clicking and my migraines have decreased under her care and that of my neurologist. I am 67 and have worn my molars to the place they can no longer be filled. I have one cracked and in need of a crown.

My question: The specialist suggested she could adjust my bite with inlays or full crowns on my molars (bottom teeth only). Thereby positioning my jaw to relieve or eliminate the TMJ. Is this too radical a procedure? Have you ever heard of this for the treatment of TMJ? Should I try this or just have my dentist place a typical crown on the tooth? Time is of the essence.

-Paula from Cleveland

(See Dr. Hall’s answer below.)


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Paula,
I’ll answer your question and then clarify a few points.

Doing crowns to rebuild your bite and change the way your teeth come together is a very common and accepted way to treat TMJ disorder. So no, that isn’t radical at all. Sometimes, what is recommended is a full-mouth reconstruction, involving crowning all the teeth.

But I want to clarify something. You said you were seeing a dental specialist. TMJ treatment isn’t a recognized dental specialty, so we need to be careful how we use the term TMJ specialist. I think it would be helpful if it were, because ordinary dental school education does not prepare a dentist to treat most cases of TMJ disorder. It requires some post-graduate training in what I would call complex restorative dentistry. The mechanics of the movements of your jaw are complicated.

I would advise a patient with TMJ disorder to seek treatment from a dentist with advanced training from one of these post-graduate institutes:

  • The Pankey Institute in Key Biscayne, Florida
  • The Dawson Academy, with headquarters in Florida but training centers in various states
  • Spear Education in Scottsdale, Arizona
  • The Las Vegas Institute for Advanced Dental Studies in Las Vegas, Nevada
  • Piper Education and Research Center in Tampa, Florida

Each of these institutes offers a curriculum of several courses, and a dentist will be most prepared if they have taken the complete curriculum. For the highest level of expertise, look for dentists who are graduates, rather than dentists who have merely attended a course.

Another option is to go to a prosthodontist. Prosthodontics is a recognized specialty in crown-and-bridge dentistry and other prosthetic treatments, and they have had advanced training in occlusion and treating TMJ disorder.

I will say that it sounds like your dentist knows what she is doing and I believe that you are in good hands, though it could be worthwhile to ask some questions. The fact that your mouth guard (nightguard or splint) has relieved your symptoms speaks well of her treatment.

– Dr. Hall

Do you have a comment or anything else to add? We’d love to hear from you. Enter your comment below. Or click here to ask Dr. Hall a question.

About David A. Hall

Dr. David A. Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does advanced internet marketing for dentists.

ClearChoice screwed up my face

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Dr. Hall,
I’ve had dental implants from ClearChoice in Quincy, MA and my facial structure is compromised, my cheeks hollow, my skin hanging, my upper lip hangs in a permanent frown, even just below my eyes is missing bone. The space between my nose and upper lip is elongated, one of my nostrils is collapsed. And the doctors there will not answer me what happened to my face. This didn’t happen over time, it happened from the surgery. Could you please explain what may have caused this to happen?
– Brooke from Newburyport, MA
(I originally published this with a changed name and location to provide privacy. But in a personal email, Brooke told me to use her real name and location, so I have done that.)

Patient found us by searching for “ClearChoice complaints.”

(See Dr. Hall’s answer below.)


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Brooke,
I’m so sorry. What a mess!

I’m going to assume that you had the All-on-4 implant procedure, as that is their go-to treatment plan at ClearChoice for implant-supported dentures. Also, as a disclaimer, since I can’t examine you or verify your complaints, I’m just going to go from what you are telling me. And your case is a great illustration of the profound effect dentistry can have on the face. Some dentists are specializing in what they call “facelift dentistry,” or “age-reversing dentistry,” where they re-build the teeth and produce results that make it look like you’ve had a facelift, but without the surgery.

two drawings of a face - the first shows facial collapse with sunken-in mouth and sagging skin, the second with normal facial height.You are describing something that sounds a little like facial collapse, except that an implant-supported denture, if properly done, should treat or prevent facial collapse and not cause it. A well-done implant denture should restore normal facial height and should fill out your cheeks. So part of your problem could be in the construction of your denture. If the bases of the upper and lower were wider and your smile broader, they would support your cheeks. And if they were built up vertically, there would be less sagging in your face.

About the change in your nose and upper lip, that seems to me to be related to the surgery that is done as part of placing the implants. Part of that surgery involves re-shaping the bone to make it easier to fit the denture over the bone. The maxillary bone goes right under the nose, so it’s possible that they were too aggressive in shaving away bone there.

About what you can do—my suggestion would be to get aggressive with them. From what you are telling me, the time for sweet-talking this matter has passed. ClearChoice has been known to refund money in response to serious complaints or threats of lawsuits. And then, while it may be difficult to rebuild the bone that has been shaved away, at least the dentures could be re-made to properly support your face.
– Dr. Hall

Do you have a comment or anything else to add? We’d love to hear from you. Enter your comment below. Or click here to ask Dr. Hall a question.

About David A. Hall

Dr. David A. Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does advanced internet marketing for dentists.

I can’t stop gagging wearing my upper denture

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Dr. Hall
I got an upper denture but can’t stop gagging. What can I do?
– Teri from Peoria, IL

(See Dr. Hall’s answer below.)


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Teri,
That can be a tough problem, but let me suggest a couple of possible solutions.

drawing of an upper jaw with four implants embedded in the jawbone, and replacement teeth positioned ready to be fastened to themThe best and easiest solution would be to have an implant-supported denture. A removable denture, to get appropriate suction (because that is what holds it in), has to cover your entire hard palate. An implant-supported denture only needs to cover the gum tissue. So there would be no triggering of the gag reflex.

But, if that is beyond your budget, it may be possible to solve the gagging problem without going to implant support.

A photo of two dentures on plaster casts, one extended to the vibrating line and one cut to be short of that line

Screenshot

Ideally, the base of your denture should extend to the limits of your hard palate, to what we call the “vibrating line,” which is where your soft palate begins. If that makes you gag, it may be possible to get adequate suction without going back that far. A prosthodontist in Lancashire, England, Dr. Finlay Sutton, has published his technique for providing upper dentures to patients with an extreme gagging problem. On the left is his photo of two dentures on plaster casts. The upper shows the denture extended all the way to the vibrating line. The lower photo shows a denture trimmed to be short of that to accommodate patients with a severe gagging problem. It has to be trimmed expertly, because if it is trimmed too much or in the wrong places, it will weaken the suction too much to the point where the denture won’t stay in.

It is also possible that your dentist has made your denture to extend onto your soft palate, which is wrong for any patient. If you suspect that is the case (because you normally don’t have a gagging problem), I would get a second opinion.

– Dr. Hall

Do you have a comment or anything else to add? We’d love to hear from you. Enter your comment below. Or click here to ask Dr. Hall a question.

About David A. Hall

Dr. David A. Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does advanced internet marketing for dentists.

My crowns are making my gums bleed

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Dr. Hall,
So I had 8 crowns on top put on in 2021. They took them off last year, 2023, because they were causing my gums to swell and bleed.
So they took them back off and re-did them last July. I just got the second set taken back off a week ago because the same thing was happening. So I saw a periodontist and he said to keep my temps on for at least 3 months but the temps are just like the original ones. So I’m not sure if that’s going to help the gums heal?
I asked another doctor and he said they look too bulky and over-contoured up in the gums and aren’t fitting correctly on my real tooth. Do you think that is what’s causing it? I did a deep clean as well and the lady said she had to scrape some cement off up on the gum line.
I’m going to go get them re-done in Mexico here soon and showed them my x-rays so they have an idea. If they re-do them and they do them correctly will that help the gums de-swell do you think? Thanks!
– Ryan from Colorado

(See Dr. Hall’s answer below.)


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Ryan,
Not seeing this for myself, I can’t tell you if your crowns are over-contoured, but that sounds like a reasonable explanation. Yes, if the crowns are over-contoured, that will usually cause gum inflammation—swelling, redness, and bleeding. Your teeth have natural contours that provide for optimum health, and a crown should replicate those natural contours.
line drawings showing two crowns. The overcontoured crown promotes food collecting.Here’s a drawing showing a normal contour of the crown on the left, and overcontouring of the crown on the right. The drawing doesn’t show a normal gumline—usually the margin of the crown will be under the gumline. Overcontouring of the crown causes two problems. First, it puts pressure on the gum. Second, it creates a trap for food particles under the bulge of the crown. Both of these contribute to irritation of the gums, causing gum disease which results in redness, swelling, and bleeding of the gums.
But that’s not the only problem. You said that the hygienist scraped off excess cement. The dentist who cemented the crown is supposed to clean off all excess cement before dismissing you. Not doing that is a major flub. To me, that level of sloppiness is unacceptable for dental care.
But I am puzzled by your going to Mexico to have this fixed. Really?! I would think that after getting burned by low-quality dental care, you would be averse to seeking bargain-basement dental care in Mexico. From stories I have received about Mexican dental care, I would not expect that you would get this properly fixed there.

Do you have a comment or anything else to add? We’d love to hear from you. Enter your comment below. Or click here to ask Dr. Hall a question.

About David A. Hall

Dr. David A. Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does advanced internet marketing for dentists.

Advice on how to drink soda

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Dr. Hall,
I have extensive damage to my teeth from years of drinking energy drinks, and now my gums are bleeding when I brush or floss. I think I might need dentures.
– Michelle from Florida

(See Dr. Hall’s answer below.)


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Michelle,
Not being able to see you, I don’t know how much damage you’re talking about and whether or not you need dentures, but I’ll try to say some helpful things about your situation.

First, on decay from drinking sodas or anything sweet. I remember a study that was referenced when I was in dental school. There is some island in the South Seas where the people consumed high levels of sugar but had very little tooth decay, and investigators wanted to find out why. When they investigated, they found out that their sugar was from sweet drinks and it was consumed almost entirely at mealtimes. What they learned was that if the sugary drink was cleared quickly from your mouth it really didn’t contribute significantly to decay.

Where some people get in trouble with sugary drinks is when they let it sit in their mouth before swallowing it. I saw this in my practice. Decay would form around the necks of the back teeth, particularly on the insides of the lower molars. This is accentuated if you take little sips throughout the day and don’t swallow right away. And then when the dentist fills these decayed spots, if you continue this habit, you will keep getting new decay around the edges of the fillings.

You can drink the same drinks, but if you take bigger gulps and then just swallow rather than hold it in your mouth, it will greatly reduce the negative effect on your teeth, and you may not get any cavities in these spots. Think what you are doing when you drink a sugary drink—you are feeding the bacteria. The longer it sits there, the longer they have to feed.

And then about the bleeding gums. Bleeding gums are a symptom of gingivitis—the early stage of periodontal disease. Periodontal disease is also caused by bacteria. Change how you are feeding the bacteria, and keep your teeth clean with brushing and flossing and have them professionally cleaned regularly, and it should go away. Some people have a tendency, when their gums bleed, to stay away from the gums when they brush, but that is the exact opposite of what they need to do. You need to brush away the bacteria that are on your teeth right at the gumline in order for the gums to heal.

– Dr. Hall

Do you have a comment or anything else to add? We’d love to hear from you. Enter your comment below. Or click here to ask Dr. Hall a question.

About David A. Hall

Dr. David A. Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does advanced internet marketing for dentists.

My dentist says my crown is a mess

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I had a root canal done and then a permanent crown placed in the Schaumburg, IL, area, around 2013.

Now my dentist here in Dallas evaluated that the crown was a mess, I ended up replacing the crown now. Upon reaching out the office in Schaumburg the office told me there is no was even a single penny will be refunded for something that was done in 2013. I told them it is based upon a dentist review not my opinion.

– Meredith from Texas

(See Dr. Hall’s answer below.)


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Meredith,
I agree that expecting a refund on an 11-year-old crown is a little much. You got 11 years of service out of the crown, so I think it was worth it. But let me add a couple of additional comments related to your question.

The way you put the opinion of your Dallas dentist, that the “crown was a mess,” raised a red flag with me. If that is the terminology that your dentist used, I’m suspicious. There’s a sense of professional courtesy in the dental profession to be gentle with our criticism of another dentist’s work. Yes, there is an obligation to the patient to be honest about work that needs to be re-done. But there are gentle ways and harsh ways to criticize. Some dentists, however, purposely exaggerate problems with previous work as a way to persuade you to re-do their work. Fortunately, it’s a small minority of dentists who do that, but there are some. And then, if it truly was “a mess,” why did it take 11 years for it to give you any trouble? A poorly done crown will either hurt, or fall off, or will leak new decay within a couple of years or so. Now, I’m not saying that your crown was fine, I’m just saying that maybe it was or maybe it wasn’t.

I’d also like to address the question of longevity of dental work. How long should you expect a crown to last? Dental insurance companies have established a standard. They expect a crown to last at least five years, and if it doesn’t they won’t pay benefits to replace it. If a crown doesn’t last that long, it would be reasonable to expect some concession from the dentist that placed it, maybe even free replacement. But a well-done crown in the mouth of a patient who takes good care of their teeth could last much longer than that. I have several crowns in my mouth that are over thirty years old, and I expect them to last for many years yet. But I had one crown that lasted only about five years, and I didn’t even mention it to the dentist that did it.

There are too many variables to expect a dentist to place a warranty on dental work. An important factor is how well a patient takes care of the work. If they are a frequent snacker, even quality work can develop recurrent decay around the edges.

– Dr. Hall

Do you have a comment or anything else to add? We’d love to hear from you. Enter your comment below. Or click here to ask Dr. Hall a question.

About David A. Hall

Dr. David A. Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does advanced internet marketing for dentists.

The dentist wants to extract all my teeth

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I’m a 41-year-old female with periodontitis and severe bone loss. I went years without dental insurance and checkups. I recently started seeing a dentist who performed two scaling and root planing appointments. The hygienist saw improvement, with pink gums and my deepest pocket was 9mm. She recommended I see a periodontist for follow-up and maintenance cleanings, which I did three weeks later.

However, the periodontist made me feel terrible about myself. She measured pocket depths up to 12mm and noted blood and pus between my gums and teeth on nearly all my teeth. How could the pocket depths change so drastically in just three weeks? She said my teeth wouldn’t withstand laser treatment and recommended extracting all of them, stating that even with implants, I could still get gum disease.

I feel that as a dentist, her role is to help save as many teeth as possible. Shouldn’t I have been prescribed antibiotics for the pus and blood? Shouldn’t she have offered treatments like perio trays to address the pockets? I feel defeated and devastated at the thought of losing my smile, which has always been my best attribute.

I’m desperate for advice and would appreciate any guidance. Thank you.

– Jessica from Colorado Springs

(See Dr. Hall’s answer below.)


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Jessica,
I doubt that your pocket increased from 9 mm to 12 mm in three weeks. There are a couple of reasons for discrepancies in the measurement of pockets. When you have periodontal disease, there will be deposits of tartar on the roots of the teeth, and a dentist or hygienist can hit one of those with the periodontal probe and think they have reached the bottom of the pocket. Also, when the tissue is badly inflamed, it can be easy to poke through it and think that the pocket is deeper than it actually is.

While I’m not going to be able to tell you who is more accurate in assessing your condition, there are a couple of things about your experience with the periodontist that bother me.

First is the blanket recommendation that all your teeth should be extracted. Advanced periodontitis is serious, but to go from having all your teeth to saying all of them are hopeless is a diagnosis that I find hard to believe. A tooth that is hopeless is going to be loose. It doesn’t sound to me like all your teeth are loose.

Second is the eagerness to give up without giving your teeth time to respond to therapy. If you had been faithful and regular with dental care and still had advanced periodontal disease, I would be more receptive to a hopeless diagnosis. But you admit that you went years without professional care. It’s not all that surprising that the condition of your gums is poor. Why not give you the best care we can, see how you do with your home care, and see what we can save?

Dentists vary a lot in their commitment to saving teeth. Some will do everything they can to save a tooth. For others, extracting a tooth is the easy way out. A periodontist is supposed to be a specialist in saving teeth, so it is surprising to me that your periodontist is so willing to give up on all of them. The way your periodontist made you feel telegraphs to me a lack of caring.

Now, maybe your periodontist is right and the condition of your teeth is that bad. But I would recommend getting another opinion. You’re in Colorado Springs where there are a number of periodontists. I would look them up and read some of their online reviews, and see if you can find one who cares deeply about their patients and seems to be committed to helping them save their teeth. You seem to be very willing to do what you can to save your teeth and I would think an excellent periodontist would very much enjoy working with you to try to accomplish that.

– Dr. Hall

Do you have a comment or anything else to add? We’d love to hear from you. Enter your comment below. Or click here to ask Dr. Hall a question.

About David A. Hall

Dr. David A. Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does advanced internet marketing for dentists.

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