Should I Give Up Holistic Care for Competence?

I am a bit frustrated. I feel like I am left to choose between getting the holistic care I want and competence in that care. We only have one holistic dentist in our town. I wanted to replace two things. First, a metal based crown for an all-porcelain one. Second, a mercury-filled filling for a composite one. My previous dentist didn’t believe that they needed exchanging. So, I found the holistic one and she was willing. Unfortunately, she used this new machine called a CEREC to make my crown while I waited. The crown I had before, though metal based, was comfortable and fit well. The one she made hurt and was too big for the area. I went back and she sanded it down to try to get it to fit the area. This changed the rest of my bite somehow and everything is off. She’s now telling me my problem is I need rothodontics. That would cost $6000…all for a crown not placed properly. I don’t know what to do.

Daria

Dear Daria,

I’m sorry this happened to you. First, let’s talk about your options. Holistic dentistry isn’t a specialty. It is a philosophy of care, which entails considering your whole body during treatment and not just your teeth. They are more likely to work around metal sensitivities that you have and will know how to do a sanitary amalgam removal. There are plenty of dentists who will adhere to this type of treatment without offically calling themselves a holistic dentist. If you do an internet serach for a mercury-free dentist or a metal-free dentist, you can probably find someone with that same philosophy. You are not stuck with the one declared holistic dentist in your area.

As for your dental crown, it sounds to me like your dentist didn’t not know how to use the CEREC machine. When the right information is input into the program, you actually end up with better fitting crowns because they are precicely milled by a computer. It sounds to me like what you were dealing with is a dental competence issue more than a CEREC issue.

If your bite wasn’t off before the dental crown but is after, that means she did something wrong. I would ask for x-rays from before your procedure and after, then take them to another dentist to look over. At the very least, you should get a refund for the crown. However, if she’s thrown off your bite than the repairs could be expensive. In that case, she bears some of the responsibility in covering that expense.

This blog is brought to you by Moline Dentist Dr. Thomas Goebel.

My new crown has been hurting for months

In January, my dentist put a crown over a top left molar that was cracked, sensitive, and had an old silver filling in it. During the procedure, my dentist had trouble getting the tooth numb, so drilling it was quite painful. When the dentist checked my bite, I told her that it hurt to chew on that side. Later during the week, I told the dentist that it was also painful to brush the tooth and floss around it. She never mentioned that I might need root canal treatment.

The dental office told me that the tooth was irritated and would settle down. I return to the office, and my dentist adjusted the crown. She said that if it did not feel better, she would readjust. I delayed the appointment due to the pandemic, but my tooth became quite painful in a few weeks. My dentist adjusted the crown again, and although it was somewhat better, it was still uncomfortable.

Last week when I saw the dentist, she said the tooth has a periapical abscess, and I need an extraction. My dentist has no explanation of why she didn’t see that the tooth was declining during my follow-up visits. How can I request a refund for the same-day crown? And is the same-day crown process the reason I had so many problems? – Thank you. Quinn from Indiana

Quinn,

Thank you for your inquiry.

Based on your description, it sounds like your dentist was somewhat negligent for several reasons:

• Cracked tooth – Your molar tooth was already cracked and at risk of needing root canal treatment. Your dentist should have mentioned the possibility of needing root canal treatment.
• Sensitivity – Some sensitivity after crown placement is common, but the pain you experienced was abnormal.
• Your bite – When your dentist checked your bite, she should have worked to get it right. A crown should blend with your bite so well that you cannot tell the difference between it and your natural teeth.

Requesting a Refund for a Dental Crown

You can request a refund for your crown for several reasons:

• Your dentist did not explain that you might need root canal treatment
• Your dentist placed the crown on a sensitive tooth without addressing the sensitivity
• The same-day crown does not function well and did not function properly when your dentist first checked your bite
• Your dentist did not attempt to treat the tooth despite your complaints further

Several ways to motivate your dentist to refund you include:

• Report the issue to your dental insurance company, if applicable
• File a complaint with the state dental board
• Leave negative online reviews

Consider Root Canal Treatment from a Specialist

Root canal treatment on a tooth with a periapical abscess is worth a try. It may save your tooth—especially if you allow an endodontist, a root canal specialist, to treat it. If there is a chance of saving your tooth, why not consider it? Otherwise, after an extraction, you will need a dental implant or bridge to replace the missing tooth.

Without an implant or a bridge to replace your extracted tooth, you can experience some or all these issues:

• Your adjacent teeth and the tooth opposing the missing one will drift into the space
• You will begin to experience TMJ issues
• Tooth movement can create a need for orthodontic treatment

Get a Second Opinion

We recommend that you get a second opinion from an experienced dentist. A conscientious dentist wants to preserve your teeth and your oral health. Request an examination, discuss your treatment options, and weigh the pros and cons of tooth extraction.

Timothy J. Goebel, DDS, a Moline, IL dentist, sponsors this post.

 

New crown fell off 4 times, and my dentist charged me for it

My dentist removed a large silver filling from a top left molar and put a crown over the tooth. My temporary crown came off three times within the almost three weeks that I wore it. Of course, my dentist reattached it each time. I received the permanent crown in mid-January, and I have returned to the dentist four times to bond it back on.

The color of the crown is off too, but my dentist said that it would cost $385 to correct it. I decided not to argue with him about the color. But I wonder if he is treating me fairly. Isn’t he responsible for the crown color?

Two weeks ago, the crown came off, and my dentist said he would order a new crown. The lady in the billing department said they would try to return the crown as defective so that I will not be charged for it. I politely but firmly told her that I am not paying for a crown that does not fit and is the wrong color.

Last Thursday was my appointment for a new crown, my dentist drilled on the tooth and said he was reshaping it, inserting posts, and making new molds, so there was no new crown for that appointment, and I have to wait. When I was checking out, the billing rep told me that I owed money because my insurance would not cover the crown. The cost is $385, which my dentist initially said he would charge to correct the crown color.

I paid for the crown with a credit card because I hope there is a way to cancel the whole thing and get my money back. They tricked me, and I feel that I allowed it to happen. But I have no plans to return to the dentist. Can I stop this process and somehow get a refund? – Micah from Indiana

 

Micah,

What an experience you’ve had with your dentist! It’s among the worst we have heard this year. Your dentist’s policy to charge you so that he can correct his mistakes is unethical.

When Your Dental Crown Is the Wrong Color

If your dental crown is the wrong color, your dentist has not met his or her service agreement. You expect a crown that fits well, is in harmony with your bite, and matches your natural teeth. And it is your right as a consumer to receive what you paid for. It is the same with any major purchase. If you bought a new refrigerator with an ice maker, you expect all components to work. If the ice maker is defective, the seller will not charge you an extra fee for a new refrigerator with an ice maker that works. Please do not settle on faulty dental work.

When Your Dental Crown Keeps Falling Off

When your dental crown keeps falling off, either your dentist prepared it so aggressively that it will not stay on, or your dentist did not build up the tooth enough to retain the crown. It seems that your dentist used posts to help stabilize your crown and build up the tooth with composite. If your dentist cannot secure your crown, it is time to get a second opinion.

How to Deal with a Dishonest Dentist

If your dentist is dishonest and you already paid for the service, there are several things you can do:

• Dispute credit card payment – If you paid with a credit card, contact your credit card company and dispute the charge.
• Find another dentist – Look for a cosmetic dentist. Although cosmetic dentistry is not a specialty, look at dentists’ websites and check their bios for post-graduate training in cosmetic dentistry. Your new cosmetic dentist might be willing to help you get a refund.
• If your dentist does not refund you – Explain to your dentist that you agreed to a crown that fits well and matches your tooth. It is the standard of care that every dentist must meet. Also, tell your dentist that you are ready to report the issue to the state dental board. And complain to your dental insurance company and let them know your dentist is overcharging and submitting claims to them. You can also feel free to submit negative online reviews on your dentist’s Yelp, Google My Business, or Facebook pages.

 

We hope your dentist will cooperate and that you can quickly find a cosmetic dentist who restores your teeth with crowns that fit well and match your natural teeth. You may find a dentist with in-office, CAD/CAM technology to restore your teeth in one visit.

Best wishes.

 

Timothy J. Goebel, DDS, a cosmetic dentist in Moline, IL, sponsors this post.